Issue - meetings
Update on Better Care Fund and Delayed Transfer of Care Plan
Meeting: 30/01/2018 - Health and Wellbeing Board (Item 46)
46 Better Care Fund Plan 2017-2019 Update 
PDF 182 KB
|
The attached report gives an update on performance against the Better Care Fund Plan, including an update on schemes, governance, finance and the position against delayed transfers of care (DTOCs) from hospital. |
11.55am – 30 mins – Jane Shayler and Caroline Holmes
:
Additional documents:
- Better Care Fund 2017-18 Performance Dashboard - Appendix 1, item 46
PDF 333 KB
- Better Care Fund - Scheme Updates - Appendix 2, item 46
PDF 166 KB
- Better Care Fund Risk Register - Appendix 3, item 46
PDF 75 KB
Minutes:
The Board considered a report which gave an update on performance against the B&NES Better Care Plan. This included an update on schemes, governance, finance and the position against delayed transfers of care (DTOCs) from hospital.
The report also set out details of the national performance metrics. The metrics so far this year demonstrate a health and social care system under significant pressure. It was noted that permanent admissions of older people to residential and nursing care homes were 2% below plan. The number of people being placed at home with very intensive care packages has also decreased.
There are a number of schemes in place to reduce delayed transfers of care as follows:
· Reablement and its review
· 7 day working in Home First
· Discharge to Access beds
· Support planning and brokerage (commissioning Care Home Select to provide interim support)
· Community equipment
· Fracture support pathway beds
· Community hospital review
Work is ongoing with Virgin Care and a number of schemes are progressing well. However, some measures have been delayed which means that they have not been as effective as expected.
The use of the additional 5 beds that had been provided would be evaluated to gauge whether this was set at the right level.
Board members were keen to see community equipment being recycled as much as possible. Officers informed the Board that a stocktake has been carried out and that some equipment has been returned. An equipment amnesty is also planned to take place in February.
The figures reflected the national situation and it was noted that evidence showed that the number of emergency admissions are growing and are currently at record levels. This is proving to be a challenge for the RUH.
Concern was also expressed about the projected growth in the number of people aged over 85 which is predicted to grow by 13.6% in the next 10 years. This is likely to present a significant challenge to the health and social care sectors.
RESOLVED: To note the update on the Better Care Fund 2017-19 provided in the report and appendices.
: