The Board at its meeting held on 19 September 2016 resolved that the draft local Sustainability and Transformation Plan be submitted to an additional meeting of the Board for approval before it is submitted to NHS England on 21 October 2016.

In accordance with the above the Chief Officer, Bradford City, Bradford Districts and Airedale, Wharfedale and Craven Clinical Commissioning Groups will submit the draft Bradford District and Craven Sustainability and Transformation Plan (Document “J” - TO Follow).  

                                                            (Rebecca Malin – 01274 237290)

Members were reminded that the Board at its meeting held on 19 September 2016 had resolved that the draft local Sustainability and Transformation Plan be submitted to an additional meeting of the Board for approval before it was submitted to NHS England on 21 October 2016.

In accordance with the above decision, the Chief Officer, Bradford City, Bradford Districts and Airedale, Wharfedale and Craven Clinical Commissioning Groups submitted the draft Bradford District and Craven Sustainability and Transformation Plan (Document “J”).

She advised that the West Yorkshire Sustainability and Transformation Plan was not complete yet as a result of the rapidly changing financial climate and that this would also impact on the local plan. She also advised that the local level of risk was running at a higher level than had been expected.

She further advised that the version of the Sustainability and Transformation Plan being presented today should be seen as a stage in the process with further iterations being necessary for November and December as other deadlines came into force.

The Chief Officer then made a detailed PowerPoint presentation in respect of the Sustainability and Transformation Plan, stressing that all parties were now working from the same base information; that there was nothing surprising in the health and well-being gap; that more needed to be done on the cross cutting priorities; that there was currently not enough detail in the plan to deal with the cross cutting theme of wider economic and social determinants of health. She also noted that the language used in the plan needed to be amended to reflect that used in the West Yorkshire Plan and that diabetes needed to be added as a priority to reflect earlier drafts.

Members of the Board then queried and commented on the plan as follows:-

·        Why was the accelerator site for a new smaller acute hospital model not mentioned in “next steps” ?

·        The final bullet point under health and well-being within the triple aim needed a target or quantification as it currently seemed to be vague.

·        Could the increased waiting times for CAMHS be included ?

·        The review of investments within public health spending needed to be added into “next steps”.

·        Funding had been secured from the Government to reconfigure the health and social care estate and this needed to be referenced within the plan

·        When would this iteration of the Plan be reviewed as the situation was so fluid ?

In response, the Chief Officer stated that the Plan should refer to a small acute hospital as the site already existed and undertook to amend the plan. She also undertook to amend the Plan to show that there were ten indicators within the bullet point on recognising and valuing people’s mental wellbeing to show that it was quantified in the same way as the others described. She considered that a challenge of including specifics such as the waiting time for CAMHS would be the issue of needing to add detail on all of the issues but undertook to investigate whether it could be included. She also undertook to include the review of investments and the work being done on estates.

On the issue of when the Plan would next be reviewed, she noted that the November and December deadlines were important and that the Plan needed rigour to be effective such a quarterly and half-way milestones and targets which would be developed through an operational plan. To that end robust reporting and accountability would also be key factors.

Resolved –

(1)  That the high level summary of the Bradford District and Craven Sustainability and Transformation Plan be approved for submission to NHS England, subject to the inclusion of the amendments raised at this meeting.

(2)  That it be noted that the Bradford District and Craven Sustainability and Transformation Plan forms part of the West Yorkshire Sustainability and Transformation Plan.  

ACTION: , the Chief Officer, Bradford City, Bradford Districts and Airedale, Wharfedale and Craven Clinical Commissioning Groups

Chair