Integrated Care Partnerships: Driving the future vision for health and care

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An annual celebration of partnership working in Suffolk and North East Essex

Suffolk and North East Essex ICP hosts an annual Expo bringing together the length and breadth of partners from across the area to celebrate their work, build relationships and set plans for the future. The last two annual events have each involved more than 1000 delegates. The theme for this year’s event was ‘The Future is Now: Time to Value Every Voice in Health and Care’ – a conscious effort to draw in all partners from across the system. A highlight of the day was the official signing of the Suffolk and North East Essex ICS VCFSE Resilience Charter. The charter was signed in person by numerous VCFSE sector leaders alongside Will Pope and Ed Garratt on behalf of NHS Suffolk and North East Essex ICB, Cllr. Andrew Reid on behalf of Suffolk County Council and Lucy Wightman on behalf of Essex County Council.

A focus on social and economic development in Cambridgeshire & Peterborough 

The Cambridgeshire & Peterborough ICP has placed a real emphasis on both social and economic development and supporting the VCSE sector. Through this, the ICB has committed 1) over £1 million each year for two years to district councils to support work developing sustainable communities; 2) £2 million for the VCSE sector to pursue initiatives that focus on key priorities for the local population (further detail provided below) 3) £250k investment in the VCSE infrastructure and the grant process to support bids. This funding has been provided with clear guidelines for delivery, whilst enabling partners the freedom to act locally in meeting the needs of their communities.

The VCSE grant is for initiatives that focus on: 

• Children’s & Young People’s Mental Health 

• Frailty 

• People who use health services very frequently – also referred to as high intensity users of services 

• Advanced illness – which means an irreversible progressive disease or medical condition that can significantly impact on quality of life 

• Cardiovascular disease (including but not limited to smoking cessation) 

• Discharge funding (A specific amount has been ringfenced within the fund to support people who are medically fit to leave hospital) .

Tackling the wider determinants of health in West Yorkshire 

West Yorkshire Health and Care Partnership has sought to develop strategic partnerships and to experiment in new ways regarding social and economic development. Their Fuel Poverty Fund saw £1 million invested to help keep people warm in winter so they could live a long, healthy life. They have also set up a Health Inequalities Academy and Health Equity Fellowship to develop the long-term leadership needed to underpin social and economic development across West Yorkshire.

North Yorkshire & Humber ICP – How the ICP is setup to make the most of its partnership

Humber and North Yorkshire ICP meetings are structured to ensure a broad range of partners can contribute to developing and improving their health and care system. 

The meeting organisation has been carefully designed to balance the ‘here and now’ priorities with the ‘strategic’ priorities across the system. The ‘ICP Meetings Day’ takes place quarterly, and for a whole day, in person.

It begins with a Chatham House Rules, one-hour conversation between the 6 local authority chief executives and the ICB chief executive and chair. 

Thereafter, two sessions take place simultaneously: 

1. The Place Leadership Board, at which the 6 Place Leaders (Local Authority Chief Executives) and 6 Place Directors (ICB Leadership executives) formally discuss and develop the ‘here and now’ issues at Place including good practice and areas where acting once across all 6 places may be beneficial.

2. The Futures Group, at which wider partners (including academics, local businesses, NHS executives etc.) discuss and develop long-term strategic plans relating to population health and health inequalities. 

The two groups come together immediately afterwards to update one another on progress and actions. 

All attendees are invited to join an informal light lunch together to continue networking and sharing thoughts and ideas.

The statutory, formal ICP meeting takes place after this, attended by six Health and Wellbeing Board chairs, six local authority leads, and the six Place Directors, at which partners seek assurance on progress in achieving the ICS strategy of enabling its population to Start Well, Live Well, Age Well and Die Well. 

This structure allows the broad partnership to contribute on not only the ‘here and now’ matters, but also strategic partnership matters, ensuring all partners have a voice and are able to offer their own perspectives. 

The extended format of the day enables crucial relationship-building in both informal and formal contexts. Dates are published 15 months in advance to ensure the best attendance.

Devon ICP – How the ICP is realigning system focus to drive transformative change

The ICP in Devon has recently agreed to prioritise children and young people’s mental health, and specifically supporting children with special education needs and disability (SEND). The reason for this is that there is recognition across the ICS area that SEND services require cross-system action to improvement with the NHS prioritising this as much as local government and other partners. The senior leadership of the ICB has also committed to this approach. 

Cllr James McInnes, Chair of the ICP, said: “The ICP is going to be the catalyst to make this change happen. My gut feeling is that partners across the system are really pleased we’ve taken this step and it’s now time to start delivering the change.”

A partnerships approach to falls prevention ahead of a challenging winter in Greater Manchester

Ahead of a challenging winter, Greater Manchester Combined Authority (GMCA) and Greater Manchester ICP (GM ICP) setup the Greater Manchester Falls Collaborative and secured a £100,000 grant which they believe will help to reduce hospital admissions, helping those older people in Greater Manchester who injure themselves through falls each year.

Black Country ICP – How the ICP is driving a focus on the wider determinants of health

50 per cent of the Black Country population lives in the lowest indices of deprivation. The Black Country ICP recognises the inextricable link between health inequality and the wider determinant factors that lead to poor health outcomes, including housing and employment. There is also a recognition of the strong correlation between deprivation, and social housing for instance, in terms of utilisation of emergency care services due to preventable conditions such as Diabetes Type II. 

This has led to the setting up of a first ever Black Country Health and Housing Partnership – a monthly forum bringing together all housing providers and chaired by a local social housing provider and supported by a Health and Housing Partnership Manager funded by the ICB.  The Community Champion Service, also funded by the ICB, drives health promotion at the neighbourhood level in some of the most deprived areas in Walsall.  Community Champions – who are clients of the Housing Association with lived experience of Type 2 Diabetes either as a carer or a patient themselves – were employed to target people with Type II Diabetes in their local communities. Within six months, the project has started to show signs of improved outcomes for local people with Type II Diabetes. 

This project highlights the opportunity that is there for ICPs to drive improved population health and at the same time offer gainful employment that will address deprivation over time.

Funding new projects for tackling mental ill health in Surrey

Partners from Surrey Heartlands ICP pooled £12 million and ran an open process for any organisation from the VCSE sector to pitch for funding to deliver projects that would better support people with mental ill health. The fund included ringfenced 1 per cent of council tax and funding from the NHS and coordinated alongside the VCSE sector. The fund has since supported about 100 projects, some of which will be taken forward based on their impact. This programme reports into the ICP and will sit within the ICP moving forward.

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