Agenda item

Purpose of the report:  Performance Management/Policy Development and Review 

Witnesses:

Dr Andy Brooks, Clinical Chair, Surrey Heath CCG

Helen Atkinson, Strategic Director for Adults and Health

Key points raised during the discussion:

1. The Surrey Heath CCG introduced the report by highlighting the journey since the Joint Health and Wellbeing Strategy was published in 2013, reporting how there is a shared system of understanding, a shared vision and action to work together to improve the health and wellbeing of older adults in Surrey.

2. The Board noted a number of outcomes that have made a difference to residents over the period 2013-2018 since the strategy took effect, this includes;

a)    A 5% increase in the proportion of older adults still at home 91 days after discharge from hospital (from 2012/13 – 2016/17).

b)    A 12% reduction in permanent admissions to care homes (from 2014/15 to 2016/17).

c)    The proportion of Surrey adults (all ages who had an inpatient experience of health services that would recommend to friends and family increased from 92% to 97% from 2014 to 2017.

d)    Dementia diagnosis have improved by 14% across Surrey from 2014 to 2017.

e)    Surrey has maintained a non-elective admission rate consistently below that of England overall,

f)     Delayed Transfer of Care (DTOC) from hospital have reduced by 17% in Surrey compared to a 62% increase across England.

g)    An 8.8% rise in the number of carers registered with GP practices in 2017/18.

3. The Chairman highlighted a list of achievements demonstrating the system was working together by reporting that new integrated models of care across Surrey have been developed by embedding social care teams at hospital sites.

4. It was further highlighted that Surrey had been identified as an exemplar area working with NHS England on embedding carers within STPs.

5. It was noted that Surrey had also received a Health Service Journal Award for Commissioning for Carers.

6. The Board acknowledged that District and Boroughs had funded home adaptations and community equipment supporting older adults to live more independently. 

7. The Chairman shared the view that the Health and Wellbeing Board was fundamental to building the work around whole systems partnership working and has proved invaluable at strengthening relationships and understanding between local government and NHS partners.

8. The Board were assured that there will be a continued focus on improving the health and wellbeing of older adults in Surrey with the development of an action plan and dashboard to deliver and track progress of the outcomes in the updated strategy.

9. Members were informed that Surrey had achieved a great deal over the life-course of the previous strategy, however, noted that there was further improvement to be made particularly to deliver the new strategy to ensure the health and wellbeing of older adults was at the forefront in Surrey’s priorities.

10. A Member asked the Board to consider delayed discharging of adults due to the lack of places in the Market and as a result adults were being kept in hospitals for longer periods of time.

11. It was explained that Surrey had the capacity however it was faced with challenges with finding the suitable place for the affordable price. It was also highlighted that family pressure also contributed to delays as family members had the final decision.

12. The Strategic Director for Adult Social Care and Public Health advised that the joint commissioning of work had reduced tensions of competing, although a step in the right direction the reality was the expensive nature of places.

13. Members raised concern with the end of life provisions at care homes and the need to be able to coordinate this service better and have a system in place.

14. It was further raised that there was an unbalance of care homes, the need for more skilled carers for people in special care.

15. The Board agreed it would be useful to have health and borough and district council representatives on the Accommodation with Care and Support Board to offer insight and further support.

16. Board Members sought more clarification around young carers and how many were identified in Surrey and agreed it would be useful to be provided with an update on this area.

17. The Board were pleased with the progress made and recognised further improvement to be made.

Actions/ Further information to be provided:

The Board to receive an update report providing figures of the number of young carers in Surrey.

Health and Borough and District representation to be identified for the Accommodation with Care and Support Board.

RESOLVED:

The Board were asked to;

1. Note the progress made in the last five years’ of the improving older adults health and wellbeing priority of the Joint Health and Wellbeing Strategy
   
   
2. Note the Surrey Better Care Fund and Improved Better Care Fund returns for the 2017-18 Quarter two period (Annex 1).
   
   
3. Endorse the next steps for this priority in the context of the updated Strategy; and
   
   
4. Receive an update on this priority in 6 months’ time.