Tendring Colchester Borders Garden Community Development Plan Document (DPD)

Holding statement from the Suffolk and North East Essex Integrated Care Board
The Suffolk and North East Essex Integrated Care Board welcomes the opportunity to be consulted on the development plan document for the Tendring Colchester Borders Garden Community (regulation 19 consultation).

The NHS Suffolk and North East Essex Integrated Care Board (ICB) plans and buys healthcare services for our population and is part of the Integrated Care System which also includes the Integrated Care Partnership which is formed of multiple stakeholders including local government, emergency services, secondary care health providers and third sector. The ICB has 4 ambitions:
1- To improve the health and health care outcomes of our population
2- To reduce health inequalities in outcomes, experience and access
3- To enhance productivity and value for money
4- To help the NHS support broader social and economic development
The ICB covers a large geography and an approximate population of 1 million people. Recognising the importance of place and the communities within our places we cover, the ICB works on 3 place- based geographies and have come together with partners to develop ‘place-based partnerships’ which are referred to as Alliances- covering North East Essex, West Suffolk and Ipswich and East Suffolk.

The ICB has delegated various functions from system to including primary care, medicines management, community services and various other service commissioning. The Alliances are also leading on addressing the wider determinants with partners (those influences beyond health care provision that impact on health and wellbeing outcomes) and health inequalities including those influenced by socio-economic factors and the physical environment such as housing and planning.

Our initial high-level comments to the Tendring Colchester Borders Garden Community Development Plan Document (DPD) Regulation 19 Consultation May – June 2023 are as follows with the intention of this being a holding statement so that further input can be provided to the DPD. It would also be the intention for a statement of common ground to be developed between parties with a TCBGC working group consisting of local health stakeholders being brought together so that we can fully engage with the development as it progresses.
SNEE ICB recognises that the proposal has an ambition to support health and wellbeing and a supplementary health topic paper has recently (January 2023) been developed. It is felt that this topic paper provides a strong foundation of what we would wish to see within the development and highlight that health and wellbeing should be designed in to the development using the various established and recognised health and wellbeing design principles such as active design from Sport England and those within the Essex Design Guide and we would welcome working on these with the team.
We strongly support the inclusion of the health impact assessment and stress the importance of this being carried out as early as possible (from master planning) and the need for the environmental impact assessment to either integrate this into the population and health chapter or have this as a stand-alone document. We would also highlight that due to the duration of the build that a single health impact assessment will not be acceptable in being able to address changing health impact on our population and welcome the opportunity of work with you on the HIA and EIA.
Specific additional comments:

Chapter 7
Chapter 7 (page 84)
A new Health and Wellbeing Hub to be provided in the early phases of development (potentially via a phased approach to delivery). The facility shall be designed to deliver an integrated service for patients – including a cluster of general practitioners, a wide range of diagnostic services and primary care treatment – to minimise the requirement for secondary care treatment at hospital. It should be located on an accessible site close to other community facilities.

We would also advise that the HIA would enable us to work collectively to ensure that any health, wellbeing and care infrastructure including any proposed community hub/s required for this development would then be appropriately phased in so, again, stress the importance of the need for a robust HIA process. This process enables the ICB as a commissioner of health care services to be flexible regarding population needs for health and care infrastructure as well as flexibility to ensure that any infrastructure proposed is fit-for-purpose and future proofed.
Further discussion on the timing of such infrastructure will need to be discussed in depth as to the appropriate timing of this, type of infrastructure, value for money and be evidence based through the HIA process. In addition, we would need to ensure that this proposal considers constraints for delivery including, but not limited to, capacity in existing neighbouring primary care facilities, workforce recruitment, funding streams, NHS clinical and service strategies and NHS building design approaches. It will also need to be agreed through ICB governance processes so would emphasis the need to collaborate on this work.
Therefore proposed working would be advised as:
The current health strategy for the Tendring Colchester Borders Garden Community is dependent on various factors including capacity in existing neighbouring primary care facilities, workforce recruitment, funding streams, NHS clinical and service strategies and NHS building design approaches. A comprehensive, evidence-based health impact assessment will be carried out engaging with all local health and care partners and local communities to ensure that a robust view of need is assessed. The strategy shall be designed to ensure that health is designed into the TCBGC and that any new infrastructure delivers an integrated service for the population. A consideration on the wider impact of the development on key health stakeholders including Public Health, secondary care, blue light services and others within the local partnership will need to be taken into account and mitigation of any impact appropriately provided.

Conclusion and next steps

With this ‘holding statement’ SNEE ICB expects that this can be a means to further dialogue and cooperation between us and the local authorities involved in the Tendring Colchester Borders Garden Community. SNEE ICB would appreciate further discussion and the creation of a Statement of Common Ground to advance the work already carried out and align all of the components to create a brand-new place for people to live, work and play, which will be planned from the start to provide high quality, energy efficient and innovatively designed homes.
The Suffolk and North East Essex ICB would like to thank Colchester City Council, Tendring District Council and Essex County Council for inviting us to provide feedback on the Tendring Colchester Borders Garden Community Development Plan Document (DPD) Regulation 19 Consultation May – June 2023.

