Agenda item

To receive the report.

Paul Robinson, NHS Midlands and Lancashire Commissioning Support Unit, presented the Lancashire BCF Quarter 2 update to the Board.  The purpose of the report is to update on the progress of the delivery of the (BCF) Plan through updates of performance against the BCF metrics and BCF associated development. In addition it gives further detail, in Appendix A attached to the agenda, of Reablement services as previously requested by the HWBB.

The two hospital related metrics, (non elective admissions and delayed transfers of care), both show variance from target, 6.7% and 11.5% respectively.  Both were affected by spikes in single months where these are likely to be linked as Delayed Transfers of Care levels lag behind Non Elective Admissions.  Beyond continuing growth in demand it is a challenge to identify clear reasons for the performance.

Residential and Nursing Care admissions continue to fall and are on track.  The positive impact of Reablement is seen in its 91% performance that supports a strong argument for continued investment in and development of the service.  Appendix A gives further detail.

The dementia diagnosis rate continues to exceed target and has settled at a meaningful and manageable level.

The voluntary sector in Lancashire has recognised the opportunity to bring a different set of skills and strengths to the BCF and has developed a comprehensive offer that is being further considered by all commissioners.  Connections across boundaries continue to develop and meetings are now taking place to lay the ground to ensure that BCF plans are aligned within the STP footprint.

The Board queried as to why another VCFS organisation is going to be set up to bid for BCF funds, when there is already One Lancashire.  Paul Robinson agreed to get this information clarified and inform the Chair of the Board.  In particular Sakthi Karunanithi and Paul Robinson emphasised the need to concentrate on mobilising the VCFS sector at a grass roots level.

With regards the rise in demand for Reablement Services and funding required to meet demand, which is not available currently, conversations are being had with all partners.

There was a discussion was had with regards the Board lobbying Central Government about further funding for Adult Social Care (ASC) as there are serious concerns about lack of funding and insufficient staff to meet demand.  CC Mein informed the Board that she had already written to the Prime Minister and Secretary of State as Leader of the County Council, however the Board felt that it should be done again as Chair of the HWBB and put more arguments forward.  Sakthi Karunanithi agreed to work on this with CC Mein.

There was a discussion took place around more investment into providing evidence that home care needs are working and promote how they are being turned into deliverables and build on reablement success, staffing and workforce.  Paul agreed to take this back to the BCF Steering Group to consider this as a request from the HWBB with Sakthi also involved.  The next meeting of the BCF Steering Group is on 16 December 2016.

Resolved:  i)  that the Board noted the level of performance, in Quarter 2   of 2016/17, against the BCF metrics

ii)  that the Board ratified the submission of the Lancashire BCF performance update to NHS England as set out in the report

iii)  that the Board noted the further information regarding Reablement services

iv)  that the Board noted the development of a Lancashire voluntary sector BCF offer

v)  that the Board supported the work to align BCFs within the Lancashire and South Cumbria STP

vi)  that Paul Robinson clarified the setting up of another VCFS organisation and feeds back to the Chair

vii)  that Sakthi Karunanithi and CC Mein will send a letter to Central Government on behalf of the HWBB on Adult Social Care and further funding requirements

viii)that Paul Robinson and Sakthi Karunanithi feedback to the BCF Steering the request from the HWBB to look at more investment into providing evidence that home care needs are working and promote how they are turned into deliverables and build on reablement success, staffing and workforce.