Agenda item

The Health and Wellbeing Board are to consider verbal updates from the Council (Children and Adults and Public Health) and also from NHS England.  The Board are also asked to consider a verbal presentation from B&NES Clinical Commissioning Group on the five year strategic plan outlining their commissioning intentions.

The Chair informed the meeting that the Health and Wellbeing Board were asked to consider presentations (attached to these minutes) and verbal updates from the Council, Public Health, the CCG and NHS England on their commissioning intentions.

The Chair invited Jane Shayler to give presentations named ‘Integrated Commissioning Intentions – Children and Young People’ and ‘Integrated Commissioning Intentions – Adult Care & Health’.

The following points were highlighted in those presentations:

‘Integrated Commissioning Intentions – Children and Young People’

·  Needs Assessment informing the integrated commissioning intentions

·  Emerging Priorities for the CYPP 2014/7 to influence commissioning intentions

·  Specialist commissioning Intentions (Health) 2014/5

·  Specialist commissioning Intentions 2012/3 : recommissioning in process, contracts to be awarded in 2014

·  Preventative Commissioning Intentions 2012/3 : recommissioning in process, contracts to be awarded in 2014

·  Opportunities for integrated commissioning in 2015/6

‘Integrated Commissioning Intentions – Adult Care & Health’

·  Needs Assessment informing commissioning intentions:

·  Emerging priorities influencing current and future commissioning intentions (in addition to those set out in current strategies including the Health & Wellbeing Strategy)

·  Re-commissioning in process, contract award (if relevant) and/or service in place in 2014/15

·  Re-commissioning in 2014/15, contract award (if relevant) and/or service in place in 2015/16- 2016/17

Councillor Dine Romero asked if children from Gypsy and travellers group, and also from armed service, were considered under emerging priorities.

Ashley Ayre responded that the Council, together with the CCG and Public Health, has been commissioning special services for children with Gypsy and travellers background, as well as for people who live on river and canals.  Also, the Council had been working with education personnel for armed forces, in order to track any children from that group.

The Chair invited Paul Scott to give a presentation named ‘Integrated Commissioning Intentions – Public Health’.

The following points were highlighted in the presentation:

·  Needs assessment and issues informing commissioning intentions

·  Emerging priorities for commissioning and strategy in 2014/15

·  New strategy, pathways, services or programmes expected to be in place in 2014/15

The Chair commented that there was a real shift to prevention, which was helpful.  Public Health was having an impact in the Council, such as their role in the development of the Economic Strategy, Placemaking Plan and similar.

The Board welcomed the Director of Public Health (DPH) awards scheme.

Paul Scott said that the DPH awards scheme was on-going scheme.  The scheme had been working with schools and early years services, in order to promote the health and wellbeing of children.

The Chair requested a report on the Director of Public Health award for one of the future meetings of the Board.

The Chair invited Dr Ian Orpen and Tracey Cox to give a presentation named 'The Road ahead - Plan for 2014-15 & 5 year plan development'.

The following points were highlighted in the presentation:

·  CCG's refreshed strategic objectives

·  Commissioning intentions for 2014/15 (available on the CCG's website)

·  New Urgent Care Service Arrangements

·  New Maternity Service Arrangements

·  Embed Community Cluster Model

·  Future of the Royal National Hospital for Rheumatic Diseases

·  New and continuing service arrangements

·  Other developments

·  Other potential service developments

·  Procurements

·  A call to Action

·  Everyone Counts 2014/15 to 2018/19

·  CCG Development of its 5 year plan

The Chair welcomed the level of detail received in presentations so far and acknowledged the scale and pace of the work that would have to be completed in a very short timescale.

The Chair invited Douglas Blair to give a verbal update on behalf of the NHS England.

Douglas Blair highlighted primary care responsibilities for the NHS England.  Primary care role would expand in near future.  The GP contract would be revised for the next year, with expectations of having an accountable GP for over 75s.  Commissioning of the primary care would need to link on local requirements, local needs.

Douglas Blair also informed the Board about arrangements around the future delivery of primary care, especially in terms of the funding stream, buildings, electronic prescriptions, IT systems and similar.

The NHS England would also continue to commission some elements of public health screening and immunisation, and for some elements of specialised services.

The Chair asked what would be the HWB's role in terms of the local GPs, and how would they fit in local strategies.

Douglas Blair responded that the Board, and the NHS England, would need to be a part of the local Health and Wellbeing Strategy, rather than picking up on particular parts of the NHS England commissioning.

Councillor Dine Romero asked about the impact of growing number of children and young people on Call to Action.  Councillor Romero commented about possible health visitor need for growing number of military personnel and whether that was something to think of.  Councillor Romero also asked if health visitor for over 75s would be a different health visitor.

Tracey Cox responded that health visitor for elderly would have a different job description.  The CCG had been monitoring the Joint Strategic Needs Assessment figures on regular basis, and increase in number of children and young people in the area was not an issue.

Douglas Blair said that armed forces commissioning was responsibility of the NHS England.

John Holden welcomed to 5 year Strategy from the CCG and said he would be looking forward for its delivery.  John Holden felt that the current dispensation of the primary care, where an area team commission primary care, would not be sustainable.

It was RESOLVED to note presentations and verbal updates. 

It was also RESOLVED to receive a report on the Director of Public Health award for one of the future meetings.