Dr Ian Trimble (CCG)

None

Minutes of the last meeting held on 14 July 2015 (for confirmation)

The minutes of the meeting held on 14 July 2015 were confirmed and signed by the chair.

Report of the Director of Primary Care Development and Service Integration

Jo Williams, Assistant Director Health and Social Care Integration, CCG presented her report seeking approval to implement a number of seven day working proposals and agree to release funding from the Better Care Fund (BCF) budget for seven day services in year in accordance with BCF planning requirements.

Jo highlighted the following points:

(a)  extension of the Community Matrons service and the Care Homes Nursing Team to seven days per week has been given priority as these services manage complex, vulnerable patients and have high admissions over the weekend;

(b)  the Care Co-Ordinator service releases clinicians from administrative work which has proved invaluable;

(c)  Adult Assessment require a manager to help them to implement 7 day working by April 2016;

RESOLVED to

(1)  extend the Community Matrons service to operate seven days per week at a cost of £24,704;

(2)  extend the Care Homes Nursing Team service to seven days per week at a cost of £85,488;

(3)  extend the Care Co-Ordinator Service to operate seven days per week at a cost of £422,186;

(4)  extend opening hours for the Integrated Community Equipment Loan Service (ICELS) at a cost of £45,357;

(5)  approve project management to facilitate delivery of 7 day working within Adult Assessment at a cost of £11,500;

(6)  consider the wider use of the budget for developing seven day services to support other integration projects which promote early intervention.

Report of the Director of Primary Care Development and Service Integration

Jo Williams, Assistant Director, Health and Social Care Integration, Nottingham CCG  presented the joint report of the Director of Primary Care Development and Service Integration and the Director of Quality and Commissioning which provided information on the performance of the Better Care Fund (BCF).

Jo highlighted the following to the sub-committee:

(a)  the return is positive in comparison to regional peers, the Section 75 agreement is now in place and Nottingham is on track for all 7 national conditions;

(b)  the targets vary over time as they are sensitive to small changes;

(c)  the outcomes of Quarter 2 are currently not looking as positive as Quarter 1 after one month.

RESOLVED to

(1)  approve the quarterly return (Q1) submitted to NHS England on 28 August 2015;

(2)  note current performance in relation to BCF metrics;

(3)  investigate the reasons why Quarter 2 outcomes are looking poorer with the aim to steer towards an improvement.