Health and Wellbeing Board (Special Meeting) – 14 February 2014


PRESENT:  Councillor Waltham in the chair.

Statutory Members

Allison Cooke, Simon Driver, Denise Hyde, Fiona Phillips (representing Frances Cunning), and Julia Pollock

Non-Statutory Members

Christine Bain, Chris Blacksell, Chris Clarke (representing Julie Warren), Karen Jackson, Anne Tyrell, Alan Usher and Mike Wedgewood.

Councillors Mrs Bromby, Collinson and Wilson attended the meeting in accordance with Procedure Rule 1.37(b).

Dean Gillon, Becky McIntyre and Julie Poole also attended the meeting.

The meeting was held at the Civic Centre, Scunthorpe.

44  WELCOME AND INTRODUCTIONS – The chairman welcomed all those present to the fourth meeting of the board and invited all members and officers to introduce themselves.


46  (29)  BETTER CARE FUND – The Director of People and the Chief Officer NHS North Lincolnshire CCG submitted a joint report seeking agreement of the first draft of the Better Care Fund Plan as contained in the Planning Template.

The Comprehensive Spending Review 2013 (CSR) announced the ‘transfer from the NHS to Social Care’ of an additional £200m in 2014/15 to provide a total of £1.1bn and in 2015/16 £3.8bn would be ring fenced nationally to create a Better Care Fund (BCF). The BCF was described as ‘a single pooled budget for health and social care services to work more closely together in local areas, based on a plan agreed between the NHS and local authorities’.

In 2015/16 the Fund would be put into pooled budgets under Section 75 joint governance arrangements between CCGs and councils. A condition of accessing the money in the Fund was that CCGs and councils must jointly agree plans for how the money would be spent, and these plans must meet certain requirements:

  • Jointly agreed plans.
  • Protection for Social Care Services.
  • Provision of 7 day services to support patients being discharged and prevent admissions.
  • Data sharing based on the NHS number.
  • Joint assessments and an accountable lead professional
  • Consequential implications for the acute sector.

The draft plan included the following national metrics and the local performance metric and targets for approval:

  • Reduction in residential and nursing care home permanent admissions in over 65’s;
  • effectiveness of reablement;
  • delayed transfers of care;
  • avoidable emergency admissions; and
  • patient / service user experience.
  • availability of reablement service

The Better Care Fund required a local metric, that could be chosen from a list within the Better Care Fund Guidance, or could be agreed locally if it met the following criteria;

  • a robust process for the collection and collation of data
  • the metric was SMART, i.e. Specific, Measureable, Achievable, Realistic and Timely within a defined population
  • Reflected care across the settings

A metric of “the proportion of older people (aged over 65) offered reablement / rehabilitation services as a percentage of all older people discharged from hospital (availability of the service)” had been agreed locally.

The report and planning template included a number of appendices, including a risk register, a vision and a Single Organisational Model.

The Better Care Fund draft plan was subject to a NHS England assurance process, the plan incorporating any assurance requirements to be resubmitted by 4 April 2014.

Resolved – (a)That the Health and Wellbeing Board agree the draft of the Better Care Fund Plan as contained in the Planning Template, and (b) that the Health and Wellbeing Board are updated on 25 March 2014 regarding the assurance and preparation for final submission to NHS England by 4 April 2014.

47  QUESTIONS FROM MEMBERS OF THE PUBLIC – There were no questions from any members of the public present at the meeting.

48  DATE AND TIME OF NEXT MEETING –  It was noted that the next full meeting of the board would be held at 2.00 pm on 25 March 2014.