Issue - meetings

To receive a report from Bindi Nagra and Graham MacDougall on the Better Care Fund (BCF) and Health and Adult Social Care Integration, including the outcomes of the BCF for 2016/17 and the BCF planning for 2017/19.

RECEIVED the report of Bindi Nagra (Asst. Director, Health, Housing and Adult Social Care, LB Enfield) and Graham MacDougall (Director of Strategy and Partnerships, Enfield CCG).

NOTED

The report was introduced by Keezia Obi (Head of Transformation (People)) highlighting:

?  The report provided an update on the delivery of the 16/17 BCF plan.

?  The financial position was to be on budget for the year.

?  Performance against targets was in the context of extreme pressures on A&Es, growing demand, and issues across health and social care, though systems were now working more effectively and there was greater optimism about 2017/18.

?  Some good outcomes had been demonstrated.

?  A robust evaluation framework was being used, and reviews were being undertaken to inform the programme for the next two years.

IN RESPONSE comments and questions were received, including:

1.    In response to the Chair’s queries, it was confirmed that local processes had been developed around the BCF.

2.    Vivien Giladi passed on the very positive feedback from an older persons voluntary group in respect of dementia in particular, and the Older Person’s Assessment Unit (OPAU), but some concerns remained regarding delayed transfer of care.

3.    The additional funding for adult social care announced in the Budget 2017 was noted. The policy and framework had been published, but technical guidance was awaited. The Better Care Fund had been renamed ‘Integration and Better Care Fund’.

4.    The Chair had agreed that the next HWB development session focus on a discussion and workshop on Health and Social Care integration. Representatives of Healthwatch and Public Health and Children’s Services agreed to assist planning the session.

NOTED that Councillor Alev Cazimoglu arrived at the meeting at this point.

AGREED that Health and Wellbeing Board

(i)  noted the year-end financial position;

(ii)  received and noted the current BCF performance and performance dashboard including outcomes;

(iii)  noted the current status with the development of the shared care record;

(iv)  noted that the BCF policy framework had now been published and key themes were outlined in section 4 of the report;

(v)  noted the future Board development session would be focused on Health and Social Care Integration, and the planning for the development session.