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Agenda item

System Update

Regular update reports to the Health and Wellbeing Board are attached:

 

Shropshire Care Closer to Home

Report attached.

 

Contact: Barrie Reis-Seymour, Shropshire CCG

 

System Update:

 

The Sustainability and Transformation Plan for Shropshire, Telford & Wrekin

Report attached.

 

Contact: Martin Harris, Telford and Wrekin CCG

 

Better Care Fund, Performance

Report to follow.

 

Contact: Penny Bason, Shropshire Council / Shropshire STP/Tanya Miles

 

Healthy Lives Update

Report to follow.

 

Contact: Val Cross, Health and Wellbeing Officer

 

Minutes:

i.        Shropshire Care Closer to Home

Lisa Wicks, the Head of Out of Hospital Commissioning and Redesign introduced and amplified the Shropshire Care Closer to Home update (copy attached to the signed Minutes).  She highlighted the three phases and confirmed that the proposed models were going before the Programme Board for endorsement later that day and she would update this Board at its next meeting.

Dr Julie Davies, Director of Performance and Delivery, Shropshire CCG expressed her thanks to Local Authority colleagues for their support for this programme.  In response to a query, Lisa Wicks, confirmed that it was an holistic model and would be rolled out as all-age so the process should be seamless.

The Chairman commended the progress achieved by this programme.

ii.       The Sustainability and Transformation Plan for Shropshire, Telford & Wrekin

a) Martin Harris, STP Director introduced and amplified the STP Programme update (copy attached to the signed Minutes) which provided an update on the STP in relation to the recently submitted NHSE & I System Operating Submission.

The STP Director acknowledged that the STP would be joined up going forward and it was hoped that a more architectural approach in the way in which the system worked would be taken going forward. This revised approach was welcomed by Board Members who hoped to see the changes implemented at pace.

The report set out what would be happening over the next 12 months, including engagement with the voluntary sector, all providers, commissioners and the Local Authority to ensure that the plan was aligned and would provide the best value and services across the county.

b) The Board received a briefing note (copy attached to the signed Minutes) informing the Board of the recent decision by Shropshire CCG and Telford and Wrekin CCG to create one single strategic commissioner across Shropshire, Telford and Wrekin along with a report providing an update on Public Health within Shropshire Council, following Council approval of the 2019/20 Budget and Financial Strategy (copy attached to the signed Minutes).

RESOLVED:  That the updates be noted and that the ambition to redesign and co-produce a new model of public health delivery for Shropshire be endorsed.

iii.      Better Care Fund, Performance

Penny Bason, STP Programme Manager and Tanya Miles, Head of Adult Social Care Operations introduced and amplified the Better Care Fund Performance report (copy attached to the signed Minutes) which set out progress and development of the Fund for 2019/2020.

The STP Programme Manager drew attention to the Non-Elective Admissions Analysis paper set out at Appendix A to the report, which highlighted multi-faceted reasons why the target had not been met, including admissions from care homes.

It was confirmed that ‘frailty at the front door’ had kept Shropshire performing much better (7%) compared to Telford and Wrekin (27%).

Gail Fortes-Mayer, felt that the methodology may be flawed as they only looked at admissions for those aged over 65.  The focus of the Better Care Fund should be to support Care Closer to Home and Community Teams to look at those repeat admissions and to support admission avoidance.

Turning to the 2019/2020 National Policy Framework, it was confirmed that the guidance had yet to be published but that a funding uplift from CCGs would be between 1.7% and 5.2%.  The STP Programme Manager drew attention to the Statement of Intent set out in Appendix C of the report which would strengthen integrated work across health and care and add context to the Section 75 Partnership Agreement.  She then highlighted the key areas for development going forward.

A brief discussion ensued in relation to Non-elective admissions.

iv.      Healthy Lives

Val Cross, the Health and Wellbeing Officer gave a presentation (copy attached to the signed Minutes) which provided the Board with an update on the Healthy Lives programme.  The Health and Wellbeing Officer highlighted the following areas:

·           Physical activity

·           Social Prescribing

·           Shropshire Food Poverty Alliance

·           Healthy Lives Risk Register

·           Patient Activation Measure (PAM) workshop.

It was felt that the response to elevate was really positive but that some alternative forms of funding should be sought.  The Accountable Officer, Shropshire CCG informed the Board that funding would be available through the Primary Care Networks for Social Prescribing.  In response to comments about mental health training for staff, the Chairman drew attention to the ‘Rosemary and Thyme’ joint training programme.

Turning to the Food Poverty Alliance, concern was raised as to how to increase uptake of the Healthy Start vouchers.

RESOLVED:  That the contents of the reports and any recommendations be noted.

 

Supporting documents:

 

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