In this section you will find all Freedom of Information (FOI) requests made about our partnership. If you wish to make an FOI request, or have any other comments, please email FOI.firstname.lastname@example.org.
Q. Relatedly, the STP says that local authorities are statutorily required to break even and the STP are trying to work out “how to mitigate this pressure”. What are they proposing so far and what is the time frame for concluding this work?
A. The draft STP is built on local plans for Bradford, Calderdale, Harrogate, Kirklees, Leeds and Wakefield. We have then supplemented these local plans with work that can only take place at a West Yorkshire and Harrogate level. This means we are working together on best practice, shared solutions to shared problems and the delivery of specialised services across the area.
The local plans have been discussed and shared with Health and Wellbeing Boards and CCG Governing Bodies. Our proposals will offer an opportunity for organisations across the health and social care system to work together and develop an approach suited to local needs.
Q. How will the proposal to devolve transformation funding to management at WY& Harrogate level work?
A. Each STP is awaiting national guidance on the treatment of Sustainability and Transformation Funding and how this will be allocated to each STP area. Presently the STP has been asked to assume it will receive its “Fair Share” in 2020/21 but no guidance has been provided to confirm this.
Q. Does this mean eg that hospital trusts will not be able to manage their own transformation funding?
A. The methodology has not be released, whether this is to STP, Clinical Commissioning Group or direct to providers such as hospital trusts
Q. Are organisations on track to meet their control totals for 2016/17?
A. Each organisation has to provide a financial report at its public governing body meetings and the information is available on the individual organisation websites under the Board Papers section
Q. Where is the additional £39m going to come from for providers to achieve NHSI’s control totals in 2017/18?
A. The STP plan was developed prior to the announcement of the final tariff for providers as well as signed contracts for 2017/18. The STP viewpoint was the plan was a position in time that would need to be updated after the conclusion of contract negotiations and discussions between individual organisations and the regulator, NHS Improvement. Those discussions are ongoing at an individual organisation level.
Q. Mid Yorks Trust Board meeting of 3rd November 2016 papers show that a memorandum of understanding setting up a “foundation group” of all the acute hospitals in West Yorkshire was due to be signed in early December 2016 based on a recommendation from Price Waterhouse Cooper. Has it been signed now? If not, when will it be? What effect will that have on the West Yorkshire & Harrogate STP?
A. The acute providers in West Yorkshire are developing a collaborative programme of non-clinical and clinical opportunities which are aimed at delivering benefits relating to sustainability, quality and efficiency. This programme is one of the nine West Yorkshire & Harrogate STP work streams. The collaborative programme will be supported by a governance and decision making framework across the Trusts which will enable collaborative decision making. The development of the governance and decision making framework is being delivered according to the expected timescales. This is not a development of a ‘foundation group’.
Q. Do you have a workforce plan?
The West Yorkshire & Harrogate (WY&H) Sustainability and Transformation Partnership and WY&H Local Workforce Action Board are developing a workforce strategy which will be publically available on this website once complete.
Q. What engagement and consultation work is planned over the next few months?
A. The draft WY&H STP engagement and consultation timeline is available here.
New work will be added as the priority programmes develop. Please note these may be subject to change.
Q. What engagement and consultation work across West Yorkshire and Harrogate has taken place?
A. This engagement and consultation mapping document highlights work which has taken place across Calderdale, Bradford, Harrogate, Kirklees, Leeds and Wakefield between April 2012 and February 2017.
Across West Yorkshire and Harrogate, healthcare professionals, including doctors and consultants, are working together to look at how we can further improve care for people who are at risk of stroke, or those who have had a stroke, from recovery to after care. A public engagement report and supporting information is available.
The members of West Yorkshire and Harrogate Health and Care Partnership are working hard to strengthen our approach to collaborating more closely to achieve the ambitions for improving the health and care of people in this area that we set out in our draft proposals in November 2016.
As part of this we are continuing to discuss with NHS England and NHS Improvement how we might secure greater autonomy and support to progress these ambitions more quickly.
NHSE and NHSI have not set a firm timescale for any announcement of future accountable care systems. There is no delay. We will discuss with them whether this is an appropriate direction for WY&H to pursue when the time is right for all partners.
Q: The number of jobs created/seconded to work as part of the STP/ICS. Please categorise these by salary band and job title and whether they were created/seconded from other parts of the NHS.
A: The following posts have been established:
Director – VSM
Senior Analyst - A4C pay band 8c/8d
Programme Director – Elective Care and Standardisation of Commissioning Policies A4C pay band 8D
Programme Manager – Urgent and Emergency Care- A4C pay band 8C
Project Lead – Stroke Programme A4C pay band 8C
Head of Comms and Engagement A4C pay band 8c
Head of Programmes – A4C pay band 8c
Business Manager – A4C pay band 7
Administrative Support Assistant – A4C pay band 3
CCGs, NHS England and healthcare providers have aligned staff from a variety of disciplines to support the delivery of STP work. NHS Wakefield CCG does not hold information on the details of the alignment of staff from partner organisations.
Expenditure by the STP on external consultancy up to 31 July 2018 was as follows:
Short term support to develop the WY&H STP - Attain were commissioned in February 2016 by the collaborative of CCGs to work alongside existing NHS staff to develop the STP. The total cost was £241,921.
Estates Strategy - Attain were commissioned to provide estates expertise and support to help develop the WY&H estates strategy. The total cost was £27,887.65.
Cancer assessment framework – kd Network Analytics were commissioned to analyse cancer performance data and produce a prototype cancer assessment framework. The total cost was £23, 520.
Finance strategy – the York Health Economics Consortium was commissioned to support the development of the WY&H finance strategy. The total cost was £118,740.
Procurement of an Integrated Urgent Care system across Yorkshire and the Humber
Attain have been commissioned to work alongside existing NHS staff in 3 STP areas to support this procurement. The total cost of this engagement across Yorkshire and the Humber is £238,000.
Capital and Estates
To date, our successful Capital Bids in 2018/19 total £37.6 million:
New specialist CAMHS Tier 4 inpatient unit [£13 million] - to meet the increased needs of children and young people, in line with local and national transformation.
National pathology exchange [£2 million] - To deliver a lab-to-lab messaging solution that connects Laboratory Information Management Systems (LIMS) together across the area to facilitate the electronic transfer of pathology test requests and results.
Scan for Safety [£15 million] - Leeds Teaching Hospitals NHS Trust is currently a demonstrator site nominated and funded by the Department of Health, and the other five NHS Acute Trusts can benefit from the roll out. The work will increase data accuracy and reliability enabling improved analytics and decision making.
Yorkshire Imaging Collaborative [£6.1 million] - for the collaborative procurement of imaging solutions to transform radiology services to meet capacity and demand issues.
We submitted bids for Wave 4 Capital on 16th July 2018 and await the outcome.
In addition to the above, it was announced in July 2018 that the Yorkshire Ambulance Service will receive £7.5 million to increase its fleet with an additional 62 double-crewed ambulances.
Under Section 21 of the Freedom of Information Act, this information is exempt from disclosure as it is already reasonably accessible by other means on the WY&H Health and Care Partnership website:
Sustainability and Transformation Plan Draft proposals (October 2016)
Our next steps to better health can care for everyone (January 2018) http://wyhpartnership.co.uk/download_file/view/452