Agenda and minutes

The Chair welcomed everyone to the meeting.

The Democratic Services Officer drew attention to the evacuation procedure.

Apologies were received from Councillor Paul Crossley, Dr Ian Orpen, Dr Simon Douglass, Mike Bowden and Derek Thorne.  Councillor Simon Allen sent his apology for missing the start of the meeting as he was attending ‘Shared Lives’ event in the Guildhall (arrived at 2.50pm) and Ed Macalister-Smith informed the meeting that he will have to leave at 3.00pm.

Dr Ruth Grabham was substitute for Dr Orpen and Dr Douglass.

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 members of the Partnership Board have 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:  Joint Director of Public Health, operating across the Partnership

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 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:  Joint Director of Public Health, operating across the Partnership

Ed Macalister-Smith declared the interest as the B&NES and Wiltshire PCT Cluster Chief Executive.

The Board are asked to consider the following verbal updates:

·  Clinical Commissioning Group – Ian Orpen

·  Healthwatch (procurement) – Derek Thorne

·  Public Health – Pamela Akerman

·  PCT – Malcolm Hanney

Clinical Commissioning Group (CCG) update – Dr Ruth Grabham

·  The amendments on the Health and Social Care Bill are now subject to debate in Parliament.  Whatever the outcome of the debate the CCG is supportive of Clinically Led Commissioning.

·  The CCG is aware that this is a very difficult and stressful time for staff but at the same time staff members are aware of the complexity around the transition.  The CCG is in the middle of the consultation process and the next step is a meeting with the other CCGs in the Cluster.  The CCG is aware that £25 per head running cost allocation is a much lower allocation than the PCT had in the past but it is manageable.

·  Working closely with colleagues and active GP Forum – 10 meetings per year.

·  Patient Participation Groups are up and running in each practice.

Healthwatch (procurement) update – David Trethewey

·  National implementation date had been pushed back and there is a lot of consultation as to how the Healthwatch should look.

Public Health update – Dr Pamela Akerman

·  Public Health is on the agenda for this meeting. 

·  Finance papers came yesterday evening (Tuesday 7^th Feb).  There is no firm budget for 2013/14 and broadly what was submitted appears to have been taken on board with some minor elements changed.

PCT update – Malcolm Hanney and Ed Macalister-Smith

·  Everyone is under stress and  a lot of pressure to achieve objectives. 

·  There is a lot of anxiety as the Health and Social Care Bill has still not gone through Parliament.

·  PCT Cluster arrangements to be in place by the end of March 2012.  Lot of work on co-ordination of local and cluster work.

·  National introduction of 111 number.

·  Discussion with the Chief Executive from the RUH and forward plans.

·  Even though there are pressures to make savings in the NHS (£20bn across the country and 10% inflation pressure in the NHS) it is also necessary to improve quality of care.

·  Specialist services, such as Specialist Commissioning, should not be forgotten.

The purpose of the report is to brief the Partnership Board about new policies on the transition of public health responsibilities published by the Department of Health in December 2011 and January 2012.

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 April 2012 following the submission of the public health transition assurance plan to NHS South of England.

The Chair invited Paul Scott (Consultant in Public Health) to introduce the report.

John Everitt informed the meeting that the governance and accountability of the planning process lies with the Partnership Board for Health and Wellbeing.

John Everitt also said that the public health transition plan will require sign off not only from the Chief Executive of the Council and the PCT but also from the Chair and/or Vice Chair of this Board.  The Council will provide resources, within reason, for service delivery.

The Chair suggested that Chief Executives, Ashley Ayre, Dr Pamela Akerman and the Board Chair and/or Vice Chair should meet as soon as possible and have off-line discussion about the issue of future status of Director of Public Health (DPH) within Council hierarchy. The Chair also acknowledged that we were very grateful and had been very fortunate to have Pamela Ackerman on an extended period of service as Acting Joint DPH.

Ed Macalister-Smith welcomed the statement from John Everitt about the provision of resources and said that he would be looking forward to get together with John Everitt, Ashley Ayre, Dr Pamela Akerman and the Chair/Vice-Chair of the Board to move forward with the Public Health Transition plans.

