NHS England publishes guidance for the development of ICB (Integrated care board) joint plans

Andy

Andy

Retired committee member
[This is general information on how NHS England is being re-organised, rather than anything specific to ME.]

"NHS England have published “Guidance on developing the joint forward plan (JFP)”. This guidance supports integrated care boards (ICBs) and their NHS trusts and foundation trusts to develop their first 5-year joint forward plans (JFPs) with system partners. Given that integrated care boards will now be responsible for commisioning the majority of services for people with neurological conditions, these joint forward plans will be key in delivering high quality care at the right time.

Read the guidance here.

A flexible approach to develop a shared delivery plan

Integrated care systems (ICSs) have significant flexibility to determine their joint forward plan’s scope as well as how it is developed and structured. Legal responsibility for developing the JFP lies with the integrated care board and its partner trusts. However, integrated care systems are encouraged to use the JFP to develop a shared delivery plan for the integrated care strategy (developed by Integrated Care Partners) and the joint local health and wellbeing strategy (developed by local authorities and their partner integrated care boards, which may be through health and wellbeing boards) that is supported by the whole system, including local authorities and voluntary community and social enterprise sector organisations with which the board works.

Glossary
  • Integrated care systems (ICSs): partnerships that bring together NHS organisations, local authorities and others to take collective responsibility for planning services, improving health and reducing inequalities across geographical areas.
  • Integrated care boards (ICBs): statutory bodies that are responsible for planning and funding most NHS services in the area.
  • Integrated care partnerships (ICPs): statutory committees that bring together a broad set of system partners (including local government, the voluntary, community and social enterprise sector (VCSE), NHS organisations and others) to develop a health and care strategy for the area."
More at https://www.neural.org.uk/news/nhs-...dance-for-the-development-of-icb-joint-plans/
 
As an annual budget I dread to think how much NHS reorganisation costs year on year.

Most managers are now appointed on the basis of their ability to express enthusiasm for whatever is the then current reorganisation and must increasingly see reorganisation as central to their role. Often this requires an enthusiasm to implement change against the wishes of the people employed in their services. I can not see that this is the best criteria to select good managers.

When I started working in the NHS some forty years ago, it was possible to know the local systems very well, to know the personalities of the very senior managers and the regional boards whereas know just keeping up with their names or roles is difficult.
 
Andy said:
[This is general information on how NHS England is being re-organised, rather than anything specific to ME.]

"NHS England have published “Guidance on developing the joint forward plan (JFP)”. This guidance supports integrated care boards (ICBs) and their NHS trusts and foundation trusts to develop their first 5-year joint forward plans (JFPs) with system partners. Given that integrated care boards will now be responsible for commisioning the majority of services for people with neurological conditions, these joint forward plans will be key in delivering high quality care at the right time.

Read the guidance here.

A flexible approach to develop a shared delivery plan

Integrated care systems (ICSs) have significant flexibility to determine their joint forward plan’s scope as well as how it is developed and structured. Legal responsibility for developing the JFP lies with the integrated care board and its partner trusts. However, integrated care systems are encouraged to use the JFP to develop a shared delivery plan for the integrated care strategy (developed by Integrated Care Partners) and the joint local health and wellbeing strategy (developed by local authorities and their partner integrated care boards, which may be through health and wellbeing boards) that is supported by the whole system, including local authorities and voluntary community and social enterprise sector organisations with which the board works.

Glossary
  • Integrated care systems (ICSs): partnerships that bring together NHS organisations, local authorities and others to take collective responsibility for planning services, improving health and reducing inequalities across geographical areas.
  • Integrated care boards (ICBs): statutory bodies that are responsible for planning and funding most NHS services in the area.
  • Integrated care partnerships (ICPs): statutory committees that bring together a broad set of system partners (including local government, the voluntary, community and social enterprise sector (VCSE), NHS organisations and others) to develop a health and care strategy for the area."
More at https://www.neural.org.uk/news/nhs-...dance-for-the-development-of-icb-joint-plans/
Click to expand...
Thanks Andy and Peter.........
As you know I am embroiled with others with NHS England's ICS joint (forward) plans.
Today our local, ICS publishes formally it's Draft Forward Plan which finally covers and references ME and CFS ....... If it is now live, I will upload the link which people can view and comment on.
Problem is NHSE won't take ownership or provide any dedicated funding for ME directly... so it's all being developed and suggested within 'existing commissioning & contract budgets'

.....only, we have 'lost' significant £££ (30% Independent Funding via GP Federation and CCGS) former funding and the new Pathway Service must absorb great responsibilities, (Children & YP, Essex and training upskilling of staff -with no dedicated budgets available for delivery for any change over requirements.)

