Agenda and minutes

Alan Sinclair and Fenella Trevillion introduced the changes made to the Oxfordshire Joint Older People’s Commissioning Strategy as a result of the consultation process and the action plan that has been developed to implement the strategy over the next 12 months.

Board members commented that the workshops used to develop the strategy should be commended and that they were pleased to see more emphasis being placed on loneliness and isolation.

It was AGREED that bullet points 3 and 7 on page 13 of the strategy would be amended to make it clear that people having a fall do receive care from day one and the use of antipsychotic drugs have reduced as a result of this being recognised as better practice.

It was AGREED that the Board would receive regular reports on the implementation of the action plan.

4:00

30 minutes

People responsible:             Members of the Adult Health and Social Care Partnership Board

Report presented by:            Lorraine Foley, Director of Commissioning and Partnerships, Oxfordshire Clinical Commissioning Group and John Jackson, Director Social and Community Services, Oxfordshire County Council

Report attached at AHSCB7.

Action: To note the proposed changes to the pooled budget and consider their implications.

John Jackson and Lorraine Foley introduced the proposals to increase the services and budgets that form part of the Older People’s Pooled Budget and the risk sharing and governance arrangements.

Councillor Judith Heathcoat thanked all those involved in putting the proposals together so far.

The Board supported the proposals to create an Older People’s Pooled Budget with additional services and budgets.

It was AGREED that there needed to be further consultation with relevant stakeholders, including the District and City Councils, about the role of the Adult Health and Social Care Partnership Board and its relationship with the Joint Management Groups.

4:30

10 minutes

People responsible:             Members of the respective Boards.

Oral report presented by:     Glenda Daniels, PIN representative

Action: to note the PIN update.

Alison Partridge reported that the key issues for the PIN were:

• The impact of welfare reform and
• Supporting Healthwatch and developing its relationship with the PIN.

Robyn Noonan introduced the report on expected and current performance on the measures agreed under the priorities relevant to the Adult Health and Social Care Partnership Board in the Joint Health and Wellbeing Strategy.

Lorraine Foley introduced the detailed performance report on the reduction in the delayed transfers of care.

The Board acknowledged that a lot of work had been done to improve performance in this area but there was still work to do.

Changes were made to the detailed performance report after it was published and the final version would be put on the website.

Alan Sinclair introduced the detailed performance report on the reablement service.

It was AGREED that further work should be done to support GP’s to understand that the service could be used to support people earlier and help them to remain living in the community, although still through referral via the single point of access.

Robyn Noonan introduced the report asking the Board to consider the outcomes to be achieved and selection of indicators to monitor progress in 2013/14.

It was AGREED that:

·        In general numbers as well as percentages should be used

·        The impact health inequalities across Oxfordshire will have on the indicators should be taken account of if possible

Priority 5

·        A broader term should be adopted for severe mental illness

·        Number of people with learning disabilities who have an annual physical health check by their GP – not as much progress as we would like was being made on this indicator, despite lots of activity, and there should be a focus on this area at a future meeting

·        A tool should be developed to identify highest risk patients

Priority 6

·        Number of people supported in housing options other than care homes – the districts, County Council and Clinical Commissioning Group should develop a strategic approach for this area and report to the Health and Wellbeing Board

·        Proportion of the expected population with dementia that have a  recorded diagnosis – John pointed out that a service user had recently said how powerful it had been to receive a diagnosis and  if possible this message should be put across to GP’s 

·        A further indicator was suggested as timely and responsive community services

Priority 7

·        Where possible the indicators should be combined

·        Consider measuring by condition as well as type

5:25

5 minutes

People responsible:             Members of the Adult Health and Social Care Partnership Board

Action: a proposed Forward Plan is attached at AHSCB11 for

consideration.

The Forward Plan was noted.