The report of the Partnership Development Director (Document “L”) will be submitted to the Board to provide details of the implementation of the place-based health and care partnership arrangements for Bradford District and Craven, which were presented to the Board in October 2021. These changes are part of the West Yorkshire Integrated Care System and address the requirements of the Health and Care Bill 2021.

Recommended –

That the Wellbeing Board notes the changes being implemented the local Health and Care Partnership.

(James Drury - 07970 479491)

ICP Development - Progress on a place based approach to Health and Care Partnership Arrangements.

The report of the Partnership Development Director (Document “L”) was submitted to the Board to provide Members with the details of the implementation of the place-based health and care partnership arrangements for Bradford District and Craven, which were presented to the Board in October 2021.

The changes being implemented addressed the requirements of the health and Care Bill 2021 and the report gave members a summary of the updated governance, leadership and delivery arrangements.

The report appendix detailed what was changing and the reasons for the changes required.  Integrated Care Systems existed to achieve four aims

·         Improve outcomes in population health and healthcare

·         Tackle inequalities in outcomes, experience and access

·         Enhance productivity and value for money

·         Help the NHS support broader social and economic development

The West Yorkshire Health and Care Partnership aimed to join up health and care services, improve people’s health and wellbeing and reduce health inequalities.  The Integrated Care Systems (ICS) created as part of the Health and Care Bill consisted of the NHS, Councils, Healthwatch and voluntary, community and social enterprise sector (VCSE) and would bring those partners together.

The new structure would include an Integrated Care Partnership.  This group would include representation from a wide cross section of public and voluntary sector organizations and would agree the West Yorkshire integrated care strategy, The Integrated Care Board (ICB), a new statutory organisation, responsible for leading NHS integration, would be accountable for its expenditure and performance.  Place based partnerships would continue in their key role of improving health and wellbeing across the District.

The constitution of the ICB would allow decisions to be made as close as possible to local communities.  It would decide how NHS resource was allocated and will be led by an independent Chair.  The presentation also included a large amount of information to inform Members regarding the Partnership Governance Arrangements with next steps which included a Readiness Audit.

Officers presented the Governance and proposed structure, explaining the Governance proposal and how it would take over some functions from the CCG.  An overview was provided to Members regarding the existing Boards and those proposed as well as leadership and delivery arrangements.

To ensure transparency, the Chair of the new ICB Board would be independent of any other health organization in West Yorkshire, would also comprise of 3 other independent members, Members with views from a number of health, education and community organizations plus the ICB Chief Executive, Clinical Director, Director of Finance and Director of Nursing.

Members were then given the opportunity to comment and ask questions, the details of which and the responses given, are as below.

·                The Chair of the Wellbeing Board requested that Councillors be involved as they represent our citizens

·                The priorities for Bradford District needed to be set by the Wellbeing Board

·                Conversations around how commissioning arrangements would work are already underway and in the process of being developed.

·      Officers proposed the possibility of the lifting of the prohibition of Councillor involvement as representatives of local citizens.

Resolved –

That the Wellbeing Board noted the changes being implemented the local Health and Care Partnership.

Action: Partnership Development Director