Agenda and minutes

The Chair welcomed everyone to the meeting.

The following Board Members sent their apologies: Councillor Dine Romero, David Smith, Diana Hall Hall, Simon Douglass, Ian Orpen (Ruth Grabham substitute), Ashley Ayre (Liz Price substitute).

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 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.

There were no declarations of interest made at the meeting.

The Chair invited Marilyn Freeman to read out her statement and present petition titled ‘Petition to the B&NES Clinical Commissioning Group requesting a Halt to the Closure of the NHS GP-Led Urgent Care Service presently located within the Riverside Walk-In Centre, Bath’ (with approximately 900 signatures).

Marilyn Freeman read out her statement where she highlighted that Bath Labour Action Team set up an online petition to gather the reaction of the people of Bath on the decision to close down the Urgent Primary Care service presently sited within the Riverside building in 2014, and to expand Primary Care services at the RUH as part of the review on Urgent Care Services.

Marilyn Freeman added that Labour Group did not have knowledge of the full facts behind the decision so the petition is worded as a plea for the CCG to halt the closure until certain issues had been addressed.

A full copy of the statement is available in the minute book at Democratic Services.

Petition to the B&NES Clinical Commissioning Group requesting a Halt to the Closure of the NHS GP-Led Urgent Care Service presently located within the Riverside Walk-In Centre, Bath’ (with approximately 900 signatures) have been handed to Dr Ruth Grabham (CCG representative on the Board for this meeting) by Committee Administrator.

Tony Barron said that the decision to move the Urgent Care Services was not officially made yet.  It is a proposal that has to go through the right process and the decision will be made by the PCT Board after the CCG submit their recommendations to them.  The PCT Board is still the statutory body that can make the final decision.

The Chair thanked Marilyn Freeman for her statement.  The Chair said that the petition will be passed to the CCG and the PCT.  The Chair also informed the meeting that the Wellbeing Policy and Development Scrutiny Panel will be looking the Impact Assessment for this proposal on Friday 16^th November.  The Wellbeing Policy and Development Scrutiny Panel is statutory Health Scrutiny body of the Council that has the power to decide whether or not the proposal constitutes substantial variation of services.

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

The Board are asked to consider the following verbal updates:

• Local Healthwatch (Derek Thorne)
• Public Health  (Paul Scott)
• NHS  (Ed Macalister-Smith)
• CCG  (Ian Orpen)

·  Council  (Ashley Ayre)

Local HealthWatch (procurement) – Derek Thorne said despite that the Scout Enterprise Ltd (former Host service for the B&NES Local Involvement Network) ceased trading on 29^th September 2012 (and formally went into liquidation on 19^th October 2012) the procurement process for the HealthWatch is still on target for April 2013. 

Public Health – Paul Scott said that this was quite busy period for his team in two areas.  One is with the Season Flu Programme (new national programme).  The other area was Transition Plan (Public Health will join Local Authority by April 2013).  The transition is on course in terms of practical arrangements (HR issues, IT, etc.).  Public Health budget allocation will be known on 14^th December this year.

NHS – Tony Barron said that Ed Macalister-Smith is no longer Chief Executive for B&NES and Wiltshire PCT Cluster as he retired at the end of October.  The PCT is hoping to announce new Chief Executive fairly soon.  Tony Barron also said that Patricia Webb no longer sits on the PCT or the CCG Board as Non-Executive Director.  Handover of duties to the CCG is on course. 

CCG – Dr Ruth Grabham said that the CCG has everything in place for the National Commissioning Board formal site visit on Friday 9^th November.  The CCG is optimistic that they have all requirements for the authorisation. 
Dementia Challenge Fund – Prime Minister asked nationwide to concentrate on dementia project.  Extra money has been allocated for this project.  In total £500k had been allocated.  The report about Urgent Care is submitted to the Wellbeing Policy development and Scrutiny Panel.

This is an information report to supplement the presentation on Healthy and sustainable places and communities.

