Issue - meetings

Joint report of the Head of Adult Commissioning and Health, NEW Devon CCG and South Devon and Torbay CCG on the BCF, Quarter Return, Performance Report and Performance Summary

The Board considered a joint report from the Head of Adult Commissioning and Health, NEW Devon CCG and South Devon and Torbay CCG on the BCF, Quarter Return, Performance Report and Performance Summary. The Board noted that the 4^th quarter return had been submitted on 31 May 2017.

Regular reports were provided on the progress of the Devon Better Care Fund Plan to enable monitoring by the Health and Wellbeing Board. Performance and progress was reviewed monthly by the Joint Coordinating Commissioning Group through the high level metrics reports and progress overview.

The report summarised the BCF activity in terms of the work towards the National Conditions and outlined all the conditions had been met.

It also provided ‘Outcome’ measures which included agreement on a system wide action plan to  reduce delayed transfers of care (developed with providers and owned by the multi-agency A & E Delivery Boards), a summary of BCF schemes focused on reduction of non-elective admissions, monitoring the support for people with dementia, including assessing the length of stay for people with dementia admitted to hospital rather than diagnosis rates, the permanent admissions to residential and nursing care homes (the rate being significantly below the South West average) and effectiveness of re-ablement services (which were effective for around 87% of older people).

The report also provided a year end feedback for 2016/17 and highlighted that overall delivery of the BCF had improved joint working between health and social care, the BCF schemes were implemented as planned, that delivery of the BCF plan had a positive impact on the integration of health and social care, had helped to positively manage the levels of Non-Elective Admissions and contributed positively to managing the levels of Delayed Transfers of Care. In addition, the delivery of the BCF plan had contributed positively to managing the proportion of older people (aged 65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services as well as positively managing the rate of residential and nursing care home admissions for older people (aged 65 and over)

The Board asked questions on the coverage of reablement services and the ongoing work in prevention, including a small amount of funding for progressing this.

RESOLVED that the quarter 4 return be endorsed.