Agenda item

To consider the joint report of the Director of People, Southampton City Council and the Chief Executive, Southampton City Clinical Commissioning Group, providing details of the Better Care Fund proposals for Southampton for sign off for approval by the Cabinet and the CCG governing body, attached.

The Board considered the report of the Director of People, Southampton City Council and Chief Executive, Southampton City Clinical Commissioning Group, providing details of the Better Care Fund proposals for Southampton for sign off and approval by the Cabinet and the CCG Governing Body.

The Board also received a presentation from the Director of Quality and Integration, providing further information on the delivery of “Better Care” in Southampton.

The Board particularly noted the following points:-

• the Better Care Fund had previously been known as the Integration Transformation Fund;
• that the first cut of the Better Care Plan template had to be submitted by 14^th February and the final revised submission, as an integral part of the CCG’s Strategic and Operational Plan by 4^th April 2014;
• that 25% of the pooled fund was performance related with 50% to be paid on 1 April 2015 based on national conditions and 2014/15 performance against targets and 50% paid on 1 October 2015 based on national conditions and 2014/15 performance against targets;  if targets were not achieved, monies would not be withheld but a recovery plan would be required which would be strictly monitored;
• the local target was to reduce injuries due to falls in people aged 65 and over as it was felt that this data was quantifiable and would impact on other targets;
• Southampton’s case for change was an increasing older population, more people living with two or more long term conditions, loneliness, changing expectations, legislation and reduced resources with our aims being personalisation of care, prevention and early intervention, broadening community capacity and helping people retain and regain their independence;
• this was a 2 year plan with a 5 year strategy and involved integrated locality teams made up of professionals;
• implementation of the plan would be definition the plan during the 2014 2015 shadow year, establishment of a pooled fund and single point of access for integrated care during 2015-2016 and 2016 onwards rolling  out to other client groups, establishing management structures and continue to embed and develop the model;

Mr S Hayes, Police and Crime Commissioner for Hampshire was present and with the consent of the Chair addressed the meeting.  The Board noted his comments and request that the Health and Wellbeing Board engage with the Police in the implementation of the plan as the new model of the policing plan involved more emphasis on neighbourhood policing to prevent crime and offending and protection of vulnerable people and they had commissioning funding to meet these requirements.

RESOLVED:

(i)  that the Better Care Fund proposals for Southampton be signed off for approval by the Cabinet and the CCG governing body;

(ii)  that Cabinet and the CCG governing body approve the arrangements for the bid under Section 75 of the NHS Act 2006;  and

(iii)  that authority be delegated to the Director of People and the CCG Chief Executive, in consultation with the Chair and Vice-Chair, to make any drafting or other changes required prior to final submission of the Southampton Better Care Fund application.