Greater Cambridge Local Plan Issues & Options 2020

Dear Sir or Madam Consultation response to Greater Cambridge Local Plan, Issues and Options 2020 Consultation I write on behalf of the Cambridgeshire & Peterborough Sustainability and Transformation Partnership (STP) to provide our response to the Local Plan, Issues & Options 2020 Consultation. The role of the STP is to bring together the key organisations in the NHS with wider system partners in order to more effectively plan health and wider services within Cambridgeshire & Peterborough. The STP is a Partnership of the following organisations: • Cambridge University Hospitals NHS Foundation Trust • Cambridgeshire and Peterborough NHS Foundation Trust • Cambridgeshire Community Services NHS Trust • Cambridgeshire County Council • East of England Ambulance Service NHS Trust • NHS Cambridgeshire and Peterborough CCG • NHS Property Services • North West Anglia NHS Foundation Trust • Royal Papworth Hospital NHS Foundation Trust • Peterborough City Council We welcome the opportunity to contribute a response to the Greater Cambridge Local Plan and in particular wish to state our strong support for the inclusion of Health and Wellbeing as one of the Big Themes of the plan. We have chosen to respond to those questions of most relevance to the STP partners, as per the summary table appended to this response (questions 1, 16, 19 and 36 only). Our intention is that the NHS system in Greater Cambridge (and the wider STP area) is more effective at supporting and engaging with planning authorities in areas of planning policy, pre-application stages and planning application determination, with the objective of securing better health outcomes through better designed places, better integration of health considerations in masterplanning and through planning gain for health purposes (secured via S106/CIL). We are developing our thinking in these areas and we will be in contact to discuss further in due course. We look forward to working more closely with officers in both Planning Policy and Development Management. If you have any questions regarding the content of our response, please do not hesitate to contact me.

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Cambridgeshire & Peterborough Sustainability and Transformation Partnership (STP) is a Partnership of the following organisations: • Cambridge University Hospitals NHS Foundation Trust • Cambridgeshire and Peterborough NHS Foundation Trust • Cambridgeshire Community Services NHS Trust • Cambridgeshire County Council • East of England Ambulance Service NHS Trust • NHS Cambridgeshire and Peterborough CCG • NHS Property Services • North West Anglia NHS Foundation Trust • Royal Papworth Hospital NHS Foundation Trust • Peterborough City Council The role of the STP is to bring together the key organisations in the NHS with wider system partners in order to more effectively plan health and wider services within Cambridgeshire & Peterborough. The priorities for the STP are summarised as follows: Priorities • Integrated out of hospital care Focusing on population needs, we will join up out-of-hospital services more effectively, building on the foundations of strong primary care and providing additional support where necessary. • Outpatient transformation We will change the way we deliver our outpatient services to ensure that our patients are seen by the right professionals in the right places. • Redesigning care pathways to improve efficiency and reduce unwarranted variation We will improve the quality of the care we provide by reducing variations in the way services are delivered, adopting best practice. • Making the most of our assets We will identify opportunities to make the best use of our high fixed cost assets, including estates and digital infrastructure. As part of this agenda, the STP partners are working together to ensure a more collaborative approach and a coordinated NHS response to growth. The ‘planning for health’ workstream within the STP has a core objective to engage more effectively with the planning system, to include policy development, responding to planning applications, and ensuring co-ordinate health provision that aligns with the growing population of Cambridgeshire and Peterborough. As an STP, we wish to be closely involved with the development of the new Greater Cambridge Local Plan to ensure the best possible health outcomes are a key part of the plan and that health infrastructure is given appropriate priority in planning decision making. The STP is developing its strategy in this area and is looking to appoint a single point of contact to engage on policy development, Local Plans, planning applications and CIL/S106. We wish to encourage an open and consultative relationship with the Greater Cambridge Planning Service, including on the development of the new Local Plan.

