Agenda and minutes

The Chair was taken by Malcolm Hanney, Chair of the PCT, who welcomed everyone to the meeting.

The Administrator to the Board drew attention to the emergency evacuation procedure.

There were no apologies for absence but the Chair stated that Jeff James, Chief Executive NHS B&NES would be arriving late

The following members of the Partnership Board hold dual roles in the Council and PCT:

Malcolm Hanney:  Chair of the PCT and Councillor

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

Dr Pamela Akerman:  Acting Joint Director of Public Health, operating across the Partnership

There were no other declarations of interest.

The minutes of the previous meeting held on 15^th June 2011 were approved as a correct record and signed by the Chair.

There were none.

Derek Thorne, Assistant Director of Communications and Corporate Affairs, referred to the key points raised during the presentations/workshops held that morning prior to this meeting.

The Board are asked to consider a presentation from Dr Ian Orphen.

The Board considered a presentation by Dr Ian Orpen, Chair of B&NES Clinical Commissioning Group, on “Clinical Commissioning”.

The Chair thanked Dr Orpen for his presentation.

RESOLVED to note the presentation.

The Board are asked to discuss and agree (pending any required amendments) the terms of reference for the Joint Strategic Needs Assessment (JSNA) and to note that the JSNA sets the framework for local prioritisation and development of the Health and Wellbeing Strategy (HWS).

The Board considered the summary report of the Strategic Director of People and Communities which requested members to discuss and agree the appended Specification/Terms of Reference for Bath and North East Somerset Joint Strategic Needs Assessment (JSNA).

The members briefly discussed the document.

RESOLVED to (1) agree (pending any required amendments) the Specification/Terms of Reference for the JSNA; and (2) note that the JSNA sets the framework for local prioritisation and development of the Health and Wellbeing Strategy.

The Partnership Board for Health and Wellbeing is asked to:

•  Note both the NHS Bath and North East Somerset (NHS BANES) Annual Complaints and PALS Report 2010/11 and the Adult Social Care Annual Complaints Report 2010/11

•  Recommend that the Cabinet Member for Adult Social Services & Housing adopt the Adult Social Care Annual Complaints Report on behalf of the Council

•  Recommend that the Health and Social Care Committee approve the NHS complaints report on behalf of NHS B&NES Board.

The Board considered the summary report of the Strategic Director of People and Communities and the Chief Executive NHS B&NES which presented the joint annual complaints reports for health and adult social care.

The Chair introduced the item and Derek Thorne, Assistant Director of Communications and Corporate Affairs, took members through the report. The members discussed the complaints reports and asked questions to which the Assistant Director and the Chair responded. It was commented that improvements had been made as a result of culture change and it was more patient-centred. The Chief Executive B&NES, John Everitt, commented that children and public health were included in the remit of the Partnership and needed to be included in future. The Chair stated that the public should be reassured by the professional response and service provided.

RESOLVED to (1) note both the NHS B&NES Annual Complaints and PALS Report 2010/11 and the Adult Social Care Annual Complaints Report 2010/11; (2) recommend that the Cabinet Member for Adult Social Services and Housing adopt the Adult Social Care Annual Complaints Report on behalf of the Council; and (3) recommend that the Health and Social Care Committee approve the NHS Complaints Report on behalf of the NHS B&NES Board.

The Partnership Board for Health and Wellbeing is asked to accept the report and comment on any concerns.

The Partnership Board is also asked to receive a subsequent update in March 2012 following the publication of key national guidance documents.

The Board considered (i) a report by the Acting Joint Director of Public Health, Dr Pamela Akerman, which provided a progress update on the transfer of public health responsibilities from NHS B&NES to B&NES Council by April 2013; and (ii) an appended Governance Plan for Public Health Transition 2011-13.

She took the members through the report and identified the papers expected from the Department of Public Health by Xmas. The members discussed the report. John Everitt, Chief Executive B&NES expressed concerns regarding adequacy of budgets proposed to be transferred and the expectations to achieve targets unilaterally imposed. He also referred to the problems that can arise from the transfer of staff which needs to comply with the relevant national and EU legislation. The Chair summed up the situation regarding the transition arrangements and reiterated the collective commitment to the importance of Public Health in the Partnership and the wider community.

RESOLVED to (1) note the report; and (2) receive a subsequent update in March 2012 following the publication of key national guidance documents.

The Partnership Board for Health and Wellbeing is asked to note the performance as described in this report.

The Strategic Director of People and Communities submitted a report which provided information on the performance of People and Communities Department’s commissioning of children’s health services.

