Agenda item

To receive a report which provides a position statement on progress made on delivering the outcomes in the Joint Health and Social Care Self-Assessment Framework for 2013/14; progress made to date; a comparison of national results and a proposed process for sign off for the 2014/15 Joint Health and Social Care Self-Assessment Framework. 

(1)       Mr Gibbens, Cabinet Member for Adult Social Care and Public Health, introduced the paper. He also introduced Tina Walker, Co-Chair of the Kent Learning Disability Partnership Board and Daniel Hewitt, Co-Chair of the Good Health Group and commended the recommendations in the report to the board.

(2)       The report asked the HWB to comment on the: 2013/14 National Comparison Action Plan including the progress made in the red indicators of the RAG rating; the way in which Kent was approaching the 2014/15 Joint Health and Social Care Self-Assessment Framework (JHSCAF) and the Kent Action Plan for the Winterbourne View.  It also asked the HWB to agree the process for sign off of the JHSCAF to be submitted in January 2015.

(3)       Tina Walker, Daniel Hewitt, David Holman, Penny Southern, Malti Varshney and Sue Gratton gave a presentation, copies of which were included in the agenda pack for the meeting.

(4)       Following the presentation Mr Gibbens said that the red ratings, and particularly the red rating for health screening for people with disabilities, were of concern and asked how this might be improved in the future.  Examples were given of events and practices in Ashford, Canterbury & Coastal and South Kent Coast CCGs designed to raise awareness and improve outcomes.  It was also suggested that simplifying the process for commissioning services might need further consideration.

(5)       During the discussion, having a named clinical lead within each CCG was considered to be very important as was the ability to undertake clinical audits and to work collaboratively with GPs in order to understand the issues and develop realistic and achievable plans for improvement.

(6)       It was suggested that it would be helpful for the HWB to understand the figures for admission and discharge of clients into the range of secure and non-secure hospitals.  During discussion that followed the number of patients admitted through the CCGs and NHS England was confirmed as was the fact that more people had been discharged than had been admitted. The very complex needs of individuals was acknowledged and there was agreement that services had to be provided in the best interests of patients and service users and not be solely target driven.  Mr Howard-Jones reported that work had been undertaken to understand how placements could best be made and ensure services were patient rather than target driven. The existence of targets had however been helpful in focussing on the needs of patients, including the safe discharge of those with complex needs.

(7)       Ms Southern said that when the Winterbourne programme started the aim was to design sustainable pathways in the community and to invest money in community services not only to facilitate discharge but to prevent unnecessary admissions.  She also said Kent had been subject to a “deep dive” and had made it clear to Andrew Cousins from the Winterbourne National Programme that Kent would continue to work within the principles of the programme with an approach focussed on the needs of users but this meant not all targets would be met.  A letter on this matter was being drafted and she welcomed the HWB’s support for the approach adopted.  

(8)       Resolved that the sign-off of the JHSCAF 2014 for submission in January 2015 be delegated to the Chairman