To receive a presentation from Emma Jane Perkins (Rutland County Council), Charlie Summers (LLR Clinical Commissioning Groups), Viv Robbins / Kajal Lad (Public Health), Tracey Allan-Jones (Rutland Healthwatch), Sandra Taylor (Rutland County Council) and Adhvait Sheth (LLR Clinical Commissioning Groups)

A presentation was received from Emma Jane Perkins (Rutland County Council), Charlie Summers (LLR CCG), Viv Robbins / Kajal Lad (Public Health), Tracey Allan-Jones (Rutland Healthwatch), Sandra Taylor (Rutland County Council) and Adhvait Sheth (LLR CCG). 

The Chair welcomed John Morley and Councillor Alan Walters to the meeting.  During the discussion, the following points were noted:

·         Mr Morley thanked all the colleagues for their hard work in collating the information and producing the presentation, especially as these colleagues had been and continued to be the front-line staff in dealing with the pandemic.

·         The presentation gave a broad outline of the plan and would require input from Scrutiny Committee as regards the content and the focus of the plan.

·         The actual draft ‘Place Led Plan’ would be presented to the Rutland Health and Wellbeing Board on the 5^th October 2021.

·         The Integrated Delivery Group would be drafting the Place Led Plan and this group was supported by three sub-groups.  This ensured that input was received from all partners including the Leicester, Leicestershire and Rutland Clinical Commissioning Group (LLR CCG), Citizens Advice Rutland, Rutland Health Primary Care Network, Leicestershire NHS Partnership, Rutland County Council, Healthwatch Rutland, Public Health and Rutland residents.

·         John Morley confirmed that, due to the pandemic, the Health and Wellbeing Strategy and the Joint Strategic Needs Assessment (JSNA) were now out-of-date.  It had become apparent that the needs of the population upon health services had changed and that resources needed to be amended to meet this change.

·         Councillor Walters asked Members if they wanted to be more involved with the Place Led Plan and if so, how.  He stated that the Committee needed to ensure that the voice of Rutland residents was heard and included in the plan.

·         Emma Jane Perkins confirmed that the timetable for the Place Led Plan was that the final strategy, with a draft delivery plan, would be available from January 2022.

·         Councillor Ainsley asked how information between the different health bodies would be shared as the current IT systems did now allow this.  Rachna Vyas confirmed that this issue had been identified and that a Digital Development Group for the whole of the East and West Midlands had been established so that a solution could be included in the plan.  Work was also ongoing nationally to resolve this issue and LLR had been identified as an exemplar site for the programme.  She also confirmed that although the services had plenty of data, this data did not always result in intelligence and wisdom so consultation was ongoing with all providers and service users to identify the correct plan for the future.

·         Rachna Vyas confirmed that a Place Led Workstream, which covered central England, had been established to learn and share from other areas regarding the integration of health care.  A Provider Network for out of county providers and colleagues had also been established to learn and share information.

·         Councillor Powell enquired about Potential Priority One as the format was different to that of the other potential priorities.  She queried the goal of the plan and what was meant by the term ‘communities’.  She also stated that the ‘Why?’ detailed in Potential Priority One should be a focus area and queried why only the three most deprived wards in Rutland were assessed.  Vivienne Robbins thanked Councillor Powell for her comments and confirmed that Potential Priority One would be reviewed and amended accordingly.  She also stated that there were other smaller areas of deprivation within Rutland and that these would be identified moving forward but that the three most deprived areas in Rutland had particular poorer outcomes than other areas so a deep-dive exercise would be needed for these three areas.

·         Councillor Cross asked why Rutland needed a Place Led Plan when we were national leaders in the field. John Morley confirmed that Rutland had an excellent integrated service and provided good services but that the aim was to have continued improvement.  He stated that the government required all Council’s to put together an integrated health care plan.  The aim was to stop services being reliant on buildings and put care in the community so making services more accessible whilst promoting people’s health and wellbeing and building efficiencies within the services. 

·         Councillor Gale Waller stated that she personally felt that the plan was not person centred enough nor did it empower residents and patients to take the initiative with health and wellbeing.  In addition, that a clear focus was required within the plan on ageing well. 

·         Councillor Waller requested that the final strategy be written in plain English for patients and residents to understand and that it should be shown how the plan would fit in with the reconfiguration of UHL.

·         Councillor Cross asked if staff i.e. nurses and carers had been consulted regarding the plan.  John Morley confirmed that yes, staff were consulted but wider consultation would be done.

·         Dr Janet Underwood reported that engagement with the public had been problematic due to the pandemic lockdown but that Healthwatch Rutland’s final report detailed all the comments received: https://www.healthwatchrutland.co.uk/report/2021-08-19/what-matters-you-report

·         Rachna Vyas reported that the Integrated Care System controlled the health budget for LLR but had not yet confirmed the funding available for the latter half of 2021/2022 or for 2022/2023.  However, all services had been costed, areas of deprivation investigated and efficiencies identified.

·         Councillor Walters thanked everyone for their comments and questions and confirmed that he would ensure that the voices of Rutland residents were heard and incorporated into the final plan.

·         Joanne Clinton confirmed that the population figures were taken from Rutland’s Local Plan.

·         The finished Place Led Plan would be presented to the Rutland Health and Wellbeing Board for final approval in January 2022.

RESOLVED:

a)    That Rachna Vyas would clarify the services provided by RMH e.g.  physiotherapy, paediatrics etc. and notify Councillor Harvey.

b)    That Councillor Walters and John Morley would check for any change in the projected population figures used in the plan.

c)    That the Scrutiny Committee would receive regular updates as the development of the Place Led Plan progressed.

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At the request of the Chair, the Vice Chair,

Councillor Waller, chaired the meeting from 21:13 onwards

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