Agenda and minutes

None.

None.

Were agreed as an accurate record.

All items were considered in public.

BETTER CARE FUND - UPDATE

The Better Care Fund Programme Manager provided a presentation on the Fund (BCF).

The BCF is a national scheme intended to encourage health and social care to work together more closely, as required by the 2014 Care Act, with the expectation of a three year Plan from April 2017 to achieve "full integration" by 31 March 2020.  It was anticipated that the definition of "full integration" would be included in the guidance that was expected to be issued by the end of the current quarter.

The key objectives of this initiative were:

·         Individuals with care needs to receive more joined up care;

·         That the independence of residents was maximised or maintained through better prevention and early intervention;

·         Scarce resources were used more effectively; and

·         Formation of joint plans with agreed priorities to achieve a greater positive impact for local people.

It was noted that BCF funding was not new money.  For the 2016/2017 Plan, HCCG and the Council were pooling £22.5m, which was more than the required minimum value of £20m.  Government had allocated £1.5bn of new money for the three year plans. 

Highlighting the achievements in 2015/2016, it was noted these included:

·         A reduction in the number of emergency admissions;

·         A reduction in the number of falls-related emergency admissions;

·         A reduction in the delayed transfers of care;

·         A reduction in the number of permanent admissions to care homes;

·         Improved working relationships across health and social care - a self assessment was undertaken in December 2015 and staff indentified a commitment to working together and an understanding of each others' roles across health and social care. 

·         An increased involvement of GPs and the voluntary sector.

The 2016/2017 BCF Plan included the following:

·         Extending existing schemes where benefits could be achieved for other groups, e.g., supported living and carers;

·         Adding funds to the pool where demonstrable benefits for residents would be delivered, e.g., specialist palliative care;

·         Extending scope to cover new activities, e.g., dementia;

The intended outcomes for the 2016/2017 BCF Plan were:

·         A move towards a more stable, cost effective care market that met local needs;

·         A better resident/patient experience of care;

·         A reduction in the number of emergency admissions;

·         A reduction in the hospital admission rate;

·         A reduction in the number of permanent admissions to care homes; and

·         A reduction in the demand for ongoing care, where possible.

Eight BCF schemes had been identified for 2016/17:

1.    Early identification of people at risk of falls, stroke, dementia and/or social isolation;

2.    Better care for people at the end of their life;

3.    Rapid response and integrated intermediate care -

4.    Seven day working - to even out discharges across the whole week

5.    Integrated community-based care and support -

6.    Care home and supported living market development;

7.    Supporting carers - aimed at carers of all ages and ensuring that services were in place to meet their needs; and

8.    Living well with dementia. 

The Committee was advised that the final version of the  ...  view the full minutes text for item 20.

The Director of Public Health introduced the witness session.

The following witnesses attended the meeting:

• Joan Veysey, Acting Chief Officer, Hillingdon CCG
• Dr Hussain, Consultant Cardiologist
• Dr Thakar, GP
• Jacqui Guyett, Stroke Association
• Caroline Humphrey, Stroke Association

Points raised at the meeting and during the second witness session included:

Prevention

The best way to prevent stokes is:

1.    healthy eating.

2.    being physically active

3.    smoking cessation

4.    keeping your weight down

5.    and sensible drinking.

·         Although exercise is an important element in reducing weight and managing stroke risk, 80% of the management of obesity is through better nutrition.

·         In 2016/17 a Pilot Programme investigating the early detection of people with stroke will take place under the BCF. Identifying AF (Atrial fibrillation - one of the risk factors for stroke) has been added to the programme. Checking adequate numbers of residents is likely to increase the Council’s capacity to prevent more strokes.

·         In terms of current preventative action, the Council commissions the statutory NHS Health checks programme via local pharmacists and GPs. This is aimed at  the population group aged 40-74 years for identifying the risk of vascular diseases including strokes.

·         With regards to the work being conducted by GP's, the Hillingdon CCG currently have a Working Group investigating stroke prevention.

·         In terms of treating stroke, GPs were working with the CCG and looking at anti-colagulation. When the blood is thinner, there is less prevalence of stroke among AF afflicted people.

·         Scoping work was also taking place at Hllingdon and Harefield Hospitals to see how the stroke prevention service could be delivered in a different way

Health and Wellbeing Team

·         The Team offer a range of activities to assist residents keep active.

·         Let's Get Moving, Hillingdon, is offering residents the opportunity to take part in a 12 week physical activity on referral programme. This is free, and anyone can join who is currently inactive, or overweight or suffering from a medical condition

·         Lets Get Moving can:-

1.    Provide support on choosing an activity that’s right for the individual.

2.    Assist with setting realistic and achievable goals.

3.    Provide on-going support and encouragement.

4.    Advice and guidance on how to be active taking into account your personal circumstances.

5.    A personal plan on how to get active.

·         Positive outcomes arising from the Let’s Get Moving campaign have included:  fewer GP visits, less pain and tiredness, better sleep patterns and improved general fitness.

The Stroke Association

·         Stroke Association is the leading charity in the UK for people affected by stroke

·         In the last 20 years the number of people dying of stroke has halved while the number of major strokes has decreased by 40 per cent. More people than ever are benefitting from cutting-edge treatments and making full recoveries. And more people now understand the need to seek emergency treatment for stroke.

·         In Hillingdon, the Stroke Association provide information , advice and guidance about preventing stroke but also offer support and referral programmes for  ...  view the full minutes text for item 21.

The Committee considered the latest version of the Forward Plan.

Resolved –

1. That the report be noted.

Reference was made to the work programme and timetable of meetings.

Resolved -

The Committee noted the Work Programme 2015/16.