Issue - meetings

To receive an update from the Wokingham Integrated Partnership (15 mins)

Lewis Willing presented an update on integration and the Quarter 4 Better Care Fund return.

During the discussion of this item, the following points were made:

·         The Wokingham Health and Social care system met virtually every fortnight to discuss the Covid 19 situation and response.  Participants included Berkshire Healthcare Foundation Trust, Royal Berkshire NHS Trust, Berkshire West Clinical Commissioning Group, the Voluntary Sector and Adult Social Care.

·         Approximately 5750 calls had been made to the community to undertake welfare checks.  The focus was now on those who were considered non-shielded but still vulnerable.

·         It was noted that there had been an increase in the number of safeguarding referrals for babies that had been shaken during the current restrictions.  This had been noted by the Berkshire Health Foundation Trust. As a result, they had restarted delivering a Health Visiting service, to support new parents.  The Primary Care Networks, as a response, had also run a virtual consultation for new mothers, which had been very well attended.

·         The Board was informed that the Primary Care Network directors had fed back on matters such as plans to develop social distancing within GP surgeries.

·         The Better Care Fund return for Q4 had a delayed submission date of July. 

·         Lewis Willing updated the Board on the four Better Care Fund targets. 

·         Non Elective Admissions were considered to be on track.  Whilst the year to date performance was 13,359 compared to a target of 13,044 and the full year forecast was now 16,031 compared to a target of 15,643, the Wokingham Integration Partnership operated a tolerance of 5% tolerance for variance. 

·         Reablement and Residential Admissions were also considered to be on track.

·         Delayed Transfers to Care (DTOC) were not on track.  The DToC action plan and Winter Pressures funding had been targeted to support reducing delays in hospital, with the main issue in 2019/20 being an increase in the duration of extended delays due to the complex needs of this group of patients and the lack of specialist provision in the community for those with complex needs. This needed to be addressed at national rather than local level.

·         The Board was updated on the high impact change model which offered a practical approach to manage transfers of care.  It was noted that whilst the west of Berkshire had been graded as Mature in Enhancing Health in Care Homes, work was still being undertaken in response to the Covid 19 outbreak. A plan was being developed to further support the care homes.

·         The Board welcomed Lewis Willing to the Council.

RESOLVED:  That the updates be noted.