Agenda and minutes

Health and Wellbeing Board Commissioning Sub-Committee
Wednesday, 27th March, 2019 4.00 pm

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

Contact: Kate Morris  Email:

No. Item


Apologies for Absence


Katy Ball – Christine Oliver attending as substitute

Hugh Porter –Marcus Bicknall attending as substitute

Michelle Tilling – Hazel Buchanan attending as substitute

Catherine Underwood


Declarations of Interests




Minutes pdf icon PDF 116 KB

To confirm the minutes of the meeting held on 30 January 2019


The minutes of the meeting held on 30 January 2019 were agreed as an accurate record and signed by the Chair.


Better Care Fund and Improved Better Care Fund Quarterly Performance reports pdf icon PDF 433 KB

Additional documents:


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 3 2018/19. She highlighted the following information:


(a)  There has been a growth in Delayed Transfer of Care (DTOC) delayed days.


(b)  The most cited reasons for the delays in this quarter include:

·  Patient and Family choice – 29.1%

·  Awaiting further non-acute NHS care – 26.5%

·  Awaiting care package in own home – 22.4%


(c)  A more detailed piece of work is needed to understand the reasons around this increase in delays. It is unclear if it is around a particular cohort of patients or across a number of groups of patients;


(d)  Data indicates that social care related delays has decreased in this quarter following a peak in the summer months. There continues to be significant challenges in providing high levels of homecare required in a sector with a challenging recruitment environment;


(e)  There has also been an increase in non-elective admissions particularly in under 18’s A further piece of work is taking place to understand this increase and will be presented to the next sub-committee in May 2019 and can break down the information into wards/GP’s to establish if there are any specific areas that need to be focused on;


During discussion the following points were made:


(f)  It may be that DTOC delay rates are up due to the milder winter meaning that the NHS has not seen such significant winter pressures resulting in less need for patient turnover. Without completing more work it will be difficult to attribute the increase to a particular cause;




(1)  Note performance in relation to the BCF performance metrics for Q3 18/19

(2)  Note that there was no Improved Better Care Fund (iBCF) reporting requirements in Q3 18/19; and

(3)  Note the quarterly return which was submitted to NHS England on 22 January 2019 and authorised by Councillor Sam Webster, Portfolio Holder for Adult Social Care and Health.