Agenda and minutes

The Chair welcomed members to the second meeting of the Board in the current municipal year. She welcomed John Waterman, West Midlands Fire Service who was attending his first meeting.

There were no declarations of interest.

The minutes of the meeting held on 7^th July, 2014 were signed as a true record. There were no matters arising.

·  Progress Update

·  Better Care Fund Resubmission

·  Short Term Support to Maximise Independence Update

·  Integrated Neighbourhood Teams Update

Report of Linda Sanders, Social Care Consultant Integration Lead, Coventry City Council

The Board received a joint presentation and a report of the Better Care Programme Board which informed of changes to the Better Care Fund Programme; set out the latest position of the Better Care Fund resubmission; and provided an update on the two projects, integrated neighbourhood teams and short term support to maximise independence. The deadline for the Better Care Fund resubmission was 19^th September 2014 and a copy of the documentation had been circulated to members prior to the meeting.

The Better Care Programme was launched in April to deliver against the plan and significant time and resource had been devoted to providing the appropriate level of leadership and ownership across key organisations. All four partners had worked together to launch four specific projects: Dementia, Short Term Care, Long Term Care and Integrated Neighbourhood Teams. The Board were informed that work was now progressing on a way forward for shared record support for 2015 and beyond. Detailed information was provided on the programme risks.

A revised Better Care Plan had been submitted to the NHS Area Team by 19^th September deadline. The pooled budget for 2015/16 was now £52m, an increase from the original £44m due to the inclusion of urgent care. The Board noted that there was a refocus on reducing Emergency Admissions by 3.5% in 2014/15. Attention was drawn to the Better Care Programme Governance Structure, a copy of which was set out at appendix two of the report. 

Further information was provided on the work undertaken on the scheme ‘Short Term Support to Maximise Independence’ which aimed for partners to work alongside older people and their carers to support, maintain and improve independence primarily at home. Key deliverables included short term home support contracts; telecare; single access to short term care; and the development of a specific home based service for people with dementia.

The Integrated Neighbourhood Teams Pilot Project was operating successfully with teams being established in two Coventry GP practices and meeting fortnightly. All essential users had been given access to a shared patient record for patients referred into the team. 

The Board raised a number of issues arising from the presentation including:

·  Clarification about the Programme governance structure and the requirement to have clear lines of responsibility

·  The likelihood of achieving the 3.5% target reduction in Emergency Admissions

·  Further details about the key challenge of reducing delayed transfer of care by improving the discharge process

·  The partnership work and monitoring required to ensure outcomes could be achieved

·  The benefits of all stakeholders being able to provide data in a common format

·  The support offered by West Midlands Fire Service including fire safety checks

·  The proposals and support for the expansion of further integrated neighbourhood teams

·  How to convince patients that they don’t require hospital admission.

The Chair, Councillor Gingell and members placed on record their thanks to all officers who contributed towards the challenge of getting the finalised resubmission documentation in by the deadline.

RESOLVED that:

(1) The inclusion of the  ...  view the full minutes text for item 14.

Juliet Hancox, Chief Operating Officer, Coventry and Rugby CCG will report at the meeting.  

The Board considered a report of Juliet Hancox, Chief Operating Officer, Coventry and Rugby Clinical Commissioning Group (CCG) which informed of the progress with the 2015/16 commissioning intentions process and, in particular, the Transformational Programmes. A copy of the draft ‘Commissioning Intentions 2015/16’ report was set out at an appendix.

The draft commissioning intentions for 2015/16 built on the CCG’s Transformational Programmes and included the work which had been undertaken during the last year to develop the Better Care Fund work programme. The principles to the shared approach to transformation were highlighted.

The seven Transformational Programmes, which were set out in the CCG’s two year Operational Plan and the five year Strategic Plan, were:

·  Diabetes Management

·  Dementia Care

·  End of Life Care

·  24/7 Urgent Care

·  Stroke Care

·  Maternity, Children and Young People

·  Elective Care

Elective Care was an addition which recognised an area of significant spend for the CCG and responded to the NHS England ambition to secure a 20% productivity gain within elective care over the next five years. Detailed information on each of these programmes was included in the draft report along with the clarifications as to how the core commissioning principles of assuring quality and safety; promoting integration; and securing best value would be achieved. 

Reference was made to the significant public consultation that had been undertaken.

The Board discussed a number of issues arising from the report including:

·  Empty beds in hospices

·  An explanation of how the partnership between the City Council and the CCG operated within this area

·  The availability of the outcomes of the recent Public Health workshop on healthy lifestyles which has been circulated to partners and which is being used to inform the development of lifestyle services locally.

RESOLVED that :

(1) The draft commissioning intentions document be noted.

(2) A report on Public Health’s Commissioning Intentions be submitted to a future meeting of the Board. 

Report of the Brian Walsh, Executive Director, People

The Board received a report of the Executive Director, People concerning the Annual Reports of the Coventry Safeguarding Adults Board and the Coventry Safeguarding Children Board for 2013/2014, copies of which were attached as appendices to the report. These Annual reports accounted for the work of the Boards over the last year, highlighted progress and challenges and outlined the priorities for the coming year.

It was a requirement of the Department of Education that the Children’s Annual report was presented to the Health and Well-being Board and it was good practice for the Adults report to be submitted to allow the Board the opportunity to review the work of the Board.

Brian Walsh, outgoing Chair of the Safeguarding Adults Board informed of the recent appointment of a new independent Chair, Joan Beck who was previously Director of Adults Social Care at Doncaster Council. In addition, Amy Weir, Chair of the Safeguarding Children’s Board, stepped down from her post at the end of August, to be replaced by Janet Mokades, an experienced Safeguarding Board chair.

Attention was draw to the article in today’s Guardian by Martin Reeves concerning ‘Do it for Daniel’ explaining why the City Council was using Daniel Pelka’s name to recruit social workers.

RESOLVED that:

1) The Annual reports and the progress made in safeguarding both adults and children across the city over the last year be noted.

2) The future priorities of each Board be noted.

3) The appointment of the new independent chairs be noted and both Joan Beck and Janet Mokades be invited to attend a future meeting of the Board.

Any other items of public business which the Chair decides to take as matters of urgency because of the special circumstances involved

There were no additional items of public business.