Agenda item

To receive the Berkshire Transforming Care Partnership - November 2016 Update to Wokingham-Health and Wellbeing Board. (15 mins)

Sarita Rakhra, Carers/Voluntary Sector/Mental Health and Learning Disability Commissioning Manager, NHS Berkshire West CCGs, provided a presentation on the Berkshire Transforming Care Partnership – November 2016.

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

·         The Board was informed of the 4 big aims of the Berkshire Transforming Care Partnership Board:

Ø  Making sure less people are in hospitals by having better services in the community;

Ø  Making sure people do not stay in hospitals longer than they need to;

Ø  Making sure people get good quality care and the right support in hospital and in the community;

Ø  To avoid admissions to and support discharge from hospital, people will receive and be involved in a Care and Treatment Review.

·         Sarita Rakhra outlined the programme governance structure.

·         The Board was informed of various workstreams and project groups.

·         With regards to demand and capacity, a memorandum of understanding was being developed with local authority partners.

·         An Intensive Intervention Service was being developed to intensively support individuals within the community.

·         With regards to the developing workforce workstream, the relevant workforce would be supported with the cultural shift of working in a hospital to working in the community.

·         It was noted that funding from the Berkshire East Capital ‘Home’ project would benefit both Berkshire East and Berkshire West.

·         The Board was informed of matters that would be brought before Wokingham committees and forums in the future.  The Health and Wellbeing Board would receive further updates on progress.

·         Corporate Risk Registers in Berkshire East and West CCGs would reflect key programme risks.

·         Councillor Bray noted that an Autism Project Group was due to be established by December and asked for progress. Sarita Rakhra commented that Bracknell Forest was leading on this and that it was hoped that this would be progressed by January.

·         Board members were notified that the safe transition of clients from Little House to appropriate sustainable community placements would be monitored.  The beds at Little House would be suspended from December 2016.  There were currently no Wokingham clients at Little House.

·         Dr Llewellyn commented that the Partnership was focusing on a small number of individuals with highly complex needs and questioned if and when inequalities for access to services for those with learning difficulties would be considered.  She was informed that the programme was focusing on a small number of individuals who were inpatients or at risk of becoming inpatients.  Stuart Rowbotham emphasised that it was important that the local agenda developed in parallel.

·         Stuart Rowbotham queried what would happen to the investment in Little House once beds were suspended.  Sarita Rakhra indicated that the funding would remain in the block contract with Berkshire Healthcare NHS Foundation Trust.  The unit would be used for the intensive service respite beds.  Some service users would be moving out to the community and others to Campion Ward.  Board members asked whether individuals had been fully funded by the NHS whilst in Little House and if funding followed individuals.  Board members were informed that funding was the responsibility of whichever organisation was responsible for providing care.  Stuart Rowbotham expressed concern at the increasing financial pressure on social care.

·         Judith Ramsden, Director of People Services commented that there remained a vacancy for a Director of Children’s Services on the group and highlighted the importance of filling this vacancy to ensure that children and young people’s needs were better understood.

·         Judith Ramsden also emphasised a greater need for connectivity and improved communication.

RESOLVED:  That the Berkshire Transforming Care Partnership November 2016: Update to Wokingham Health and Wellbeing Board be noted.