BOB ICS Invert the Pyramid David ClaytonSmith BOB

BOB ICS – Invert the Pyramid David Clayton-Smith, BOB ICS Independent Chair 19 th November 2020 Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System

BOB ICS is a system not an organisation A partnership between: • • • 45 Primary Care Networks (175 GP practices) 3 Clinical Commissioning Groups 6 NHS Hospital Trusts 5 Unitary/County Councils 1 Academic Health Science Network Serving a total of 1. 8 million people The ICS is the sum of its parts and is not a statutory organisation The ICS is led by Dr. James Kent who is the Executive Lead/Joint CCG Accountable Officer 2 The NHS Long Term Plan (2019) describes the role of an ICS as: • Bringing together local organisations to create shared leadership and action • Being a pragmatic and practical way of delivering more integrated care • Supporting providers to partner with local government and other community organisations to better integrate care • Supporting commissioners and providers to decide together how best to use resources, design services and improve health • Having streamlined strategic commissioning arrangements to enable a single set of commissioning decisions at system level Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System

How does the ICS work? Places i. e. Bucks, Oxon, Berks West and 45 PCNs ICS Ensure the delivery of high-quality care, closer to home for all local residents • Urgent and emergency care, primary care, community care, children’s services, community mental health and learning disabilities • Greater collaboration and integration: providers, local authorities, voluntary and 3 rd sector Support the development of three strong places • Work with partners in a more integrated way to better serve our communities • Develop the CCG resources: focus on building new ways of working and capabilities Strengthen the activities aimed at reducing inequalities and improve outcomes • Support a greater focus on prevention and the wider determinants of health Set the strategic direction and high level plan for the system • Much is set by the NHS Long Term Plan, but a number of strategic choices remain and we need to live within our means Engage with the local population • Increase people’s confidence to manage their own care and use new digital channels where appropriate • Ensure patient and public engagement and co-design of change Encourage the collective management and improvement of performance • Shared resource strategies: e. g. workforce, estates • Support the major projects – particularly those across providers 3 Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System