Agenda item

6.1

Jennie Milner, Better Care Fund Programme Manager, presented the report which gave an update on:

·         Progress on the Better Care Fund Programmes against the 17/19 narrative plan.

·         Performance against the agreed Better Care Fund KPI’s.

·         The financial performance of the Better Care Fund pooled budget for 2018/19.

·         Better Care Fund programme budget and high level plans for 2019/20.

6.2

The report also included details of system challenges within the year, the need to improve fragmented services and full details of the budget including overspend.  The programme was in the best position for the last two years regarding delayed transfer of care, but the target on non elective admissions had not been met and it was felt that the target had been too ambitious and should be amended.  Additional KPI’s were also being proposed to measure performance.

6.3

John Mothersole, Chief Executive SCC, agreed that the target had been too ambitious, but that the figures were still heading in the wrong direction.  It was hoped that the new Joint Commissioning Committee could help with issues such as this.  He suggested that it may be useful to look at what would constitute a good distribution of resources would look like in 2021 to create a blueprint.

6.4

Sarah Burt, Sheffield CCG, welcomed the possibility of a blueprint of resources.  Social investment provided a good opportunity to help manage pressures within the system.

6.5

The Chair stated that the report was a good representation of where we were now and it was hoped to spend the Better Care Fund more strategically in the future.

6.6

RESOLVED: That:-

(a)  in considering the two questions set out in the report in relation to the Better Care Fund Update, the Board’s answers be as follows:-

(1)  Is the progress to date on the way we work together sufficient? The Health and Wellbeing Board noted that progress was ongoing.

(2)  Considering the latest joint Health and Wellbeing Strategy, feedback from the CQC Local System Review and the agreed action plan, does the Health and wellbeing Board require any additional information to the updates on the 2019/20 priorities?  It was felt that the Health and Wellbeing Board had sufficient oversight.

(b)  The update on the programme, be noted;

(c)  The outturn budget for 2018/19, be noted;

(d)  The establishment of the Joint Commissioning Committee and its alignment to the Accountable Care Partnership to add pace and scale to address the financial overspends, be noted;

(e)  The delayed NHS England (NHSE) guidance and final template for the 2019/20 plan, be noted and;

(f)   The proposed budget and priorities for 2019/20 be noted and final responsibility for approval be delegated to the Chair of the Health and Wellbeing Board, as it was subject to the published NHSE guidance and template.