Council and democracy

Agenda item

New Model of Care for Tilbury and Chadwell

Minutes:

Ian Wake, Director of Public Health, presented the Case for Change report which had the new model of providing primary, community and mental health services, health improvement services and adult social care to Tilbury and Chadwell residents in a central and integrated way. Health and care providers were seeking to demonstrate a proof of concept with a view to replicating the model borough wide in order to form a new Accountable Care Partnership for Thurrock. Ian Wake presented a segmentation of Health Service usage by the population of Tilbury and Chadwell.  This demonstrated that 50% of all spend was attributable to 1.8% of the population, with the remaining 35% and 15% of spend being attributable to 6.2% and 91.6% of the population respectively. This analyses suggested that there were three distinct population cohorts that needed different types of service offer; 1.8% of the population that had complex and high levels of need and required an integrated health and care offer; 6.6% of the population that had some long term conditions that needed action to improve diagnosis and management of these within the community, and 91.6% that had episodic healthcare needs and needed improved access to Primary Care. Ian Wake referred Members to the models of care and explained the fundamental differences with an example of “what does a good life look like for you?”

 

Councillor Snell thanked Ian Wake for the exciting and uplifting report.

 

Councillor V Holloway echoed Councillor Snell’s comments and how well evidenced the report was.

 

Councillor Collins thanked Ian Wake for the positive comments and that the report brought humanity back into health care.

 

Ian Wake thanked Members for their praise and stated that the Public Health Team and the Clinical Commissioning Group had played a big part of preparing the report.

 

Ian Woodbridge thanked Ian Wake for the report and asked had any thoughts been given to how the community could be educated? Ian Wake stated that this will take time for residents to see how primary care can be provided differently.

 

Councillor Gerrish asked how the pilot would be assessed and would Key Performance Indicators have any impact. Ian Wake stated that evaluation played a vital part and was key to identifying the most important areas such as saving money, the population and outcomes.

 

Councillor Snell questioned whether there had been any resistance from general practitioners or pharmacists. Jeanette Hucey stated that general practitioners in the practices in Tilbury and Chadwell had formed a network and signed a Memorandum of Understanding to confirm their commitment to supporting delivery of the New Model of Care for Tilbury and Chadwell, and in particular, the Enhancing the Capacity and Capability of Primary Care work stream. This had set an example that we were aiming to replicate in the other three localities. Jeanette Hucey also stated that practices in the other localities were hearing about new initiatives little by little and were asking when they could be involved too.

 

Councillor Snell thanked all Officers for the report and that it had been another good example of resident satisfaction.

 

RESOLVED

 

1.         That the Health and Wellbeing Overview and Scrutiny Committee note and comment on the proposals set out in the Case for Change document, for transforming health and care services in Tilbury and Chadwell.

 

2.         That the Health and Wellbeing Overview and Scrutiny Committee endorses the piloting of the New Model of Care with a view to creation of a borough wide Accountable Care System if shown to be successful.

Supporting documents: