Birmingham and Solihull Integrated Care System (ICS) has an ambitious vision to empower and support our communities, making Birmingham and Solihull the healthiest place to live and work, driving equity in life chances and health outcomes for everyone. It is this vision which unites all of our partners, working together for the large and diverse population we serve.
Our Inception Framework has now been published which tells you more about how we plan to make our vision for Birmingham and Solihull a reality.
Together, Birmingham and Solihull has a population of circa 1.3 million, with the health and social care challenges faced by different neighbourhoods and communities across our localities varying dramatically.
40% of Birmingham and 12% of Solihull residents live in the most deprived communities in Britain, and one in three children in Birmingham are living in poverty. In Solihull, the ageing population means that within a generation nearly one in four residents will be aged 65 and over, yet in the most deprived areas life expectancy is 12.8 years lower for men and 11.1 years lower for women.
Birmingham is characterised by its high levels of ethnic diversity, with an ethnic minority population of 40% and a high level of migration into the city. Over a hundred different languages are
spoken across Birmingham and Solihull, and in some Birmingham wards up to 80% of residents are from minority ethnic groups. Solihull is less ethnically
diverse with 11% ethnic minority population. The combined ethnic minority population for Birmingham and Solihull is 37%.
These are not just data points to study: so many of the lives of our citizens are impacted negatively by these inequalities and they are right to expect us to be focussed on doing something about it.
To achieve our vision we will need to make some difficult decisions about how and where resources are spent in order to best meet the health and care needs of the diverse population, not just for today but for the future. We’ve worked closely as a partnership to agree four very simple principles that will underpin every decision that we take in our ICS going forward. They are:
- Subsidiarity – ensuring that decision-making happens as locally as possible and respects the governance arrangements within individual organisations;
- Clinically and professionally led – ensuring that clinicians and social care professionals are at the forefront of how services are designed and delivered in the future;
- Transformation and innovation – we will prioritise supporting innovations that have the potential to transform care, whether they be small or large scale, at a ward or neighbourhood level, or whether they are partnership-wide;
- Tackling inequalities by empowering our communities – we want to do more than listen to our communities and patients – we want to ensure that our whole system is designed and governed to support changes and improvements that are important to them.
We proactively support innovation at every level of the system to transform care.
We value and incentivise both small and large-scale transformation as the key to improving outcomes and tackling the long-term health and social care needs of our population.
We nurture, equip and support enquiring minds to be transformative.
Everything we do – no matter how big or small – can be directly linked to our commitment to reducing health inequalities in Birmingham and Solihull.
We celebrate differing opinions and voices as an essential part of optimising our decision making.
Regardless of differences, we work collectively as equals in aid of the shared vision.
We are all accountable for safely and carefully providing health and social care across Birmingham and Solihull, addressing inequality in provision, to meet the needs of all communities.
As system leaders we demonstrate commitment and shared accountability in delivering the vision through collective decision making and active collaboration.
We are mindful (aware and conscious) of the changes to current ways of working that are needed to move to system working, new models of care and to change the experience of citizens receiving health and social care.
We will respectfully challenge colleagues where needed and be compassionate and kind.
We will openly and actively support the development of health working environments for all of our people.
We will encourage and help people across Birmingham and Solihull to take responsibility for their own health and wellbeing from a young age. We want babies to have the best start in life; to have a healthy and happy transition through childhood and adolescence; to live well through adulthood; to age well; and, when the time comes, for people to have their wishes respected and to have a good death.
All of this requires a much more ‘joined up’ approach to health and care, as well as wider public services. Our approach to integration means closing the big gaps between health and social care; mental and physical health; primary and secondary care; citizens and services; advantaged and disadvantaged.
Advances in care mean that more people are living longer and often with complex needs. While this is an achievement to be celebrated, it means more people requiring support from both health and social care services.
Health and adult social care services in England have traditionally been funded, administered and accessed separately. Health has been provided free at the point of use through the National Health Service, while local authorities have provided means-tested social care to local people. The complicated question of how to get health and social care services to work better together and provide people with more care in more places outside hospital has been a topic of national debate for decades.
Greater integration improves the experience for our patients and people who use social care services by putting the person who needs care at the centre of how that care is organised locally. It also saves public money by reducing unnecessary emergency hospital admissions and delayed transfer of care (where a person is declared medically fit to leave hospital but a proper package of care outside of hospital has not yet been agreed).
We aim to continuously improve the quality of care that people experience; and we will become more efficient in how we use public resources. As the health and social care organisations of Birmingham and Solihull, we are major regional employers. When we act collectively, we have the potential to deliver social and economic benefits outside of the health and social care system.
INTEGRATED CARE SYSTEM BOARD
The Birmingham and Solihull Integrated Care System is developing in line with the proposed Health and Care Bill, which intends to support integration more formally. As part of the development of our ICS we will be establishing an Integrated Care Board (ICB) and Integrated Care Partnership (ICP), which will in time replace the current Integrated Care System Board.
For information including meeting dates and papers for the ICS Board, please click here.
The NHS Birmingham and Solihull Integrated Care Board (ICB) will be the organisation responsible for NHS functions and budgets within the Integrated Care System (ICS). In our area, we will be operating our ICB in ‘shadow form’ from 1 April 2022 ahead of being legally established on 1 July 2022, depending on whether the relevant parliamentary legislation is passed. Once the ICB has been fully implemented, the Clinical Commissioning Group will cease to exist.
Over the coming weeks, we will be recruiting to our ICB leadership team, led by Dame Yve Buckland, Designate Chair, and David Melbourne, Interim Designate Chief Executive. You can view the ICB leadership team here.