Meeting attended: Quality, Performance and Finance Committee
VCS Representatives: Rachel Talbot
Date of meeting: 24/2/2023
Summary of agenda items / key themes discussed:
Board Assurance Framework (BAF) – Every meeting
Finance update – expecting a breakeven from deficit at the start. This should result in higher allocation in the next round for both capital and service
Draft Forward and operational Plan – still being finalised by 30th March. Includes in the appendix – Coordination of frailty pathways across the ICS with a focus on developing a longer-term integrated frailty model Delivery of a voluntary sector single point of access supported by a wide network of VCS organisations
System Prescribing Expenditure – Biggest spend in budgets alongside staff so a massive concern
Beds – length of stay longer than national
Workforce Wellbeing- covered all sorts of things inc recruitment etc but also the wellbeing of current staff. They only referred to staff mental health wellbeing. Staff may need much more than that: child care; care for other relatives; practical advice on money, housing, consumer etc
Unnecessary GP appointments – key area to target especially as most people find it difficult to get an appointment in the first place!
Patient Safety and Quality – “good” and above regional and national average. Covers a variety of areas but 2 interesting statements: They have no crisis solution in the community for their Learning Disability & Autism patients; the safeguarding team have been told that Children’s Services will have 2 day deep dive review of the Multi-Agency Safeguarding Hub (assume that some vol sector organisations are part of this?)
Implications for the VCS
BAF refers to Impact of wider determinants of health (such as housing, employment, income, education, and the environment) influence our population’s health unequally, resulting in poorer health outcomes • Increasing cost of living and the disproportionate effect this will have on population groups.
I raised the data project Health Alliance is sponsoring a but also asked that they ensure to engage with Vol sector about “wider determinants”
Cost of prescribing – can vol sector be involved in helping the reduction in cost in some way?
Beds – they are looking at “pathways” and a more holistic look at what happens i.e. not just in hospital. Point made that contact needs to be made when admitted not just at the point of trying to get people out.
Workforce wellbeing – can Vol sector be involved?
Beds – Some Vol/charitable organisations are already engaged but do we need more info on what is available in the community that can inform better/quicker discharge?
Date, time and venue of next meeting and name of the representative who will be attending
24-3-23 – Rachel Talbot