Agenda item

To receive an update on the Telford and Wrekin Integrated Place Partnership’s work on the Health and Social Care Rapid Response Team from Tracey Jones Integrated Place Partnership Manager, Telford & Wrekin Clinical Commissioning Groupand Sarah Downes, Integrated Place Partnership Manager, Telford & Wrekin Council.

The Health and Wellbeing Board received a report on the integration of health and social care in Telford’s “place” approach and progress from Sarah Downes, Integrated Place Partnership Manager, Telford & Wrekin Council, Julie Smith, Integration Lead, Telford & Wrekin Council and Tracey Jones, Deputy Executive Integrated Care, Telford & Wrekin Clinical Commissioning Group. The report outlined the progress made by the Telford & Wrekin Integrated Place Partnership (TWIPP) over the last 6-9 months and the difference it had made to residents and the system as a whole. The report gave progress updates to the various projects there were being undertaken by TWIPP. These were:

1) Building Community Capacity and Resilience

• Grant Rounds to develop provisions of additional community groups
• Increased volunteering capacity with the community
• Development of the Personal Assistant (PA) role and support development of a PA+/Micro-provider role.

2) Prevention and Healthy Lifestyles

• British Heart Foundation community blood pressure testing programme
• Living with and Beyond Cancer Programme
• Development of social prescribing role in Primary Care Networks
• Implementation of Telford & Wrekin Smoke Free Plan
• Delivery of whole system approach to reduce obesity

3) Early Access to Advice and Information

• Ongoing development and promotion of Live Well Telford (Information Portal)
• Establishment of Independent Living Centres/Smart House

4) Integrated Care and Support Pathways (including out of hospital)

• Implement the Health and Social Care Rapid Response Team (HSCRRT)
• Rollout of Care Home Team & exploring early intervention team for care homes
• Hospital pathways development – including Pathway Zero
• Development of a telehealth option to deliver care for long term conditions
• Delivery of national service specification for PCN’s
• Consolidation and further development of domiciliary care zone model

5) One Estate

• Development of new integrated estates/extra facilities

6) Other TWIPP Deliverables

• Implementation of the Hertfordshire Family Safeguarding Model
• Mental Health – place based approach

The report also focused on the work of the pilot Health and Social Care Rapid Response Team which aimed to:

• Improve the person’s experience,
• Reduce avoidable unplanned admissions to hospital or care homes,
• Reduce the number of crisis referrals,
• Optimise follow up care to reduce re-admissions,
• Improve access to a range of community services,
• Happy and productive staff, and
• Provide data and information to support future decision making and service

Members expressed their support for the update they had heard regarding the Health and Social Care Rapid Response Team (HSCRRT) and how it was a good example of the partnerships that was needed in Telford and Wrekin.

Members wondered how the HSCRRT built into the longer term strategy of ensuring that individuals were able to stay in their home, rather than going to the hospital. Ms. Smith responded by saying that the HSCRRT was eleven months work on top of previous neighbourhood based work and that Telford and Wrekin was welded to the idea of place based working. Ms. Smith added that they understood that residents in different areas of Telford and Wrekin had a diverse set of needs, and this is what TWIPP as a place based partnership wanted to be welded to.

RESOLVED – that;
 

a)    The progress set out in the report and the request for a further update report in December 2020 be noted.

b)   The local, place based work of Telford & Wrekin Integrated Place Partnership be supported and promoted.

c)    The need for Telford & Wrekin Integrated Place Partnership, to remain a key part of the STP / and emerging Integrated Care System be supported.