Introduction by the Chair
WM ADASS is fully committed to safe transfers of care and will work together in the best interests of local people, supporting people who wish to remain at home where-ever possible and to get them back home as quickly as possible, after a hospital stay.
Jenny Wood - Head of Social Care & Support
Our ambition is to pro-actively continue to build relationships with health and other partners to deliver this aim.
- We will maintain a collective regional approach that acts ambitiously with the aim of ensuring more and more people leave hospital without a delay, and their experience of the support provided by health and social care services during this time is positive. Individual Health and Wellbeing Board areas will take their own decisions on individual Delayed Transfers of Care (DTOC) trajectory improvements as part of BCF deliberations and local democratic processes.
- Although there are significant financial challenges for Adult Social Care, we recognise that not all improvements require additional funding. There is a need to improve local leadership, management and/or operational practice, in both health and social care. We will take this into account in co-ordinating regional support.
- We recognise the success to date and want to build on this. There has been an improvement trajectory in Adult Social Care (ASC) recorded delays since September 2016, with a further 19% improvement between April and July 2018. As of August 2018, only 34.2% of total DTOC are now due to social care (42.2% in July 2017), with 58.90% attributable to the NHS (49.9% in July 2017). The remaining 6.9% are joint DTOC attributable to both (8.4% in July 2017).
- We shall build on the regional evidence that additional investment in social care using iBCF funding and the latest Winter Funding from DHSC will continue to relieve some pressure on our NHS partners, whilst also recognising that this is in the context that most councils in the region continue to manage significant Adult Social Care savings plans and that improvements over the past 12 months have often been made through interim investment and time-limited projects and so may not be sustainable in the long term without a long-term funding solution.
- Direct support will be provided to councils in our region who have particular performance, delivery or system relationship challenges around implementing key tools for change, such as BCF, the High Impact Change Model, Enhanced Health in Care Homes and CHC & Care Closer to Home.
- We will facilitate ADASS representation at key regional planning, oversight or assurance meetings, and utilise the opportunity to improve the development of common purpose and common ambition with LGA and NHSE/I colleagues, wherever this is possible.