Saturday, May 30, 2015

King George A&E – Where are we at?

Ilford North’s new MP, Wes Streeting, (and Redbridge Cabinet Member for Health & Wellbeing from May 2014 to May 2015) asked his first question in parliament last week and it was on this very subject. He wants a debate.


Meanwhile, the Save KGH A&E campaign team met yesterday (Friday) and Wes was also there. Here are some notes from Helen Zammett.

Further to our meeting this morning, I am writing to confirm that Redbridge Council has endorsed the future plan of KGH being a centre of excellence for children's and women's services as well as replacing A+E with an urgent care centre. (Ed: without, apparently, the former Cabinet Member for Health & Wellbeing knowing).

Therefore, I attach a copy of page 2 of the final submission of the ICC 2014 Strategic Plan detailing the plan for KGH, under the heading “Delivered through acute re-configuration programme”, a copy of page 10 of the plan showing how it was endorsed by Redbridge Council.

For those who would like further information on the ICC, I also attach a short paper on the organisation, with appropriate attachments.

THE INTEGRATED CARE COMMISSION - What is the ICC?

This is an unelected, informal, unaccountable ad hoc committee, which is not set up by statute or regulation. It is the successor to the Chief Executive’s Committee and its terms of reference were approved by the ICC itself. It is chaired by the Chief Executive of Havering Borough Council with senior officers from NELFT and BHRUT, healthcare representatives from the other two boroughs and the Ambulance Service.

The RCCG website states: “Senior leaders across health and social care in Barking and Dagenham, Havering and Redbridge (BHR) have committee to working together in a new guiding coalition of strategic partners that is developing a joint approach to integrated care to build a sustainable health and social care system. The Integrated Care Coalition has been established as an Advisory Board to oversee strategic change across health and social care.
The Coalition acts to bring together senior leaders in the BHR health and social care economy to support the three BHR Clinical Commissioning Groups (CCGs) and three Local Authorities in commissioning integrated care ….. It also included our main providers BHRUT and NELFT.”

The first attachment is a chart showing the relationship between the ICC and the other statutory bodies in the BHRUT area, illustrating the gap between the ICC and statutory bodies. The second attachment shows the membership of the ICC Committee [which is a few months old so there may be some personnel changes.]

Accountability
The ICC terms of reference state: “By 2013 decisions on integrated care will be a shared responsibility between health and social care; by CCGs in partnership with the respective Local Authorities. The Health and Wellbeing Boards of the three boroughs will be key to this partnership. The ICC will act as an Advisory Board to the commissioning decision-makers. The constituent bodies will not delegate decision making to the Coalition but will need to ensure that decisions are made at the appropriate levels within their organisations that are required to make progress on integrated care.”

However, when the final submission of the Strategic Plan was submitted in June 2014, it was not publicised or debated. This lack of consultation with local people and organisations that represent them such as the LINk [now Healthwatch] expressed by Carl Blackburn of CVS, was minuted in the 25 September 2012 B&D Health and Wellbeing Board. These minutes also point out that there is no statutory obligation for local councils to accept the recommendations of the ICC:

“… the Chair pointed out that the political agendas of all three boroughs will inevitably play a part in determining whether a borough enters into an agreement to adopt a new model for integrated care. The Council has an obligation to protect its sovereignty and assets from being subsumed, used and disposed of in ways that will not serve LBBD residents.”

The ICC brief
The third attachment states the ICC purpose.

The ICC Sub-group
This has been established to:
“Draw together clinical, provider, commissioner, managerial and programme management expertise. 
Generate recommendations for high impact changes that will deliver integrated care in the BHR economy. 
Produce a strategy and work plan for delivering agreed changes.”

The membership of this group has not been identified.

1 comment:

  1. I write more on this here https://savekinggeorgehospital.wordpress.com/

    ReplyDelete