Agenda item

The Board considered a report of the Director of Adults and Communities which provided an update concerning the refresh of the Leicestershire Better Care Fund - Year End 2023/24. A copy of the report marked ‘Agenda Item 6b’ is filed with these minutes.

Arising from discussion the following points were raised:

i.          It was noted that the County Council passported the funding for Disabled Facilities Grants from central government straight to the district councils. Waiting times for adaptations varied depending on what was requested and were set out in the Lightbulb performance reports.

ii.         The targets for unplanned hospital admissions and admissions due to falls in people aged 65 or over were not on track to be met.  It was queried whether population health data, showing a 20% increase in frailty in the local population post covid, was taken into account.  It was noted that the target was measured using national standardised data, which also lagged behind local data.  The narrative supporting the target was therefore used to show that, when local population data was taken into account, performance was actually improving.  It was suggested that the risk stratification model could be used to inform target setting going forward, as it contained a significant amount of data on local population health.

iii.          It was suggested that, where targets were close to being met, it would be useful to see absolute numbers as well as percentages.  This information could be shared with the Integration Executive, which had oversight of the Better Care Fund.

RESOLVED:

(a)  That the performance against the BCF outcome metrics and the positive progress made in transforming health and care pathways in 2023-24 be noted;

(b)  That the year-end BCF 2023-24 template, appended to the report, for submission to NHS England by the submission deadline of 23 May 2024, be approved.