Agenda and minutes

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Items
No. Item

ASCH15/21

Appointment of Substitute Members

To be notified of the appointment of Substitute Members.

Minutes:

There were no substitute members.

ASCH16/21

Declarations of Interest

You are invited to declare any registerable and/or non registerable interests in matters appearing on the agenda, and the nature of that interest.

 

You are also invited to disclose any dispensation in relation to any registerable and/or non-registerable interests that have been granted to you in respect of any matters appearing on the agenda.

 

Please complete the Declarations of Interests card available at the meeting and return it to the Democratic Services Officer before leaving the meeting.

Minutes:

There were no declarations of interest.

ASCH17/21

Minutes pdf icon PDF 91 KB

To Confirm the minutes of the meeting held on

Minutes:

Resolved:  That the minutes of the meeting held on 14 July 2022 be confirmed and signed by the Chair.

ASCH18/21

Commissioning of Dentistry Services in North Tyneside

To receive information on the commissioning of dentistry services in North Tyneside.

Minutes:

It was noted that a representative of NHS England had been due to attend the meeting to provide information on the commissioning of dentistry services in North Tyneside.  Unfortunately, the representative was now unable to attend and this item was therefore postponed to the next meeting in November.

ASCH19/21

Better Care Fund Update pdf icon PDF 177 KB

To receive an update on the Better Care Fund.

Minutes:

Sue Graham, Health and Social Care Integration Manager, attended the meeting to provide an update on the activity of the Better Care Fund (BCF) in 2022/23.

 

It was noted that the BCF is a component of government policy to improve integration between health and social care.  It creates a pooled fund, operated jointly by Local Authorities and the new established Integrated Care Boards (ICBs) with this duty transferred during 2022/23 from the former NHS Clinical Commissioning Groups.  The use of the pooled fund is agreed locally with joint development of the individual schemes and services that are part of the fund.  The BCF arrangements commenced in 2015/16.

 

It was noted that the BCF objectives for 2022/23 are:

 

·       Enable people to stay well, safe and independent at home for longer;

·       Provide the right care in the right place at the right time.

 

It was noted that the arrangements for the BCF and its component parts are set out annually by the NHS in its BCF Planning Guidance.  There have been minimal changes to the BCF from 2021/22.  The policy objectives are:

 

       i.          A jointly agreed plan between local health and social care commissioners, signed off by the Health and Wellbeing Board (HWB)

      ii.          NHS contribution to adult social care at HWB level to be maintained in line with the uplift to NHS minimum contribution

    iii.          Invest in NHS commissioned out-of-hospital services

    iv.          Implementing the BCF policy objectives.

 

It was noted that there had been an overall increase in the BCF in 2022/23 of 4.47%. This is in line with national framework and planning guidance.  The table at Appendix 1 to the report set the BCF services and expenditure for 2022/23.

 

Members raised some concern about the carryover of funds in relation to the Disabled Facilities Grant which for 2022/23 was £1,157,668.  It was noted that this money was ring-fenced to be spent on specific capital schemes and had quite narrow eligibility criteria.  The underspend had resulted from a national increase in the allocation, but spend was demand-led and means-tested and could be used for capital spending only.  There was some discussion about whether this Grant needs to be more widely publicised to encourage eligible people to come forward.  It was suggested by officers that they return to a future meeting to provide more detailed information on this grant and the eligibility criteria and restrictions of the grant.

 

There was some discussion about the reporting mechanism.  It was noted that the ICB and Local Authority had submitted the plan to the Health and Wellbeing Board before being submitted to NHS England.  The BCF Board meets every other month to monitor the plan and targets.

 

There was some discussion about support available for unpaid carers.  It was noted that some support for carers is funded via the BCF, but this is part of wider support available via the Council.  There was also some discussion about work on prevention of falls and it was noted that the BCF does partially cover some of this  ...  view the full minutes text for item ASCH19/21