Agenda item

The Committee considered the report of the Corporate Director of Adult and Health Services that provided an update on developments across Adult and Health Services (for copy of report, see file of minutes).

The Interim Head of Adult Care was in attendance to present the report which highlighted several key issues including:-

• Work being undertaken to develop new integrated models of care as part of an accountable care network involving Durham County Council, North Durham and DDES CCGs, County Durham and Darlington NHS Foundation Trust and Tees, Esk and Wear Valleys NHS FT;

• The primary Care Home programme which focused on healthcare teams from primary, secondary and social care working together as a multi-disciplinary team;

• The development of 13 Teams around Patients covering 69 GP practices across County Durham;

• A more proactive approach across the County Durham Partnership to prevention;

• The North East and Cumbria Learning Disability Transformation programme;

• Commissioning developments including the Improved Better Care Fund plan, and

• The review of the County Council’s Social Services Information Database (SSID).

During consideration of the report, Councillor Temple requested that further information be brought back to a future meeting of the Committee in respect of the Local Government Association Prevention at Scale offer and what this would be used for. He also referenced the establishment of a Task and Finish Group by the Joint Commissioning Group for County Durham to examine the rise in the rate of emergency admissions in both falls and hip fractures in the over 65s during 2015/16. This was higher than the national average and the Task and Finish group would investigate this and report back to the Health and Wellbeing Board in March 2018. Councillor Temple suggested that this report should come to the Adults, Wellbeing and Health Overview and Scrutiny Committee also.

Reference was also made to the development of Teams around patients and the importance that the Community Health service would play in this integration.  The role of mental health services within the TAP approach was also referenced and, given that the Community Health contract was currently being reviewed, members suggested that more information around this issue be brought back to a future meeting.

Resolved:

(i)            That the report be noted.

(ii)          That further information be brought back to a future meeting of the Committee regarding the LGA Prevention at Scale project; the Joint Commissioning Group Task and Finish work into the rate of emergency admissions in both falls and hip fractures in the over 65s and the TAP/Community Health service contract proposals.

(iii)         That the Adults, Wellbeing and Health Overview and Scrutiny Committee received further updates in relation to Adult and Health Service development on a six monthly basis.