Issue - meetings

Report of Director of Quality and Integration, Quality and Commissioning, detailing updated priorities, attached.

The Board considered the report of the Director of Quality and Integration, Quality and Commissioning providing progress to date on the Better Care Plan and priorities for 2017-19.

The Board noted that National Planning Guidance 2017-19 had still not been published however it was known that planning would be across two financial years, there would be fewer national conditions and that the Better Care Fund Plan covering a minimum of the pooled fund specified in the Spending Review would need to be signed off by the H&WBB, the Council and the Clinical Commissioning Group.

The Board noted the strategic context and vision for Better Care along with key metrics and priorities for 2016/17 and beyond which included such things as a more rapid expansion of the integration agenda across the full life course, stronger focus on prevention and early intervention, a more radical shift in balance of care out of hospital and into the community, development of the community/voluntary sector.

The Board noted that key achievements to date had included six integrated cluster teams, new Community Wellbeing Service commissioned and live from 1^st April, significant increase in carers identified/supported, seven separate health and social care rehab and reablement teams fully integrated, new Behaviour Change Service and expansion in extra care with the opening of Erskine Court.

Performance against national metrics was noted with Delayed Transfers of Care particularly identified as a key challenge with 55% higher than last year and 49% higher than identified in the plan.  The Board noted that a large part of the increase was around recording in that previously it was a delay of three days but was now twenty four hours together with increased complexity of cases.

The Board noted that once national guidance was issued there would only be six weeks to complete and submit the plan for the next two years.  It was being suggested that the same priorities remained for the next two years but that they become more embedded and developed.  It was noted that the plan would need H&WBB approval.  In addition the Board noted the recent Budget announcement and additional funding for Adult Social Care, the detail of which was still unclear however it was likely to be linked to Better Care plans and as such Southampton’s were well developed so therefore was a good start. 

RESOLVED:

(i)  that the priorities identified for the next two years and the direction of travel be supported; and

(ii)  that authority be delegated to the Chair and Vice Chair of the Board following consultation with Cllr Payne as Lead Cabinet Member for Adult Social Care to approve the two year plan on behalf of the H&WBB.