Agenda item

12.30 pm

To provide the Committee with assurance of smooth transfers of care, capacity and demand management.

1.20pm LUNCH

The Chair said that this was a first draft of what could become a more performance monitoring report over the course of the municipal year. This report would inform the Committee of how the system was designed and would constantly evolve to ensure smooth transfers of care, capacity and demand management.

The Chair invited Cllr Tim Bearder (Cabinet Member for Adult Social Care), Karen Fuller (Corporate Director for Adult Social Care), Lily O’Connor (Director of Urgent Care, Oxfordshire CCG), Ben Riley (Oxford Health), Sam Foster (Oxfordshire University Hospital), David Duran (South Central Ambulance Services) and Penny Thewlis (Age UK Oxfordshire).

These points were highlighted during the debate:

·       93.3% of social care in the County has been rated good or outstanding as of 3^rd May this year, which was encouraging. Nevertheless, there were huge challenges coming ahead, if they were not properly funded, with a whole host of new statutory responsibilities because of the new care reforms that had come forward.

·       Habits of the population had changed massively in the way how they want to access healthcare which put a pressure on ambulance services.  All of the providers were committed in joint working to provide exemplary healthcare to the population, such as new clinical modules, new booking and referral standard for patient’s care, partnership working for developing new and innovative service with collaborative working not just with health providers and commissioners but also with voluntary sector.

·       Digital system was one of the challenges that the partnership would be looking to improve.  For example, a 999 call would be received by one service/team which would not necessarily be shared with other primary and secondary care providers (such as GPs, etc).  There was an ongoing work to merge these systems into a single portal.

·       The biggest part of the programme would be focused on prevention and assessing people at their homes in order to reduce the length of time patients spend in bed.

·       On a point of how this would link with Community Strategy – a lot of what has been presented and discussed today was part of the Community Strategy as the Strategy was much bigger and would be presented at one of the future Committee meetings.  The conversation held today was about the partnership working and proposed pilots for better provision of healthcare.

·       More detailed data in terms of patients’ feedback would be available by the end of the year (6 monthly data).

·       Pathway 1 where patients require additional support to return home; Oxfordshire have performed below the national average due to challenges with workforce pressures which have resulted in pick up rate from bed-based care below expected levels.

·       There would be an additional funding that we would be given to GPs in order to coordinate the communication between secondary care and the GPs.

·       In terms of carers in a need of urgent care at the hospital – instead of taking person who has been cared for to the hospital because their carer had fallen, a dedicated team would stay at home with a person needing care (i.e. dementia patient).

·       Profile of the patients walking through the urgent care such as where they were coming from or level of care that they needed had not been presented in the report. 

·       The data which would describe what difference this programme would make to patients would be available in November.

·       In terms of staff engagement on this programme – all of the staff had been engaged and encouraged to provide their feedback.  Some

It was RESOLVED to receive a progress update report at the Committee meeting in November 2022.