Agenda item

The report provides an update on the Integrated Neighbourhood Teams (INT) Transformation Programme.

It covers, the ambition, programme scope, INT footprints, approach to measurement, progress to date and an update on the community engagement workstream.

The Chief Executive, NHS Dorset Healthcare, the Deputy Director of Place and the BCP Community Development Manager presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'B' to these Minutes in the Minute Book.

The report provided an update on the Integrated Neighbourhood Teams (INT) Transformation Programme.

It covered, the ambition, programme scope, INT footprints, approach to measurement, progress to date and also an update on the community engagement workstream.

The shared ambition of the INT Programme was to build confident and autonomous, integrated multidisciplinary teams around meaningful populations or neighbourhoods, i.e. communities that people say they feel they belong to. 

The programme had several phases; the first being the establishment of integrated neighbourhood teams within health; essentially creating the environment and structures to make INTs an investable proposition and to enable the second phase focused on integrating more widely with LA and VCSE partners. The third phase being the embedding of the transformed operating model and investing in prevention, proactive care and an increase in care provided in communities.

For 24/25 the ICB wrote to the Dorset Provider Collaborative setting out the following requirements and expectations for the INT Programme.

• The programme would see the launch and development of the new Integrated Neighbourhood Team (INT) model in four sites (equally within the BCP and DC Places) in Q1 and Q2, with a rolling delivery programme pan Dorset throughout the remainder of the year.

• The INT model was the means by which General Practice and Community Health teams integrate.

• Scope of services offered to be person- centred, utilising the multidisciplinary approach including wider determinants of health, though on a person/needs-led level, not population health level (the responsibility for population health level of improvement will sit with the Place Based Partnership.

• The expectation was that greater benefits would be gained from pooling of budgets and other resources; looking to further align commissioning budgets to Place Based Partnerships and INTs going into 25/26.

The concept of INTs was first endorsed by the Dorset system in November 2023 and since then the INT programme has been defined and positive progress has been made. The approach was to focus, initially, on integration of health teams, working with four areas to inform the development of a blueprint which other areas can than take and locally tailor to meet the needs of their local populations.

Within BCP, work was well underway in Boscombe and a summary of that progress was included in the report, with work about to start in Poole West.

The Vice Chair of the Board provided some information regarding the changes that were needed within the NHS and the need to reduce the cost of it by providing more support and services to people in the community.  The opportunities, impact and challenges of processing this change were also detailed.

RESOLVED that the Health and Wellbeing Board note the progress made on the development of Integrated Neighbourhood Teams and the Community Engagement workstream.