Agenda item

To receive the Wokingham Integrated Partnership Update and End of Year Better Care Fund Reporting.

The Board received a presentation on the Wokingham Integrated Partnership update and end of year Better Care Fund reporting.

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

·       The end of year template had been submitted on time and signed off by the Chairman of the Wokingham Borough Wellbeing Board and the relevant officer for the ICB.

·       A section 75 was completed to appropriately share the funds between the CCG and the Council, and all of the conditions had been met.

·       Income and expenditure targets had been met.

·       Lewis Willing took the Board through the statements from NHS England that the WIP had to state whether it agreed or disagreed with.

·       Services delivered had performed well against the backdrop of Covid.

·       15 of 19 projects had been completed and 3 had been moved to business as usual or a secondary phase.  One project had not moved to completion.  This project was linked to getting service user feedback and understanding their journey through integration.  Feedback from the individual services was good but there was limited feedback on the linkages between the services.

·       Lewis Willing went on to highlight some successes.  For example, the BCF funded the purchase of software called Connected Care which was used by health and social care partners.  It had been identified that it had been less well used social care colleagues.  Further education around the system had been undertaken and usage had increased.  Another success had been the reablement programme and there was a slightly larger pilot this year as a result.

·       Challenges included Covid and the impact that it had had on staff.

·       Two of the five Better Care Fund targets had been achieved.  NHS England ensured that challenging targets were set  

o   Unplanned hospitalisation for chronic ambulatory care sensitive conditions (NHS Outcome Framework indicator  2.3i) – whilst this target had not been met, performance had been maintained at a similar level to the previous year.

o   Proportion of inpatients resident for: i) 14 days or more ii) 21 days or more – within 2% of the target had been achieved

o   Percentage of people who are discharged from acute hospital to their normal place of residence – target on track.

o   Rate of permanent admissions to residential care per 100,000 population (65+) – target on track.

o   Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement / rehabilitation services – there were challenges in the way this target was measured, in that the BHFT team who delivered this also delivered end of life support.  Their inclusion in this reporting had resulted in the achievement of 84% against this target.  NHS England had advised that the way in which the target was measured would not be changed.

·       Dr Milligan praised what had been achieved. 

·       Councillor Bray was pleased to note that the Wokingham system did not at any stage use a residential nursing bed for lack of home care.

RESOLVED:  That the Wokingham Integrated Partnership update and end of year Better Care Fund reporting be noted.