Agenda item

Agenda item

Community Beds Review

To receive and comment upon the outcomes of the review.

Minutes:

 

The Board considered a report which summarised the findings of a joint review between Bedfordshire Clinical Commissioning Group (BCCG) and Central Bedfordshire Council (CBC) into healthcare and social care resources in the community.

 

The paper had originally been considered by the Social Care, Health and Housing Overview and Scrutiny Committee on 10 June 2013 (Minute no. SCHH/13/25 refers). 

 

The Director of Strategy and System Redesign, Bedfordshire Clinical Commissioning Group (BCCG) apologised for the delay in providing the report.  The work was undertaken by NHS/BCCG staff, Central Bedfordshire Council (CBC) and Bedford Borough Council (BBC) and produced in two review reports specific to each local authority area.  The review had been expanded to include other health and social care services providing care within the communities.  The report had been renamed the Central Bedfordshire Health and Social Care Review.

 

The Board noted that traditional methods of service provision were not sustainable and that other options had to be considered.  The review report identified 7 service improvements as follows:

 

·        Creation of a Step up, Step Down in the North of Central Bedfordshire following the successful pilot in the South of Central Bedfordshire.

·        Establishment of a Framework Agreement for engaging with providers of care homes including a quality system for informing general residential and nursing care home fee levels from 2013/14.

·        To improve the quality and level of dementia provision, establish a quality accreditation scheme for care homes and introduce an incentive scheme for all dementia related residential care home placements from 2013.

·        A programme to provide a range of supported living / Extra Care housing across Central Bedfordshire will be taken forward to provide more choice for older people with care needs.

·        Implementation of an Integrated Urgent Care Pathway to streamline proactive and reactive support arrangements so as to avoid inappropriate admission to hospital and residential care and support timely discharge.

·        Provision of a number of ‘Assessment Beds’ in a care home environment that allow people to consider, with professional support, advice and a full health and care needs assessment, how they can best satisfy their future care needs.

·        Single commissioning arrangements for all residential and nursing care home services, based on quality and, where appropriate, assessed customer need. 

 

The Board concurred with the Social Care Health and Housing Overview and Scrutiny Committee, that clear guidance had to be established for the patients, carers and family members on care pathways. The Director of Strategy and System Redesign, BCCG confirmed that this would be done but also a clinical care navigator would be available to assist the relevant people on their journey.

 

In response to question, it was suggested that the joint commissioning group, provided a structure which should plan and oversee the joint implementation of the ‘community beds review’ recommendations.

 

The Board requested that a paper providing in high level terms – the implementation plan for the recommendations of the review, be brought to the 7 November Board meeting.

 

RESOLVED

 

1.      that a report be brought to the 7 November Health and Wellbeing Board summarising in high level terms – the implementation plan for the recommendations of the review.

 

2.      that the model of care as set out in the paper at Section 4 be endorsed.

 

3.      that the three priorities for joint development as set out in the paper at Section 5 be endorsed.

 

 

Supporting documents: