Kathryn Warnock, South Tees Integration Programme Manager provided an update to the Health & Wellbeing Board.
Kathryn reported that a meeting with the Chairs of the two Health and Wellbeing Boards (Middlesbrough and Redcar & Cleveland) and the Chief Executives took place on 12th July, to discuss the output from the Joint Health and Wellbeing Board session held in May.
There is general support to establish a joint Health and Wellbeing Board, however if we are to progress there are a number of areas which require further consideration. Edward Kunonga and Kathryn Warnock have been tasked with assessing the options and factors involved in this which include:
Scope, remit, priorities of a joint Health and Well-being Board
Accountability, decision making and supporting structures
Political leadership, Membership and Terms of Reference
Wider wellbeing agenda
Legal and organisational implications for the two local authorities
Links to health scrutiny arrangements
A follow up meeting has been arranged in October to review findings and next steps.
The Improved Better Care Fund by both Local Authorities was endorsed by the CCGs Executive on 31st May. No assurance is required for this by NHS England but Local Authorities are obliged as part of the grant conditions to report quarterly to the Department for Communities and Local Government. The first template was submitted on 21st July.
Kathryn stated that reducing delayed transfers of care has been identified as an indicator of the ability of the system to ensure appropriate transfer from hospital to social care services for the adult population. It is an important marker of the effective joint working of local partners, and it is a measure of the effectiveness of the interface between health and social care services.
In light of the Government's emphasis on managing transfers of care and DToC, all areas were required to submit provisional metrics for delayed days (including ambitions for reductions in both social care attributable and NHS attributable delays) to NHS England by 21 July 2017.
The national ambition is to free up around 2500 beds in advance of winter. Local expectations were published along with the BCF planning requirements: this set out that reduction in DToC should be shared equally between the NHS and local government.
It was agreed by local partners across South Tees that by November 2017, system wide delayed transfers of care should be reduced to a maximum of 18 delayed beds per day, an ambitious target. It equates to 12 beds per day attributable to the NHS and 2-3 beds per day attributable to each local authority
Agreed as follows:-
The Board noted the submitted report