Agenda and minutes

To be notified of the appointment of Substitute Members.

Pursuant to the Council’s constitution the appointment of the folowing substitute members were made:

Councillor I Grayson for Councillor L Marshall

Councillor I McAlpine for Councillor O Scargill

You are invited to declare any registerable and/or non registerable interests in matters appearing on the agenda, and the nature of that interest.

You are also invited to disclose any dispensation in relation to any registerable and/or non-registerable interests that have been granted to you in respect of any matters appearing on the agenda.

Please complete the Declarations of Interests card available at the meeting and return it to the Democratic Services Officer before leaving the meeting.

Councillor J Kirwin declared a non-registerable personal interest in agenda Item 5: Overview of the Integrated Care Board, as his wife is employed by the Newcastle Hospital Trust

Councillor C McGinty declared a non-registerable personal interest in agenda Item 5: Overview of the Integrated Care Board, as she is employed by the Newcastle Hospital Trust

To Confirm the minutes of the meeting held on

Resolved: that the minutes of the meeting held on 26 September 2024 were agreed as a correct record.

To receive a report and presenation that will provide an overview of of the organisational structure of the Integrated Care Board and how the local team operates within that structure

Rachel Mitcheson, Director of Delivery for Northumberland and North Tyneside ICB attended the meeting to provide an overview of the organisational structure of the Integrated Care Board (ICB) and how the local team operates within that structure.

The Committee were informed that the North East and North Cumbria Integrated Care Board (NENC ICB) was established on 1 July 2022 following a change to the Health and Social Care Act. 

It was also a statutory requirement of the ICB to have an Integrated Care Partnership (ICP), enabling all 14 local authorities and other partners to develop an integrated care strategy and oversee progress. 

It was noted that on establishment of the ICB, most employees of the predecessor clinical commissioning groups transferred to the NENC ICB and an initial operating model was developed to ensure clarity of governance and reporting across the 14 places and the corporate elements of the NENC ICB.

The Committee were informed that during the ICB’s first year the ‘better health and wellbeing for all’ strategy was produced.  The strategy sets out the overall strategic aims set by government as being:

·       Improve outcomes in population health and healthcare

·       Tackle inequalities in outcomes, experience and access

·       Enhance productivity and value for money

·       Help the NHS support broader social and economic development

It was highlighted that within the first year of ICB’s development of the strategy, NHS England instructed that all ICB’s had to deliver a 30% reduction in running costs by 2025/26, with at least 20% to be delivered by 2024/5.  It was explained that the ICB is a strategic organisation working across a large geographical area, the largest in England, and has a key role to drive efficiency and reduce both variation and duplication.  To meet the reductions required by NHS England, the new structure of the ICB contains more centralised functions and this will help to prevent duplication, where possible.

It was noted that the significant changes from the new structure included:

·       Merging eight organisations into one (restructure at the time for formation)

·       Taking on additional responsibilities at the start

·       Further delegations from April 2023,  including pharmacy / optometry and dental

·       30% running cost reductions

·       The expectation of more delegations  

To ensure that the NENC ICB maintains close links to partner organisations, six Local Delivery Teams were created and mapped to 14 local authority partners, to cover:

·       North Cumbria (2 local authorities)

·       Northumberland and North Tyneside (2 local authorities)

·       Newcastle and Gateshead (2 local authorities)

·       County Durham (1 local authority)

·       Sunderland and South Tyneside (2 local authorities)

·       Tees Valley (5 local authorities)

The dedicated teams focus on population health, integration, primary care, development, out-of-hospital services, transformation, partnerships stakeholder engagement, local intelligence escalation, maintaining a patient-centred approach with a focus on the place arrangements.

The structure for the Northumberland and North Tyneside Local Delivery Team was presented along with the key priorities of the two teams:

Primary care priorities

Integrated Neighbourhood Teams:

o    Mapping of current integrated working

o    Implement and share good practice

o    Facilitate continuous growth  ...  view the full minutes text for item C10/24

To receive an update on the work programme and to consider items for future meetings

The Committee considered the work programme report and the outline work programme topics for 2024/25.

Discussion took place regarding the topics and the most appropriate meeting dates for which they should come forward

RESOLVED – That the work programme be updated to reflect the dates in which the agreed topics will be presented to future meetings of the sub-committee.