On 25 August 2016 the Kirklees Health and Wellbeing Board considered a report that provided information on the integration of Health and Social Care across Kirklees. The report set out the national position around Sustainability and Transformation Plans and in particular the integration of Health and Social Care and the current position in Kirklees.
This guidance, published by NHS England in December 2015, asked every health and care system to come together to create their own plan for the delivery of NHS England’s Five Year Forward View. These plans, known as Sustainability and Transformation Plans (STPs), set out a clear vision for how the challenges presented in the Five Year Forward View will be met by 2020/21. There are 44 STPs in England, one of which is West Yorkshire and Harrogate. West Yorkshire and Harrogate draft STP was published on 10th November here. It is built from six local area place-based plans; Bradford District and Craven, Calderdale, Harrogate and Rural District, Kirklees, Leeds and Wakefield – they all focus on the health and social care needs of local people. A well developed draft of our local plan, the Kirklees Health and Wellbeing Plan 2017-2021, is being presented to the Health and Wellbeing Board on 24th November. The final version will be available in January.
The Council and its partners are exploring options for developing greater integration of operational delivery (for example between the Council and Locala or with primary care).
It is clear that integration of service delivery works most effectively when it is complemented by integrated commissioning.
The Council and both Greater Huddersfield and North Kirklees Clinical Commissioning Groups have begun mapping out our joint working arrangements in a number of key areas. Work is ongoing to identify the next steps in the journey of integration which will include:
- identifying a number of areas where we will establish a fully integrated approach to commissioning health and social care services in 2017/18 (for example: adult wellness services, frailty services in North Kirklees)
- continuing to identify tactical opportunities for joint working (for example: co-location of continuing health care staff alongside social workers, unified approach to supporting care homes)
- removing practical barriers to joint working arrangements such as use of IT and office space
There is likely to be further guidance in the autumn on the national planning requirement for a better integration of health and social care plan by March 2017. This plan needs to set out how we will achieve better integration of health and social care (the detail of which awaits national guidance) by 2020. It will also need to reflect the vision and principles set out in the Joint Health and Wellbeing Strategy, and reflect the emerging Sustainability and Transformation Plan for West Yorkshire and Harrogate.