To consider a joint presentation from the County Council and Partnership Trust providing some Cumbria level context highlighting upcoming changes which will have implications for services in West Cumbria followed by questions and answers with Members of the Committee.
Mr M Smillie, Director of Strategy and Support Services, Cumbria Partnership Trust presented the Committee with their overall plans for the future:-
Ø Vision – people in our communities living happier, healthier and more hopeful lives.
Ø Five Year Strategy.
Ø Mission – delivering quality and best value for our patients.
The five year strategy outlined their three strategic goals:-
Ø Quality Improvement Plan
Ø People and Organisational Development Plan
Ø Service Plans
The four key services were community, specialist, mental health and children and families with the overall approach being to work with partners.
The Committee were informed that the Trust had commenced work on the Joint Mental Health Strategy 2015-2020 and would investigate ‘better mental health for all’ emerging commissioning priorities.
The Trust were also investigating out of hospital services and were planning provision with partners and communities to improve quality at a lower cost which was sustainable.
Members were then given an update on public health and their lead on the development of a countywide health and social wellbeing system for the adult population of Cumbria. The aim of the system was to support people in Cumbria to live well, by addressing the factors that influence their health and well-being, and build their capacity to be independent, resilient and maintain good health for themselves and those around them. The Public Health Challenge in Cumbria was that it was the seventh most underfunded public health department in the country compared with their need and the Public Health ringfenced budget should equal £45 per head of population, but settlement was equivalent to £31 per head.
The Upcoming Changes to Social Care Services were then outlined and it was explained the complex system encompassed big issues such as the Implementation of the Care Act on 1 April 2015 and assessments for full fee payers for April 2016.
The Committee emphasised the importance of communication to ensure communities were made fully aware of all proposed changes.
The direction of Adult Social Care included:-
Ø Neighbourhood Care Independence Programme
Ø Rehabilitation/Reablement to return to independence
Ø Self/supported assessments
Ø Strengthening relationships across the system
and the upcoming changes on the ground included:-
Ø Risk stratification/care planning – primary care communities
Ø Individual community plans for frequent visitors to A&E
Ø Care planning support for Pathfinder and links to urgent care centres
Ø Developing joint teams in acute and community hospitals
Ø Fully aligning rehabilitation/reablement services
Ø Building on current prevention services exploiting links to public health and voluntary organisations
Ø Resolving issues of patient flow through the system.
The Committee had a detailed discussion regarding the information they had received.
It was explained that wellness hubs were being considered for community hospitals with the aim of helping people remain as independent as possible which ultimately would help sustain services.
In response to a query raised regarding mental health services in acute Trusts Members were informed that all accident and emergency departments provided a crisis service both over the telephone and in person with a two hour target, together with the availability of specialist expertise on wards to deal with specific issues.
The Committee then raised their concerns regarding future waiting times for service users with mental health problems and were informed that a first step service was provided where users, GPs and other agencies could make referrals and a 28 day target was set. It was explained that more choices and options ie one to one services etc, were being investigated as close to home as possible but it was emphasised that recruitment was essential to the success of this.