The Kent and Medway Sustainability and Transformation Partnership Programme Board last met on 10 July.  The Board received a summary update on the progress being made by each workstream, focusing particularly on the hospital care, estates and system transformation workstreams.

Regarding the hospital care workstream, the Board discussed:

  • the timeline leading towards formal consultation on areas of proposed service change, which is expected to be in early 2018
  • content that will need to be included in the pre-consultation business case
  • progress on the establishment of a joint committee of the eight CCGs in Kent and Medway to take decisions on the future pattern of stroke services, and a joint committee of the four CCGs in east Kent to take decisions on urgent, emergency and acute medical services and elective orthopaedic services in east Kent; and
  • the need for ongoing further engagement with patients, carers, public, staff and stakeholders across the region.

The Board discussed the work to review vascular services across Kent and Medway, which dates back to 2014 and pre-dates the STP, but any co-dependencies need to be taken into account by the hospital workstream.

The board discussed progress within the estates workstream on mapping and benchmarking public estate across Kent and Medway and how this would need to feed into the pre-consultation business case.

The Board acknowledged the key decisions that will need to be made by governing bodies and trust boards to get to consultation. For example, they will be considering the proposed new models of care for stroke and east Kent acute hospital services, and hurdle criteria to support the first stage of option development, in July.  The Board noted the need for neighbouring CCGs, across Kent and Medway boundaries, to be engaged in the ongoing work.

The Board received an update on commissioning transformation work thus far and discussed the development of this into wider system transformation, noting the importance of focusing too on providers and local authorities.

The Board received an update on the progress to develop a local care investment case, noting that it will be critical to show how savings will be made so that delivering the local care model will support the development of the other workstreams, and how transition from old to new ways of working will happen.

The Board received a financial update on NHS organisations across Kent and Medway, noting the requirement for a system view on finance and performance from NHS England.

The board received feedback on engagement activity to date around the services in phase one of the proposed service changes, noting the importance of continued engagement and involvement activity with all key audiences.  The board endorsed the need for workstreams to carefully consider feedback from engagement activity and to support a clear ‘you said, we did’ approach.

There was a discussion on prevention work, and the balance of focus between smoking cessation and other areas of importance such as tackling obesity.

Following a recent governance assessment undertaken by the STP programme team recommendations were made for improving ways of working and for some changes to the existing governance infrastructure of the programme.  For example, to make sure that the two delivery boards in East Kent, and Medway, North and West Kent respectively, were more closely linked and accountable to the Programme Board and had a shared purpose to drive local implementation and transformation in their areas.  The Programme Board also agreed to meet bi-monthly, with ‘deep dive’ sessions on key areas of work between meetings.