The Health and Wellbeing Board Chair’s highlight report (Document “B”) summarises business conducted between meetings: where for example reporting or bid deadlines fall between Board meetings or business conducted at any meetings not held in public where these are necessary to consider material that is not yet in the public domain.
Reporting through a highlight report means that any such business is discussed and formally minuted in a public Board meeting.
The July report covers:
· Business conducted at meetings of the Board’s subgroups: the Integration and Change Board. There is no update from the new Integrated Commissioning Executive which is in development.
· Better Care Fund – Update on performance and progress on the 2017-19 Plan
· Care Quality Commission – Review Guidance
· 2016-17 Health and Wellbeing Board Annual Report to Bradford District Partnership
Recommended-
(1) That in relation to section 3.1 of Document “B” (Better Care Fund) the Board is asked to:
· Note the position in relation to the local area progress in refreshing the local Narrative Plan and Planning Template for 2017/18 and 2018/19.
· Note the establishment of the Executive Commissioning Board.
· Note the requirement to submit revised BCF Plan by the 11th September 2017.
· Agree delegated authority to the Chair of the Board in consultation with the Leader of City of Bradford MDC and a nominated representative of the three CCGs to authorise submission of the Better Care Fund Plan on behalf of the Health and Wellbeing Board.
(2) That in relation to Section 3.5 (Document “B”) the Board is asked to:
Note that the 2016-17 SEND Local Offer Annual Report has been agreed by the Chair of the Board and published on the SEND Local Offer website.
(Angela Hutton – 01274 437345)
Minutes:
The Health and Wellbeing Board Chair’s highlight report (Document “B”) summarised business conducted between meetings: where for example reporting or bid deadlines fell between Board meetings or business conducted at any meetings not held in public where these were necessary to consider material that was not yet in the public domain.
Reporting through a highlight report meant that any such business was discussed and formally minuted in a public Board meeting.
The July report covered:
Better Care Fund
It was reported that the Better Care Fund Performance for Quarter 4 of 2016/17 had been approved by the Chair since the last Board meeting in March and had been submitted to NHS England.
Members were informed that in 2017/18 the BCF included a new element, the Improved Better Care Fund (iBCF) for which additional requirements were detailed in Appendix 1.
A new composite performance measure had been introduced to measure the effectiveness of joint working between social care and health services. The measure looked at emergency admissions, transfers of care and reablement. Bradford was currently ranked second of 152 Health and Wellbeing Areas nationally under the new composite measure.
It was reported that the iBCF would consist of two elements in 2017/18. The Bradford Allocation being £1,565,946 of previously announced monies and a further £10,479,875 announced in the 2017 spring spending review. Members asked for clarification on the breakdown of how the additional £10 million would be spent. The following areas had been agreed:
· Bradford and Airedale Community Equipment Scheme – Home First Strategy
· Winter pressure beds
· Intermediate Care Reviewing Team
· Transformation and Assistive Technology
· Increased Home Care Capacity
· Protecting Social Care
A Member emphasised that areas of good, local performance such as being ranked second of 152 areas nationally should be promoted. The Chair and another Board member supported the appreciation of this good performance but acknowledged that there was further work to do to improve people’s experiences of services and to reach a sustainable position where people were not admitted into hospital or residential care unnecessarily; and where better community support was needed.
It was reported that the Care Quality Commission would undertake 20 reviews of delayed transfers of care in health and social care systems. Five were likely to be identified from the best performing authorities and 15 from the worst performing. Bradford would look at best practices from those reviews as they took place.
In response to Members’ questions it was reported that an Executive Commissioning Board was in development to replace Bradford Health and Care Commissioners.
The Chair requested that the Bradford Districts and Craven Health and Wellbeing Plan Tracker (Appendix 1 to Document “B”) be considered further at a development session.
Draft Joint Health and Wellbeing Strategy
A draft Joint Health and Wellbeing Strategy for Bradford and Airedale 2017/2022 was tabled at the meeting having received positive feedback at the Bradford CCGs (Clinical Commissioning Groups) Joint Clinical Board.
A Member commended the draft report for pulling out the key issues but stressed the need to ensure the issues prioritised were the right ones.
It was stressed that the draft strategy needed to pull together priorities from the Council’s various other plans; prevention should be a strong priority and the strategy needed to link in with the Bradford District Plan and its priorities.
A Member commended the strategy for its use of easy to read language; needed to know the progress being made with the issues outlined in the strategy.
Board members reiterated that prevention was a key priority; as well as the link between inequalities and poor health; the strategy needed to reference Sustainability and Transformation Plans and development of accountable care systems; and to address end of life care.
Members were informed that the strategy was in draft and was submitted to Members for their comments. The priority actions in the strategy included:
· Place – creating a place to live that promoted health
· Improving health – making it easier for people to improve their health and wellbeing and prevent ill health.
· Support people to better care for themselves and their conditions and to receive early help.
The vision and outcomes included:
· Children having the best start in life
· People of Bradford having good mental wellbeing
· People living their lives well and ageing well
· Bradford District to be a healthier place to live, learn and work.
In response to Members’ questions it was reported that officers would strengthen the focus on inequalities and empowerment of local people, and the links to the Bradford District Partnership Plan and the Sustainability and Transformation Plan; and would consider the accessibility of the strategy and arrange to take feedback from various forums. End of life care will be addressed.
A Member stressed that it was important to know what the crucial imperatives were and to focus on a few things that would make the most difference and it was agreed that children’s issues would receive greater emphasis.
It was reported that the next steps would be engagement in different forums. Members felt the timing of consultation was crucial as well as the need for greater engagement. It was agreed the next draft of the strategy would be submitted to the Board in September with any amendments and additions following consultation.
Resolved-
(1) That in relation to section 3.1 of Document “B” (Better Care Fund) the Board:
· Note the position in relation to the local area progress in refreshing the local Narrative Plan and Planning Template for 2017/18 and 2018/19.
· Note the establishment of the Executive Commissioning Board.
· Note the requirement to submit the revised Better Care Fund Plan by the 11th September 2017.
· Agree that delegated authority be given to the Chair of the Health and Wellbeing Board/Leader of City of Bradford Metropolitan District Council in consultation with a nominated representative of the three CCGs to authorise submission of the Better Care Fund Plan on behalf of the Health and Wellbeing Board.
(2) That in relation to Section 3.5 (Document “B”) the Board:
Note that the 2016-17 SEND Local Offer Annual Report has been agreed by the Chair of the Board and published on the SEND Local Offer website.
Action: Strategic Director Health and Wellbeing/
Strategic Director, Children’s Services
Supporting documents:
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