A report is attached.

Contact: Di Beasley, Shropshire CCG.

The Director of Adult Services introduced and amplified a report (copy attached to the signed minutes) informing the Board on progress in meeting the targeted level of bed reductions by April 2019; moving long stay patients out of long stay beds and into the community.  In doing so, he explained that the Transforming Care Partnership (TCP) was a small team across both authorities and to that end they were both working towards two pooled budgets.  However there were two issues of concern that he highlighted to the Board;

·       Finances

Funding moves with each person and there were issues that the money was not coming across with the individuals concerned thus far.  A letter outlining concerns had been sent to the NHSE.

·       Trajectory

Activity at national level was scrutinised very closely.  Currently Shropshire was +1 over the trajectory, which put us on the ‘At Risk’ register, however he assured that as numbers increased from original the deviation, such variations would not be so significant. 

The people the team were working with were also often susceptible and therefore this is turn sometimes made the numbers fragile. He assured the Board that by the end of Quarter 4, numbers should be back on track.

There was an offer to provide an interim report on numbers to a future meeting of the Health and Wellbeing Board, which was welcomed by the Chair.

The Board generally welcomed this report and the work being undertaken, but were concerned about the long-term sustainability of funding for this in the future and asked if this could be looked into.  The Director of Adult Services said that robust discussions were currently being held about long-term funding.  The Board welcomed this and offered to support the Director in any way in future discussions if need be.

RESOLVED:

a)    That the report be welcomed and noted.

b)    That completion of the targeted bed reduction by March 2019 be required by the Health and Wellbeing Board.

c)     That closure of the programme, post March 2019 be confirmed.

d)    That an interim report on numbers be made to a future meeting of the Health and Wellbeing Board.