Witnesses:
Dr Andy Brooks, Clinical Chair,
Surrey Heath CCG
Helen Atkinson, Strategic
Director for Adults and Health
Key
points raised during the discussion:
-
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.
-
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.
-
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.
-
It was further highlighted that Surrey had been
identified as an exemplar area working with NHS England on
embedding carers within STPs.
-
It was noted that Surrey had also received a Health
Service Journal Award for Commissioning for Carers.
-
The Board acknowledged that District and Boroughs
had funded home adaptations and community equipment supporting
older adults to live more independently.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
It was further raised that there was an unbalance of
care homes, the need for more skilled carers for people in special
care.
-
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.
-
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.
-
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;
-
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
-
Note the Surrey Better Care Fund and Improved Better
Care Fund returns for the 2017-18 Quarter two period (Annex
1).
-
Endorse the next steps for this priority in the
context of the updated Strategy; and
- Receive an update on this priority in 6 months’
time.