Agenda and minutes

The Chairman welcomed everyone to the meeting and requested that attendees switch their mobiles etc. to silent. He stated that the meeting was being webcasted live and the recording stored on the Council’s website.

The Administrator drew attention to the emergency evacuation procedure

There were apologies from Jo Farrar OBE and Bruce Laurence whose respective substitutes were David Trethewey and Paul Scott. There were also apologies from Morgan Daly and Ashley Ayre.

At this point in the meeting, declarations of interest are received from Members in any of the agenda items under consideration at the meeting.

(a) The agenda item number in which they have an interest to declare.

(b) The nature of their interest.

(c) Whether their interest is a disclosable pecuniary interest or other interest (as defined in Part 2, A and B of the Code of Conduct and Rules for Registration of Interests).

Any Member who needs to clarify any matters relating to the declaration of interests is recommended to seek advice from the Council’s Monitoring Officer or a member of his staff before the meeting to expedite dealing with the item during the meeting.

Councillor Vic Pritchard stated that he was a Member of Sirona

There was no urgent business

There was none

To confirm the Minutes of the above meeting as a correct record

The minutes of the previous meeting held on Wednesday 28^th October 2015 were approved as a correct record and signed by the Chairman subject to, in Minute 18, the deletion of “board”.

It was noted from Minute 20 that the item relating to Housing Standards Review regarding Level 2 Lifetime Homes/Suitable Adapted Housing was not on the Agenda as stated. It was agreed that this item be added to the Forward Plan.

To note the Update Report

The Board considered the report of the Chief Officer for BaNES CCG, Tracey Cox, which updated Members on the activity conducted by the Transformation Group at its last meeting on 6^th November 2015. The Group is a Sub-Group of the Board providing a forum to support the delivery and implementation of “Seizing Opportunities”, BaNES CCG’s 5 Year and shared system oversight of the Better Care Fund and to support the development of future service models and enable active input into the Board’s strategic planning.

She provided an oral report which included the outcomes from the most recent meeting of the Group held on 29^th January.

Members discussed the information provided. Councillor Vic Pritchard asked several questions regarding a submission being made by 29^th January as B&NES or including Wiltshire, the quality of the submission and whether the amount of funding reflected on the footprint as a whole or just B&NES. The Chairman stated that the first issue was a separate item which the Officer could provide further information. He also referred to the pace of the development so details would still need to be provided and confirmed. The Officer stated that there was potential to access funds from the Transformation Group which would reflect the quality of the submission.

John Holden referred to paragraph 4.2 of the report regarding Your Care Your Way and asked what the providers’ thoughts were on the matter. The Officer replied that there was a sample of providers in the Transformation Group. There would be more detail in the Business Case regarding Your Care Your Way but there were some uncertainties regarding new contractual approaches and understanding their implications. There was a mixture of feelings but on the whole a willingness to make progress.

The Board noted the update report and that a further report from the Transformation Group would be submitted to the next meeting.

To receive this Update Report for information

The Board considered the report of the YCYW Programme Manager, Sue Blackman. She gave a presentation (as appended to the report), which covered various aspects under the main headings of Engagement and Consultation, Financial Planning, Contractual Models, and Market Testing, and expanded on the information provided.

Members discussed the report. The Chairman stated that this was a comprehensive review and was a roadmap for the Sustainability and Transformation Plan – it would cover health and care in a wider sense. He referred to the new contractual models being developed – GPs would need to get involved and they were starting to see the connections that were being developed. Diana Hall Hall referred to the recent Community Champions meeting held in Percy Boys Club and requested for the next meeting that it be more bite-size and aimed specifically at that meeting. The Programme Manager replied that there would be no papers for the next event; however, there had been good feedback from the meeting which would shape future events.

Councillor Vic Pritchard asked questions regarding whether everything had been taken into account regarding the 4 models proposed in the public engagement analysis and also whether fears could be allayed about possible privatisation as a result of a series of sub-contracts being proposed. The Programme Manager replied that it was the narrative behind the numbers that was useful and that a hybrid of all models taking the best bits would still be good. With regard to Councillor Pritchard’s question relating to possible privatisation, she continued by saying that, whilst it was recognised that there is not a political appetite to privatise health and social care provision in B&NES, Commissioners are committed to an open and transparent procurement process which will identify the most capable provider of services in the future and this would be a collective decision including the community as part of the evaluation process. Regarding sub-contractual arrangements, it was not expected that the proportion of funding currently allocated to voluntary and third sector provision would fundamentally change and this will form part of discussion with the Preferred Bidder.

