Agenda and draft minutes

Venue: Aix en Provence Room - Guildhall, Bath. View directions

Contact: Jack Latkovic  01225 394452

Items
No. Item

1.

Welcome and Introductions

Minutes:

The Chair (Dr Ian Orpen) welcomed everyone to the meeting. 

2.

Emergency Evacuation Procedure

Minutes:

The Senior Democratic Services Officer drew attention to the evacuation procedure as listed on the agenda.

3.

Apologies for Absence

Minutes:

Martin Shields, Tracey Cox, Dr Ruth Grabham and Councillor Paul May had sent their apologies for this meeting.

4.

Declarations of Interest

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.

Minutes:

There were none.

5.

To Announce any Urgent Business Agreed by the Chair

Minutes:

There was no urgent business.

 

The Chair used this opportunity to congratulate on Tracey Cox on her appointment as Chief Executive of Bath and North East Somerset, Swindon and Wiltshire CCGs and also as the lead for Sustainability and Transformation Partnership in the region.

 

The Chair also said that item 10 on the agenda (Mental Health Review) would be considered under Council Constitution Urgency Rule 15 as publicised in the agenda.

6.

Public Questions/Comments

Minutes:

The Chair informed the meeting that he had not received questions from public and Councillors.

 

Councillor Eleanor Jackson would address the Board before Mental Health Review agenda item.

7.

Health and Care Board - Terms of Reference pdf icon PDF 152 KB

B&NES Council and BaNES CCG have established the new committees to enable the Health and Care Board to function as intended with the intention that the terms of reference of those committees substantially match, taking into account any necessary changes as a result of the different constitutions of B&NES Council and BaNES CCG

Additional documents:

Minutes:

Councillor Tim Warren introduced the item by expressing his pride in working with other partnership bodies, such as BANES CCG.  This Board would present a ‘marriage’ between the Council and CCG, and it would be a historic moment for both organisations and people who live and work in BANES. 

 

Councillor Tim Warren moved the recommendations.

 

Dr Ian Orpen seconded the motion by agreeing with Councillor Warren that this was a historic moment for both organisations, and also one of the first in the country.  Dr Orpen also said that there was a lot of work to be done to make the decision making process smoother for the Board.

 

Mike Bowden added that it was helpful for the Board to meet in its Shadow form before the inaugural meeting in order to develop relationships and get familiar with the democratic process.

 

Councillor Vic Pritchard said that the Health and Care Board should be recognised nationally for bringing two bodies together in making decisions that were of interest for their community.

 

RESOLVED (unanimously) that the Health and Care Board agreed to approve the final version of its Terms of Reference.

 

 

8.

Joint Working Framework pdf icon PDF 155 KB

Report to follow.

Additional documents:

Minutes:

Sarah James introduced the report by saying that this was a revised version of the document that has been presented to the Shadow form of the Board.  Sarah James also said that she would suggest a slight amendment in the recommendations by adding to authorise the relevant officers to make a few necessary changes before those documents are signed by Chief Officers.

 

Sarah James said that the Joint Working Framework would also make use of section 113 agreements which would allow offering one party’s employees to the other party for the purposes of the joint commissioning of services. To support individuals who would be working in the new integrated structures, a range of training and support sessions had been arranged. 

 

Sarah James moved the revised recommendations.

 

Councillor Charles Gerrish seconded the motion by saying that the Council and CCG have developed a good record of working together.

 

Corinne Edwards informed the Board that 2 workshops had happened where members of the staff from both organisations had been briefed about Section 113 agreement.

 

Mike Bowden said that both organisations would progress even further and embed their joint aspirations to deliver the best for BANES community.  Mike Bowden also said that there would be a number of challenges to face but that he was confident that the Council and CCG would successfully overcome all obstacles in their joint goal to deliver the best services to the people of B&NES.

 

Dr Orpen said that some practical joint working arrangements would get better in future.

 

RESOLVED (unanimously) that the Health and Care Board approved the updated Joint Working Framework to be signed on behalf of individual organisations by the Chief Executive of the Council and the Chief Officer of the Clinical Commissioning Group; and authorised the relevant officers to make few small necessary changes before the Chief Executive of the Council and the Chief Officer of the Clinical Commissioning Group sign the document on behalf of individual organisations.

9.

Integrated Outcomes Framework pdf icon PDF 218 KB

This paper proposes a list of 22 measures for an Integrated Outcomes Framework for the Health and Care Board. 

The measures represent chosen priorities for the Board and were determined by a subgroup of Board members which met on 13 February 2019.

Minutes:

Mike Bowden introduced the report by saying that the measures have represented chosen priorities for the Board and were determined by a subgroup of Board members which have met on 13 February 2019. 

