Issue - meetings

To receive the report of Bindi Nagra, Assistant Director Health, Housing and Adult Social Care, LB Enfield and Graham MacDougall, Director of Strategy and Partnerships, Enfield CCG.

RECEIVED the report of Keezia Obi (Head of Service, Enfield 2017) providing an update on the 2016-17 Better Care Fund (BCF) plan implementation and planning for the 2017-19 BCF plan.

NOTED

Keezia Obi introduced the report, highlighting:

?  She and the BCF Delivery Group were working on improvements to the management and delivery of the BCF.

?  In respect of performance, there were no surprise emergency admissions but delays continued to present challenges. The report also included positive news on a number of areas and outcomes.

?  Information was provided about regional BCF activity and performance, spending, and planning for 2017-19.

?  In the context of the STP and awaiting BCF guidance, Health and Wellbeing Board may wish to consider discussion at a future development session.

IN RESPONSE comments and questions to Keezia Obi and Graham MacDougall (Director of Commissioning, Enfield CCG) were invited:

1.    Deborah Fowler (Healthwatch) noted the helpfulness of a document setting out information in one place, and asked about next actions, and over-arching governance and accountability. In response, the association with the STP and the challenges to acute providers was acknowledged, and that work was ongoing eg this week’s workshop on managing growing delayed transfer of care issues.

2.    Vivien Giladi (Voluntary Sector) was happy to accept the report recommendations, but would like more information regarding dementia (para 3.2.2); expansion of paediatric A&E (para 3.2.3); and the additional nursing home capacity referred to (para 3.2.4). In response it was advised that there was confidence that performance in respect of dementia diagnosis would continue at this rate in 2017/18. Nursing home capacity was acknowledged as a challenge, but that there were some step down beds / short stay capacity, and a new home was due to come on stream in February. Reference to paediatrics was related to a statutory responsibility for looked after children to receive a health assessment.

3.    Ray James (LBE Director of Health, Housing and Adult Social Care) also provided information about changes to come including new national standards and expectations, and new models of care. He also drew attention to national performance figures published today which were the highest on record around delayed transfer of care, with the biggest factor being availability of home care.

AGREED that Health and Wellbeing Board

?  Noted the current BCF performance and performance dashboard including outcomes;

?  Noted the Quarter 2 financial position;

?  Noted the information about regional BCF activity and performance;

?  Noted that the NHSE policy framework and planning guidance was due to be published for the production of a 2 year plan – 2017/19. It was expected that the first submission was expected to be before Christmas and the final one at the end of March 2017;

?  Noted the information regarding integration and future planning.