Agenda and minutes

The Chair welcomed everyone to the meeting.

Apologies for absence were received from:

Nicola Hazle – Avon and Wiltshire Partnership

Kirsty Matthews – Virgin Care (Substitute – Jo Scammell)

Stuart Matthews – Avon Fire and Rescue Service

Bernie Morley – University of Bath

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 no declarations of interest.

There were no public questions or statements.

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

The minutes of the previous meeting were approved as a correct record and signed by the Chair subject to the following amendment:

Page 2, Minute no. 45 – “Joss Roster” be amended to read “Joss Foster”.

To consider opportunities for the Health and Wellbeing Board to further promote positive mental health and wellbeing and improve local mental health outcomes for people of all ages.

10.35am – 40 minutes – Lesley Hutchinson

The Board received a report asking members to consider opportunities for the Health and Wellbeing Board to further promote positive mental health and wellbeing and to improve local mental health outcomes for people of all ages.

(a)  Presentation from Lucy Baker, Director of Service Delivery, B&NES, Swindon and Wiltshire (BSW) CCGs

The Board received a presentation from Lucy Baker covering the following matters:

·  Strategic journey so far.

·  The draft Strategy has been co-created with people with lived experience, their families, carers and supporters along with partners including the third sector and statutory organisations.

·  BSW strategic workstreams.

·  Draft “THRIVE” conceptual model.

·  Current BSW gaps.

·  Key strategic actions – a collaborative national bid for £700k has been successful.

·  BSW and AWP service reconfiguration

(b)  Presentation from Neil Manson, B&NES Senior Commissioning Manager, Mental Health

The Board received a presentation from Neil Manson covering the following matters:

·  B&NES mental health local update.

·  B&NES mental health update – mental health review.

·  Mental health collaborative forum.

(c)  Presentation from Margaret Fairbairn, B&NES Child Health Commissioning Project Manager

The Board received a presentation from Margaret Fairbairn giving an annual update of the Children and Adolescent Mental Health Services (CAMHS) Transformation Plan 2015-2020 which covered the following matters:

·  Overview – improving mental health services for children and young people (CYP) continues to be a national priority.

·  Local CAMHS transformation plans.

·  Summary of service developments.

·  Impact on national access targets.

·  Spend for 2019/2020

·  The outcomes of other funding streams for children’s mental health.

The presentation slides were included with the agenda papers for the meeting.

Bruce Laurence congratulated Officers on the work that has been carried out to produce the Strategy.  However, he felt that it was important to include details about the causes of poor mental health, ways to prevent this and how to increase resilience.

Lesley Hutchinson stated that intervention is an important part of the Strategy and confirmed that more work will be carried out to address this point before the Strategy is finalised.  Lucy Baker also confirmed that the THRIVE programme is focused on prevention but accepted that this could be strengthened.

Cllr Vic Pritchard raised the issue of the 111 service for mental health.  He queried the threshold for this service and asked how the public would be made aware of its existence.

Lucy Baker stated that the new 111 service had been launched this month.  Anyone who has concerns about their mental health can ring the service to speak to mental health professionals and clinical advisors who can offer support.  She confirmed that there will be a communications campaign to raise awareness of the service.  She explained that the service is currently a pilot which can be tweaked as necessary in due course.

Paul Harris welcomed the work that has been carried out to produce the strategy and commended the collaboration with neighbouring local authorities.  He stated that trauma was a key issue and hoped to see mention of this in the strategy.  He queried the statement  ...  view the full minutes text for item 64.

To receive a presentation regarding the NHS Long Term Plan.

11.15am – 35 minutes – Corinne Edwards

Corinne Edwards, B&NES Chief Operating Officer, gave a presentation regarding the NHS Long Term Plan 2020-2024.  The presentation covered the following matters:

·  The Long Term Plan aims to;

o  Ensure everyone gets the best start in life.

o  Deliver work-class care for major health problems.

o  Support people to age well.

·  NHS funding 2019/20 to 2023/24.

·  Key areas of focus.

·  Partnership.

·  Overview of B&NES, Swindon and Wiltshire (BSW).

·  Engaging people in B&NES, Swindon and Wiltshire – including details of the recent campaign and the survey responses.

·  Vision – “working together to empower people to lead their best life.”

