Agenda and minutes

To note that Roz Howie has replaced Katy Ball as Director of Commissioning nand Partnerships on the Sub-Committee

Resolved to note that Roz Howie has replaced Katy Ball as Director of Commissioning and Partnerships on the Sub-Committee

Lucy Hubber

Roz Howie

None.

Minutes of the meeting held on 27 September 2023, for confirmation

As no voting member was present who has attended the previous meeting, confirmation of the minutes was deferred.

Joint report of the Interim Director Commissioning & Partnerships, NCC and the Programme Director for System Development, ICB

Naomi Robinson and Alison Donaldson presented the report which presents the Nottingham Better Care Fund quarterly reporting template for July to

September 2023, which was submitted to NHS England on 31 October

2023, for formal ratification. The following information was highlighted:

(a)  Residential Admissions is the rate of permanent admissions to residential care per 100,000 population (65+). This has been reported as not on track to meet the target. The metric is linked to an ASC transformation program, which aims to enhance the independence of older people. The program only recently acquired the necessary resources for its implementation, and reviews of individuals in short-term placements have begun. The program has now entered the pilot phase, a learning and scoping phase. Due to the delay, the pilot implementation in the Hospital Discharge team has been postponed to 2023-2024, which previously did not have a defined timeline;

(b)  Reablement is the proportion of older people (65 and over) who were still at home 91 days after discharge from the hospital into reablement/rehabilitation services. The reablement team are currently experiencing challenges in meeting the demand for carers in the reablement service, which is being closely monitored. Unfortunately, this has led to some citizens being unable to access reablement and instead having to transfer directly to external providers who do not offer reablement services. A diagnostic of internal reablement service is currently underway to improve service delivery;

(c)  the quarter two return does not require any expenditure to be reported, however NHS England have advised that this will be required from quarter three onwards. Actual expenditure of the Additional Discharge Funding is reported directly to NHS England on a fortnightly basis, and the national team are currently determining which financial information to request quarterly to ensure that the information requests are proportionate.

Resolved to formally ratify the Nottingham BCF quarter two reporting template that was submitted to NHS England on 31 October 2023.

24 January 2024

27 March 2024

The future meeting dates were noted.