So unless Dept of Health/ NHS E delivery plan pulls a proverbial large rabbit out of the bag.... We are going to be let down and bitterly disappointed it would appear.

Services can't run on 'Kind Words, Promises, Aspiration and Hot Air' it would appear, no matter how well intentioned.

I would simply love to be proved wrong.......

Action
Date
Launch public and system partner engagement on the JFP via pages on https://www.letstalksnee.co.uk/ with a summary of the Live Well domain sections
16 January
Final iterations of JFP sections received from all leads
25 January
Share draft full JFP on the LetsTalkSNEE platform
27 January
Public and system partners engagement on the JFP
16 January – 17 February
Alliance based engagement events on the JFP
Early February
Weekly summary of comments received shared with section leads as appropriate for further updating of the JFP sections
23 January – 17 February
Final version of the JFP completed
24 February
SNEE ICB Executive consideration of the JFP
6 March
Essex Health and Wellbeing Board consideration of the JFP
15 March
ICB approval of the JFP
20 March
Suffolk Health and Wellbeing Board consideration of the JFP
23 March
Publication of JFP
31 March
 
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Suffolkres said:
Thanks Andy and Peter.........
As you know I am embroiled with others with NHS England's ICS joint (forward) plans.
Today our local, ICS publishes formally it's Draft Forward Plan which finally covers and references ME and CFS ....... If it is now live, I will upload the link which people can view and comment on.
Problem is NHSE won't take ownership or provide any dedicated funding for ME directly... so it's all being developed and suggested within 'existing commissioning & contract budgets'

.....only, we have 'lost' significant £££ (30% Independent Funding via GP Federation and CCGS) former funding and the new Pathway Service must absorb great responsibilities, (Children & YP, Essex and training upskilling of staff -with no dedicated budgets available for delivery for any change over requirements.)

So unless Dept of Health/ NHS E delivery plan pulls a proverbial large rabbit out of the bag.... We are going to be let down and bitterly disappointed it would appear.

Services can't run on 'Kind Words, Promises, Aspiration and Hot Air' it would appear, no matter how well intentioned.

I would simply love to be proved wrong.......

Action
Date
Launch public and system partner engagement on the JFP via pages on https://www.letstalksnee.co.uk/ with a summary of the Live Well domain sections
16 January
Final iterations of JFP sections received from all leads
25 January
Share draft full JFP on the LetsTalkSNEE platform
27 January
Public and system partners engagement on the JFP
16 January – 17 February
Alliance based engagement events on the JFP
Early February
Weekly summary of comments received shared with section leads as appropriate for further updating of the JFP sections
23 January – 17 February
Final version of the JFP completed
24 February
SNEE ICB Executive consideration of the JFP
6 March
Essex Health and Wellbeing Board consideration of the JFP
15 March
ICB approval of the JFP
20 March
Suffolk Health and Wellbeing Board consideration of the JFP
23 March
Publication of JFP
31 March
Click to expand...
https://www.letstalksnee.co.uk/me-cfs-nice-guidance-2021-feedback
 
Health and Social Care Committee
Tuesday 7 February 2023 Meeting started at 10.02am, ended 11.20am
This material is published on parliamentlive.tv tv with the authority of the House of Commons and/or the House of Lords. It is protected by parliamentary copyright and all rights are reserved.
Subject: Integrated Care Systems: autonomy and accountability


Witness(es): Helen Whatley MP, Minister of State, Department of Health and Social Care; Matthew Style, Director General of NHS Policy and Performance Group, Department of Health and Social Care; Mark Cubbon, Chief Delivery Officer, NHS England

10:02:16
Subject: Integrated Care Systems: autonomy and accountability
10:02:17
 
What chances of us, or DHSC, or NICE NG206 progressing NICE delivery?
Truth be know- very little. Report by public accounts committee....


However, we in Suffolk ICS are at least under consideration within 5 year draft Forward Plan. Many of the ICSs have yet to draft theirs.
The draft on SNEICS ME is out and it would be good for people both locally and wider to endorse this as a priority need
(under Children & Young People, Health Inequalities and long term, unmet needs) ..? ( I will prepare something simple to click?)
Joint Forward Plan
The draft plan can now be viewed on Let’s Talk SNEE, this can be found on the Let’s Talk SNEE Draft Joint Forward Plan documents page.
Its not too late to share your thoughts, visit the Joint Forward Plan project page

'JFP: Draft Joint Forward Plan Documents
https://www.letstalksnee.co.uk/jfp-draft-joint-forward-plan-documents?utm_source=ehq_newsletter&utm_medium=email&utm_campaign=ehq-Whats-New-on-Lets-Talk-SNEE-3-Feb-23&utm_source=ehq&utm_medium=email&utm_campaign=website

You can leave comments, ideas and reflections using the tab below.
Or tell us "Are We On The Right Track?" Take our QUICK POLL to tell us.
Tell us what you think
Tell us what you think of the Draft Plan
We are really interested to know what you think of our draft. Any thoughts, ideas or comments are welcomed. '



Meawhile.....

