Decision details

LBBD Public Health were asked to put together a best practice evidence review, as part of the work for both the BHR Transformation Children and Young People’s, and Older People and Frailty Transformation Boards, to outline why this is a key area of focus for BHR, provide headline BHR data and outline best practice for interventions in these areas. The Board will be asked to discuss how local partners should be working as an integrated care system in these areas to improve outcomes for residents.

Public Health Officers delivered a presentation on BHR Older People and Frailty,based on the Best Practice Evidence Review Report written for the BHR Older People and Frailty Transformation Board. The report was structured around the four priority areas of ‘healthy well’ (aging well), integrated models of care, high intensity interventions and end of life.

Officers asked the Board, having considered the report, to discuss the following:

•  The main opportunities and threats to successfully moving away from a hospital-centric system to one that’s more outward focused; and

•  How the Health and Wellbeing Board could support the integration of care for older adults within Barking and Dagenham. 

The Board commented that community support was essential to moving away from a hospital-centric system. In order to do this, commissioners must understand the assets of the community, and have good governance arrangements in place to ensure the best outcomes. Board members also discussed the social prescription model and the contribution of peer support networks.

The Board noted previous pieces of work which could provide frameworks for building on to create a culture and community where everyone looked out for one another, such as the ‘I Care’ initiative and the ‘Good Neighbour Guide’. The Board also noted that the upcoming joint meeting of the BHR health and wellbeing boards involving various local partners, would provide opportunities to take forward this agenda. Board members discussed the ongoing system transformation, the development of integrated care pathways and the building of partnerships to enable this vision. The Board acknowledged that the Borough had a good history of integrated working which provided a foundation to build upon and that its role was to ensure different parts of the health system get on board to take this agenda forward.