Agenda and minutes

The Chair Dr Bryn Bird welcomed everyone to the meeting.

The Democratic Services Officer read out the evacuation procedure.

Apologies for absence were received from:

Cara Charles Banks – Royal United Hospital

Jayne Davis – Bath College

Corinne Edwards – Clinical Commissioning Group (CCG)

Sara Gallagher – Bath Spa University

Andrew Girdher – CCG

Mary Kearney Knowles – Bath and North East Somerset Council

Rebecca Reynolds – Bath and North East Somerset Council

Dr Andrew Smith - BEMS (Primary Care)

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 an 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.

There were none.

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

There will be a powerpoint presentation for this item from Gary Guest.

(15-20 minutes)

Gary Guest (BANES Commissioning Project Manager - Better Care Fund) presented a powerpoint which gave an operational summary, a brief financial summary and a reminder of a decision taken, as the 25^th January 2022 meeting of the HWB had been cancelled.  He highlighted the following issues:

·  Publication of the planning requirement had been delayed

·  There was a small pot of uncommitted funding for possible new projects

·  Applications for new funding were invited

·  A series of workshops were scheduled prior to consideration at the new HWB meeting.

He outlined the decision taken on funding due to the January meeting of Health and Wellbeing Board being cancelled.  £12,500 was spent on HR support for TUPE in respect of staff moving from Sirona to BANES. 

The following issues were discussed:

·  The deadline for applications was 19^th April 2022

·  With increases in the cost of living and cost of energy and consequent impact on mental wellbeing, the delivery of contracts might not be of the same quality

·  The likely date for the funding framework announcement was September 2022

·  All areas were in a similar position waiting for the announcement

·  The Co-Chairs would have a discussion to put pressure on those responsible to ensure an announcement would be made as soon as possible

·  With the outcome not likely to be until May and a significant amount of funds challenged already, there was a concern about mitigating risk

·  The BCF set criteria for the uncommitted spend, using knowledge to see improvements in flow.  Mental health was a possible are of focus.

RESOLVED

1)  to note the presentation on the Better Care Fund Update; and

2)  to note £12,500 spent on HR support for TUPE in respect of staff moving from Sirona to BANES.

Presented by Richard Smale and Dr Bryn Bird

(30 minutes)

Richard Smale (CCG) gave a presentation on the Health and Care Model.  He highlighted the following issues:

·  The aim was to have a framework based on learning from the system in Israel which is data driven, gives good outcomes, is good value for money and is more cost effective if you tap into resources

·  The aim was to raise awareness, listen, provide details on how to be involved and build through communities

·  To use feedback to improve the health and care model

·  Though the system was digital by default, the language would change to maintain a non-digital choice to be more inclusive

·  The model was for the whole population for the whole life course for all aspects of health and care, including an emphasis on dying well

·  There would be a structure for strategy and transformation with a good foundation for integrated work on the BANES system.

The following issues were discussed:

·  It would be useful to see the response to the engagement sessions

·  The system must be user friendly for the public, true to the principles, flexible, with a map of the journey and it was vital for all parties to help each other and be challenged

·  With the current backlogs of care – waiting lists, ambulance queuing, GP access – there could be a crisis of credibility so there was a need to look at interventions and outcomes

·  With the pandemic recovery was needed but it was important to move away from episodic care and deal with the whole and make different decisions

·  It was vital to change the patterns to get a more equal experience for all

·  There was a need to take note of those who didn’t take part and take account of what they need and what we fail on

·  Housing was relevant yet the impact of damp/mould on health, caused by houses in poor repair, was not taken seriously enough. Other LAs had got housing management involved

·  The three specialist centres/hospitals locally were already collaborating and it was useful to understand what was working and create learning/sharing cultures

·  Collaboration should be at all levels with parties acting in a mature, open-minded and transparent manner

·  A new system should be embedded throughout each organisation permeating to all levels.

RESOLVED to note the Health and Care Model.

The date of the next meeting of the Health and Wellbeing Board was Tuesday 21^st June 2022 at 10.30am.