Agenda item

To receive an update on progress against key areas of focus in the Better Care Fund Plan for 2023-25.

Rachel Briden, Programme Manager - Warwickshire Better Together gave a progress update in relation to the Better Care Fund and confirmed that the quarterly report for 2023 - 2025 Better Care Plan was approved by the subcommittee of this board in July 2023.

In relation to the Discharged to Assess programme, it was confirmed that the programme aims to ensure that people are not assessed in acute care. Ideally, they are sent home and assessed or in a step-down placement so that their long terms need can be identified outside of an acute setting.

The Board received an updated in relation to the Integrated Care Board (ICB). It was noted that the full update was included in the agenda pack for member’s information. In relation to the review of continuing care for people with long term health care needs, Coventry and Warwickshire are looking at how support can be delivered at pace. The ICB aims to become more of a commissioning service, rather than a delivery service. It was confirmed that further updates will be provided to the board when appropriate.

In relation to the Ageing Well Programme and the NHS/Better care fund plan the board received the following updates -

The board was reminded that the emergency community response team had been redesigned to an urgent response team which will support people with a response time of within 2 hours with the aim to potentially keep a patient out of an acute setting, especially fall patients. Confirmation of timelines/long-lie fall data will be provided to the board. It was noted that the ambulance service will be able to triage calls in relation to falls and send the emergency response team if necessary and therefore avoid an admission.

In relation to the Red Bag Scheme, it was noted that a review of the scheme is currently underway, but it has proved successful in providing a smooth transfer process for moving a patient from hospital into care.

It was noted that Proactive Care has a focus on frail patients with multiple long-term conditions.

An update was given in relation to Warwickshire County Council’s integrated care record for under 18’s. Sharing social care information has been underway since March 2021 for over 18’s and services are now sharing relevant NHS information for those under 18.  The board was pleased with the update and felt that it was a very positive step forward.

The board received a summary of Warwickshire’s performance against the five national matrixes and were pleased to note that overall, there has been good performance across the board and in line with where it was expected to be at this time of year.

It was noted that demand on social care for elderly has risen and that permanent admissions are much higher than last year and then the target. A large rise in people unable to stay/go home.

Resolved

That the Health and Wellbeing Board:

1.  Notes the progress of the Better Together Programme in 2022/23 and the updates provided on the key areas of joint focus in the Better Care Fund plan for 2023-25; and

2. Notes performance against the national Better Care Fund metrics