Agenda item

To receive the report and comment on the progress to date on the review and reset programme and support projects.  Also, to review and comment on the Quarter 3 Better Care Fund submission and receive and consider the Finance Summary Q3 Report.

Sue Lott, Adult Social Care – Urgent Care, Acute and Prisons and Margaret Ashton-Gray, Health and Social Care Integration Finance, Lancashire County Council provided a progress update of the Better Care Fund Reset work and actions taken since the last report.

The Board were informed that the Quarter 3 report had been submitted and was signed off by County Councillor Michael Green, Chair of Lancashire's Health and Wellbeing Board in his delegated capacity. The Board was requested to consider the report and ask any clarification questions. 

The report shows performance remains on track against the mandated Better Care Fund metrics, except for admissions to long term residential care, for which mitigating actions are in place.

Progress updates for various elements of the Better Care Fund reset programme are provided within the report and in the finance report and the Quarter 3 reporting template (circulated separately to Board members only), which included the current projects underway.

The Board noted that high level finance discussions continue between the Council and the Integrated Care Board, as the basis for building robust, evidence-based, joint financial decision making.

The main highlights of the Quarter 3 report identified:

Schemes commissioned/overseen by Lancashire County Council:

·  Telecare (Scheme selected on Quarter 3 return)

·  Equipment and Adaptations (Scheme selected on Quarter 3 return)

·  Acute Staffing Teams (Scheme selected on Quarter 3 return)

·  Hospital Discharge Grant (Additional Discharge Fund) Lancashire County Council allocation

·  Disabled Facilities Grant

Schemes Commissioned by the Integrated Care Board:

·  Better Care Fund

·  Hospital Discharge Grant

Funding:

·  Better Care Fund

·  2022/23 Hospital Discharge Funding

·  Additional contribution from the Integrated Care Board for 2023/24

The Board were informed that the Better Care Fund national support team proposed three support offers that Lancashire agreed to take up. The support is provided as part of the overall Better Care Fund programme and is at no cost to the local system. The support offers to Lancashire cover three areas, with further details available within the report:

·  Leadership and Governance

·  Discharge to Assess

·  Intermediate Care Demand and Capacity Modelling

Following the presentation, discussion ensued, and comments provided as below:

·  Intermediate care redesign will change the way in which rehabilitation is offered, by combining the Crisis Support and Reablement Services, called the Short Term Care at Home Service, and metrics will be provided to understand the effectiveness of it.

·  The variation in avoidable admissions and falls were highlighted, to support prevention measures.  It was agreed that this information would be presented at a future meeting.

·  It was commended that the report captured the voices of the people of Lancashire. However this could be further improved by involving people more widely in redesign activity.

·  The proposed review of the Better Care Fund by the Integrated Care Board should help to understand spend in terms of value for money, outcomes and achievements, as the basis for improvement.

·  The overall Better Care Fund is £204 million, including £10 million additional contribution from the Integrated Care Board.

·  A reduction in numbers using telecare was highlighted. Officers to provide a report to a future meeting.

Resolved:  That the Health and Wellbeing Board:

(i)  Received the report and commented on the progress to date on the review and reset programme and support projects.

(ii)  Reviewed and commented on the Quarter 3 Better Care Fund submission.

(iii)  Received and considered the Finance Summary Quarter 3 Report.