Agenda and draft minutes

Health and Wellbeing Board Commissioning Sub Committee
Wednesday, 30th January, 2019 4.00 pm

Venue: Ground Floor Committee Room - Loxley House, Station Street, Nottingham, NG2 3NG. View directions

Contact: Jane Garrard  Senior Governance Officer

Items
No. Item

147.

Apologies for absence

Minutes:

Katy Ball – Christine Oliver attending as substitute

Alison Challenger

Sarah Collis

Michelle Tilling

Catherine Underwood

 

148.

Declarations of interests

Minutes:

None

149.

Minutes pdf icon PDF 238 KB

To confirm the minutes of the meeting held on 26 September 2018

Minutes:

The minutes of the meeting held on 26 September 2018 were agreed as accurate record and signed by the Chair.

150.

Better Care Fund and Improved Better Care Fund Quarterly Performance Reports pdf icon PDF 306 KB

Additional documents:

Minutes:

Clare Kent, Head of Service Improvement and Better Care Fund Greater Nottingham Clinical Commissioning Partnership, introduced the report providing information about the Better Care Fund (BCF) and Improved Better Care Fund (iBCF) performance metrics for quarter 2 2018/19.  She highlighted the following information:

 

(a)  All of the BCF national conditions were met for quarter 2.

 

(b)  The key performance metrics of residential admissions, reablement and delayed transfers of care were scored as ‘green’ for quarter 2.

 

(c)  At quarter 2, performance on non-elective admissions was scored as ‘amber’ for the year to date.

 

(d)  Performance on the High Impact Change Model was good, with 6 of the 8 mandated elements scored as ‘established’.  The Model should impact on performance metrics.  Learning from changes implemented elsewhere is taking place but models from elsewhere can’t just be replicated without taking into account the local context. 

 

(e)  The success story detailed in the narrative focused on carer support services and the outcomes of the model so far. 

 

(f)  Reporting on the iBCF focused on project spends and no detailed narrative or case studies were required.

 

During discussion the following points were made:

 

(g)  Nationally, a report on system capacity and flow has been commissioned from Newton Europe to support systems not achieving required performance on delayed transfers of care and non-elective admissions.  It will be useful in terms of national learning and case studies but is still not yet available.  It is understood that the delay is with the national team rather than Newton Europe and colleagues will continue to chase its availability through the BCF lead.

 

(h)  The Newton Europe report on local activity has been useful for adult social care.

 

(i)  Nottingham University Hospitals NHS Trust still considers that there are issues in discharge from hospital and continual development and learning is taking place.

 

RESOLVED to:

 

(1)  note the performance in relation to the Better Care Fund and Improved Better Care performance metrics for quarter 2 2018/19; and

 

(2)  note the quarterly returns that were submitted to NHS England on 18 October 2018, authorised by the Chair of the Health and Wellbeing Board.

151.

Exclusion of the Public

To consider excluding the public from the meeting during consideration of the remaining item 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 the public interest in disclosing the information.

Minutes:

RESOLVED to exclude the public from the meeting during consideration of the remaining item 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 the public interest in disclosing the information.

152.

Exempt Minutes

To confirm the exempt minutes of the meeting held on 26 September 2018

Minutes:

The exempt minutes of the meeting held on 26 September were agreed as an accurate record and signed by the Chair.