Agenda item

Officers submitted a report outlining the process for developing, and the key messages from, Bromley CCG’s 5 year Strategic Plan and 2 year Operating Plan. It represented a refresh of the existing Strategic Plan, based on the Joint Strategic Needs Assessment and Health and Wellbeing Strategy, framed within the context of current Operating Framework requirements. It included the development of the Better

Care Fund, financial forecasts and the QIPP plan. The final Operating Plan would be submitted by 4 April. The Strategic Plan would be submitted as part of a SE London Strategic Plan during June.

This presentation was drawn from a draft Integrated Plan which was considered by the CCG Governing Body on 13 March. It would  form the basis of the CCG’s final Operating Plan submission on 4 April, subject to finalisation of provider contracts, financial risk issues and the Better Care Fund Plan. The Strategic Plan would form part of the SE London Strategic Plan, which was due for completion in June. The draft Integrated Planwas available on the CCG website as part of the Governing Body papers for 13 March 2014.

Officers highlighted the Quality Innovation and Productivity Plan (QUIPP).  They noted that part of the QUIPP was looking at a way of reducing GP referrals for certain procedures such as grommets and tonsillectomies. It also aimed to encourage care of the “whole” person and encourage services that would support people and reduce the need for hospital admissions. For this reason it was very important that GP practices were involved. However it was noted that the GP’s would be unable to undertake this alone so the ProMISE team would also be used.  The purpose was to predict problems before they occurred.  This element of work would also involve social care.

Members raised concerns that that there were staffing issues.  Dr Bhan explained that the CCG was aware of this.  At present a number of agency staff were being used where it had not been possible to recruit permanent staff.

In relation to equipment some Board members were concerned that some equipment was not recovered.  Officers explained that it was not cost effective to recover lower value items.  It was recognised that it was reliant on people advising they had equipment to be recovered.

In relation to the JSNA  members noted the high incidence of certain diseases. These would be identified through health checks.  It was noted that the prevalence of hypertension was reducing but the numbers of people dying of heart disease was still too high. The slides represented the national figures and Bromley’s detection rate was better.  It was recognised that things would take time to improve and trends would need to be observed over time. With regards to Mental Health provision it was noted that the capacity at Green Parks House had seasonal variations and concerns were raised that these variations would still be met if there was a shift of resources.

Dr Bhan clarified the position with Green Parks House that, although there were seasonal peaks, only 70% of beds were occupied by Bromley and 30% by other boroughs.  The CCG wanted other boroughs to provide their own beds.  The commissioning arrangements needed to be changed to overcome the beds shortages.  Other boroughs would only be allowed to use the bed if was free and not needed for a Bromley patient.

RESOLVED that the report is noted.