The Kent and Medway Sustainability and Transformation Partnership Programme Board met on 6 November 2017.

Glenn Douglas has been formally appointed Chief Executive of the Kent and Medway Sustainability and Transformation Partnership and is now chair of the Programme Board.

Hazel Smith updated on the medical school bid. Canterbury Christ Church University and University of Kent are bidding jointly and the bid needs to be submitted to the Higher Education Funding Council for England (HEFCE) and Health Education England (HEE) by 23 November 2017.  The Programme Board are strongly in support of this bid, and Hazel asked the relevant leads (eg chief executives, medical directors and directors of medical education) of all partner organisations to sign a letter of support and commitment.

Hazel Smith also updated on the Kent Integrated Dataset (KID).  A commercial partner, Optum, has been contracted to support the further development of the KID within all partner commissioning organisations.  The information systems of all the CCGs will be integrated with full ‘go-live’ of the integrated system on 1 February 2018.

Michael Ridgwell updated on the Kent and Medway STP ‘One Year On’ conference which had happened the previous week.  There were c300 attendees and feedback was good.  A full evaluation and report on the conference is forthcoming. Speakers’ slides have been published on the Kent and Medway STP website.

The Programme Board’s meeting structure allows for occasional ‘deep dives’ – lengthier discussion and more detailed scrutiny of key subjects – on a regular basis. At its November meeting, the Board had ‘deep dive’ sessions in two areas:  productivity, and stroke services.

 Productivity

The Board’s ‘deep dive’ on productivity updated on the progress that the workstream has made in the past year. The workstream has been tasked with saving £190m by 2021 through joint working on efficiencies in acute hospital services.

It has eight projects:

  • Corporate and back office
  • Temporary staffing
  • Supplies and services
  • Medicines
  • Pathology
  • Trauma and orthopaedics (the first clinical workstream)
  • Care of the elderly (to be activated in November)
  • Urgent care (to be activated in November)

The Board heard that after one year of work many of these projects are already delivering savings back to the NHS.  The workstream highlighted three supporting factors that they want to improve:

  • Greater levels of engagement within organisations and with frontline staff around the opportunities for greater productivity, and shared ownership of these.
  • More joined-up working across groups and with the wider STP programme.
  • Better quality data and information sharing.

Stroke

Extensive engagement work has been taking place with patients, the public, clinicians and stakeholders as part of the Kent and Medway stroke review.

Modelling work has led to a decision for option development for three hyper acute stroke units in Kent and Medway. The location of those units will be determined by a formal public consultation which is hoped to take place in early 2018.

A joint committee of the eight Kent and Medway CCGs plus Bexley CCG and High Weald, Lewes and Haven CCG has been established and will be the key decision making group for the work, receiving recommendations from the Stroke Programme Board.

An Integrated Impact Assessment (IIA) has been prepared as part of the review.

Public engagement has been a key part of the review, with feedback from stroke patients demonstrating support for proposals to move from the existing provision of seven general acute stroke units to three highly-specialist units, known as ‘hyper acute stroke units’.  Kent and Medway don’t currently have any hyper acute stroke units.

The final options will be subject to formal public consultation in 2018.