To receive apologies for absence and any substitutes that may be notified.

49.1    Apologies for absence were received from Karen Bradshaw, Dr Caron Morton, Dr Bill Gowans, Paul Tulley and Graham Urwin.

49.2    Dr Julie Davies substituted for Dr Caron Morton.

Members are reminded that they must not participate in the discussion or voting on any matter in which they have a Disclosable Pecuniary Interest and should leave the room prior to the commencement of the debate.

Members were reminded that they must not participate in the discussion or voting on any matter in which they had a Disclosable Pecuniary Interest and should leave the room prior to the commencement of the debate.

51.1    A public question was received from David Sandbach as follows;

“Will the opening of an Urgent Care Centre at RSH help in achieving targets set out by the Government under the Better Care Fund and is the investment in this initiative part of the Better Care Fund plan?”  Dr Julie Davies answered that decisions made for the BCF would work to reduce emergency admissions and decisions were yet to be taken about the Urgent Care Centre

51.2    Mr Sandbach then asked a supplementary question seeking clarification about whether the Urgent Care Centre would be the same as the Walk-in Centre, Monkmoor, which was being re-located to the RSH.  Dr Davies confirmed that this would be clarified in papers soon to be released and discussed at an Extraordinary meeting of the Shropshire CCG on 24 September 2014.

A report by the Better Care Fund Manager and the Head of Planning and Partnerships (Shropshire CCG) is attached, marked 3.

Contact: Kerrie Allward, Tel 01743 253095 or 01743 277500 ext 2092 (Better Care Fund Manager)

Contact: Sam Tilley, Tel 01743 277500 (Head of Planning and Partnerships (Shropshire CCG)

52.1    The Board considered a report entitled Final Draft Better Care Fund Shropshire (copy attached to the signed minutes) and Kerrie Allward, Better Care Fund Manager also gave a PowerPoint presentation on the Better Care Fund, covering the following main headings and answering member’s questions as she went along;

·       Vision for Health and Social Care Services.

·       Case for Change: Driver/Our Local Drivers.

·       Plan of Action: Four Strategic Themes/Eleven Transformation Schemes.

·       The Better Care Fund Plan on a Page.

·       Plan of Action.

·       Better Care Fund Governance Structure: Service Transformation Group/Finance Contracts and Performance Group.

·       BCF Scheme Overview (to be re-produced as a dashboard).

·       Risk and Contingency.

·       Alignment.

·       Local Health & Social care Economy Alignment.

·       National Conditions: Protecting Social Care Services/7 day Services to Support Discharge/Data Sharing/Joint Assessment and Accountable Lead.

·       Engagement.

·       Finance and Performance Template

·       Residential Admissions Target.

·       Reablement Target.

·       Delayed Transfers of Care Target.

·       Finance and Performance Template – two local measures to be agreed.

52.2    A handout entitled ‘Better Care Fund Descriptions’ was also circulated at the meeting, giving full descriptions of the schemes that could be found in Annex 1 of the Better Care Fund planning template.

52.3    The following points were raised: It was highlighted that on the Better Care Fund - Plan on a Page v11, the End of Life Support needed to be formatted again so that it was clear which column it was in.

52.4    In response to a question about how often the Better Care Fund Finance, Contracts & Performance Group would report to the Health and Wellbeing Board, it was confirmed that it was anticipated this would be on a quarterly basis.

52.5    It was noted that the referencing of each scheme needed to be consistent throughout the document.  (Terms of Reference for each sub-group are attached to the Plan).

52.6    Members welcomed the production of the BCF Scheme Overview in future as a dashboard, which they felt would be easier to read and understand.

52.7    It was agreed in principle that stronger wording was required regarding Risk Sharing and Contingencies; the bullet point stating; ’Financial risks shared on basis of relative contributions’ particularly needed strengthening and to be made more explicit.

52.8    With regard to implications for the Care Act, feedback from a regional meeting in Birmingham the previous day was to ‘not overcomplicate things’.  Therefore the Board were happy to keep the £758,000 figure as Care Act implementation costs supported through the BCF and not put any more detail in at this stage.

52.9    With regard to 7 Day Services to Support Discharge, members welcomed that this would include output from the cross-economy workshop, showing what was available across the county.  It was also agreed that more information was required from SaTH.

52.10  In response to a question about the public accessing their patient records at home, it was noted that Dr Steve James was leading on this if a detailed response was required.

52.11  Regarding National Conditions Joint Assessment & Accountable Lead, it was agreed to establish the principle of this and  ...  view the full minutes text for item 52.