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North East and North C umbria Integrated Care System

This progress update highlights the formal approval of the North East and North Cumbria Integrated Care System (ICS), showcasing the collaboration and system approach adopted by NHS commissioners, providers, and partners. Key next steps include governance and clinical leadership model agreement, engagement with local authorities, and the establishment of ICS Partnership Assembly arrangements.

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North East and North C umbria Integrated Care System

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  1. North East and North Cumbria Integrated Care System Alan Foster ICS Executive Lead

  2. Progress update and next steps • ICS status for North East & North Cumbria now formally approved by NHSE/I; a real vote of confidence in our system approach • Our ICS is a collaboration of NHS commissioners and providers (and our partners), and not a new organisation with statutory powers • MOU will follow from Richard Barker setting out our responsibilities as a system and how NHSE/I will work with us • Subsidiarity remains our guiding principle, with the majority of our work focused in places and neighbourhoods • But, alongside this, our ICS provides a mechanism to build consensus on those issues that need to be tackled at scale. • We’ve listened to our member bodies and have already reduced ICS workstreams from 22 to 6 • Our voice is already being heard nationally: with ARC funding and Interim Workforce Plan pilot status secured, and an invitation to bid for Population Health Mgt funding Next steps • Formal endorsement of the high-level ICS MOU at governing bodies & boards in Sept • In depth work with you all to agree a governance and clinical leadership model for our ICS • Engage with Local Authorities on the opportunities of joint working, and agree ICS Partnership Assembly arrangements (Neil Mundy leading)

  3. Key challenge: “doingthe right things at the right level with the right partners” People Neighbourhoods/Primary Care Networks (30-50,000 population sizes) Place-based (Local Authority/CCG size) ICPs (Sub-regional/Combined Authority level) ICS (North East & North Cumbria) National Regional & National

  4. NHS North & Yorkshire in 2018 • One NHSE/I region, with • Four Integrated Care Systems NHS in 1948

  5. One North East and North Cumbria ICS with four Integrated Care Partnerships (ICPs) • North East Ambulance Service FT covers North, Central &South ICPs • NTW Mental Health FT covers the North and part of Central ICP • TEWV Mental Health FT covers the South and part of Central ICP • ‘North’ • Population 1.025M • 3 CCGs: Northumberland, North Tyneside, Newcastle Gateshead • 24 Primary Care Networks • 3 FTs: Northumbria, Newcastle, Gateshead • 4 Council areas: Northumberland, North Tyneside, Newcastle, Gateshead • ‘North Cumbria’ • Shadow ICP 1 April 2018 • Population 327,000 • North Cumbria CCG • 8 Primary Care Networks • North Cumbria University Hospitals • Cumbria Partnership FT • Cumbria County Council • North West Ambulance Service • ‘Central’ • Population 992,000 • 4 CCGs: South Tyneside, Sunderland, North Durham, DDES • 24 Primary Care Networks • 3 FTs: South Tyneside & Sunderland CDDFT • 3 Council areas: South Tyneside, Sunderland, County Durham North • ‘South’ • Population 847,000 • 4 CCGs: HAST, Darlington, S Tees, HRW • 17 Primary Care Networks • 3 FTs: CDDFT, North Tees, South Tees • 6 Council areas: Hartlepool, Stockton on Tees, Darlington, Middlesbrough, Redcar & Cleveland, North Yorkshire

  6. Local Authority Engagement opportunities – via Health and Wellbeing Boards and Combined Authorities • North of Tyne Combined Authority • Newcastle upon Tyne • North Tyneside • Northumberland • 1 North East & North Cumbria ICS • 4 Integrated Care Partnerships (ICPs) • North East Combined Authority • County Durham • Gateshead • Sunderland • South Tyneside • Tees Valley Combined Authority • Darlington • Hartlepool • Middlesbrough • Redcar and Cleveland • Stockton-on-Tees • 3 Combined Authorities • 2 Counties with districts (Cumbria and N Yorks)

  7. Areas of focus • Partnership working between NHS and local authorities via Health & Wellbeing Boards • Ensuring the quality, safety and accountability of local health services • Public and political engagement and consultation • Primary Care Network development • Health and Social Care Integration initiatives • Joint-working with the local voluntary sector Places and neighbourhoods • Focus on acute services sustainability: clinical networking between neighbouring FTs and coordination of service development proposals • One streamlined commissioning hub per ICP • Work towards a single, shared approach to finances, and risk-sharing where appropriate. • Make best use of the existing premises and facilities and jointly plan capital investments Integrated Care Partnerships ICP ICP ICP North ICP • Strategic Commissioning (e.g. ambulance) • Overarching clinical strategy and clinical networks • Shared policy development • Emerging ICS-level priorities: • Population Health & Prevention • Optimising Health Services • Workforce Transformation • Digital Care • Mental Health • Learning Disabilities Integrated Care System ICS

  8. Emerging ICS Workstreams ICS Health and Care Strategy (response to LTP) 1. Optimising Health Services (including all our clinical networks) 4. Population Health & Prevention 6. Learning Disabilities 2. Workforce Transformation 5. Mental Health 3. Digital Care Financial strategy Operational delivery

  9. DRAFT Governance flowchart for issues escalated to ICS-level only PROPOSALS, RISKS AND ISSUES ICS Management Group (CEO reps from each ICP) • Stage 2 • Assessment and quality assurance of : • ICS work programme proposals, or • Risks and issues raised by ICPs ICS Clinical Leadership Group ICS Financial Leadership Group • Stage 3 • Discussion at CCG governing bodies, FT boards and Health and Wellbeing Boards as appropriate • Sign-off from ICS senior leaders at HSG Health Strategy Group (Wider Clinical & Managerial Leadership) • Stage 1 • Recommendations from ICS work-programme boards (eg Prevention Board, Workforce Board) , quality monitoring groups and clinical networks, or • Escalation of risks and issues from ICPs CCG Governing Bodies CCG Joint Committee ICS Partnership Assembly? Shaping and influencing our strategic priorities Stage 4 Formal approval at one or more of these decision-making bodies (as required) Local Authorities FT Boards and Committees in Common

  10. ICS Partnership Assembly (TBC) Shaping and influencing our strategic priorities 13 Health and Wellbeing Boards Statutory decision making Health Strategy Group (Wider Clinical & Managerial Leadership) ICS Clinical Leadership Group Local Authorities ICS Management Group (CEO reps from each ICP) ICS Financial Leadership Group Optimising Health Services Mental Health Population Health & Prevention CCG Joint Committee North Cumbria ICP Central ICP North ICP South ICP Workforce Transformation Learning Disabilities Digital Care CCG Governing Bodies FT Boards Integrated Care Partnerships ICS Priority Workstream boards

  11. Thank you

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