 

Mike Bowden proposed that the recommendations should read as:

 

1)  To agree that the 24 proposed measures adequately represent the priorities of the Health and Care Board and can therefore be used to form the Integrated Outcomes Framework

2)  To task the Business Intelligence Manager at the Council and the Performance Manager at the Clinical Commissioning Group to jointly set out the capacity and timescale plan to produce reports required for the Health and Care Board meetings.

 

Mike Bowden moved the recommendations (as amended).

 

Corinne Edwards seconded the motion by welcoming the report and amended recommendations, and thanked Elizabeth Disney for her dedicated work in putting the framework together. 

 

Councillor Charles Gerrish also welcomed the report although he felt that the data should need to be more up to date for prompt reporting on the measures outcome.

 

Sarah James said that there would be some inevitable delays in terms of data gathering.  Nevertheless, the officers would do their best to include most up to date data in the proposed measures.  Some of those measures would be long term and the data for those measures may be few months old.

 

Councillor Vic Pritchard welcomed the list of measures by highlighting that they represent aspirations for two organisations.  Councillor Pritchard also said that it would not be easy to produce tangible results, and to implement these targets would be a challenge.

 

Lisa Harvey said that the framework would consist of individual outcomes and community outcomes.

 

The Chair said that outcomes would change and that more manageable measures would be available before the Board.

 

RESOLVED (unanimously) that the Health and Care Board:

 

1)  Agreed that the 24 proposed measures adequately represent the priorities of the Health and Care Board and can therefore be used to form the Integrated Outcomes Framework

2)  Tasked the Business Intelligence Manager at the Council and the Performance Manager at the Clinical Commissioning Group to jointly set out the capacity and timescale plan to produce reports required for the Health and Care Board meetings.

10.

Mental Health Review - RULE 15 pdf icon PDF 1 MB

This document sets out the case for Bath and North East Somerset Clinical Commissioning Group (the CCG) and Bath & North East Somerset Council (the Council) to implement a new model of Mental Health provision.

 

The decision is being made in accordance with Rule 15 of the Council’s constitution.  It would generally to be an ordinary Health and Care Board decision though due to the need to make the decision before end of March 2019 due to contract expiry it is necessary to use the Council’s urgency procedure.

Additional documents:

Minutes:

Dr Ian Orpen informed the meeting that the decision would be made in accordance with Rule 15 of the Council’s Constitution.  Dr Orpen noted it would generally be an ordinary Health and Care Board decision, although due to the need to make the decision before end of March 2019 (due to contract expiry) it was necessary to use the Council’s urgency procedure and as such the decision would not be a subject of Call In.

 

Councillor Eleanor Jackson made her statement by saying that this would be one of the most important decisions made by the Council and CCG.  Councillor Jackson also said that people should receive better access to Mental Health services and quoted statistics set out on pages 47 and 71 of the report.  Depression and mental health illness are higher in deprived areas, such as Radstock and Westfield, and Councillor Jackson suggested that the lack of youth services in those areas did put an additional pressure on Mental Health services.  Councillor Jackson welcomed the strategy and the work with other agencies and added that social media was one of the biggest causes of depression in young people.  Councillor Jackson concluded her statement by thanking the Board for the comprehensive Mental Health Review report and suggested regular monitoring of this matter, whether by the Board or other bodies in the Council and/or CCG.

 

Councillor Vic Pritchard thanked Councillor Eleanor Jackson for her statement and introduced the report by saying that the Mental Health Review has started in 2017.  Councillor Pritchard also thanked the Health and Wellbeing Select Committee for their contribution to this review. There would be more preventative services to stop people falling in crisis.  The Thrive model of care would start in 2019/20 and is already in use in children and adolescent mental health service.  The Thrive model would support the provision of mental health services using a whole-system, population-based approach which would focus on the mental health wellbeing and mental illness needs of different groups of people as well as the needs of individuals.  It supports  integration across health, education, social care and voluntary sector, with a central focus on delivering improved outcomes for people.  The implementation of the Thrive model would also allow for more effective links to place initiatives such as GP Primary Care Networks and would ensure mental health is embedded across all sectors of provision.

 

Councillor Vic Pritchard moved the recommendations.

 

Lisa Harvey seconded the motion by saying that this was a new model for Bath and North East Somerset and that other areas in the country were looking to adopt the same model. The CCG and the Council have recognised that the creation of a new model of mental health provision was a bold and transformational step.  However, mental health services could not continue to be delivered in the same way because, in the long term, it would be unaffordable, unsustainable and, most importantly, it would not deliver the preventative, collaborative and personalised service that local people and professionals have  ...  view the full minutes text for item 10.