Agenda item

3:30

20 minutes

Persons responsible:          OCCG and OCC

Person giving report:           Director for Adult Social Services, OCC & Director `                 `                       `of Strategy & Transformation, OCCG

A combined paper is attached at HWB11 outlining current plans and giving an update on progress.

The Board received a presentation from Stuart Bell CBE, Chief Executive of Oxford Health, and David Smith, Chief Executive of OCCG, on the Oxfordshire Transformation Plan and received information on progress in respect of the OCCG’s 2016/17 Operational Plans. The Board was also requested to delegate the signing off of the Better Care Fund Plan 2016/17 and to agree to its endorsement at the next meeting of this Board in July.

Mr Bell reported that public involvement had already begun on the Transformation Plan in the form of feedback given by GP locality groups. He was keen to continue with further community involvement work. The Board acknowledged that work involving Children, Education and Families was an essential part of the Programme. It was recognised there would always have to be cross boundary unity, together with associated issues relating to the NHS England (South) boundaries. Essentially it was about patient flow, not organisational boundaries.

At the request of the Board, David Smith gave the latest update on the Delayed Transfers of Care (DTOC) statistics, which had fallen from 157 at the end of October 2015 to 122. Although disappointed that the figure had not fallen further, he highlighted the positive factors which had arisen from the joint working within between health and social care staff in the central Hub. Staff had formed a comprehensive team to facilitate patients’ move out of hospital care into care homes or to their own home.

The Board discussed the problems peculiar to Oxfordshire which had resulted in the high DTOC statistics relative to other areas. David Smith pointed out that it was the CCG’s view that this problem could not be fixed in a few months and there was a very real need to transform the system as a whole. He called for more preventative services and an increase in the management of patient assessments, in addition to the need for more home care, adding that, as part of the planning for Transformation, organisations had got to agree on priorities. He warned that if this did not happen, then DTOC numbers would rise again. Dr McManners pointed out that there were pressures across the board in Oxfordshire including a high rural population and a large, ageing population, half of which suffered from dementia and other complex problems, many of whom were not easy to place. He also cited problems around staff recruitment and retention in Oxfordshire, where housing and letting prices were high, a large increase in Accident & Emergency attendance this winter and an increased demand on the ambulance service.

John Jackson commented that the real problem was that the system as a whole was very close to capacity, including the acute, primary and private sectors and the ambulance system. He agreed that the principle of finding the right equilibrium in the system was of great importance and there was a need to come back to a future meeting to discuss this.

The Board AGREED to:

(a)  note the need for, and plans to develop a system-wide Sustainability & Transformation Plan by the end of June 2016, via the Transformation Board;

(b)  note progress with Oxfordshire CCG’s 2016/17 Operational Plan; and

(c)  agree that the Oxfordshire’s 2016/17 Better Care Fund Plan be signed off by the Chairman and Vice-Chairman in light of the fact that the Plan is likely to be submitted prior to the next meeting of the Board in July 2016; and that it be submitted for endorsement by the Board at its July meeting.