Agenda and minutes

Health and Wellbeing Board
Thursday, 8 January 2015 1.00 pm

Venue: Committee Room C, County Hall, Penrhyn Road, Kingston upon Thames, KT1 2DN

Contact: Sophie Baker  020 8213 2725 Email:

No. Item










Members' Questions


Public Questions






The Surrey Better Care Fund pdf icon PDF 131 KB

    The purpose of this item is to:

    - present the updated Surrey Better Care Fund 2015/16 plan for approval ahead of the national deadline for resubmission (9 January 2015);

    - present the Whole Systems Partnership Funding plan/allocation for 2014/15 for approval (to enable the drawdown of funds from NHS England); and

    - to provide an update on the key Better Care Fund metrics.


    Additional documents:




    Pennie Ford, Director of Operations & Delivery, NHS England



    Key points raised during the discussion:


    1     Dave Sargeant, Strategic Director for Adult Social Care, introduced the report on behalf of the partners involved.  It was noted that the current Plan had been updated following feedback from the national team in Autumn 2015 when approval had been received subject to the provision of more information and evidence.  The amendments were as follows:


    Ø  Making clearer how our plan meets the ‘national conditions’ such as the implementing 7 day services to support discharge, data sharing and the commitment to protect social care;

    Ø  Providing more evidence around our engagement with providers and how the plan aligns to other strategies and plans such as the CCGs 2 year operational plans;

    Ø  Agreeing a governance framework to support the implementation of the plan and strengthening information around risks and risk sharing;

    Ø  Refining the local schemes which are found in ‘annex 1’ of the plan – strengthening the information provided and being clearer and more consistent about the delivery chain, evidence base and key success factors for each scheme;

    Ø  Reviewing our targets against the key metrics and providing additional information and clear rationale for our chosen targets; and

    Ø  Providing more detail in the ‘part 2’ section of the plan which sets out the expenditure plan and financial benefits.

    2     The Better Care Fund (BCF) advisors, Mimi Konigsberg and David Bolger, were thanked for the support they had provided in providing positive informal feedback and ensuring that the amendments made addressed the above issues.

    3     Since the publication of the papers for this meeting there had been continued refinement of the Plan to ensure that it was ready for submission.  This had included some additional information about the parts of the Plan which related to work with Windsor, Ascot and Maidenhead Clinical Commissioning Group and updating the provider commentary for two of the trusts (Ashford St Peters and Surrey & South East Hampshire) which appear in Annex 2 of the Plan.


    4     Representatives of the Clinical Commissioning Groups (CCGs) welcomed the focus provided by the Better Care Fund (BCF) whilst acknowledging that the creation of the pooled budgets has added, in the short term at least, to their financial challenges and that they faced difficult decisions about service provision in the coming years. 


    5     The BCF was seen as positive in helping CCGs to move from a high-cost to a low-cost environment, and some steps had been taken to put changes in place from April 2015 so that the full-year benefit could be realised.  However, the CCGs would continue to face severe financial difficulties in 2015/2016, and there needed to be greater focus on complete system overhaul. It was also commented that an important part of the BCF plan was the transfer of significant sums (totalling £25m) from the pooled budgets to the County Council for the protection of Adult Social Care (with a health benefit) and that in order to ease the  ...  view the full minutes text for item 98/15


Public Engagement Session

    An opportunity for any members of the public to ask any questions relating to items discussed at today’s meeting.



    Key points made during the discussion:


    ·         Support was expressed for the Better Care Fund process and the positive discussion of the item by the Board, and the importance of Borough and District Councils working together to ensure arrangements were joined up at the local level was stressed.

    A leaflet aimed at councillors to explain changes as a result of the Better Care Fund arrangements had been produced, and this could be helpful to draw on when producing an easy-access document for Surrey residents.  It was felt that the public would be particularly interested in the principles behind the BCF and the local implications.