Report by public accounts committee, published
Should be first on the list, here: https://committees.parliament.uk/publications/

Medscape article on report, by Peter Russell: https://www.medscape.co.uk/viewarticle/government-accused-paralysis-analysis-integrated-care-plans-2023a10002l8?

Flagship reforms to join up NHS and local government services are likely to fail until the Government gets to grips with systemic problems in healthcare, a parliamentary investigation found.

Funding issues, crumbling buildings, staffing shortfalls, and an elective care backlog need to be solved before integrated care systems (ICSs) stand a chance of succeeding, a report by the Commons Public Accounts Committee (PAC) warned. It also found that the Department of Health and Social Care (DHSC) was in the grip of "paralysis by analysis" in formulating its plans.

One Committee member, Anne Marie Morris MP, said while the ambition for ICSs was right, "the tool kit simply isn't there to deliver on it".

Joined Up Health and Care

ICSs are the latest attempt to bring the NHS, local authorities, and wider partners together, with a focus on longer term actions and preventative measures to improve population health. Introduced by legislation last year, 42 ICSs in England serve populations ranging in size from half-a-million to three-and-a-half million people.

However, the spending watchdog said it was unclear what tangible benefits these bodies would create for patients, nor by how much or when improvements to population health would be seen.

Their capacity to bring about any change was hampered by long-standing issues in the NHS and the wider system, according to the report, which pointed to worsening NHS vacancy rates, standing at 9.7% last summer, and an "ongoing failure" by the DHSC to publish a national workforce strategy for dealing with the staffing shortfall.

Meanwhile, Government action to tackle workforce challenges in social care was set against a background of a 50% increase in vacancies last year, while the number of people working in the sector fell in 2021-22 for the first time in at least 10 years, the report said.

Despite interdependency between the health and social care system, the Government's reforms did little to address "longstanding tension" caused by differences in funding and accountability, and their separate budgets represented a barrier for integration.

'Government Seems Paralysed'

Commenting on its findings, PAC chair Dame Meg Hillier MP, said: "Far from improving the health of the nation, staff shortages and the dire condition of the NHS estate pose a constant risk to patient safety. But Government seems paralysed, repeatedly rethinking and delaying crucial interventions and instead coming up with plans that do nothing to address the fundamental problems of funding and accountability.

"The ICS reforms have potential but there is no clear responsibility for ensuring that social care is properly integrated with health care or that patients will see the difference on the ground. Changes will not succeed if they are imposed on the NHS in its current state. Government needs to get a grip on the wider, full-blown health and social care crisis it allowed to develop from long before the pandemic."

A spokesperson at the DHSC said: "Integrated care systems are a crucial part of the Government's vision to bring together the NHS and local government to work jointly on improving health outcomes for people in their communities and tackle inequalities in access to care.

"It is right that there is transparency regarding spending across all parts of the health and care system. In November 2022 we announced an independent reviewinto integrated care systems to look at their autonomy and accountability in the way they work.

"We are taking immediate action to reduce long waits for urgent and emergency care through our new recovery plan published last week, and we will publish a workforce plan this year focused on recruiting and retaining more staff."
 
NHS England is set to spend up to £100m on voluntary redundancies and associated costs, as part of its restructure and merger with NHS Digital and Health Education England, the next phase of which is being announced today.
 
Health Service Journal Awards

I noted following nomination,

"Professor Jonathan Valabhji OBE, National Clinical Director for Diabetes and Obesity
NHS England"

Question;
Does ME (or L Covid) have a National (NHS E) Clinical Director?
Or

Is there a Clinical Post Viral Director?

If not, why not?
What does a clinical director do in the NHS?

Long Covid has one.....

'What does the Clinical Director do?

The Clinical Director of the Network has a key leadership role in all aspects of the strategic planning, operational function and professional guidance of the Network.'

If ME does not have one, where do NHS E place ME?

Can we, S4ME ask them via DHSC Consultation and delivery report
 
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