Agenda and minutes

The Chair welcomed everyone to the meeting. 

The Chair also welcomed new Board Members – Councillor Dine Romero (new Cabinet Member for Early Years, Children and Youth) and Jo Farrar (new Chief Executive for Bath and North East Somerset Council).

The Democratic Services Officer drew attention to the evacuation procedure.

The following Board Members gave their apologies:

·  Diana Hall Hall – Jill Tompkins was her substitute.

·  Ed Macalister-Smith – Jenny Howell was his substitute.

·  Councillor Paul Crossley

·  Dr Simon Douglass

·  Patricia Webb.

Board Members do not need to declare an interest in their ex officio status on the Board.  If they have a closer involvement with any specific issue (via membership of a Sub-Committee for example), consideration would need to be given to whether a declaration was needed, and advice sought from the Monitoring Officer if necessary.

The following member of the Partnership Board has roles in the Council and PCT:

Ashley Ayre:  Strategic Director for People and Communities, operating across the Partnership

The following member of the Partnership Board has role in BANES and Wiltshire PCT Cluster:

Ed Macalister-Smith:  NHS BANES and NHS Wiltshire Chief Executive

However, when attending a meeting of the Partnership Board, each member is attending in the role shown on the invitation to attend the meeting, which is on the first page of the papers for the meeting

The following member of the Board has roles in the Council and PCT:

Ashley Ayre:  Strategic Director for People and Communities, operating across the Partnership

There were no other declarations of interest.

To confirm the minutes of the above meeting as a correct record.

The Board are asked to consider the following verbal updates:

·  Local Healthwatch (procurement) – David Trethewey

·  Public Health – Paul Scott

o  Public Health Transition Plan

o  Memorandum Of Understanding

·  PCT – Ed-Macalister Smith

·  Clinical Commissioning Group (CCG) – Ian Orpen

·  Council – Ashley Ayre

Local Healthwatch (procurement) – Derek Thorne said that HealthWatch is progressing positively, as planned.  The procurement phase will start in October with expectation to have provider in December so the service could start running in February 2013.  The timeline is good and everything is according to the plan.

Public Health – Paul Scott

·  Transition Plan – By April next year Public Health will join the Local Authority.  Work was underway for the last 18 months.  Very good relationship with the Local Authority and the main contact is through Ashley Ayre’s directorate but also with the other services across the Council.  There are good planning procedures in place and good engagement from the Clinical Commissioning Group (CCG).  New project manager was appointed recently as a part of the strategy, to help moving on in practical arrangements (i.e. IT, desks, etc.). 

·  Memorandum of Understanding –the purpose of it is to establish a framework for working relationships between B&NES CCG and Public Health in B&NES Council.  Memorandum of Understanding (MoU) Signatories are: Paul Scott (Public Health), Dr Ian Orpen (CCG), Ed MaCalister-Smith (NHS B&NES Chief Executive) and Jo Farrar (B&NES Council Chief Executive).

Members of the Board unanimously welcomed the MoU document as it sets out what will be expected in the future. 

Jane Pye (LINk) commented that the LINk was not involved in the Equality Impact Assessment (EIA) on this document.  Paul Scott explained that the EIA had been cleared by the Equality Officer from the Council but he welcomed a suggestion from Jane Pye to also engage LINk on this matter.

NHS – Jenny Powell said that the pace of the NHS reform picking up in speed and only six and a half months left before the PCTs are abolished.  The biggest impact locally is that some of the PCT’s functions will be transferred to the National Commissioning Board (NCB) who will have the responsibility for direct commissioning of primary care.  Other local area teams will take the responsibility for the specialised commissioning.  The property services company will be managing much of the assets.  They will become landlord not only for commissioning bodies but also for community services. Our PCT is ahead of the game with the transition as we recognised what was required few months back.