The current health strategy for the Tendring Colchester Borders Garden Community is dependent on various factors including capacity in existing neighbouring primary care facilities, workforce recruitment, funding streams, NHS clinical and service strategies and NHS building design approaches. A comprehensive, evidence-based health impact assessment will be carried out engaging with all local health and care partners and local communities to ensure that a robust view of need is assessed. The strategy shall be designed to ensure that health is designed into the TCBGC and that any new infrastructure delivers an integrated service for the population. A consideration on the wider impact of the development on key health stakeholders including Public Health, secondary care, blue light services and others within the local partnership will need to be taken into account and mitigation of any impact appropriately provided.

Holding statement from the Suffolk and North East Essex Integrated Care Board
The Suffolk and North East Essex Integrated Care Board welcomes the opportunity to be consulted on the development plan document for the Tendring Colchester Borders Garden Community (regulation 19 consultation).

The NHS Suffolk and North East Essex Integrated Care Board (ICB) plans and buys healthcare services for our population and is part of the Integrated Care System which also includes the Integrated Care Partnership which is formed of multiple stakeholders including local government, emergency services, secondary care health providers and third sector. The ICB has 4 ambitions:
1- To improve the health and health care outcomes of our population
2- To reduce health inequalities in outcomes, experience and access
3- To enhance productivity and value for money
4- To help the NHS support broader social and economic development
The ICB covers a large geography and an approximate population of 1 million people. Recognising the importance of place and the communities within our places we cover, the ICB works on 3 place- based geographies and have come together with partners to develop ‘place-based partnerships’ which are referred to as Alliances- covering North East Essex, West Suffolk and Ipswich and East Suffolk.

The ICB has delegated various functions from system to including primary care, medicines management, community services and various other service commissioning. The Alliances are also leading on addressing the wider determinants with partners (those influences beyond health care provision that impact on health and wellbeing outcomes) and health inequalities including those influenced by socio-economic factors and the physical environment such as housing and planning.

Our initial high-level comments to the Tendring Colchester Borders Garden Community Development Plan Document (DPD) Regulation 19 Consultation May – June 2023 are as follows with the intention of this being a holding statement so that further input can be provided to the DPD. It would also be the intention for a statement of common ground to be developed between parties with a TCBGC working group consisting of local health stakeholders being brought together so that we can fully engage with the development as it progresses.
SNEE ICB recognises that the proposal has an ambition to support health and wellbeing and a supplementary health topic paper has recently (January 2023) been developed. It is felt that this topic paper provides a strong foundation of what we would wish to see within the development and highlight that health and wellbeing should be designed in to the development using the various established and recognised health and wellbeing design principles such as active design from Sport England and those within the Essex Design Guide and we would welcome working on these with the team.
We strongly support the inclusion of the health impact assessment and stress the importance of this being carried out as early as possible (from master planning) and the need for the environmental impact assessment to either integrate this into the population and health chapter or have this as a stand-alone document. We would also highlight that due to the duration of the build that a single health impact assessment will not be acceptable in being able to address changing health impact on our population and welcome the opportunity of work with you on the HIA and EIA.
Specific additional comments:

Chapter 7
Chapter 7 (page 84)
A new Health and Wellbeing Hub to be provided in the early phases of development (potentially via a phased approach to delivery). The facility shall be designed to deliver an integrated service for patients – including a cluster of general practitioners, a wide range of diagnostic services and primary care treatment – to minimise the requirement for secondary care treatment at hospital. It should be located on an accessible site close to other community facilities.

We would also advise that the HIA would enable us to work collectively to ensure that any health, wellbeing and care infrastructure including any proposed community hub/s required for this development would then be appropriately phased in so, again, stress the importance of the need for a robust HIA process. This process enables the ICB as a commissioner of health care services to be flexible regarding population needs for health and care infrastructure as well as flexibility to ensure that any infrastructure proposed is fit-for-purpose and future proofed.
Further discussion on the timing of such infrastructure will need to be discussed in depth as to the appropriate timing of this, type of infrastructure, value for money and be evidence based through the HIA process. In addition, we would need to ensure that this proposal considers constraints for delivery including, but not limited to, capacity in existing neighbouring primary care facilities, workforce recruitment, funding streams, NHS clinical and service strategies and NHS building design approaches. It will also need to be agreed through ICB governance processes so would emphasis the need to collaborate on this work.
Therefore proposed working would be advised as:
The current health strategy for the Tendring Colchester Borders Garden Community is dependent on various factors including capacity in existing neighbouring primary care facilities, workforce recruitment, funding streams, NHS clinical and service strategies and NHS building design approaches. A comprehensive, evidence-based health impact assessment will be carried out engaging with all local health and care partners and local communities to ensure that a robust view of need is assessed. The strategy shall be designed to ensure that health is designed into the TCBGC and that any new infrastructure delivers an integrated service for the population. A consideration on the wider impact of the development on key health stakeholders including Public Health, secondary care, blue light services and others within the local partnership will need to be taken into account and mitigation of any impact appropriately provided.

Conclusion and next steps

With this ‘holding statement’ SNEE ICB expects that this can be a means to further dialogue and cooperation between us and the local authorities involved in the Tendring Colchester Borders Garden Community. SNEE ICB would appreciate further discussion and the creation of a Statement of Common Ground to advance the work already carried out and align all of the components to create a brand-new place for people to live, work and play, which will be planned from the start to provide high quality, energy efficient and innovatively designed homes.
The Suffolk and North East Essex ICB would like to thank Colchester City Council, Tendring District Council and Essex County Council for inviting us to provide feedback on the Tendring Colchester Borders Garden Community Development Plan Document (DPD) Regulation 19 Consultation May – June 2023.