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, attached.

The Board considered the Joint Report and presentation of the Head of Adult Commissioning and Health, NEW Devon CCG and South Devon and Torbay CCG on the Devon Better Care Fund Q2 submission to NHS England, submitted on 17 November 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 noted that all four national conditions had been met and that three out of four performance against national metrics were on target, including non-elective admissions, admission to residential and care homes and effectiveness of reablement.  It was noted that, despite positive improvement within the wider system, it had not been possible to meet targets for Delayed Transfers of Care (DTOC) due to reductions across the NHS Trusts.  Daily monitoring of delays had been established to identify any prevailing issues and it was noted that activity in November was close to target; however increased activity in the system during early winter would remain a challenge.

The trajectory of DTOC was still slightly over target, however significant improvements had been made in Devon, which had halved in the last six months, from 156.1 in June 2017 to 77.9 in November 2017.  This had required significant management and staff focus which would be challenging to maintain during the winter period.

RESOLVED that the Better Care fund Q2 submission be noted and endorsed.