Meeting documents

To provide an update to the Board with progress on:

·         Accountable Care System

·         Better Care Fund

Presenters:

Mr Neil Dardis, Chief Executive, Buckinghamshire Healthcare Trust

Ms Lou Patten, Chief Officer, Aylesbury Vale and Chiltern Clinical Commissioning Groups

Ms Sheila Norris, Executive Director, Communities, Health and Adult Social Care, Buckinghamshire County Council

Ms Jane Bowie, Director of Joint Commissioning, Buckinghamshire County Council

Ms L Patten, Chief Accountable Officer, Clinical Commissioning Groups, Mr N Dardis, Chief Executive, Buckinghamshire Healthcare NHS Trust and Ms R Shimmin, Chief Executive, Buckinghamshire County Council presented the report on the Buckinghamshire Accountable Care System and highlighted the following

• Buckinghamshire had been announced as being one of the first wave of Accountable Care Systems (ACS) with the aim of delivering improvements to local health and care by connecting up services that had already been in existence.
• The Health and Social Care Integration Roadmap to 2020 for Buckinghamshire had been agreed by the Health and Wellbeing Board in March 2017.
• The previous Healthy Bucks Leaders Group had become the Accountable Care System Partnership Board in June 2017. The members of the Board include the Chief Executive of the Clinical Commissioning Groups, NHS providers and Buckinghamshire County Council.
• The group had already made good progress in joining up GP, community, mental health, hospital and social care services.
• The Terms of Reference for the Partnership Board would be agreed through the Clinical Commissioning Groups and Buckinghamshire Healthcare Trust’s governing bodies and Buckinghamshire County Council’s Cabinet.
• The Partnership Board would only be able to undertake functions that had been delegated. The different partners’ statutory functions remained and would deliver the legal obligations.
• There had been a number of achievements to date and the Partnership Board recognised that the successes had been brought about due to the relationships that had been developed and strong governance.
• There would be a need to bring regular updates to the Health and Wellbeing Board in relation to progress of the ACS as there were a number of groups undertaking different work in the system.
• A communications plan had been included in the Partnership Board’s work and a Health and Social Care Integration Summit had been organised for 16 November 2017 which would bring together colleagues from the Board and 200 key stakeholders. Duncan Selby the Chair of Public Health England would be attending.

RESOLVED

The Board NOTED the report and discussed its contents and accompanying presentation.

The Chairman welcomed Ms J Bowie, Director of Joint Commissioning and Ms R Cairns, Programme Manager of Integrated Care to the meeting and they updated the Board in relation to the Better Care Fund and highlighted the following:

• The Better Care Fund (BCF) had been introduced as part of the Care Act in 2014 to align the integration between health and social care.
• The BCF budget had been further extended to include new money to be used specifically for meeting adult social care needs and reduce pressure on the NHS.
• The Board needed to be sighted to the plan that had been submitted to NHS England on 11 September 2017. The BCF had last been reported to the Board in March 2017.
• The feedback from NHS England had been positive of the local progress and specific comments made relating to particular issues had been addressed.
• NHS England had requested that the Clinical Commissioning Groups’ CHC plan be attached to the submission.
• Ms Patten noted that the Integrated Commissioning Executive Team provided joint accountability and oversight of the strategic direction budget and performance of the BCF.

RESOLVED

The Board APPROVED retrospectively the Better Care Fund Plan for 17-19.

The Board AGREED to continue with the governance and sign-off arrangements in place.