The Acting Joint Director of Public Health, Dr Pamela Akerman, took members through the report and responded to questions related to public health matters. The members discussed the information provided on children’s health, particularly regarding Obesity (name to change to Healthy Weight) and substance misuse.

The Chief Executive B&NES queried whether still births were included in the reporting data/statistics. Dr Akerman indicated that these were probably reported to the Maternity Liaison Committee for Wiltshire. The Chief Executive NHS B&NES, Jeff James, stated that causes for concern needed to be reported to the Board; however, data over the last 3 years indicated that were no concerns for Bath and Wiltshire and that the region was broadly stable. He referred to the threshold indicators to trigger referral to the Board.

Dr Simon Douglass, Member of the Clinical Commissioning Group, made reference to a recent Department of Public Health event held in Bristol about obesity. He referred to an example locally where fruit and veg shops were being taken over by fast food takeaways. Dr Akerman made reference to the high rates in the area for breast feeding which was good. Although there was good work being done locally with children and families, there needed to be consideration as to how we highlight the obesity risks and find new ways of involving parents in helping deal with the growing problem of obesity.

RESOLVED to note the performance as set out in the report.

The Partnership Board for Health and Wellbeing is asked to note the report and actions being taken and receive updated performance reports at each meeting of the Board.  Future reports will detail performance in relation to outcomes rather than process indicators.

The Board considered the progress report of Ashley Ayre, Strategic Director of People and Communities, in respect of the key indicators of child protection activity as included in the Annual Report and Business Plan of the Local Safeguarding Children Board.

Ashley Ayre took the members through the report. In response to a query by the Chair, he stated that relationships with other agencies were working well and all were showing a high commitment to this important issue.

RESOLVED to (1) note the report and actions being taken; and (2) receive updated performance reports at each meeting of the Board.

The Partnership Board for Health and Wellbeing is asked to note the following:

·  Adult safeguarding procedural performance and case activity since the last report in June 2011

·  Progress on non-delegated safeguarding arrangements post the launch of Sirona Care and Health on 1st October 2011

·  Progress on work with AWP

·  Recent activity of the LSAB

·  Progress of the Serious Case Review.

The Divisional Director for Safeguarding and Practice Development submitted a report which updated the Board on (i) adult safeguarding procedural performance and case activity since the last report in June this year; (ii) progress on developments post the launch of Sirona Care and Health on 1^st October 2011; (iii) progress on work with the Avon and Wiltshire Partnership (AWP); (iv) recent activity of the Local Safeguarding Adults Board (LSAB); (v) progress of the Serious Case Review; and (vi) new issues of concern.

Lesley Hutchinson, Assistant Director of Safeguarding and Personalisation, took members through the report in detail and responded to a query raised by Councillor Vic Pritchard at the start of this item regarding safeguarding complaints. She was pleased that agreement had been reached with the 6 Local Authorities that commission AWP that all local authorities would use the indicators proposed by B&NES. Patricia Webb, Non-Executive Member of the PCT, congratulated the Officers involved in the process.

RESOLVED to note (1) adult safeguarding procedural performance and case activity since the last report in June 2011; (2) progress on non-delegated safeguarding arrangements post the launch of Sirona Care and Health on 1^st October 2011; (3) progress on work with AWP; (4) recent activity of the LSAB; and (5) progress of the Serious Case Review.

The Partnership Board for Health and Wellbeing is asked to note the performance as described in the report.

The Board considered the report of the Programme Director, B&NES Health and Wellbeing Partnership, which provided a summary of information on current commissioning performance within Adult Health, Social Care and Housing.

Dr Pamela Akerman, Acting Joint Director of Public Health, referred to various aspects of the report. Patricia Webb, Non-Executive Member of the PCT, was pleased that checks were being undertaken locally regarding patients’ nutrition. The Chair extended his thanks to the various agencies working in partnership.

RESOLVED to note the performance as set out in the report.

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

·  Wednesday 8th February 2012 at 2pm in Council Chamber, Keynsham Town Hall.

·  Wednesday 18th April 2012 at 2pm in Kaposvar, Guildhall, Bath.

·  Wednesday 13th June 2012 at 2pm in Council Chamber, Keynsham Town Hall.

The Board noted the dates of future meetings (all Wednesdays at 2pm) as follows.

8^th February 2012

18^th April 2012

13^th June 2012

The Chief Executive B&NES referred to 1) the Board being able to see the agenda of Policy and Development Panels created as a community consultation resource; and 2) structural changes taking place within the NHS and the Council and the need to inform the Board of key issues and the evolving strategy. The Chair considered that it would be helpful to have a seminar/workshop before the next Board meeting in February.