Highlights from the Richmond Place Committee Meeting: 15 February 2023

Attendees:

Cllr Piers Allen, Chair

Jo Farrar, Kingston and Richmond Place Executive Lead

Denise Madden, Deputy Executive Lead for Kingston and Richmond Places

Lynn Wild, Associate Director Health and Care at Richmond and Wandsworth Councils

Jen Allan, Mental Health Lead

Dominic Conlin, Acute Lead

Anne Stratton, NHS Community Lead

Ian Dodds, Children’s Lead

Shannon Katiyo, Committee Public Health Lead

Jeremy De Souza, Local Authority Lead

Mike Derry, Healthwatch Richmond Lead

Nic Kane, Quality Lead

Nick Grundy, Primary Care Development Lead

Kathryn Williamson, Voluntary Sector Lead

Tara Ferguson-Jones, Communications and Engagement Lead

Sue Lear, Deputy Director of Transformation

Jummy Dawodu, Director of Operations

Apologies received from:

Heather Bryan, Primary Care Provider Lead

Melissa Wilks, Carers Lead

John Anderson, Healthwatch Richmond Lead

Transformation

South West London Better Care Fund

A verbal update was provided to update the committee that the team are working with partners on a review.

Richmond Health and Care Plan

An update was given about the health and care plan for Richmond, which highlighted that a dashboard has been created to measure progress against the current health and care plan objectives.

South West London mental health strategy performance

The committee was updated on the development of the SWL mental health strategy, The strategy will identify priorities, respond to challenges (including those around access, variation, and fragmentation), drive forward transformation and address population health needs, in collaboration with service users, stakeholders and partners. The committee were informed that there are several actions and deliverables to progress:

Narrative elements of the Strategy are iterated and drafted via the SWL MH Partnership Delivery Group – Jan/ Feb 2023
Discussions of progress and inputs at the SWL place meetings – Feb 2023
Strategy presentation at SWL ICB Senior Management Team meeting – 23^rd Feb 2023
Next and final versions reviewed and agreed at the SWL MH PDG – Feb and March 2023
SWL places and providers to agree Strategy – March/ April 2023
Set up SWL MH structures (including SWL MH Partnership Delivery Group) for Strategy delivery – Sept 2022
SWL ICB Board meeting to approve strategy – May 2023.
Year 1 work underway – May 2023

Quality and performance

No items

System update

ICP strategy

The committee discussed the ICP discussion document for which there was overall support. A survey had been shared with place committee members in Kington and Richmond in advance of the meeting and the following feedback was gathered:

Question 1: Specific actions to be built into the ICP priorities future delivery

Overall support as priorities are aligned to organisational and ‘place’ priorities, but need to translate into measurable outcomes, e.g. reduction in non-elective admissions to acute care.
Tackling and reducing health inequalities – need to refine this at a local level and consider how we minimize variation in the services we provide between organisations and Places. Need to prioritise high impact and cost effective changes
Consider how to amalgamate services across Places, accepting that this will impact on access, in order to provide resilient 24/7 services
Promoting self-care – should consider embedding this across all areas with a prevention focus
Scope of risky behaviour in young people should be expanded beyond alcohol as set out in the JSNA
Challenge if the ‘green agenda’ priority is deliverable as needs a funded plan over, 1, 5 & 10 years
Greater emphasis on the role of carers in planning and decision making
Consideration as to whether integration of primary care should feature with dentistry, optometry and pharmacy moving from NHSE to ICBs
Key to include role of Local Authorities and Public Health to ensure delivery is linked with wider health related local authority responsibilities e.g. housing
Request delegation of innovation and health inequalities funding to Places to support local delivery

Question 2 key workforce challenges your organisation would like the programmes to incorporate

Recruitment is a key challenge in all areas:
- Improved ability to move within the sector with minimal difficulty in order to gain experience and promotion.
- Centralising hard to recruit to teams in order to provide more resilience and a sense of belonging.
- Need to build on the work already in place e.g. PCNs Training Hub. Opportunity to work with education providers to develop apprenticeships to attract workforce into PCNs, VCSE sector etc
- System wide focus on the recruitment of health visitors and increased capacity for the management of school health
A greater focus on the care provider market is needed as part of the programmes (too health focused)
Primary care estates – insufficient space to train staff across all 6 PCNs
Programmes although the right ones, may not resonate with the public – which will be largely focussed on access to GP appts and paying for private dental care
Scope to include the ill health of workforce and how can the system support workforce health
A greater focus on Equality, Diversity and Inclusion in development opportunities for staff
Need to include technology as an enabler for the programmes
Need to be clear about what where the work sits. Is this being done at place, or once at SWL?

Question 3: Any other areas that should be considered for partners to work on at-scale and included in the final ICP Strategy?

Digitally enabled workforce – log on anywhere any time securely and at speed
Social care – under substantial pressure, so would benefit from SWL approach
- Redesign of the care sector workforce
- Dentistry – lack of local capacity drives activity out of area
Premises and estates – integral to workforce, addressing the ‘green agenda’ and shifting care into the community
The longer term 5 year priorities need an indicative delivery plan, so engagement and preparation can start now, preparing the system for future delivery
Would be good to see clear objectives, understand the role of Place via SWL and clarity of accountability in delivery

Communications and engagement

The committee were informed that the first Richmond Community Voices group is now scheduled and will take place on Thursday 2 March.

The community voices groups are our new engagement assurance/insight sharing forum with membership from VCS/ and other community groups plus umbrella VCS organisations as well as Healthwatch.

There will be a strong focus on health inequalities & communities experiencing the worst health outcomes, we have tried very hard to get representation from community groups that represent these communities. The committee were informed that a good spread of voluntary sector groups, Healthwatch, RCVS, NHS providers, community champions and PPG network reps will be attending.

It is recognised that there aren’t as many engagement infrastructure groups as there are in Kingston, so work is underway with Richmond council to try and improve representation. There will be a representative from Richmond Council Equalities Stakeholder Steering Group, which is a great step forward.

There are currently conversations with Healthwatch Kingston to try and encourage CYP to be represented at both Kingston and Richmond community voices groups.

Date of next meeting is 21 March 2023 (Joint Kingston and Richmond Workforce Workshop).