Agenda item

9.1

The Committee considered a report of the Strategic Director for Adult Care and Wellbeing which updated the Committee on the operational progress that had been made in delivering the hospital discharge and avoidable admission paper that was agreed by the Committee on the 14^th June 2023.

9.2

RESOLVED UNANIMOUSLY: That the Adult Health and Social Care Policy Committee:-

·       Notes the current performance in relation to discharge and progress in delivering phase one of the hospital discharge and urgent care delivery plan.

·       Approves the Commissioning Strategy to externally commission a specific Discharge Homecare Contract for a period of 2 years with option to extend for a further period of 1 year.

·       Requests that the Strategic Director of Adult Care and Wellbeing provides the Committee with update on progress against the delivery plan in six months

9.3

Reasons for Decision

9.3.1

9.3.2

As a partnership between agencies in Sheffield, we have made a commitment to admission avoidance and the development of a new operating model which focuses on building a partnership between primary and social care will aim in longer term to impact on admission avoidance.

The new discharge model aims to embed an approach where people discharged from an acute hospital bed are assessed at home or in another appropriate community setting where assessments about what care they need can take place. This approach is critical if we are to improve individuals and families experience of discharge, optimise individuals’ wellbeing outcomes, maximise our workforce capacity and effectiveness and reduce avoidable demand.

9.4

Alternatives Considered and Rejected

9.4.1

9.4.2

Do nothing: It would be possible not to produce a plan in relation to discharge – but it would mean any activity would lack focus, coherence, and public accountability.

In relation to the commissioning strategy for discharge homecare, as set out above, the alternative would be to use the existing homecare contracts but it is felt that this could be destabilising and a specific contract is a better option.

9.1

The Committee considered a report of the Strategic Director for Adult Care and Wellbeing which updated the Committee on the operational progress that had been made in delivering the hospital discharge and avoidable admission paper that was agreed by the Committee on the 14^th June 2023.

9.2

RESOLVED UNANIMOUSLY: That the Adult Health and Social Care Policy Committee:-

·       Notes the current performance in relation to discharge and progress in delivering phase one of the hospital discharge and urgent care delivery plan.

·       Approves the Commissioning Strategy to externally commission a specific Discharge Homecare Contract for a period of 2 years with option to extend for a further period of 1 year.

·       Requests that the Strategic Director of Adult Care and Wellbeing provides the Committee with update on progress against the delivery plan in six months

9.3

Reasons for Decision

9.3.1

9.3.2

As a partnership between agencies in Sheffield, we have made a commitment to admission avoidance and the development of a new operating model which focuses on building a partnership between primary and social care will aim in longer term to impact on admission avoidance.

The new discharge model aims to embed an approach where people discharged from an acute hospital bed are assessed at home or in another appropriate community setting where assessments about what care they need can take place. This approach is critical if we are to improve individuals and families experience of discharge, optimise individuals’ wellbeing outcomes, maximise our workforce capacity and effectiveness and reduce avoidable demand.

9.4

Alternatives Considered and Rejected

9.4.1

9.4.2

Do nothing: It would be possible not to produce a plan in relation to discharge – but it would mean any activity would lack focus, coherence, and public accountability.

In relation to the commissioning strategy for discharge homecare, as set out above, the alternative would be to use the existing homecare contracts but it is felt that this could be destabilising and a specific contract is a better option.