Issue - meetings

Joint report of the Head of Adult Commissioning and Health (Devon County Council) and Director of Strategy (NEW Devon CCG and South Devon and Torbay CCG) on the Plan Submission for the BCF, in line with the Integrated and Better Care Fund Planning Requirements for 2017-2019 guidance from NHS England, Department of Communities and Local Government and the Department for Health.

The Plan will be made available at the meeting.

The Board considered a Joint report of the Head of Adult Commissioning and Health, NEW Devon CCG and South Devon and Torbay CCG on the Plan Submission for the BCF, in line with the Integrated and Better Care Fund Planning Requirements for 2017-2019 guidance from NHS England, Department of Communities and Local Government and Department for Health.

The final Plan was in the process of being finalised, due to the very tight timescales (requiring submission to NHS England by 11 September 2017), therefore the Board received a detailed presentation on the principles of the Plan, including the vision for integration (e.g. person centred care, joined-up services, maintaining independence and building wider support), the Integrated model of care (including a comprehensive assessment process, single point of access and rapid response), the national metrics required by the BCF plan as well as the national conditions.

The Board were reminded that the Better Care Fund was the only mandatory policy to facilitate integration, providing a framework for joint Health and Social Care planning and commissioning, bringing together ring fenced budgets from Clinical Commissioning Group (CCG) allocations, the Disabled Facilities Grant and, from 2017/18, funding paid to local government for adult social care services.

The BCF narrative plans must set out the joint vision and approach for integration, including how the work in the BCF plan complements the NHS Five Year Forward View, and with the aims and approach in Sustainability and Transformation Plans (STPs) and wider local government transformation.

In developing BCF plans for 2017-19, local partners were required to agree, through the Health and Wellbeing Board;

·         a short, jointly agreed narrative plan including details of how they were addressing the national conditions; including how plans would contribute to the local plan for integrating health and social care;

·         confirmed funding contributions from each partner organisation;

·         a scheme-level spending plan demonstrating how the fund will be spent; and

·         quarterly plan figures for the national metrics.

The Board noted the requirement for the BCF plan to be submitted to NHS England on 11th September and had been drafted using the nationally published template.

The Board asked questions and discussed the following.

·         whether there should be further investment in assisted technology;

·         clarification on the funding figures between localities in relation to iBCF spend;

·         the risks associated with not meeting the deadlines for submission of the Plan; and

·         that there would need to be further conversations regarding the detail of the Plan and further scrutiny in due course.

It was MOVED by Councillor McInnes, SECONDED by Mr Rogers, and

RESOLVED

a) that the principles of the 2017-2019 BCF plan, as outlined in detail in the presentation, appended to these minutes, be endorsed; and

b) that the Chairman of the Health and Wellbeing Board be authorised to proceed with approval of the final BCF Plan detail, on the basis of the principles endorsed above.