Authors: Vanessa Harding Deputy Director of Transformation Paper for: For Information/approval for publication

Since the last Transformation Board on 1st November 2017 the following is a summary of key actions or events:

1. Key work stream updates:

Highlight reports from each workstream are included in papers for today’s Transformation Board. The papers also include a risk register of the key risks identified by the work streams.

Work has commenced with Edge Health Ltd to model demand and capacity for imaging diagnostics across the Surrey Heartlands footprint to understand future demand and capacity, and to develop solutions. This will sit alongside the work already being commissioned for imaging by the cancer alliance. Members of the Transformation Board reviewed all 13 workstreams during November and it was good to see how much progress has been made since the last reviews in June. A paper summarising the discussions and key actions is included in the Transformation Board papers.

2. Winter

Preparations for winter are progressing well with a proactive focus from a system perspective. This is supported by Transformation Funding of almost £2m with Business Cases approved from across our system to support winter resilience.

3. Clinical Academy Update:

The Surrey Heartlands Innovation call was launched on 20th November ahead of the Surrey Heartlands Expo in March next year. This will help align gaps and opportunities identified by colleagues at the coalface, relating to day-to-day activities and will help us with identifying the relevant solutions and innovations that could make a positive difference in the way we work

Digital Maturity (Connected Care) Assessment: Surrey Heartlands Academy and KSS AHSN (Kent Surrey Sussex Academic Health Science Network) are working in partnership with Digital and Citizen Engagement and Communication Leads to gather insights through two workshops for both Strategy leads and system leaders, followed by a workshop for citizens, carers, care professionals and others to test the assumptions we’ve made around what we ‘think’ is needed.

4. Systems Leadership

Transformation Board members attended a workshop facilitated by David Berg, and engaged in further discussion around an agreed vision and objectives for the Surrey Heartlands Partnership, including a set of values and behaviours that members of the Board would agree to work to. To be formally agreed by Transformation Board on 6th December, the draft vision ‘Working together with the people of Surrey Heartlands to improve health and care by 2022’ and objectives will be incorporated into our wider communications and engagement programme which will be updated accordingly.
The focus this month has continued on sustaining conversations across the Partnership over complex issues, balancing individual organisational pressures whilst working as a strategic collaborative. Key areas of work include:

  • Understanding financial flows and incentives
  • Proactive focus on the wider determinants of health
  • Working with groups that feel marginalised, such as primary care
  • Updating our ambition, vision and objectives

Dr Claire Fuller was awarded Clinical Leader of the Year in the HSJ 2017 awards, recognizing her excellent leadership through challenging times, ensuring patient care and quality remains the focus.

Surrey Downs CCG also won an HSJ award for the ‘Improving Care with Technology’ category, with the development of a real time referral service to provide timely diagnosis and improve access to services for patients.

5. Citizen-led Communications and Engagement

Since the Board last met the communications and engagement team have delivered a number of achievements including:

  • Our Citizen-led engagement methodology has increased its level of national recognition, including an NHS England webinar on 7 December, and working with the King’s Fund and NHS England to explore development of a revised national engagement model based on our work
  • Healthwatch Surrey has launched a recruitment campaign to find 7 Citizen Ambassadors for Surrey Heartlands to enable local people to ensure the views of patients, their carers and families are represented at all levels of any proposed changes.
  • Surrey Heartlands website has been revised to make the site more dynamic and has now been relaunched (the address will be as usual).
  • The number of followers of the Surrey Heartlands twitter account (@surreyheartland) has increased by over 50% in this second reporting period

6. Supporting our system – update on key roles

We are pleased to confirm the following updates:

  • Dr Roselle Herring a Consultant Physician in Diabetes and Endocrinology at Royal Surrey County Hospital and Dr Stewart Tomlinson Diabetes Clinical Lead for Surrey Downs CCG and partner at Medwyn Surgery in Dorking, have been appointed as joint clinical leads for Diabetes
  • They will be joined by Jo Butler, a Diabetes Nurse Specialist with great experience of working in both primary and secondary care in Surrey as our Diabetes Clinical Education Lead
  • Tony Afuwape has joined the Digital work stream and will be carrying out an IT systems audit across the partnership.

7. Supporting our system – update on key events

A ‘Time to Care in General Practice’ workshop was held on 28th November designed to look at the sustainable future of the NHS and primary care. An audience of more than 150 listened to keynote speaker Dr Robert Varnam Head of General Practice Development at NHS England talk about delivering more of the potential of primary care by working differently, highlighting ten high impact actions to help release more time to care in general practice.

8. National Bids

Following a collaborative bid to The Health Foundation, we have been successful in securing funding (£72k) to improve analytical capability across the Surrey Heartlands Partnership.

Surrey Heartlands have made an application to join the International GP Recruitment Programme (IGRP) to attract trained and qualified GPs from abroad. Recruitment, relocation and training will be centrally funded.

9. Regional/National Context

Chancellor of the Exchequer Philip Hammond delivered his first Autumn Budget in November in which £6.3 billion of extra NHS funding over this parliament was announced. Of the revenue funding announced, £335 million will be provided this year to help address winter pressures.

The NHSE South Regional Maternity Programme Team has approved the Surrey Heartlands LMS Plan and have advised that it is 1 of 3 (out of 13) in the whole of the South region that has been rated as green overall and will be sharing our plans as examples of good practice.

Charlotte Canniff, Chair NWS CCG, attended the ‘Making Strategic Commissioning Work’ event on 2nd November which focused on the future development of ACS and strategic commissioning architecture.

10. Devolution (Integrated Commissioning) Update since last Board

Work continues with NHS England to refine the 2018/19 ‘asks’ – with a focus on the delegation of responsibilities regarding some aspects of primary care , some specialised services and some ‘section 7a’ public health functions.

A weekly task group has been established to help shape the ‘case for change’ to secure approval from the NHS England Commissioning Committee in early 2018. Discussions are also ongoing with both Health Education England colleagues and the KSS Academic Health Science Network in relation to their functions and how they relate to the emerging devolved system in Surrey Heartlands.

The Joint Committee met for the second time on 29th November and discussed a number of key issues including the latest position of the development work planned with the Kings Fund and how Surrey Heartlands links and works with neighbouring areas.

We continue to engage in the national ACS development programme and a meeting is being set up in December with our dedicated national team ‘system sponsor’