Issue - meetings

Due to reasons of urgency, this item was resolved at the Council meeting on 10 December 2024. It has been duplicated on this agenda in error and has therefore been withdrawn.

The item was added to the agenda in error and was withdrawn prior to the meeting.

A system-wide transformation programme to transform and improve urgent and emergency care services for Dorset residents is underway involving health and care partners. It is anticipated that the transformation programme will take 2 years to deliver and should substantially reduce the number of people admitted into hospital when better outcomes could be achieved elsewhere and should result in fewer people waiting in hospital to be discharged while ongoing care is arranged.  Work has now progressed and in parallel with other health and care organisations across Dorset the Council must now consider whether to participate in the next phase of the programme.

The Portfolio Holder for Health and Wellbeing presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'M' to these Minutes in the Minute Book.

Cabinet was advised that a system-wide transformation programme to transform and improve urgent and emergency care services for Dorset residents is underway involving health and care partners, and that it is anticipated that the transformation programme will take 2 years to deliver and should substantially reduce the number of people admitted into hospital when better outcomes could be achieved elsewhere and should result in fewer people waiting in hospital to be discharged while ongoing care is arranged. 

Cabinet was informed that work has now progressed and in parallel with other health and care organisations across Dorset the Council must now consider whether to participate in the next phase of the programme.

The Chair of the Health and Adults Overview & Scrutiny Committee addressed the Cabinet advising that at their recent meeting the Committee had supported the recommendations within the report.

RECOMMENDED that Council: -

(a)          Notes the summary of the diagnostic review, including improved outcomes for residents and financial benefits for the Council.

(b)          Notes that anticipated benefits are significantly in excess of costs to the Council.

(c)          Delegates to the Corporate Director for Wellbeing, in consultation with the Portfolio Holder for Health and Wellbeing, the Director of Law and Governance and the Director of Finance, authority to finalise and enter into the Partnership Agreement to undertake the proposed transformation programme.

Voting: Unanimous

Portfolio Holder: Health and Wellbeing

Reason

To provide authority to continue participating in the system-wide transformation programme to improve urgent and emergency care outcomes for Dorset residents.

The Portfolio Holder for Health and Wellbeing presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'M' to these Minutes in the Minute Book.

Cabinet was advised that a system-wide transformation programme to transform and improve urgent and emergency care services for Dorset residents is underway involving health and care partners, and that it is anticipated that the transformation programme will take 2 years to deliver and should substantially reduce the number of people admitted into hospital when better outcomes could be achieved elsewhere and should result in fewer people waiting in hospital to be discharged while ongoing care is arranged. 

Cabinet was informed that work has now progressed and in parallel with other health and care organisations across Dorset the Council must now consider whether to participate in the next phase of the programme.

The Chair of the Health and Adults Overview & Scrutiny Committee addressed the Cabinet advising that at their recent meeting the Committee had supported the recommendations within the report.

RECOMMENDED that Council: -

(a)          Notes the summary of the diagnostic review, including improved outcomes for residents and financial benefits for the Council.

(b)          Notes that anticipated benefits are significantly in excess of costs to the Council.

(c)          Delegates to the Corporate Director for Wellbeing, in consultation with the Portfolio Holder for Health and Wellbeing, the Director of Law and Governance and the Director of Finance, authority to finalise and enter into the Partnership Agreement to undertake the proposed transformation programme.

Voting: Unanimous

Portfolio Holder: Health and Wellbeing

Reason

To provide authority to continue participating in the system-wide transformation programme to improve urgent and emergency care outcomes for Dorset residents.

A system-wide transformation programme to transform and improve urgent and emergency care services for Dorset residents is underway.  Involving health and care partners it is anticipated that the transformation programme will take 2 years to deliver and should substantially reduce the number of people admitted into hospital when better outcomes could be achieved elsewhere and should result in fewer people waiting in hospital to be discharged while ongoing care is arranged.  Work has now progressed and in parallel with other health and care organisations across Dorset the Council must now consider whether to participate in the next phase of the programme.

The Director of Adult Social Care and the Corporate Director for Wellbeing presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'C' to these Minutes in the Minute Book. The Committee was informed that a system-wide transformation programme to transform and improve urgent and emergency care services for Dorset residents was underway.  The programme involved health and care partners, and was anticipated to take 2 years to deliver and should substantially reduce the number of people admitted into hospital when better outcomes could be achieved elsewhere and should result in fewer people waiting in hospital to be discharged while ongoing care was arranged.  Work had now progressed and in parallel with other health and care organisations across Dorset the Council must consider whether to participate in the next phase of the programme. Issues raised by the Committee in discussion of this item included:

·       Key areas of the Programme Partnership Agreement – It was close to being signed off and was going through all of the different partners. It was expected there may be further minor amendments to the agreement. There would also be further legal consideration of the item. The programme operated on a fee guarantee. The Partnership agreement set out that the BCP share of the fee would be proportionate to the Council’s share of the benefits. In July 2025 the programme would be reviewed to ensure confidence in making the share of costs and benefits work.

·       Oversight of the Programme - There were mechanisms in place to address how the Council would monitor this as a system. The operational mechanism behind this was that there would be 6 workstreams and each of these work streams would have an SRO, and each of the work streams would be very clear about the diagnostic work that was undertaken with Newton's support.

·       External Partner involvement - It was noted that there were many different factors impacting on this and it would not be possible to work through this as an individual organisation. It needed to be done in partnership with a systems-based approach. There would be much greater impact and improved outcomes for individuals if this was done as a partnership. There were governance and monitoring plans in place. Concern was raised regarding the involvement of Newton in an extremely complex process as it appeared that they hadn’t delivered on this scale previously. The Committee felt that it would be good to see more robust evidence for them being the right partner to take this forward.  The Committee was advised that Dorset Council was the lead partner and BCP were involved in the initial decision to bring in Newton to work on the diagnostic. The Corporate Director confirmed that Newton did have significant experience in this area. Other local authorities were already engaged in similar work which was being delivered through Newton and assurance had been received on how the programme had progressed. Measures of success – The Committee  ...  view the full minutes text for item 47