Stoke-on-Trent Local System Review

The Alliance been confirmed as the delivery vehicle for the Improvement Plan in response to the CQC Stoke-on-Trent Local System Review.

The local system review was published on 9th November 2017. As part of the review, which took place between 4 and 8 September, the work of public sector organisations including Stoke-on-Trent Clinical Commissioning Group (CCG), Stoke-on-Trent City Council, University Hospitals of North Midlands NHS Trust (UHNM), and Staffordshire and Stoke-on-Trent Partnership NHS Trust was examined. It focused on how services including GPs, care homes, hospitals, health commissioners and the local authority work together.

Representatives from Healthwatch Stoke-on-Trent, as well as voluntary and community sector services were also interviewed by the CQC, alongside service users.

The review highlighted a number of areas worthy of praise within Stoke-on-Trent, including:

  • a positive change in the relationships between all partners across the system, and a willingness to work collaboratively in order to improve services;
  • positive progress relating to the Better Care Fund (BCF);
  • joint commissioning arrangements between the CCG and Stoke-on-Trent City Council for learning disability, dementia, mental health and carers’ services – elements of which could be replicated in other services to make improvements;
  • pooled budgets from health and social care commissioners providing arrangements for the help people receive in the community after they leave hospital, which are having a positive outcome for patients;
  • the new cross sector delivery plans for discharge to assess (D2A), which are being introduced and should reduce delayed transfer of care;
  • a number of opportunities for service users, families and carers to share their views, which helped to inform strategic planning across the health and social care system;
  • the national award winning Meir Partnership Care Hub that brings together health and social care services to deliver more effective services to those living within Meir in Stoke-on-Trent.

Nine areas for improvement were also highlighted by the CQC. Leaders across health and social care agreed to prioritise these working together to deliver the improvements for the people of Stoke-on-Trent.

  • there must be better and effective communication between leaders of the system
  • there must be effective joint strategic planning based on the needs of the local population with clear shared and owned outcomes
  • attention should be given to long-term strategic planning across the system within an agreed joint performance framework
  • system leaders should ensure effective delivery of their integrated strategic plans
  • strategic commissioning should be aligned to the agreed strategic plans and must include primary care
  • system leaders should ensure an integrated approach to market development which should include the monitoring of quality in the care and voluntary sectors
  • an effective system of integrated assessment and reviews of the needs of people using services should be introduced urgently
  • there should be integrated delivery plans which include resources and workforce
  • the trusted assessor scheme should be implemented as soon as possible.

An Improvement Plan has been developed to address these areas.

Click here to download a copy of the CQC Local System Review Report

If you have any questions or comments about the System Review and Improvement Plan, please use the form below:


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