Change Boards, Reference Groups & Golden Threads

We reviewed the strategic planning structure to support delivery of these priorities. Towards the end of 2018 we agreed to establish six ‘Change Boards’ (see Figure 1). The revised structure supports the projects and programmes that will deliver our strategic priorities, operational priorities and IJB Directions to deliver change.
This new structure ensures that input from reference groups with service-users, carers, professional, operational, management, and planning representatives informs the work of the Strategic Planning Group. This maintains contact with those groups which have an ongoing interest in influencing the work of the IJB. The Change Boards cover: 
– primary care 
– adults with complex needs 
– mental health and substance misuse 
– shifting the balance of care 
– reprovision programmes 
– carers.

Each Change Board is chaired by a senior HSCP Officer, co-chaired by an IJB member and has membership reflecting the work it focusses on. The Change Boards have a remit to:

– provide a structured and accountable approach to delivery of programmes, projects and workstreams ensure a culture of involvement, engagement and appropriate consultation in all work programmes, using a range of approaches including the reference groups and independent advocacy

– ensure a clear line of sight to the priorities as set out in the IJB Directions and delivery through the Strategic Plan (Table 1) 

– report in line with the agreed terms of operation 

– set the tone and direction for partnership working 

– support the delivery of all relevant national and local targets and performance requirements in respect of health and social care 

– maintain effective links with other partnerships and other Change Boards in areas of joint interest.

Golden Threads


Each Change Board has to take into account in its work key principles or ‘Golden Threads’. These include: 
– early intervention and prevention 
– carers needs 
– Self-Directed Support rights 
– equality and diversity, including tackling health inequalities and discrimination 
– re-ablement/recovery 
– needs of people with dementia 
– health promotion 
– partnership working 
– communication, engagement and involvement 
– community justice 
– maximising effective use of resources 
– use of integrated information technology and technology enabled care; and 
– tackling social isolation.

There will be a requirement on all projects to evidence to their respective Change Board that the Golden Thread commitments have been achieved as part of project delivery.