The Health and Wellbeing Board of Isles of Scilly Council met on Wednesday 04 February 2026 to discuss the draft Integrated Care Board (ICB) 5-year plan. The board was scheduled to review the plan and provide feedback on how well it aligns with the Health and Wellbeing Strategy for the islands.

Draft Integrated Care Board 5-year plan

The primary focus of the meeting was the review of the draft Integrated Care Board (ICB) 5-year plan. This plan outlines the ICB's commissioning intentions for improving population health and healthcare over the next five years, aligning with the NHS 10-year plan. The report pack indicated that the plan aims to implement three key shifts: from hospital to community care, from analogue to digital processes, and from a focus on sickness to prevention.

The draft plan adopts a life-course approach, detailing ambitions for children and young people (0-24), people of working age (25-64), and older people (65+). For children and young people, the plan includes support for complex medical and social needs, mental health issues, and special educational needs and disabilities, with a focus on reducing waiting times for assessments and improving school readiness and inclusion.

For working-age adults, the plan aims to reduce the impact of mental health conditions, improve access to psychological therapies, and support those with long-term conditions such as diabetes and cardiovascular disease. It also seeks to reduce health-related economic inactivity.

The plan for older people addresses the challenges of a rapidly ageing population, focusing on preventing and delaying frailty, supporting independence, and ensuring hospital care is only used when clinically essential. It includes provisions for integrated care, early intervention, and personalised support, with a focus on community-based urgent care.

The report pack indicated that the board was asked to provide feedback on the draft plan and confirm that it takes proper account of the Health and Wellbeing Strategy for the islands. A statement to this effect was to be included in the published ICB 5-year plan. The report also detailed how the ICB plan aligns with the existing Health and Wellbeing Strategy across various outcomes, including healthy, safe communities, healthy starts, healthy bodies, and healthy minds.

The report pack also outlined the programmes in place to deliver the plan, including the development of 16 multi-skilled neighbourhood care teams and system transformation programmes for areas such as discharge to assess, end-of-life care in the community, elective care in the community, and community mental health services.

The meeting was scheduled to include a discussion on urgent items, though no specific items were detailed in the provided report pack. Declarations of interest were also scheduled to be addressed at the beginning of the meeting.