The Health and Wellbeing Board is scheduled to consider a draft five-year plan for the Integrated Care Board (ICB). The board will review feedback on the plan and confirm its alignment with the Health and Wellbeing Strategy for the islands.

Draft Integrated Care Board 5-Year Plan

The meeting's primary focus is the review of the draft Integrated Care Board (ICB) 5-year plan. This plan outlines how the ICB intends to commission services to improve population health and healthcare over the next five years, aligning with the NHS 10-year plan. The report pack indicates that the ICB plan is structured around three key shifts: moving care from hospitals to the community, transitioning from analogue to digital processes, and shifting focus from sickness to prevention.

The plan adopts a life-course approach, detailing ambitions and commissioning intentions for different age groups: Starting well for children and young people (0-24), Living well for people of working age (25-64), and Ageing well for the older population (65+). For Starting well, the plan includes support for children, young people, and their families dealing with complex medical and social needs, mental health issues, or special educational needs and disabilities. The Living well section addresses reducing out-of-area placements and improving mental health services, alongside continuing support for the Work and Health initiative. The Ageing well section focuses on improving care for older adults, aiming to prevent emergency hospital admissions and enhance intermediate care. A significant element of the plan is the embedding of neighbourhood care, with a focus on optimising care for older people with frailty and multiple long-term conditions, and subsequently extending this to working-age and younger populations.

The board is being asked to provide feedback on the draft plan and to confirm that it takes proper account of the Health and Wellbeing Strategy for the islands. If this confirmation is given, a statement to that effect will be included in the published ICB 5-year plan. The report pack also details the alignment between the Health and Wellbeing Strategy and the ICB's 5-year plan across various outcomes, including healthy, safe communities, healthy starts, healthy bodies, and healthy minds.

The report is presented by Janet Popham, Head of Strategy, and Susan Bracefield, interim chief executive. The draft plan itself is extensive, covering specific goals and commissioning plans for children and young people, people of working age, and older people, with detailed strategies for early intervention, personalised care, and community-based services. The success of the plan will be measured by improvements in overall health, the experience of healthcare, and the impact on the healthcare system, with specific metrics outlined for each age group. The report also details programmes in place to deliver the plan, including the development of neighbourhood care teams and system transformation programmes.