Clinical Commissioning Group (CCG) –

Dr Ian Orpen said that there is a lot on going work at the moment.  There are 8 days before the CCG send all the documents for authorisation.  The Joint Working Framework between the CCG and Council was presented last week to all Councillors.  Jan Stubbings will be interim director for the Local Area Team.  Dr Orpen highlighted the commissioning support in back office arrangements are progressing.  Appointments:  2 lay members – one for Public and Patient Engagement and the Vice Chair for the CCG; Dr Ian Orpen has been confirmed as Chair of the CCG; Dr Simon Douglass has been appointed as Clinical Accountable Officer; Sarah James has been appointed  ...  view the full minutes text for item 20.

This report provides an update to the Joint Strategic Needs Assessment based and summarises findings of recent research conducted on the Bath and North East Somerset community.

The Board is asked to:

·  Note the findings of the report and consider the impact of any new findings on local policy.

·  Consider any other research or intelligence activity we should be including and who else should be informed.

·  Promote the JSNA web-site www.bathnes.gov.uk/jsna .

The Chair invited Jon Poole (Research and Intelligence Manager) to give a presentation.

Jon Poole gave a presentation in which highlighted the following points:

·  Aim of the JSNA

·  Our approach

·  Website - www.bathnes.gov.uk/jsna

·  Next steps

·  Requests

o  Note the findings

o  Is this format suitable?

o  What researches is missing?

A full copy of the presentation is available on the Minute Book in Democratic Services.

The Chair thanked Jon Poole and his team for the work they did on the JSNA.  The Chair felt that the update format is great and has potential to reach ‘hard to reach groups’.

Ashley Ayre said that the document is easy for pulling out data that are key to certain groups – i.e. child measurement data could be sent out to head teachers, like child health etc.

Paul Scott also said that the website is really good but that information on what we achieved in the last 5-10 years are missing.  Paul Scott also suggested that the JSNA should present show what the priorities are for the area.  Paul Scott also welcome that the website has economic needs assessment as well as community safety assessment.

Jo Farrar also welcomed the document and the website and suggested that the document should also focus on mental health as part of the emotional wellbeing. 

Councillor John Bull pointed out the different information in the CCG report and the JSNA document about the children obesity rate in the area.

Paul Scott explains why the figures could be seen different as some of the figures are about the obesity comparison with national average and some are about the overweight figures comparison.

The Chair said that issues like these show how the JSNA is important.

Dr Ian Orpen said that it is really important getting the feedback from the public on the JSNA.

The Chair thanked everyone for the debate and suggested that Board Members could have info about the JSNA in their email signatures as a way to promote it.

It was RESOLVED that the Board:

1)  Noted the findings of the report and presentation given to them.

2)  Asked the officers to take on board comments and suggestions from the debate above.

The Health and Wellbeing Board is responsible for developing a set of strategic priorities that deliver the Boards aim to reduce health inequalities and improve health and wellbeing in Bath and North East Somerset

This report seeks agreement on 7 strategic priorities. These priorities have been developed by a task group of the Board and are based on the Joint Strategic Needs Assessment (JSNA) update 2012. 

These priorities will form the foundations of the Joint Health and Wellbeing Strategy (JHWS), as well as inform the Boards work programme over the next 3 years.

The Board is asked to:

·  To agree the 7 strategic priorities set out in this report (point 4.4). (in agreeing these priorities the board should  consider the feasibility of aligning these 7 strategic priorities and commissioning/delivery plans)

·  To agree to review the strategic priorities in 15-16 in line with the 3 year duration of the CCG Plan.

The Chair invited Helen Edelstyn (Strategy and Plan Manager) to take the Board through the report.

Members of Board the welcomed the report.

Jo Farrar commented that this is really good piece of work and that she particularly liked the principles of operation and high quality service delivery within available resources.

Jane Pye (LINk) said that the LINk would like to be involved in the next stages.  Jane Pye also said that there is a need to identify which are statutory authorities and which are not.

Councillor Vic Pritchard said that the list of the 7 strategic priorities is quite aspirational and asked that the outcomes be presented to the public.