The Chair invited Jane Wildblood (Corporate Sustainability Manager) to give a presentation on ‘Healthy & Sustainable Places and Communities’.

Jane Wildblood gave a presentation where she highlighted the following points:

·  Purpose

·  Issues

·  Co-benefits

·  Action that can reduce health inequalities and mitigate climate change

·  Good practice examples

·  Opportunities

A full copy of the presentation from Jane Wildblood is available at the minute book in Democratic Services.

The Chair thanked Jane Wildblood for the presentation.  The Chair felt that estimated figure of £3.8m cost of the local NHS per year from cold homes is something that the Board should look at in the future.

Members of the Board felt that this was interesting presentation with a lot of useful information and welcomed the examples of partnership working.  Members of the Board also welcome the Green Deal opportunity, as part of the emerging Community Delivery Partnership.

Members of the Board welcomed that the sustainable approach to health and social care will consider environmental issues alongside social and economic issues in order to reduce health inequalities, save money and increase efficiency.

Members of the Board also suggested that the Joint Strategic Needs Assessment needs to be used on how to improve people’s lives and also how to save people’s lives. 

It was RESOLVED to note the presentation.  

The Chair invited Derek Thorne and Jonathan Mercer (Communications and Marketing Manager) to give a presentation on the HealthWatch Community Engagement Pilot.

Derek Thorne reminded the Board that HealthWatch is the new body that will be operational as from April 2013, across the country, and it will be independent consumer voice.  One of the ways of communication with the public is via web media, in particular via website and social networking.

The team had been developing experimental HealthWatch website for the last couple of months.  One area that this pilot was particularly targeting was alcohol related issues amongst young people.

Jonathan Mercer showed the Board the look of the experimental website, its possibilities and how easy it is to engage people in website forum and social networking sites.

Jonathan Mercer also demonstrated how the website looks on smartphones and how easy it is to integrate to Facebook and Twitter.

Jonathan Mercer confirmed that the Council is the owner of the website and also the one that controls the content at the moment.

The Board welcomed the use of the modern technology for the HealthWatch.  Some Members of the Board successfully used at the meeting social networking facilities that were integrated in the HealthWatch website, from their smartphones and tablet PCs.  The Board also said that this could be quite powerful tool for everyone involved to get their messages out.

Derek Thorne said that the pilot is currently targeting alcohol related issued amongst young people but potentially this could target any health related conversations. 

It was RESOLVED to note the update.

This agenda item was presented by Dr Ruth Grabham during the ‘Organisational Updates’ agenda item.

The Board NOTED the update.

The Board are asked to consider the following update reports:

·  Children’s Safeguarding Report (Maurice Lindsay)

·  Children’s Health Commissioning Report (Liz Price)

·  Adult Safeguarding Annual Report (Lesley Hutchinson)

·  Adult Health and Wellbeing Commissioning Report (Tracey Cox)

Children’s Safeguarding Report – Liz Price introduced the report. 

It was RESOLVED to note the report.

Children’s Health Services Commissioning Performance - Liz Price introduced the report. 

It was RESOLVED to note the report.

Update Report - Adult Safeguarding Annual Report 2011-12 – Lesley Hutchinson (Assistant Director for Safeguarding and Personalisation) introduced the report.

The Board asked if there is an effective data sharing between relevant agencies and organisations in the case of complex families.

Lesley Hutchinson replied that she would be looking to improve the effective data sharing in near future.

It was RESOLVED that the Board AGREED with the Annual Report and Business Plan.

Adult Health and Wellbeing Commissioning Report – The Chair informed the meeting that the Board will not comment on this report as there were no officers to introduce this document.

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

·  Wednesday 6th February 2013 at 2pm in Kaposvar Room, Guildhall.

·  Wednesday 17th April 2013 at 2pm in Kaposvar Room, Guildhall.

It was RESOLVED to note that the next meeting of the Board is on 6^th February 2013 in the Kaposvar Room, Guildhall, Bath.