To approve as a correct record the minutes of the Health and Wellbeing Board meeting held on 19 July 2017.

The minutes of the Health and Wellbeing Board held on 9 July were approved as a correct record.  

To receive additional items that the Chair is of the opinion should be considered as a matter of urgency, in accordance with Section 100B (4) (b) of the Local Government Act 1972.

There were no urgent items provided in advance of the meeting

There were no declarations of interest.

Roger Harris, Corporate Director for Adults Housing and Health and Ceri Armstrong, Senior Health and Social Care Development Manager, Thurrock Council, introduced the Better Care Fund (BCF) report.  Key points included:

·         The deadline for submitting the BCF Business Case to NHS England is Monday 11 September 2017. Health and Wellbeing Board approval is required prior to submission.

·         The BCF Business Case has been considered by the CCG Board Finance Committee.

·         The BCF comprises almost £40million of pooled CCG and Council resources, exceeding the minimum funding levels required and demonstrating a continued commitment to joint commissioning and genuine partnership working to improve health and wellbeing outcomes for the population of Thurrock.

·         There are four schemes contained within the 2017-19 Plans.  These are:

o   1 – Prevention and Early Intervention – initiatives that focus on preventing, reducing and delaying the need for health and social care as well as enabling early identification and management of long-term conditions. 

o   2 – Out of Hospital Community Integration – the scheme focuses on the development of locality-based integrated health and care system.  In 2016-17, the focus of the scheme was the development of an Older Adult Integrated Wellbeing Team.  The scheme for 2017-19 expands this further by incorporating plans to develop and deliver a new models of care pilot in Tilbury and Chadwell – responding to a ‘case for change’ being prepared by the Director of Public Health.  The pilot will provide the blueprint for health and social care across the Borough.

o   3 – Delivering good discharge – A significant focus of the 17-19 plan is on preventing and reducing delayed transfers of care.  This scheme outlines how that can be achieved through the development and delivery of ‘good discharge’.

o   4 – Disabled Facilities Grant – This scheme contains the funding received to support major adaptations for owner occupiers, private tenants or housing association tenants.  It also contains funding previously known as the Social Care Capital Fund.

·         Thurrock’s Better Care Fund focuses on people aged 65 and above who are most likely to be at risk of hospital or residential home admission. 

During discussions the following points were made:

·         While the focus is primarily on people aged 65 and above includes a focus on early intervention and prevention, out of hospital integration, and good discharge planning which impacts on the whole population of Thurrock.

·         Board members welcomed the BCF business case and the user friendly format used.

·         Board members agreed that the BCF business case reflects the genuine partnership approach adopted within Thurrock and efforts across the system to improve health and wellbeing outcomes.

RESOLVED:  Health and Wellbeing Board members:

·         Agreed Thurrock’s Better Care Fund Plan for 2017-19; and

·         Agreed to delegate the approval of any changes made to the Plan after the 8th September Board meeting to the Board Chair, Corporate Director of Adults, Housing and Health, and Accountable Director (Thurrock CCG).

RESOLVED:

The Board noted the minutes of 17 August Integrated Executive Committee minutes.