Agenda item

To receive an update report including progress against iBCF schemes, allocation of slippage monies and Delayed Transfers of Care performance.

Paul Robinson, NHS Midlands and Lancashire Commissioning Support Unit was welcomed to the meeting to present an update report including progress against iBCF schemes, allocation of slippage monies and Delayed Transfers of Care performance.

i)  Improved Better Care Fund (iBCF) slippage allocation

Following an approach endorsed by the Health and Wellbeing Board, the Chair, County Councillor Shaun Turner led a process of proposal, scrutiny, review and approval of allocation of iBCF slippage monies in December 2017.  The allocations and process followed were set out in a letter to the board on 22 December 2017 as attached at Appendix A in the agenda pack.  The agreed process was that the money was to be divided into two equal tranches:

Tranche 1 - £1.4m was allocated based proportionately on population.

Tranche 2 - £1.4m was made available subject to a bidding process.

Mobilisation of activity begun soon afterwards and detail of spend, activity and impact will be reported back to the board in March 2018.

ii)  Delayed Transfers of Care (DToC) performance update

Data for DToC performance is now available for October and November 2017 with targets not currently being met.

However, there is an acknowledgement by the Secretaries of State for Communities and Local Government and Health that there has been improvement against DToC in Lancashire, highlighted in a letter to the Leader of Lancashire County Council, removing the likelihood of reduction in 2018/19 iBCF allocations.

DToC performance data by hospital provider highlights variations in DToC identification and recording practice.  This is being looked at through shared scrutiny and learning with a report to be presented to a future Health and Wellbeing Board meeting.

iii)  Better Care Fund (BCF) and iBCF Governance

The BCF Steering Group is to review governance arrangements at its meeting on 26 January 2018 and is seeking input from all partners individually, and collectively through the Health and Wellbeing Board. Its conclusions and recommendations will be brought to the HWBB for consideration at the meeting on 20 March 2018.

BCF funding is supporting the Voluntary, Community and Faith Sector (VCFS) with £100,000 funding to support alignment of resources and support the acute patients to return to the community with the Active Age Alliance.  There are 88 organisations involved and around 140 individuals.  A business case is being developed and this will be presented to the BCF Steering Group for consideration.  An update to the Board will be provided in due course.

Resolved:  That the Health and Wellbeing Board:

i)  Confirm the decisions made by County Councillor Turner, on its behalf, for allocation of iBCF slippage monies.

ii)  Note the performance of DToC for October and November 2017 against the trajectory set for those months.

iii)  Note the decision set out in the letter of 5 December 2017, from the Secretaries of State for Communities and Local Government and Health, not to review Lancashire iBCF allocations for 2018/19.

iv)  Provide observations, comments and guidance for the BCF Steering Group to help it produce proposals for revised governance arrangements for the BCF and iBCF in Lancashire.