Health provision in Planning Health provision should be integrated with the needs of the population. The identified priorities of the STP are as follows: • Integrated out of hospital care. Focusing on population needs, we will join up out-of-hospital services more effectively, building on the foundations of strong primary care and providing additional support where necessary. • Outpatient transformation. We will change the way we deliver our outpatient services to ensure that our patients are seen by the right professionals in the right places. • Redesigning care pathways to improve efficiency and reduce unwarranted variation. We will improve the quality of the care we provide by reducing variations in the way services are delivered, adopting best practice. • Making the most of our assets. We will identify opportunities to make the best use of our high fixed cost assets, including estates and digital infrastructure. The STP wishes to be closely involved with the development of the new Greater Cambridge Local Plan to ensure the best possible health outcomes are a key part of the plan and that health infrastructure is given appropriate priority in planning decision making. The STP is developing its strategy in this area and is looking to appoint a single point of contact to engage on policy development, Local Plans, planning applications and CIL/S106. We will contact the Greater Cambridge Planning Service in due course. As part of this, the NHS system is working towards the development of some model Local Plan policies which we would wish to see incorporated in all Local Plans, to promote health, wellbeing and social inclusion and to contribute to Great Places. We would be pleased to engage further with the Greater Cambridge Planning Service to support preparation of policies for the new Local Plan. Housing in the right place that NHS staff can afford The STP represents all of the NHS partners across Cambridgeshire and Peterborough. Affordable housing is a key priority for the STP and a real concern to all of us, affecting our ability to recruit and retain core staff. We note and support the research which has been commissioned by Cambridge University Hospitals NHS Foundation Trust and support expanding this research to include other NHS partners. The issues highlighted in the CUH research are equally applicable to other NHS organisations including the Ambulance Trust, Clinical Commissioning Group etc. This research highlights the need for the Councils’ evidence base and housing policies to address this important issue.

Health provision in Planning Health provision should be integrated with the needs of the population. The identified priorities of the STP are as follows: • Integrated out of hospital care. Focusing on population needs, we will join up out-of-hospital services more effectively, building on the foundations of strong primary care and providing additional support where necessary. • Outpatient transformation. We will change the way we deliver our outpatient services to ensure that our patients are seen by the right professionals in the right places. • Redesigning care pathways to improve efficiency and reduce unwarranted variation. We will improve the quality of the care we provide by reducing variations in the way services are delivered, adopting best practice. • Making the most of our assets. We will identify opportunities to make the best use of our high fixed cost assets, including estates and digital infrastructure. The STP wishes to be closely involved with the development of the new Greater Cambridge Local Plan to ensure the best possible health outcomes are a key part of the plan and that health infrastructure is given appropriate priority in planning decision making. The STP is developing its strategy in this area and is looking to appoint a single point of contact to engage on policy development, Local Plans, planning applications and CIL/S106. We will contact the Greater Cambridge Planning Service in due course. As part of this, the NHS system is working towards the development of some model Local Plan policies which we would wish to see incorporated in all Local Plans, to promote health, wellbeing and social inclusion and to contribute to Great Places. We would be pleased to engage further with the Greater Cambridge Planning Service to support preparation of policies for the new Local Plan. Housing in the right place that NHS staff can afford The STP represents all of the NHS partners across Cambridgeshire and Peterborough. Affordable housing is a key priority for the STP and a real concern to all of us, affecting our ability to recruit and retain core staff. We note and support the research which has been commissioned by Cambridge University Hospitals NHS Foundation Trust and support expanding this research to include other NHS partners. The issues highlighted in the CUH research are equally applicable to other NHS organisations including the Ambulance Trust, Clinical Commissioning Group etc. This research highlights the need for the Councils’ evidence base and housing policies to address this important issue.

The inclusion of healthcare as part of the definition of infrastructure is welcomed. It is important that infrastructure and particularly healthcare is funded and delivered in line with the growth in population. Health provision should be integrated with the needs of the population. The identified priorities of the STP are as follows: • Integrated out of hospital care. Focusing on population needs, we will join up out-of-hospital services more effectively, building on the foundations of strong primary care and providing additional support where necessary. • Outpatient transformation. We will change the way we deliver our outpatient services to ensure that our patients are seen by the right professionals in the right places. • Redesigning care pathways to improve efficiency and reduce unwarranted variation. We will improve the quality of the care we provide by reducing variations in the way services are delivered, adopting best practice. • Making the most of our assets. We will identify opportunities to make the best use of our high fixed cost assets, including estates and digital infrastructure. The STP wishes to be closely involved with the development of the new Greater Cambridge Local Plan to ensure the best possible health outcomes are a key part of the plan and that health infrastructure is given appropriate priority in planning decision making. The STP is developing its strategy in this area and is looking to appoint a single point of contact to engage on policy development, Local Plans, planning applications and CIL/S106. The objective is to ensure that the NHS stakeholders are fully sighted on the quantum and location of growth anticipated by the plan, and that appropriate mechanisms are in place to secure the funding and delivery of services to meet the needs of the population, across Primary Care, Community, Mental Health and Acute provision. These should include the types of infrastructure that can be funded from development, mechanisms for collecting funding (for instance a tariff per dwelling), and for larger sites, the ability to secure land to deliver on site health provision. We would be pleased to engage further with the Greater Cambridge Planning Service to support preparation of policies for the new Local Plan and as the new approach is implemented for future planning applications. In terms of wider infrastructure, a key focus should be on the timely delivery of transport solutions. This is covered in detailed under question 37 and 38.