To consider a joint report by the Executive Director – People (Cumbria County Council), Chief Operating Officer – North Cumbria Clinical Commissioning Group and Chief Officer - NHS Morecambe Bay Clinical Commissioning Group (copy enclosed).
The Board considered a joint report from the Executive Director – People (Cumbria County Council), Chief Operating Officer (North Cumbria Clinical Commissioning Group and Chief Officer (NHS Morecambe Bay Clinical Commissioning Group) which set out the recovery structures that had been put in place in Cumbria in order to start to rebuild after COVID. It was explained that as part of those countywide structures it had been agreed that existing strategic partnerships and delivery mechanisms should be utilised as much as possible to ensure that any measures were embedded as ongoing practice.
Members were informed that following on from that decision the Health and Wellbeing Board would be responsible for co-ordinating recovery for the areas that fall under its remit. The Board also recognised that the NHS had put in place national and regional response and recovery structures. It was noted that taking both of those into account, the report set out and asked for agreement on the structures that the Health and Wellbeing Board would put in place to fulfil this role.
The Board noted that whilst the countywide incident response structures were moving to address recovery the real current fragility of the Health and Care sector needed to be recognised and form a core part of ongoing activity to ensure stabilisation. Members highlighted that it should be recognised that COVID was still circulating and that measures to control its spread and deal with its impact would need to be an ongoing consideration within the Health and Care system.
Members were informed that the proposed areas of work would form the two pillars that underpin the overarching recovery work of the Health and Wellbeing Board to COVID. It was explained that Pillar 1 would include Wellbeing and Pillar 2 the Sustainability of the Health and Care System.
It was emphasised to members that there was a clear commitment to continue the countywide arrangements. Officers explained that from a sustainability perspective capacity in the NHS was still an issue. Members were informed that A&E activity and hospital admittances were now almost back to where they were prior to the pandemic and there was now a need to prepare for winter and a potential second wave of COVID.
A discussion took place regarding the Strategic Recovery Co?ordinating Group (SRCG) which was activated on 18 June and the RAG was stood down. Members noted this would help to facilitate and enable recovery of Cumbria from the COVID-19 pandemic, focusing on the impacts at community and countywide level, and the opportunities to reimagine and rebuild a better future for the county, its places, and communities. It was felt there was a need to facilitate an approach to recovery in Cumbria that included community voices, build community resilience and, therefore, support communities to thrive.
Members welcomed the report and whilst acknowledging the geographical complexity of the county, highlighted that the continuation of strong relationships with the third sector were crucial in the recovery process.
The Board agreed a number of priority workstreams to focus the work on recovery and ongoing system stabilisation.
(1) the Countywide Recovery arrangements (as detailed in sections 5 and 6 of the report) be noted;
(2) the sub structures (as set out in section 7 of the report) to enable the Board to manage the recovery phase be agreed;
(3) the priority areas of activity (detailed in section 8 of the report) be agreed;
(4) the workstream management and assurance mechanisms (as set out in section 9 of the report) be agreed.