Posts Tagged ‘SLT matters’

SLT Away Day; Providing a better health and care system

Monday, July 31st, 2017

The Cabinet and the Senior Leadership Team had our long-awaited Away Day last Monday to consider the direction of Staffordshire County Council over the coming 4 years.  It is probably just as well that we did not have it in the weeks following the county council elections in May, as so much has changed in the intervening time.  Saving any other shocks and upsets, we hopefully have as clear a view of the way ahead as we’re going to get.

The themes were all familiar to us: the future of Health and Care in Staffordshire; how we grow the economy and provide adequate housing for those people whom we hope to attract to the county; how we continue the improvement in Staffordshire’s schools in an environment where our direct influence is waning; and, of course, the future of local government finance to look after the most vulnerable and needy in our society.  We did not aim to get into detail, but rather to sketch out our aims and to make objective judgements on the relative importance of each area, and on relationships with organisations and people.  It was probably one of the most useful days that I have spent since coming to this role over 2 years ago.

On Health and Care, it is clear that we need to do something different.  Staffordshire and Stoke’s Sustainability and Transformation Partnership (STP) has just been graded in the bottom 5 of the 44 STPs nationally – needing the most improvement.  All but one of the measures are in the health arena, with the Delayed Transfers of Care (DTOCs) being the only one with a local authority flavour.  It is often said as a joke that the definition of madness is doing the same thing repeatedly and expecting different results, but in this case, as there so often is, there is a germ of truth in the witticism; the national structures and directives are clearly not achieving the results that anybody seeks.  I felt very proud of our politicians at the full Council meeting the week before last, when all members put party interests aside to vote unanimously for a motion to work with the NHS and the people of Staffordshire to provide the health and care system that meets our needs in the future.  Unlike so many other parts of the country, we are engaged closely with our health colleagues locally, but we do need to align responsibility, accountability and authority locally if we are to make the system work as it should.