It was RESOLVED to:

1. Note the report;

2. Ask the officers to take on board comments from the Board Members; and

3.  Receive a subsequent update in April 2012 following the submission of the public health transition assurance plan to NHS South of England.

The purpose of the report is to provide an update on progress with the 2012 refresh of the Joint Strategic Needs Assessment for B&NES.

The Board are asked to note the status update and revised timescales and to agree proposed outputs.

The Chair invited Jon Poole (Research and Intelligence Manager) to introduce the report.

The Chair suggested that the Local Involvement Network should also be included in discussions as they are part of the Board.  Diana Hall Hall and the officers welcomed that suggestion.

It was RESOLVED to note the status updates and revised timescales and agree with the proposed outputs.

The Partnership Board is asked to:

·  Note the draft Prioritisation Framework;

·  Agree to establish a ‘task group’, including Board members, to consider the prioritisation framework and begin work on prioritisation; and 

·  To note that the next Board meeting in April will focus on the outputs of the JSNA and begin strategy prioritisation.

The Chair invited Helen Edelstyn (Strategy and Plan Manager) to introduce the report. 

John Everitt informed the meeting that the Cabinet will consider ‘The Council’s Vision and Values’ report at their meeting tonight  and if agreed, the Council’s existing planning and delivery framework will be revised to incorporate the new vision, objective and outcomes so that there is clarity on how this will be delivered.

It was RESOLVED to:

1.  Note the draft Prioritisation Framework;

2.  Agree to establish a ‘task group’, including Board members, to consider the prioritisation framework and begin work on prioritisation; and

3.  Note that the next Board meeting in April will focus on the outputs of the JSNA and begin strategy prioritisation.

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 Chair invited Ashley Ayre to introduce the report.

John Everitt asked that future reports should provide more information on missed targets, such as indication on how much those targets are missed and what action is being taken on those targets that are in red (including if there were no actions being taken due to the pressure on service).  John Everitt informed the meeting that the Care Quality Commission report will be brought before this Board when published.

Ashley Ayre took on board the comments from John Everitt and added that the draft report from the Care Quality Commission has been received and that the Council’s response to the report should be ready by Friday 10^th February.

It was RESOLVED to note the report and receive updated performance reports at each meeting of the Board.

The purpose of the report is to provide the Board with a summary of information on current commissioning performance within Adult Health and Social Care and Housing.

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

The Chair invited Jane Shayler (Programme Director for Non-Acute Health, Social Care and Housing) to introduce the report.

Jane Shayler went through the report and drew the Board’s attention to improved performance indicators for the ‘Proportion of people who have had a stroke who spend at least 90% of their time in hospital on stroke unit’.  Jane Shayler added that the pattern on that indicator was seen across the country.

Members of the Board commented that they are pleased that there is joint work with the RUH to improve those figures even more.

It was RESOLVED to note the report.

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

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

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

·  Wednesday 19^th September 2012 at 2pm in Council Chamber, Guildhall.

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

The Board noted the future dates.

The Partnership Board is asked to agree the report and make recommendation for further work required of the Local Safeguarding Adults Board and Commissioner.

The Chair invited Jane Shayler, Janet Rowse (Sirona Chief Executive) and Lesley Hutchinson (Assistant Director for Safeguarding and Personalisation) to introduce the report.

John Everitt commented that Safeguarding referrals seem to have consistent trends and asked if there is a need for additional resources to tackle those referrals as the Partnership Board need a deeper understanding on what the figures and trends mean. 

Ashley Ayre commented that there are a number of issues to consider when looking into these figures such as raised awareness, transitional arrangements from children to adults and also about the personal choice where an officer has to make the decision on when to intervene.

Lesley Hutchinson added that there is also much greater complexity of cases going around.

John Everitt commented that the Partnership Board would like to see the evidence as to whether the figures are on the increase because of trends, raised awareness or because of the complexity of cases.

It was RESOLVED to note the report and for officers to take on board comments for future reporting.