7 Suffolk and North East Essex ICS | ‘Our Journey Together’ • Must identify further opportunities for integration – there have been limitations that impacted our ambitions - what else is needed? So much change over 10 years – can’t just assume that change will be better. • There are lots of forums and governance but we are not always great at being inquisitive and creative. There is a risk that the focus is on financial pressures and savings. We cannot lose relationships and learning. Going from competition to collaboration – we have done this well and there is trust, respect and collaboration. • Important to maintain investment and continue to genuinely shift power to neighbourhoods and communities. • This is a way that we can pitch to our new mayors - they may not understand work that has been done nor have an interest, may be unfamiliar with language so ‘pitch’ is important. • Progress happens at the speed of trust – we are in a potentially trust limited situation. HOW - can we best gather learning from all parts of our health and care system? • By capturing: What has worked well, what we did right, our building blocks so far, including our vision and our relationships, the implications of current change, and the potential for growth, new ideas, case studies – these should capture ‘why’ and ‘how’, as well as ‘what’ happened. • When we gather learning and legacy we should make sure we draw out the key messages on our successes and align them to the new NHS operating model and public health, focusing on place. • As well as defining transformation we also need to define ‘learning’ – the knowledge that we’ve gained and how to put this into action – who is going to learn? • Legacy is what has worked as well as what hasn’t – the NHS often only looks at what’s gone wrong. • Use PPGs, people, communities, residents – people in Clacton, East Suffolk Community Partnerships etc. • Capture learning from people leaving – in particular from the ICB. • Focus on the value of the voluntary sector and VCFSE charter- really innovative. Also focus on prevention – person centred – people need to be central - focus on their needs. The role of research and co-production. • Could we create a virtual community of practice – transformation, evaluation and learning. • Important to work with the universities and engage students. • Needs lots of different approaches as it will be hard to engage people. • The write up/recommendations shouldn’t be too prescriptive. WHAT - are the questions we should ask ourselves at this point in our journey? • People and relationships: the passion of individuals to go over and above, the power of relationships, and how they deliver the vision, how early relationships developed, VCFSE – not just asking ‘why’ also asking ‘why not’? • Values and principles: articulating what our common values and principles are, keeping the population at the centre of what we have done/are doing/will do, equitable health and care. • Are we doing things right? Cross silo conversations. • Important to explore the impact that the leadership style, culture and relationships have had in SNEE – the willingness to be brave.
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