Agenda item - Chair's Communications

The Chair of the Board will start the meeting with a short update on recent developments on health and wellbeing.

Update on Brighton & Hove as an HIV Fast Track City

24.1    The Fast-Track Cities initiative is a global partnership between the United Nations Programme on HIV/AIDS (UNAIDS), the United Nations Human Settlements Programme (UN-Habitat) and the International Association of Providers of AIDS Care (IAPAC).  Fast-Track Cities aims to build upon, strengthen and leverage existing HIV programmes and resources in high HIV burden cities to support their achievement of the UNAIDS 90-90-90 targets by 2020.

24.2    Brighton & Hove City Council officially joined the international Fast Track Cities initiative to end HIV/AIDS as a public health threat on Thursday 3^rd August 2017 when the Mayor of Brighton & Hove and the Leader of the Council signed the Paris Declaration at a reception in the Mayor’s Parlour.

24.3    We are now in the process of convening the Brighton & Hove fast track city task force which will bring together a group of core stakeholders to consult, plan and direct the city’s approach to achieving the 90-90-90 targets and will be the group through which we will communicate with our international partners within the Fast Track Cities movement.

24.4    The next step is to develop our local action plan based on the epidemiology of HIV in Brighton and Hove, local demography and, supported by the international expertise that is now available to us, what we know to be effective.

24.5    A report on progress is expected to be brought to the Board in January 2018.

Public Participation Groups Annual Engagement Report

24.6    Each Year the CCG produce a report on the PPG activities and impact for the year. Available online: https://www.brightonandhoveccg.nhs.uk/publications/plans-priorities-and-progress/plans

Pharmaceutical Needs Assessment for West Sussex

24.7    Board members will remember each area has to produce a Pharmaceutical Needs Assessment. We are in the process of undertaking ours and a report will be coming to a later Board with the draft.

24.8    Neighbouring authorities also have a responsibility of asking bordering areas their views of their assessments and we recently had the East Sussex PNA here.

24.9    West Sussex have requested the views have sent through their consultation form and the public health team will be developing the response for the Board.

24.10  If people wish to put their own response in please go to the link below:

https://haveyoursay.westsussex.gov.uk/public-health/pna/consultation/intro/

Ardingly Court

24.11  You may be aware that, when The Practice Group surrendered its contract in the city, one of the practices (Whitehawk) was taken on by the Ardingly Court practice.  This well respected practice with committed staff has managed a very challenging patient list since that time. It has had to adapt, however, from working with 6,000 patients on one site to working with 12,000 patients on two sites. This has presented a number of difficulties.

24.12  The partners of the practice have contacted the CCG  and informed the CCG  that they wish to split the practice into two, focussing on the specific needs of the different populations in the city centre and Whitehawk areas respectively.

24.13  The CCG has supported this, because it will provide a number of opportunities:

·                     Each site can focus on the needs of different populations

·                     All of the doctors and nurses who work in the practice have indicated that they wish to stay working in the city

·                     The Whitehawk practice is co-located with a children’s centre and other services as well as another practice and will be able to use the space to integrate these services more closely, in line with our joint  Caring Together strategy

·                     The city centre practice will move into the new premises at Palace Place next year and will be able to co-locate with other services, again moving us towards our Caring Together vision.

24.14  In order to move from the current arrangement to the new arrangement, we need to follow a formal procurement activity. The Patient communications aspects of this are important, given recent changes to primary care in the city. A letter has been sent to patients the practice with the key messages as follows:

·                     The practice is splitting from one organisation into two

·                     All patients at both sites will continue to be able to receive care from 1 April 2018

·                     They will be asked to choose which of the two sites they wish to be seen at (they cannot in future be seen at both); if they do not choose, then, under NHS rules, they will remain with the city centre practice

24.15  The CCG will be working with patient groups, community groups etc to help support patients with this process. They have specific measures in place to support vulnerable patients through this process.

Summary

·                We are beginning with primary care being provided on two sites and will end with primary care being provided on two sites.

·                All of the doctors and nurses who currently work in the practice wish to continue to do so, on one or other of the two sites.

·                The CCG’s investment will increase

·                There is a technical contractual process to follow to achieve this.

HOSC 

24.16  HOSC looked at the sustainability of city GP services; plans to tender for a re-designed 111 service for non-urgent calls; and the Clinically Effective Commissioning initiative.