Agenda and minutes

·  David Johns has replaced Alison Challenger as Nottingham City Council’s Interim Director of Public Health

The Committee noted that David Johns has replaced Alison Challenger as Nottingham City Council’s Interim Director of Public Health.

Sarah Collis  (Chair, Healthwatch Nottingham and Nottinghamshire)

David Johns  (Interim Director of Public Health, Nottingham City Council)

Helen Watson  (Interim Director of Children's Integrated Services, Nottingham

City Council)

None.

Minutes of the meeting held on 24 March 2021, for confirmation

The Committee confirmed the minutes of the meeting held on 24 March 2021 as a correct record and they were signed by the Chair.

Report of the Head of Programme Delivery, NHS Nottingham and Nottinghamshire Clinical Commissioning Group

Naomi Robinson, Senior Joint Commissioning Manager at NHS Nottingham and

Nottinghamshire Clinical Commissioning Group (CCG), presented a report the Nottingham City Better Care Fund (BCF) year-end reporting template for 20/2021. The following points were discussed:

(a)  the 2020/21 BCF reporting requirements were paused during the emergency response to Coronavirus. In recognition of the disruption and reduced capacity in local authorities and CCGs caused by the pandemic, the reporting requirements for the period were decreased significantly, including the omission of the usual performance metrics;

(b)  the return contains feedback on the challenges experienced during the period, in addition to the cross-system partnership working carried out with members of the Local Resilience Forum. There has been a major focus on identifying the most vulnerable people and developing more proactive service responses. Strong work has been carried out with people affected by homelessness, and it is hoped to expand this into providing better support to help people into regularised accommodation. Hospital discharge systems are under review, along with home care provision;

(c)  the Committee considered that it can be difficult to relate the programmes as set out in the reporting template to the actual outcomes for individual service users. Going forward in the post-Coronavirus context, it is important to work through what the BCF is achieving and how it is doing so, to link the outcomes for people to the BCF’s priorities. Resources should be followed back from the person, to assess how services could be provided differently and more effectively. There are a number of opportunities for greater flexibility through effective co-production, and work is required to adapt to changing needs and developments, including in assistive technology and single-point access to healthcare services, such as through the NHS App;

(d)  the Committee requested that discussions with members take place on the BCF going forward, to assess how the core issues and opportunities can be addressed, and what can be achieved through the BCF in terms of new joint commissioning approaches, which may be very different going forward.

Resolved to approve the submission of the 2020/21 Better Care Fund Year-End Template to NHS England & Improvement.

·  Reasons for the decision

To comply with NHS England & Improvement’s 2020/21 Better Care Fund national reporting requirements.

·  Other options considered

To not submit a return: this option was rejected as the submission of the Better Care Fund year-end template to NHS England & Improvement is a national requirement.

For agreement:

Wednesday 28 July 2021 at 4:00pm

Wednesday 29 September 2021 at 4:00pm

Wednesday 24 November 2021 at 4:00pm

Wednesday 26 January 2022 at 4:00pm

Wednesday 30 March 2022 at 4:00pm

Resolved to meet on the following dates:

·  Wednesday 28 July 2021 at 4:00pm

·  Wednesday 29 September 2021 at 4:00pm

·  Wednesday 24 November 2021 at 4:00pm

·  Wednesday 26 January 2022 at 4:00pm

·  Wednesday 30 March 2022 at 4:00pm