The Kent and Medway Sustainability and Transformation Partnership Programme Board met on Monday 5 March.

Mental health ‘deep dive’

The Programme Board’s meeting structure allows for occasional ‘deep dives’ – lengthier discussion and more detailed scrutiny of key subjects. At this meeting, the Board had a ‘deep dive’ session on mental health, the purpose of which was to give Board members an in-depth understanding of progress to date, milestones achieved and products delivered, key risks and issues, and how these are being managed.

The Board noted that among the key outputs from the work stream was a conference for key stakeholders entitled ‘Better Together – A Collective Conversation Transforming Mental Health and Wellbeing’. The conference took place in Maidstone on Tuesday 13 March 2018.

Kent and Medway response to the national workforce strategy consultation

Health Education England and partners have produced a draft national Workforce Strategy for consultation in response to the NHS Five Year Forward View. The consultation closes on 23 March 2018. The document is predominately health-based and a further consultation is being undertaken by Skills for Care on social care to include in a combined national workforce strategy for health and social care to be published in June/ July 2018. The Board received a draft response from the STP for their consideration. The response was developed by the Kent and Medway Local Workforce Action Board (LWAB).

Clinical strategy update – clinical vision

The Board received an update from the Clinical and Professional Board (CPB) on the development of an overarching clinical vision for Kent and Medway. Over the last two months, the draft vision has been widely socialised amongst key clinical audiences, individuals and stakeholders and the feedback and views given on it will be used to further develop and refine the vision. The CPB recommended that there should be further engagement with both the wider public and within organisations on the next iteration of the vision, as engagement so far has been limited to those involved in the STP. The Board approved this plan of action and more details on further engagement on the clinical vision will be given in due course.

STP planning and budget 2018/19

One of the guiding principles for all STP planning is that every part of the programme should be aiming to close the three Five Year Forward View gaps: health and wellbeing, care and quality, and finance and efficiency; and will be held to account on this basis. The Board received detailed plans from all STP workstreams setting out their detailed plans and budgets for the 18/19 period. The Board approved these plans and budgets and will receive regular detailed updates on progress.

Estates and Capital Plan – update

NHS England and NHS Improvement are working to prioritise the allocation of additional capital for STPs as provided in the 2017 Budget when an extra £345m of public capital was provided for property and estates investment. STPs need to have a compelling estates and capital plan that aligns with the STP’s wider overarching strategy for service transformation and financial sustainability if they are to be considered for investment.

In Kent and Medway, the estates workstream is developing an ‘estates workbook’ to meet the planning requirements and, once completed, will set out how the individual organisations in the STP will work together to deploy capital funding to support integrated service models, maximise the sharing of assets and dispose of unused or underutilised estate. New estates planning guidance is expected from NHS England later in the spring and the workstream believe that the planning and development of the ‘workbook’ means that the STP is in a good position to meet any formal guidelines once they are announced.

Chief Executive’s update

Glenn Douglas, STP Chief Executive and Chair of the Programme Board, led colleagues in discussion on the following areas:

  • Workstream progress – an overview of all other workstreams not already covered within the meeting including local care, digital, prevention, workforce and productivity.
  • Forward planning – a look ahead at the areas of focus for the partnership over the coming months.