Agenda and minutes

1.            Minutes of the last meeting

1.1       The minutes of the last meeting were agreed as an accurate record.

2.         Declarations of Interest

2.1       There were no declarations of interest.

3.         Better Care Fund Plan 2017-19

3.1       Martin Wilkinson and Aileen Buckton presented this report. The purpose was to provide Board members with an oversight of the Better Care Fund (BCF) Plan 2017-19 for their sign-off.

3.2       The BCF Plan has been overseen by Lewisham Council and Lewisham Clinical Commissioning Group (CCG). Activity supported through the BCF has been developed jointly by commissioners and providers and the Plan has been shared with Lewisham Health and Care Partners (LHCP).

3.3       The BCF Plan 2017-19 covers two financial years and is an evolution of the 2016-17 Plan. A report outlining progress made in 2016-17 was presented at the Health and Wellbeing Board on 6 July 2017.

3.4       The 2017-19 Plan continues to fund activity in the following areas:

·         Prevention and Early Action

·         Community based care and the development of the Neighbourhood Care Networks

·         Enhanced Care and Support to reduce avoidable admissions to hospital and to facilitate timely discharge from hospital

·         Estates and IMT

3.5       In 2016-17 the financial contribution to the BCF from the CCG was £20.164m, and this has increased in 2017-18 to £20.525m and in 2018-19 to £20.915m. The financial contribution from the Council in 2016-17 was £1.781m, this has been increased in 2017-18 to £1.882m and in 2018-19 to £1.996m. The IBCF grant to Lewisham Council has been pooled into the BCF and totals £7.595m in 2017-18 and £10.470m in 2018-19. The total pooled BCF budget for 2017-18 in £30.002m and £33.381m in 2018-19.

3.6       The IBCF is additional funding to local authorities to recognise the growing demand on Adult Social Care. The grant doesn’t eliminate all of the existing pressures on Adult Social Care, but it is helping to maintain the foundations of current service provision, particularly in relation to Delayed Transfers of Care and the need for stability and continuity in the care market.

3.7       The financial contributions to the BCF have been agreed by the CCG and the Council and agreed through the CCG’s and Council’s formal budget setting processes.

3.8       The BCF arrangements are underpinned by pooled funding arrangements with a section 75 agreement. The Section 75 Agreement Management Group (Adults) oversaw the 2016-17 BCF Plan and will also oversee the 2017-19 BCF Plan and expenditure.

3.9       The 2017-19 Plan also outlines targets and plans to deliver against the four national metrics:

·         Non elective admissions

·         Admissions to residential and care homes

·         Effectiveness of reablement

·         Delayed transfers of care (DTOC)

3.10    The allocation of resources to DTOC will be monitored and reviewed in-year to ensure that they are being used to best effect.

3.11    The BCF Plan has now been shared in draft form with regional colleagues. Further edits are required before the formal submission deadline, including requested changes that demonstrate the interface between the VCS and housing issues (e.g. how SAIL supports older people with housing concerns).

3.12    Both a London and National moderation process will follow over the next few weeks to ensure equity across all BCF Plans.

3.13    The Board raised the following  ...  view the full minutes text for item 3.