Derek Thorne commented that the HealthWatch will be the key agent to present the outcomes to the public.

It was RESOLVED that:

1.  The Board agreed with the following 7 strategic priorities:

a.  Improve outcomes for people who experience mental health problems

b.  Improve the outcomes of families experiencing complex needs

c.  Improve the outcomes of vulnerable groups

d.  Improve the outcomes of people with long term conditions (including end of life)

e.  Improve the outcomes of our aging population

f.  Reduce economic inequality (linked with poor health outcomes)

g.  Develop healthy and sustainable places and communities

2.  The Board agreed to review the strategic priorities in line with the 3 year duration of the CCG Plan.

Each Clinical Commissioning Group is required as part of the CCG Authorisation process to develop an integrated plan. The integrated plan includes:

•  A high level strategic plan for the 3 year period to 2014-15

•  The CCG’s Operational Plan for 2012/13

•  Draft commissioning intentions for 2013/14

This paper sets out the CCG’s draft high level strategic plan to the period 2014-15.

At the June Health and Well-being Board meeting the CCG shared an overview of it’s draft strategic service priorities.  The CCG is sharing the fuller draft plan of its strategic plan with Health and Well-being members for their consideration.

The Chair invited Dr Ian Orpen to introduce the report.

Dr Orpen took the Board through the CCG Plan by saying that each Clinical Commissioning Group is required as part of the CCG Authorisation process to develop an integrated plan. The integrated plan includes: a high level strategic plan for the 3 year period to 2014-15; the CCG’s Operational Plan for 2012/13; Draft commissioning intentions for 2013/14.

The Board welcomed the plan and said that it is easy to understand document with clear strategic objectives. 

Some Board Members and also some members of the public asked questions about the Urgent Care Re-Design Project.  The Chair commented that this would be not the right venue to go into detail on this subject considering that no specific report on the Urgent Care Re-Design Project was on the agenda for this meeting.  The Chair informed the meeting that this issue will be on the agenda of Wellbeing Policy Development and Scrutiny Panel on Friday 21^st September.

Jane Pye (LINk) commented that LINk was invited to participate in creation of this document and that they contributed in the process by doing the Equality Impact Assessment.

Janet Rowse (Sirona Chief Executive) said that she like the portability and the accessibility of the document which makes this document easy to understand.

It was unanimously RESOLVED that the Board fully supported the NHS BANES Clinical Commissioning Group Strategic Plan.

Health and wellbeing boards have a duty to engage the public in their work. This report seeks to discuss and agree a set of principles that will establish a consistent and rigorous approach to community engagement.

The Board is asked to agree a set of principles for community engagement included in the report.

The Chair invited Helen Edelstyn to introduce the report and give a presentation on the approach to community engagement.

Helen Edelstyn highlighted the following points in her presentation:

·  Health and Wellbeing Board duty to engage the public

·  Health and Wellbeing Board commitment

·  Health and Wellbeing Board principles

·  Local Engagement Framework and Healthwatch

·  Next steps

A full copy of the presentation is available on the Minute Book in Democratic Services.

The Chair said that there are two elements to consider with regards to public engagement – role of the Healthwatch and role of the Board Members.

Helen Edelstyn added that Local Involvement Network was fully involved in this exercise.

Members of the Board welcomed the report and supported the commitment to engage the public in their work.

Members of the Board debated with the public and the officers on the approach to engage community groups into their work.  Helen Edelstyn and David Trethewey said that the Healthwatch would have significant role in engaging the public and community groups in consultation.

It was RESOLVED that the Board AGREED with the set of principles for community engagement as printed in the report.

The Board are asked to note the schedule of future meetings:

·  Wednesday 7th November 2012 at 2pm in Council Chamber, Guildhall.

·  Wednesday 6th February 2013 at 2pm in Council Chamber, Guildhall.

·  Wednesday 17th April 2013 at 2pm in Council Chamber, Guildhall.

It was RESOLVED to note the future dates.