Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 17 September 2019 10.00 am

Venue: Cabinet Suite - Shire Hall, Gloucester. View directions

Contact: Andrea Clarke 01452 324203 

Items
No. Item

31.

Meeting Chairman

Minutes:

In the absence of the Chair, Dr Andy Seymour Vice Chair chaired the meeting.

32.

Declarations of interest

Please see note (a) at the end of the agenda.

Minutes:

No declarations of interest were received.

33.

Minutes of the previous meeting pdf icon PDF 95 KB

Minutes:

The minutes of the meeting held on 23 July 2019 were agreed as a correct record and signed by the Vice Chair.

 

Minute 25 Joint Health and Wellbeing Strategy – The Board noted that there remained a vacancy to lead on the Mental Health priority; and that with the retirement of Pat Pratley there was now a vacancy to lead the Housing priority.

 

Minute 28.6 Child Friendly Gloucestershire – The Board agreed that on reflection it would be sufficient to receive updates from Child Friendly Gloucestershire twice a year, not four times.

 

Minute 29.9 Health and Wellbeing Board membership - It was noted that the Board had not yet received a response to its request to Leadership Gloucestershire asking that it considers including the Director of Public Health in its membership. It was agreed that this needed to be followed up.

ACTION:        Andrea Clarke

 

34.

Public Questions

To answer any written questions about matters which are within the powers and duties of the Board.

 

The closing date/time for receipt of written questions is 10.00am on 10 September 2019. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email: andrea.clarke@gloucestershire.gov.uk).

 

Minutes:

No public questions were received.

35.

Members' Questions

To answer any written members’ questions about matters which are within the powers and duties of the Board. The closing date/time for the receipt of questions is 10.00am on 10 September 2019. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email: andrea.clarke@gloucestershire.gov.uk).

 

Minutes:

No member’s questions were received.

36.

Healthy Weight pdf icon PDF 261 KB

Additional documents:

Minutes:

36.1     Sue Weaver, Lead Commissioner Health Improvement, gave a detailed presentation of the aims and vision (the statement of strategic intent) underpinning the healthy weight focus of the healthy lifestyles priority within the Joint Health and Wellbeing Strategy. She explained that a whole systems approach would be needed to achieve the vision and outlined the methodologies, and the evidence base that could best support delivery of this priority. She highlighted a potential opportunity to collaborate with the World Health Organisation Global Obesity Centre ‘Choose Health Community’ as a test site . (For information the presentation slides were uploaded to the council’s website and included in the minute book.)

 

36.2     The Board welcomed that the suggested approach reflected the place-based approach already in use in the county, and that it represented a whole systems approach.  Board members also endorsed the bolder approach presented but acknowledged that this was a long term plan. The impact of obesity related issues on both the individual and the health system was significant. Aiming to engage as early as possible was the best way forward for everyone. The estimated cost of treating conditions associated with overweight and obesity to the NHS is around £160million (National Institute of Clinical Excellence, NICE) Gloucestershire.

 

36.3     It was noted that whilst the national agenda prioritises childhood obesity, it was  important to tackle obesity early, it was an intergenerational issue. A targeted offer for  pregnant women affected by obesity was in place. Weight management programmes for adults already affected by obesity were also important, and were in place locally.

 

36.4     It was commented that it would be important to ensure that there was robust capacity planning in place across the whole system; including building systems capacity in communities.

 

36.5     It was also felt that it would be helpful if the potential savings (£160m per annum) could be evidenced. It was noted that the £160m was based on calculations made in 2007, by NICE and updated recently, of the costs of assessing and treating all conditions related to obesity at that time.

 

36.6     To give context to the potential costs involved in taking this work forward the Board was informed of the work undertaken in Amsterdam (population circa: 1.1m). The level of investment into this work was around €2.8m set up cost, and then €2.5m per annum. 

 

36.7     The Board was informed that particular challenges identified by parents included issues around the local food offer in some communities, managing universal credit and parenting skills. It was acknowledged that the Gloucestershire Moves (www.gloucestershiremoves.org/) initiative with its aim to ‘get Gloucestershire moving’ supported this work.

 

36.7     Board members were frustrated that in some areas local planners continued to allow fast food outlets in proximity to schools. The Board was informed that the Lead Commissioner (Public Health) has been working with the district councils to develop a planning and health framework. They have been successful in securing support from the University of the West of England (UWE) and the Town and Country Planning  ...  view the full minutes text for item 36.

37.