·  Strategic objectives:

o  Improving the health and wellbeing of our population

o  Developing sustainable communities – details of plans regarding ageing well, improving responsiveness of community services, personalised care, primary care networks, reducing emergency pressure on hospitals, learning disabilities and autism.

o  Sustainable secondary care services – Acute Hospital Alliance

o  Transforming care across B&NES, Swindon and Wiltshire

o  Creating strong networks of health and care professionals to deliver the NHS Long Term Plan and BSW’s operational plan – BSW Academy – quality improvement college (virtual) and improvement of leadership culture

·  Next steps:

o  Public facing summary version of the plan to be published by the end of January.

o  Development of a year 1 Operational Plan for 2020/21.

o  Mobilise transformational programmes – ageing well, mental health, learning disabilities and autism

Corinne explained that the workforce is the biggest challenge and stressed the importance of supporting staff.  Prevention and early intervention are also very important.

Dr Ian Orpen stated that work has been carried out to align the Council and the NHS corporate objectives and that there is a great deal of synergy between the two plans.

Paul Harris felt that the number of different plans is confusing and that it will be important to collaborate as much as possible.  He also stressed the importance of trauma and ASD which are both areas of increasing need.  He queried whether the plan was too long and whether it could be simplified.

Corinne Edwards acknowledged the challenge of simplifying the document which includes many targets.  The aim was to move towards an integrated care system.

Kate Morton stated that the third sector needs to be involved at an early stage.  The Board acknowledged the importance of working together.

Will Godfrey queried whether the emerging priorities of the new Government were included within the plan.  Corinne explained that the plan is still a work in progress and that the additional funding is still working its way through the system.

Cllr Rob Appleyard noted the challenge of ensuring that everyone has access to the digital platform and the importance of re-educating patients.  Corinne explained that it was important to cater for all age groups and to ensure that people can use all the tools available to them to access services in a way that suits their needs.

A copy of the presentation is attached as Appendix 1 to these minutes.

RESOLVED:  ...  view the full minutes text for item 65.

To receive an update on the developing work of the Compassionate Communities project as well as a broader update on how third sector organisations across B&NES, Swindon and Wiltshire are working together.

11.50am – 25 minutes – James Carlin

James Carlin from 3SG gave a presentation regarding compassionate communities which covered the following matters:

·  Vision – B&NES is a compassionate community in which people are inspired and supported to look after themselves and each other.

·  35 different organisations have already signed up to the charter.

·  A great deal of work has taken place to develop the charter with the aim to inspire and support people to help each other. 

·  Local agencies will be encouraged to share information to engage with primary care services and to look at unmet need.

·  It is important to link in with other organisations to identify what services are available.

·  There will be a 3^rd sector gathering on Weds 26 February 2020 from 9.30am to 1pm at Komedia, Bath.

·  There will also be an event giving an update on the B&NES, Swindon and Wiltshire CCG merger.  This will take place on Tuesday 18 February 2020 from 10am to 11.30am at Bath Royal Literary and Scientific Institution, 16-18 Queen’s Square, Bath, BA1 2HN.

Paul Harris stated that engagement was key and that dealing with so many different organisations could be challenging.

Mike Bowden agreed to discuss with 3SG the best way for the Council to engage with this project.

Dr Ian Orpen thanked James for the work that has been undertaken on this project and welcomed the opportunity to work together with the 3^rd sector.

A copy of the presentation slides is attached as Appendix 2 to these minutes.

RESOLVED: To note the update on compassionate communities.

To note the dates of future meeting:

Tuesday 17 March 2020

Tuesday 23 June 2020

Tuesday 29 September 2020

Tuesday 24 November 2020

All meetings to start at 10.30am.

The Board noted that future meeting dates would take place as follows:

Tuesday 17 March 2020

Tuesday 23 June 2020

Tuesday 29 September 2020

Tuesday 24 November 2020

Cllr Rob Appleyard will close the meeting.

Cllr Rob Appleyard

The Chair thanked everyone for attending the meeting.

It was noted that a report from the Children and Young People Sub-Committee would be brought to the next meeting.

He also informed the Board that Andrea Benham, Senior Strategy Officer, would be leaving the Council to work in a new role.  The Board wished Andrea well for the future.