Agenda and minutes

Health and Wellbeing Board Commissioning Sub-Committee
Wednesday, 16th March, 2016 2.00 pm

Venue: LH 2.11 - Loxley House, Station Street, Nottingham, NG2 3NG. View directions

Contact: Laura Wilson 

Items
No. Item

40.

Apologies for Absence

Minutes:

Maria Principe.

41.

Declarations of Interest

Minutes:

None.

42.

Minutes of the last meeting pdf icon PDF 33 KB

Minutes of the last meeting held on 20 January (for confirmation)

Minutes:

The minutes of the meeting held on 20 January 2016 were confirmed and signed by the Chair.

43.

Better Care Fund Quarter 3 Budget Monitoring Report pdf icon PDF 236 KB

Minutes:

Darren Revill, Finance Analyst, presented the report of the Corporate Director for Children and Adults outlining the third quarter Better Care Fund (BCF) Monitoring Report and updating members on the pay for performance elements of the fund. Darren Revill highlighted the following:

 

(a)  the cash flows of the pooled fund and the fund balance at the end of quarter 3 against the original BCF plan shows £1.665 million surplus;

 

(b)  the forecast position of the BCF is an underspend in 2015/16 of £1.005 million. Having applied the agreed approach to meet any pay for performance shortfall in 2015/16 from underspends within the pooled fund, the forecast position is reduced to £0.672 million;

 

(c)  the phasing of the underspend approvals is being reviewed to support the year end out-turn position. It should be noted that funding supporting the continuation of schemes into 2016/17 has been agreed from 2015/16 BCF funds and therefore, the carry forward position of the BCF is currently estimated to be between £1.496 million to £1.676 million.

 

RESOLVED to

 

(1)  note the cash flow position of the Better Care Fund (BCF) Pooled Fund as at Quarter 3 of 2015/16 as detailed in table 1 of the report;

 

(2)  note the forecast position of the BCF Pooled Fund as at Quarter 3 of 2015/16 as detailed in Table 2 of the report;

 

(3)  note the updated position in relation to the Pay for Performance element of the fund as detailed in Table 4 of the report.

44.

Better Care Fund - Quarter 3 Performance report pdf icon PDF 306 KB

Additional documents:

Minutes:

Claire Gilbert, Lead Commissioning Manager, presented the report of the Assistant Chief Executive outlining the current performance of the Better Care Fund (BCF) pooled budget, highlighting the following:

 

(a)  there have been 194 permanent residential admissions since April 2015 against the target figure of 166, which represents an over performance of 16%. There were 16 admissions in during December 2015 against the monthly BCF target of 18;

 

(b)  the effectiveness of reablement has improved where 73.1% of citizens are still at home 91 days after discharge against the year to date target of 66.7%;

 

(c)  the proportion of citizens aged 65 and over with Assistive Technology  continues to increase with 5,621 users against the year to date BCF target of 5,700;

 

(d)  surveys into improved health and social care outcomes have reported an improved experiences, with the second round of surveys analysed reporting that, of the 242 responses, 84% of citizens reported an improved experience;

 

(e)  the number of non-elective admissions throughout the year is still below the year to date BCF target, with 19,517 admissions against a planned 19,990.

 

RESOLVED to

 

(1)  submit the Better Care Fund (BCF) quarterly return (Q3) to NHS England;

 

(2)  note the current performance in relation to the BCF metrics as detailed in the report.

45.

BCF Underspend Proposals 2016/17 pdf icon PDF 209 KB

Minutes:

Claire Gilbert, Lead Commissioning Manager, presented the report of the Assistant Chief Executive, outlining proposals in relation to new schemes within the 2016/17 Better Care Fund (BCF) and set out the proposed schemes in relation to the carry forward money from 2015/16 BCF. The following information was provided:

 

(a)  there are a number of new schemes listed for inclusion within the 2016/17 BCF and have been identified based on on-going analysis of the delivery of key BCF performance indicators. These scheme include the following:

 

·  Older person Home Safety and Improvement Service

·  Seven Day Services in Rapid Response and Hospital Discharge

·  CDG Assessor posts

·  Primary Carers Services

·  Information and Advice support posts

·  Access and Navigation Pilot

·  Look After Each Other Pilot

 

(b)  there are also proposals to use the BCF underspend that is being carried forward from the 2015/16 fund. These include proposals targeted to support the performance metrics and to promote integration;

 

(c)  the Sixty Plus Homeless Independent Living Support Service supports older people to live independently in their own homes. Although there is an ongoing need for this service, the future funding of this service will need to be reviewed alongside all other services to identify resources required in future years;

 

(d)  the Mental Health Resettlement Service contract is due to expire on 31 March 2016. The service provides a total of 13 bed spaces and designed to support vulnerable adults around their discharge and safe return to more independent living. Permission is sought to extend the existing contract for a further 18 months in order to allow for the wider consideration of services available to adults with mental health difficulties living in the city. In order to extend the contract, dispensation from Contract Procedure Rule 5.1.2 in accordance with Financial Regulation 3.29 is required for this direct award to take place. In accordance with the Constitution, the Chief Finance Officer has been consulted and has approved the dispensation.

 

RESOLVED to

 

(1)  approve the inclusion of the additional schemes in the 2016/17 Better Care Fund (BCF) as detailed in Exempt Appendix 2 and commit £903,565 for this purpose;

 

(2)  approve proposals for the extension of the Mental Health Resettlement Service for up to 18 months. To dispense with Contract Procedure Rule 5.1.2 in accordance with Financial Regulation (3.29) (Operational Issues) and to enable a direct award in order to allow for a joint review of mental health pathways to take place between Nottingham City Council and the Clinical Commissioning Group;

 

(3)  approve proposals for the extension of the Sixty Plus Independent Living Support Service for up to 3 years.

46.

2016/17 Better Care Fund Plan pdf icon PDF 116 KB

Minutes:

Claire Gilbert, Lead Commissioning Manager presented the report of the Assistant Chief Executive, detailing the financial elements of the 2016/17 Better Care Fund (BCF) Plan, highlighting the following:

 

(a)  the technical guidance for the 2016/17 BCF has now been issued. The final submission is due at the Health and Wellbeing Board on 25 April 2016.

 

RESOLVED to approve the draft submission for the 2016/17 Better Care Fund Planning Return for Submission to NHS England which will be presented for formal approval by the Health and Wellbeing Board

47.

Exclusion of the Public

To consider excluding the public from the meeting during consideration of the remaining items in accordance with section 100a(3) of the Local Government Act 1972 on the basis that, having regard to all the circumstances, the public interest in maintaining the exemption outweighs the public interest in disclosing the information.

Minutes:

RESOLVED to exclude the public from the meeting during consideration of the remaining item(s) in accordance with Section 100A(4) of the Local Government Act 1972 on the basis that, having regard to all the circumstances, the public interest in maintaining the exemption outweighs in the public interest in disclosing the information.

 

48.

Better Care Fund New Schemes and Underspend Proposals - Exempt Appendices

Minutes:

The Committee considered the exempt appendices for the Assistant Chief Executives report on Better Care Fund New Schemes and Underspend Proposals.

 

RESOLVED to note the information contained within the exempt appendix.

 

49.

2016/17 Better Care Fund Plan - Exempt Appendices

Minutes:

The Committee considered the exempt appendices for the Assistant Chief Executives report on 2016/17 Better Care Fund Plan.

 

RESOLVED to note the information contained within the exempt appendix.