Issue - meetings

This report provides members with an update on how the service has performed since transfer in April 2017 and its progress towards delivering the transformation that was part of the Your Care Your Way procurement.

Kirsty Matthews, Managing Director – Bath and North East Somerset,

Virgin Care Services Limited introduced this report to the Panel and highlighted the following areas from within it.

She stated that she had been in her role for two years and said that she was proud of all her colleagues within Virgin Care who work very hard.

She explained that the Bath and North East Somerset Community Health and Care Services, provided by Virgin Care, went live on 1 April 2017. The contract brings together community health and care services to deliver the objectives of Your Care, Your Way (YCYW), a document which was compiled by the Council and NHS Bath and North East Somerset Clinical Commissioning Group (CCG) over the previous two years through consultation with local people.

Under the contract, Virgin Care is responsible for the direct delivery and sub-contracted delivery for approximately 200 community services.

She said that overall, the service is performing well against both local contractual and national indicators, with significant performance improvements noted in a number of areas. Performance of the service is monitored at both local and national level, as well as by commissioners at the Council and CCG.

She informed the Panel that there have been a number of significant improvements in service performance since the transfer in April 2017, including:

·  The average length of stay on rehabilitation wards at Paulton and St Martin’s Hospital has reduced from 36 days at point of transfer to 28 in 19/20, despite increased complexity of the patients admitted. This length of stay is now in line with the national average for these types of services and brings significant benefits for patients by enabling them to return home, with support, and live as independently as possible.

·  Safeguarding performance has significantly improved. Decisions taken within 4 days has increased from 48% in 17/18 to 88% in 18/19. Planning meetings being held within 10 days has increased from 32% in 17/18 to 77% in 18/19

·  Continuing Health Care assessments completed within 28 days has risen from an average of 23% completion in 2017 when Virgin Care took on the contract to an average of 73% this year, and 100% in August 2019.

·  Virgin Care has worked with Royal United Hospitals, Wiltshire Health and Care and Somerset Partnership Foundation Trust and commissioners to deliver the Home First pathway. This was recognised with a Parliamentary award for Excellence in Urgent and Emergency Care in 2018.

·  A new service was developed with the Royal United Hospitals and South West Ambulance Service, a ‘falls pick up service‘ which provides an early response to people who have had a fall within their own home and avoids them having to go to hospital. Initial outcomes from this service show that 70% of people who were supported in this service were able to be instead managed in an outpatient setting

·  Bath and North East Somerset is now among the top performers for delivery of the Healthy Child Programme. This has improved from 82% compliance with  ...  view the full minutes text for item 19