Kathryn Warnock, South Tees Integration Manager provided the Health and Wellbeing Board with a summary of progress on current integration work.
The Health and Wellbeing Board heard that the Redcar and Cleveland and Middlesbrough Better Care Fund (BCF) plans 2017-2019 were submitted to NHS England 11 September.
It was advised that the BCF quarterly monitoring template was used to ensure that Health and Wellbeing Board areas continued to meet the requirements of the BCF over the lifetime of their plan and enabled areas to provide insight on health and social integration.
The completed BCF Q3 2017/18 reporting templates were submitted to NHS England on 19 January 2018.
The Board was advised that work is ongoing through the BCF Monitoring and Implementation Group to evaluate all current BCF projects and schemes to ensure they are effectively contributing to the BCF requirements and are having the greatest impact. The output from these evaluations will be reported to Integration Executive Group to assess the feasibility on continuing the schemes.
The Board heard that the Integration Executive Group had agreed to reallocate uncommitted funds and slippage (approximately £1million across both plans) to schemes the CCG can invest to support the delivery of BCF metrics this will support the CCG.
The Health and Wellbeing Board were advised that during the first three quarters of 2017/18 there was a decrease of 1.4% in overall non-elective admissions in Middlesbrough and Redcar & Cleveland Local Authorities, compared to the previous year. For Middlesbrough LA, there was a decrease of 1.6% and for Redcar and Cleveland LA, there was a decrease of 2.6%.
It was advised that whilst year to date figures remained lower than the previous year, during the third quarter (October-December) non-elective admissions had started to increase compared to the same period last year.
The Health and Wellbeing Board were also asked to note that whilst activity is down on the year, costs are increasing significantly due to changes in the tariff for non-elective admissions.
The Health and Wellbeing Board were advised that the local authority had maintained performance over the start of winter through October, November and December in meeting the targets set by NHS England for the number of bed days attributable to adult social care. Therefore the local authority had received confirmation that their improved BCF allocations for 2018/19 would not be reviewed and plans can carry forward.
Mark Davis, Chief Executive of MVDA informed the Health and Wellbeing Board that a bid for a NHS England Health and wellbeing grant that had been submitted via the Voluntary Development Agencies to support the expansion of care coordination across South Tees had been unsuccessful. The Board were advised that there had been no feedback given on why the bid was unsuccessful.
Agreed as follows: -
The Health and Wellbeing Board noted the progress on current integration work