Housing and Health pdf icon PDF 189 KB

Minutes:

37.1     Anne Brinkhoff, Corporate Director, Gloucester City Council, gave a detailed presentation of the report which set out a proposed strategic statement of intent to define the housing and health priority in the Joint Health and Wellbeing Strategy. She informed the Board that district colleagues welcomed that the Board had identified Housing as a priority area. The Board was informed that the working group looking at this matter had identified three defined areas of focus – new housing stock, a diverse offer, and existing housing conditions.

 

37.2     Concern was expressed with regard to how to get developers on board who were already under pressure to build houses at affordable prices. The picture was complicated by the number of different planning authorities in the county; and the question was asked as to how to address the national picture with regard to quality. As discussed at minute ? (fill in when minute number known) the Lead Commissioner Public Health has been working with the district councils on spatial planning matters.

 

37.3     The Board welcomed the statement of intent and the identified areas of focus, and that a strategic housing group has been established to take this matter forward. The links between housing and health were clear and it would be good to improve and develop the housing stock in the county. Board members agreed that the decision to widen the Board membership to include District Council Senior Officers would be beneficial to the work around Housing in particular.

 

37.4     It was suggested that it would be good to link this work into the Integrated Care System (ICS). In response to a question it was acknowledged that homelessness was an important aspect, but that given the amount of work already in place it was felt that it was not appropriate to include this in the specific areas of focus to start with; this could be revisited.

 

37.5     The Board agreed to delegate the leadership of this work, including the three defined areas of focus (new housing stock, diverse offer and existing housing conditions), to the Gloucestershire Strategic Housing Group.

 

38.

Annual Report of the Director of Public Health: Inclusive Growth pdf icon PDF 75 KB

This report is to follow.

Additional documents:

Minutes:

38.1     The Director of Public Health (DPH) presented her annual report which this year focused on ‘healthonomics’: Tackling Health Inequalities Through Inclusive Growth. (For information the presentation slides were uploaded to the council’s website and included in the minute book.)

 

38.2     The Board was very aware of the links between the economy and wellbeing and welcomed this report. The GFirst Local Enterprise Partnership (LEP) had been invited to join the Board membership and it was expected that this would benefit Board discussions relating, in particular, to education and employment.

 

38.3     It was noted that the Local Industrial Strategy (LIS) would be out for consultation from 19 September 2019 and would inform on most of the elements discussed in the annual report. The Board agreed that it would submit a response to the consultation before it closed on 31 October 2019. Given the timeline the content of this response would be discussed and agreed via email.

 

38.4     The Board therefore agreed to note the content and recommendations of the DPH Annual Report 2018/19.

 

38.5     The Board recognised and agreed that inclusive economic growth was beneficial to health (and vice versa) and would seek to influence and align its strategy and actions wherever possible with those of economic development partners, particularly GFirst Local Enterprise Partnership (LEP). The Board’s agreement to participate in the consultation on the LIS demonstrated the Board’s intent in this regard.

 

 

39.

NHS Long Term Plan pdf icon PDF 555 KB

The Board to receive a presentation.

Minutes:

39.1     Mary Hutton, Accountable Officer Gloucestershire Clinical Commissioning Group (GCCG), gave a presentation updating the Board on the Gloucestershire Integrated Care System (ICS) response to the NHS England Long Term Plan (LTP). (For information the presentation slides were uploaded to the council’s website and included in the minute book.)

 

39.2     The Vice Chair informed the Board that given the timeline for the final submission to NHS England any discussion with the Board would need to be undertaken virtually.

 

39.3     The Board noted the update.

 

40.

Better Care Fund Plan 2019/2020 pdf icon PDF 106 KB

The Board’s sign off is required for the 19/20 Better Care Fund Plan, due to be submitted to NHS England by 27th September.

Additional documents:

Minutes:

40.1     Kim Forey, Director of Integration, presented the report which detailed the timeline and requirements relating to the Better Care Fund Plan 2019/2020.

 

40.2     The Board endorsed and agreed to sign off the Better Care Fund Plan 2019/2020.

 

41.

Response to the Advancing our health: prevention in the 2020s Green Paper Consultation pdf icon PDF 121 KB

The consultation closes at 11:59pm on 14 October 2019.

Minutes:

41.1     Zoe Clifford, Consultant in Public Health, presented the report which discussed the main areas highlighted in the Advancing our health: prevention in the 2020s Green Paper.

 

41.2     It was agreed that a response to the Green Paper be drawn up for Board members to agree ahead of the closure of the consultation on 14 October 2019. Given the timeline the discussion on the submission would be undertaken and agreed via email.

ACTION:        Zoe Clifford

 

42.

New Strategies and Plans

The Director of Public Health to give a verbal update on current work.

Minutes:

The director of Public Health reiterated that the Local Industrial Strategy would be out for consultation from 19 September to 31 October 2019. The strategy has been informed by a comprehensive call for evidence.