Agenda and minutes

Members are invited to declare any disclosable pecuniary interests (DPIs) and other registrable and non-registrable interests they may have in relation to any items(s) of business on today’s agenda.

There were no disclosures at this meeting.

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.

There was none.

Public Questions should be submitted before 12 noon on (Friday prior to publication) to democratic.services@croydon.gov.uk. Any questions should relate to items listed on the agenda. 15 minutes will be allocated at the meeting for all Public Questions that are being considered.

There were none.

This is a report to sign off the Adult Social Care Discharge Fund Plan.

The Health and Wellbeing Board considered the Adult Social Care Discharge Fund Plan report, that was enabled using pooled budgets to support integration, governed by an agreement under section 75 of the NHS Act (2006).

The Board received a presentation from Helen Mason, Interim Head of Primary and Community Care, which highlighted:

-        £500m was promised from the government to support discharge into the social care; 60% to ICB (Integrated Care Board) and 40% directly to local authorities. £2.687m was given to Croydon.

-        Funding was to be used on activities that reduced flow pressure on hospitals by enabling more people to be discharged to appropriate settings.

-        Fortnightly reports to NHSE to address specific criteria and monitor progress and metrics. Monitoring of impact was also addressed locally.

-        All funds to be spent by March 31 2023, and activities must also end at that point.

-        The Croydon Place Better Care Fund (BCF) working group worked with hospitals, CHS, adult social care, ICB, SLAM and primary care leads to develop potential schemes and addressed what was effective.

The Chair and Board Members congratulated officers for the immense work which demonstrated how the money was spent and the fortnightly monitoring of evidence which added a lot more work within the project.

In response to queries raised by the Board, Annette McPartland (Corporate Director Adult Social Care & Health), Stephen Hopkins (Head of Adult Placement, Brokerage and Market Management), Helen Mason (Interim Head of Primary and Community Care) and Daniele Serdoz (Deputy Director for Primary and Community Care Transformation for South West London ICB) clarified the following:

-        In relation to sustainability and what would happen at the end of March, the Board heard that funding was a short-term development for the winter period.

Croydon was also successful in bidding for money from the Innovation fund which went to the voluntary sector as the BCF funding was targeted for the beds and hospital flow. The additional funding of Innovation, and the Age UK launching scheme to discharge and pathway zero, the proposal was to monitor to review success in the same light. Innovation fund and money for the voluntary sector needed to be more worked on with oversight on what was working within the community.

The Board heard that at present there were no commitment or clawback from NHSE to take back any money that was not spend by the end of March, though there was no additional funding at the end of March.

Further, the on-going pressures was to be reviewed as the metrics helped review the impact of the funding across the borough and all the schemes also had different start dates. With most of the schemes enhancing and bolstering, there were no new pathways or risks. Feasibility round staffing was the biggest risk, as there were significant challenges in recruitment. The scheme had investigated this to address skills and risks.

-        In relation to bed discharge in paediatric wards and CAMHS,  ...  view the full minutes text for item 27/22

The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:

“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”

This was not required.