Councillor Michael Evans considered that there was an expectation that health care would be provided rather than people taking responsibility for their own health. The Programme Manager replied that all 15 priorities would be considered and new priorities may be developed. People needed to be accountable for their own health and a shift was developing from “care” to “enabling”.

John Holden asked a couple of rhetorical questions but also queried Prime Contract - how it was decided, what goes into the Prime Contract and what is sub-contracted through the Dynamic Purchasing System and how to rationalise the number of providers under the new contract. The Programme Manager responded that there were the 2 aspects of Prime Contract: they are the “integrator” of services and will have overarching responsibility for delivering all Community Health and Care Services in B&NES but they would also be a direct provider of services as we  ...  view the full minutes text for item 38.

The Board is asked to note and comment on the Presentation as appropriate

The Board considered a presentation (as included in the Agenda papers) regarding BaNES CCG, Council and NHS England Commissioning Intentions 2016/17.

The Director, Adult Care & Health Commissioning, Jane Shayler, expanded on the information provided.

The Consultant in Public Health for B&NES, Paul Scott, provided further information relating to the Public Health aspect of the presentation.

After a brief discussion, the Board noted the presentation.

The Board is asked to (1) consider the implications of the requirement to develop a Sustainability and Transformation Plan (STP) for B&nes and how it wants to shape the development on an STP; and (2) to delegate the detailed development of the STP to the Transformation Group reporting on progress to the Board at appropriate intervals

The Board considered the report of the Chief Officer, BaNES CCG, Tracey Cox, on Planning Guidance to the NHS – Developing a Sustainability and Transformation Plan (STP) for Bath and North East Somerset. She outlined the report which required the CCG to develop an STP by 30^th June 2016 which is a placed based plan working in conjunction with system partners setting out a shared local vision for health and care services. The Plan would need to reflect local health and wellbeing strategies and demonstrate integration with local authority services including, but not limited to, prevention and social care.

The Members of the Board discussed the report and recommendations and asked questions to which the Chief Officer replied. The Chairman referred to the close working relationship with Wiltshire so business would continue as normal. There had been some conversations regarding devolution – these would need to be developed so that they were not one-sided. There would be some refinements and a shifting of boundaries. It was expected that there would be a submission in June but timescales were difficult and more detail would become available later. Councillor Tim Warren stated that economies of scale were needed to undertake local work. As regards devolution, he was not looking at health at the present time as it did not fit the boundaries of the West of England – it was an organic process.

The Board considered the implications of the requirement to develop an STP for B&NES and how it wanted to shape the development of an STP. However, it did not accept the recommendation to delegate the detailed development of an STP to the Transformation Group and it reporting on progress to the Board at appropriate intervals.

The Board decided that an urgent Development Session be arranged for Members in the next couple of weeks to look at the matter in more detail.

The Board is asked to (1) note progress on the SEND reform; (2) comment on the next step set out in the progress report (Appendix 2) and outlined in paragraphs 1.6 and 1.7 of the Main Report; (3) note the recommendations of the PDS Panel set out as from paragraph 1.9 onwards of the Report; and (4) comment on and support the establishment of governance arrangements for SEND in B&nes, accountable to the Board, as set out in Appendix 3 and outlined in paragraph 1.8 of the Report

The Project Manager for Service Improvement, Charlie Moat, submitted a report which provided an update on the progress of the SEND Reforms in B&nes and the next steps and future governance arrangements for SEND.

He outlined the report and stated that good progress was being made despite a lot of work being involved and that it would be challenging financially as regards additional responsibilities. They would be able to track the outcomes of young people with SEND and it would feed into the governance arrangements and include the observations of the PDS Panel. There would soon be an Ofsted Inspection where consideration of employment would be a key factor. He introduced Chris Wilford, Head of Vulnerable Learners, who commented on aspects of the report as appropriate including the Self Evaluation Framework (SEF) which would prepare them for a 5 day broad inspection by the Care Quality Commission (CQC).

The Members of the Board discussed the report and commented on the next steps outlined in the Report and as set out in the appended progress report (Appendix 2). Councillor Michael Evans considered that there should be a “whole life” approach than just delivery of SEND. The OECD had indicated that there was poor literacy in young people in the UK compared with other countries. The Project Manager stated that B&nes adopt a whole school approach and personalise learning which stands it in good stead. The Chairman commented on the composition of the Strategy Group and the issue of a 5 day inspection.

After some discussion, the Board:

(1)  Noted the progress of the SEND Reform and the recommendations of the PDS Panel as set out in the Report; and

(2)  Supported the establishment of governance arrangements for SEND in B&nes accountable to the Board as set out in the Report and Appendix 3 of the Report

(Note Councillor Tim Warren left the meeting during consideration of this item)

There was none