Agenda and minutes

Health and Wellbeing Board
Thursday, 7 April 2016 1.00 pm

Venue: Committee Room C, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions

Contact: Andrew Baird  020 8541 7609

Items
No. Item

17/16

APPOINTMENT OF CO-CHAIR

18/16

APOLOGIES FOR ABSENCE

    To receive any apologies for absence and substitutions.

    Minutes:

    Apologies were received from Clare Curran, Dr Elango Vijaykumar, Nick Ephgrave, Mel Few and Julie Fisher.

     

     

    Tim Evans acted as a substitute for Mel Few

    Dr Heidi Fahy acted as a substitute for Dr Elango Vijaykumar

    Frank Offer acted as a substitute for Julie Fisher

     

19/16

MINUTES OF PREVIOUS MEETING: 10 MARCH 2016 pdf icon PDF 153 KB

    To agree the minutes of the previous meeting.

    Minutes:

    Discussions took place regarding the most appropriate date for Sustainability and Transformation Plans (STPs) to be considered by the Board. Members suggested that it would be more appropriate for the Board to consider STPs at a private business meeting due to the fact that they were changing and evolving so rapidly. Moreover, STPs would be subject to extensive public engagement through Surrey County Council’s (SCC) Social Care Services Board and the Wellbeing and Health Board. Members further highlighted that extensive engagement with District & Borough councils and with Healthwatch regarding STPs was also anticipated. Members noted that there was no requirement for the Health and Wellbeing Board to sign off individual STPs and agreed that these should be considered at the Board’s private meeting on 26 May.

     

    Actions/ further information to be provided:

     

    1.    An item on Sustainability and Transformation Plans to be added to the Board’s Forward Work Programme for 26 May 2016.

     

20/16

DECLARATIONS OF INTEREST

21/16

QUESTIONS AND PETITIONS

21/16a

Members' Questions

22/16

Public Questions

23/16

Petitions

24/16

BOARD BUSINESS

25/16

SURREY BETTER CARE FUND pdf icon PDF 155 KB

    The purpose of this item is to Update the Board on progress in implementing the Better Care Fund plan 2015/16 – annexed to this cover report are the Q2 and Q3 Better Care Fund returns made to NHS England and present the draft Surrey Better Care Fund plan for 2016/17 – the Board is asked to comment on and endorse the plan, and to delegate authority for it to be finalised and submitted to NHS England on the Board’s behalf.

     

    Additional documents:

    Minutes:

    Witnesses:

     

    Helen Atkinson, Strategic Director Adult Social Care and Public Health, Surrey County Council

     

    Key Points raised during the discussion:

     

    1.    The report was introduced by SCC’s Strategic Director for Adult Social Care and Public Health who highlighted the significance of the Better Care Fund (BCF) in delivering integration between health and social care services in Surrey. Members were shown a video on Surrey’s collaborative Reablement Services as a demonstration of how the BCF was improving patient outcomes and reducing cost.

    2.    The deadline for submitting the final version of Surrey’s BCF plan for 2016/17 to NHS England was 28 April 2016. Members were advised that some minor amendments would be required to the draft BCF plan included in the agenda ahead of the final submission. The Board was informed that the BCF 2016/17 plan would not differ significantly from the 2015/16 submission as a result of NHS England’s requirement for Clinical Commissioning Groups (CCG) to produce Sustainability and Transformation Plans (STPs) as it was felt that these would replace the BCF as the main drivers for change in health and social care delivery over the coming years.

    3.    Members were told that investment in the BCF for 2016/17 would increase by £2 million from the previous year. It was, however, highlighted that this additional funding for the BCF would come from existing CCG and SCC budgets by savings generated through health and social care integration. The Board was further informed that the financial principles for BCF funding in 2016/17 had been agreed and that this would enable health and social care integration to be scaled up. A key aspiration for the BCF in 2016/17 was to deliver hospital discharge and reablement services which were open from 8 till 8 seven days a week. It was noted, however, that Surrey had performed well on Delayed Transfers of Care (DTOC) when compared to other local authority areas in England and Wales.

    4.    The Board was advised that discussions were also taking place between SCC and Surrey’s 11 District and Borough Councils in regard to agreeing funding allocations for the disabled facilities grant.

    5.    Members drew attention to the target for the reduction in non-elective hospital admissions as outlined in the BCF draft plan. It was suggested that a 7% reduction in non-elective hospital admissions in the first quarter of 2016/17 was an ambitious target and the Board asked whether it was realistic. The Strategic Director advised members that Surrey had been asked to target a greater reduction in non-elective hospital admissions. Members were informed that a 7% reduction in the first quarter would be challenging but was certainly achievable; some CCGs would perform better than others in decreasing non-elective admissions and it was anticipated that collectively this would average out to meet the 7% county-wide target. The Board asked to be shown the methodology and detail in relation to non-elective admissions targets regarding 2016/17 BCF metrics.

    6.    Discussions took place regarding the extent to which the express aim of the BCF  ...  view the full minutes text for item 25/16

26/16

PUBLIC ENGAGEMENT SESSION

27/16

DATE OF THE NEXT MEETING