Agenda item

Better Care Fund (30 mins)



Jennie Milner was in attendance to present a report put together by Sheffield City Council in conjunction with Clinical Commissioning Groups (CCGs).



Jennie gave an overview of the reports aims.



Jennie outlined the Ambulatory Care Sensitive Conditions which were being considered. She said that the expectation was that 1,200 of these cases would have been presented last year; however, she said there were fewer admissions last year due to COVID-19 and people staying at home rather than going into hospital with these conditions.



Andrew stated that last year it was decided that 14 days and 21 days were the metrics to follow when examining longer-term hospital patients. Andrew outlined the number of patients in hospital from March 2021 to October 2021 and stated his belief that unless individuals were very unwell, they should not be in hospital.



Andrew outlined some of the reasons it was felt that patients could be in hospital for a longer length of time, including patients waiting for intervention, patients who did not have an agreed care plan and patients who were not well enough to go home. Andrew stated that partners met daily and escalated things twice a week, with the intention of reducing the number of inpatients. Andrew stated they were intending to put together a more targeted support team.




















































Andrew stated that the System Partnership approach to COVID-19 had been helpful in supporting the health of Sheffield citizens. He shared information with attendees around how System Partners could assist with reducing the number of inpatients.


Jennie asked Board Members whether they understood the planning guidance requirements and new metrics included within the Better Care Fund, and she asked that the Joint Commissioning Committee continue to monitor progress on behalf of Health and Wellbeing Board. She also asked whether the Board was happy to delegate approval of the narrative plan and submission to the Co-Chairs.


Terry reminded attendees that the Council was nine months past the beginning of the financial year.



Terry asked Jennie and Andrew whether they felt that the historical nature of the metrics provided would pose any challenges with the BCF.


Jennie stated that she felt the biggest challenge would be the length of stay one. She added that they had been asked to use the figures from the previous year and said if that had been done the figures would be significantly different. She said she had consulted with the region and asked whether the current position could be used as a starting point.


Andrew stated that they were previously asked to reach pre-COVID-19 levels, which he had felt was a challenging target.


George Lindars-Hammond stated that he felt the Board should thank everyone involved in carrying out the work being carried out in this area. He said that he felt there had not been enough support available at a national level to enable a long-term vision which helped to avoid crises.


Chris noted that there appeared to be many references to singular conditions. He said that a number of people in this situation would have multiple conditions and asked how this information was being gathered and used to inform the plan. Andrew stated that the work carried out aimed to consider how care could be optimised for those with chronic conditions.


Jennie stated that the Key Performance Indicators considered were the main focuses.


AGREED: In response to the two questions asked, Board Members agreed they understood the guidance requirements. They stated that Health and Wellbeing Board would delegate the signoff of the plan to Co-Chairs Terry Hudsen and Councillor George Lindars-Hammond.


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