To receive a presentation on how we are responding and meeting the challenge of reducing delayed transfer of care and length of stay.

The Associate Director, Integrated Operations, introduced a presentation that set out how officers monitored residents’ move from hospital to home and how the data informed multidisciplinary teams to deliver the right support.

The Tracker had been heralded as a good practice model and officers worked closely with NHS colleagues on the information provided. Data on readmissions was in the early stages of development but it was recognised the tracker had the potential to be used for this purpose and therefore to inform how health and social care work differently to reduce the number of readmissions.

The BCCG were also looking at systems to provide information on demand within the system, and this includes a NHS database called SHREWD (Single Health Resilience Early Warning Database). It was anticipated the systems utilised will be complimentary to one another.

The tracker was an initiative from Central Bedfordshire council in response to its population being served primarily from 7 main hospitals and it was therefore imperative we had a system which enabled us to monitor the flow of people. In addition, it informed how officers worked to ensure people were appropriately supported.

Clarification was also requested as to whether prevention efforts should be concentrated on older single home occupiers who were more likely to be in most need of NHS, Community Health and Social Care services.  The Associate Director would investigate and respond accordingly.

RECOMMENDED The Committee:-

·         Welcomes a Central Bedfordshire focus and the work done to follow people’s journeys into, through and out of hospital.

·         Would like to see information about any re-admissions, given a successful discharge would not usually result in such, either to the original hospital or to another.