10 March 2016	ITEM: 11
Thurrock Health and Well-Being Board
Essex Success Regime
Wards and communities affected: All	Key Decision: N/A
Report of: Roger Harris – Corporate Director of Adults, Housing and Health. Mandy Ansell – Acting, Interim Accountable Officer – Thurrock Clinical Commissioning Group
Accountable Head of Service: N/A
Accountable Director: As Above
This report is Public

Executive Summary

This report provides the Thurrock Health and Well-Being Board (HWBB) with an update on the current progress being made with the Essex Success Regime (ESR).

A detailed stakeholder summary has been sent out to all stakeholders across Essex, Southend and Thurrock. A copy of that briefing is attached.

The ESR is a national programme designed to support health and care economies with challenging financial, workforce and service difficulties. Essex is one of three health and care economies within a Success Regime framework.

1.	Recommendation(s)

1.1	The HWBB is asked to note and comment on the current developments with the Essex Success regime and in particular their impact on Thurrock.

1.2	The HWBB will receive a more detailed briefing at a further meeting when more information is available on the impact on Thurrock residents.

2.	Introduction and Background

2.1	The ESR was launched in June 2015. A diagnostic phase ran from October to November 2015. Out of that initial phase the geography of the ESR was refined and the ESR was focussed only on Mid and South Essex (see map within attached briefing). The goal is to :

Create an integrated, internally consistent whole system plan for Mid and South Essex;

Get the system back into financial balance by 2018/19;

Enable local organisations to deliver high quality care and address local inequalities

3.	Issues, Options and Analysis of Options

3.1	It is important that there are clear benefits for the people of Thurrock out of this complicated and top down process. There are clearly urgent, immediate financial and workforce problems that are being faced by the three acute trusts that now form the core element of the ESR boundaries. These do have to be addressed but at the same time it is an opportunity to be radical and tackle some of the root causes of the problems being faced by the acute sector.

3.2	The work that has started around out of hospital care and in particular the focus on primary care is very encouraging and does offer the opportunity to make some significant changes to the current health and care system so that there is a much stronger focus on prevent and early intervention.

4.	Reasons for Recommendation

4.1	No formal decision is required at this stage but a more formal consultation report will be produced later this year and that will come back for further consideration.

5.	Consultation (including Overview and Scrutiny, if applicable)

5.1	A similar report will be going to the next meeting of the Health and Well-Being Overview and Scrutiny Committee.

6.	Impact on corporate policies, priorities, performance and community impact

6.1	N/A

7.	Implications

7.1	Financial

Implications verified by:	Roger Harris

Corporate Director

N/A as the report is only for information at this stage.

7.2	Legal

Implications verified by:	Roger Harris

Corporate Director

N/A as the report is only for information at this stage.

7.3	Diversity and Equality

Implications verified by:	Roger Harris

Corporate Director

N/A as the report is only for information at this stage.

7.4	Other implications (where significant) – i.e. Staff, Health, Sustainability, Crime and Disorder)

N/A

8.	Background papers used in preparing the report (including their location on the Council’s website or identification whether any are exempt or protected by copyright):

Stakeholder Briefing

9.	Appendices to the report

Stakeholder Briefing

Report Author:

Roger Harris

Corporate Director

Adults, Housing and Health