A presentation will be given at the meeting.
Minutes:
Julie Gonda - Assistant Director, Adult Care Services, Linda Jackson - Assistant Director, Adult Care Services and Lesley Jones, Interim Director of Public Health gave a joint presentation on the work that was being carried out in relation to the Integrated Health and Social Care Partnership and also in relation to the Better Care Fund Plan.
It was explained that the integrated care model will include all partners across health and social care working together and with people to support them to maintain their own health and mange their own care as much as. A partnership approach with an emphasis on prevention and early intervention which will be primary care centred with access to services 7 days a week co-ordinated and provided by integrated/multi disciplinary neighbourhood teams. It will focus on people at higher risk such as people with long term conditions and frail older people as well as having an emphasis on prevention to stop or slow down the long term conditions.
The partners and stakeholder identified include Bury CCG (GP practices and pharmacies), Bury Council )Adult Care, Public Health, Education Services and providers, Housing services and providers) Pennine Care NHS Foundation , Pennine Acute NHS Trust, mental health services, GP Federation, North West Ambulance Service, Care Homes, Home Care providers and the Department of Health plus others.
It was explained that the strategy was a 5 year strategy and would identify key deliverables across a continuum of need. 3 key deliverables had been identified:- Staying well, Re-ablement and intermediate care and integrated community based care.
The project would be able to take lessons from the Radcliffe Demonstrator and produce a joint outcomes framework.
The Governance Structure was explained and it was reported that the Integrated Health and Social Care Partnership Board was chaired jointly by The Director of Adult Care Services and The Chief Executive of the Clinical Commissioning Group and was accountable to the Bury Public Service Reform Board which in turn reported to the Greater Manchester Public Service Reform Leadership Team.
The work of the partnership Board had been to identify the key deliverables and the key enablers and task groups to carry out specific work in the requirements around these areas with a lead officer for each group.
Achievements around partnership provision were already being identified from work already being undertaken - operating 7 day opening GP practice in Radcliffe, a pilot integrated care team in Radcliffe would be rolled out wider within the next two months, the crisis response service for adults had been implemented, the integrated health and social care discharge team were in place and complex care arrangements were being co-ordinated.
Julie Gonda reported that the Draft Better Care Fund was due to be submitted to the Health and Wellbeing Board at its meeting on the 30 January 2014. The Fund required a 15% reduction in emergency activity by 2015/2016. The Fund would be made up of an NHS resource transfer of £11.7m of which £8m was from the CCG and the remaining £3.7m from other NHS resources. £3m of this will be directly related to performance and is dependent on joint working. The budget will be pooled and managed jointly between the CCG and local authority.
The Main aims of the better Care Fund were explained as:-
· to protect adult social care services; and
· to invest in new and re-shaped services which help integration and benefit both health and social care.
The Better Care Fund Plan is being produced jointly by Bury CCG and Adult Care Services with the final plan being submitted on 4 April 2014.
Members of the Committee were given the opportunity to ask questions and make comments and the following points were raised:-
· Councillor Simpson referred to the partnership and asked where education would fit in.
Lesley explained that she was leading on a piece of work focused on community engagement for health which would include promoting self care and suggested that the Committee receive an update on this work.
· Councillor Simpson referred to the Radcliffe Demonstrator and how when capacity is created the demand would meet it and asked what would happen if this stopped.
It was explained that services wouldn't be stopped they would look at how they could be changed to meet the desired requirements.
· Councillor O'Hanlon referred to the housing needs that were mentioned within the presentation and stated that Bury didn't have enough smaller properties currently.
· Councillor O'Hanlon also stated that transport issues should be considered as the roads become very busy and trying to visit patients within their homes could be problematic because of this.
Linda explained that all partners would be co-ordinating the way that they work and make changes where required. It was explained that somebody
may currently receive 3 home visits from 3 different professionals in one day by working together in an integrated way one worker could provide a range of support for people reducing duplication, also we are looking to work in localities which will reduce the need for travel.
· Councillor Smith referred to the required 15% reduction in emergency activity and asked whether this was against existing or future need.
Stuart North explained that this was against existing activity.
· Councillor Smith also referred to the implementation of the different services and the possibility that some people may 'fall through the cracks' during that time.
Linda explained that all of the strategic issues were being reviewed to ensure that this doesn't happen. It was also important to look at other areas of risk such as how services will be funded from other providers such as Pennine Acute.
Dr Patel reported that risk profiling in GP practices had been reviewed with a plan to move from a reactive to a proactive way of working.
It was also explained that Social Care providers will be able to use NHS numbers to assist with sharing information as is currently being done in the Radcliffe Demonstrator. There was also work relating to data sharing being carried out at a national level.
· Councillor Parnell asked whether the reduction in emergency activity can realistically be reduced.
Dr Patel explained that 30 - 40% of people who currently attend A & E don't need to and some admissions could be treated at home. If services were available closer to home and more accessible this would lessen the need to attend A & E.
Julie Gonda explained that not all of what is to be implemented will be new, it will just be done differently.
· Councillor Walker referred to communication and the way that this would be carried out and asked that this be an area that is looked into as it has to be done right to ensure that as many people are aware of what is happening as possible.
· Andrew Ramwell, Chair of Healthwatch Bury asked what work was being carried with regards to social outcomes and organisational health issues.
Lesley reported that work around these areas would be undertaken as part of a wider plan.
· Mrs Brenda Headley stated that she felt that the presentations given had been very informative and interesting and that the new ways of joint working being planned would lead to exciting times ahead within health and social care.
It was agreed
1. That the contents of the presentation be noted.
2. That comments would be accepted up until 5 February 2014.
2. That Julie, Linda and Lesley be thanked for attending the meeting.