Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 17 January 2017 10.00 am

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

Contact: Andrea Clarke 01452 324203 

No. Item


Declarations of interest

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


No declarations of interest were received.



Minutes of the previous meetings pdf icon PDF 88 KB

The Board to approve the minutes of the meetings on Tuesday 20 September 2016 and Tuesday 29 November 2016.

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The minutes of the meeting held on the 20 September 2016 and 29 November 2016 were agreed as a correct record and signed by the Chair.



Public Questions

To answer any written or oral 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 January 2017.Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email:


An oral question may be asked by a member of the public if notice of the question is given by the questioner to the person presiding at the meeting, or the Chief Executive’s representative, at least 30 minutes prior to the start of the meeting.


Depending on the nature of the questions asked it may not be possible to provide a comprehensive answer at the meeting, in which case a written answer will be supplied as soon as reasonably possible after the meeting.


No public questions were received.



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 January 2017. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email:



No member questions were received.



Sustainability and Transformation Plan - Update


55.1     The Associate Director Patient and Public Engagement (Gloucestershire Clinical Commissioning Group (GCCG)) updated the Board on the communication and engagement strategy for the STP. She informed the Board that the GCCG had acted on the advice from the Gloucestershire Health and Care Overview and Scrutiny Committee and extended some events into the evening. In response to a question it was explained that the GCCG had been and would be meeting with district councils individually; were working with the health and wellbeing groups in these councils, and was hoping to be able to utilise their reception areas. It was also noted that there have been a number of briefings at the county council.


55.2     An online and paper survey was available. It was noted that the engagement events were attracting a high footfall and giving direct feedback, but that people were not necessarily following this up with completing the survey. The engagement period would conclude on 24 February 2017 and it would be important to understand whether the survey outcome was statistically significant. A particular factor here was that people were usually more engaged during consultation on specific service proposals.


55.3     It was explained that it was expected that consultation on a new model for urgent care services would commence in the summer (June/July). The GCCG Accountable Officer updated the Board on the key STP programmes of work.


55.4     It was agreed that the Board would continue to receive updates on progress of the STP. 



Future in Mind Transformation Plan - Update pdf icon PDF 3 MB

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56.1     The Lead Commissioner Children and Maternity Services presented a summary of the 2016 update to the Gloucestershire Future in Mind five year transformation plan to improve children and young people's mental health. NHS England required all areas to update the plan on an annual basis. The plan broadly focused on earlier intervention to support all children and also the need to support vulnerable and at risk groups such as children and young people who have suffered trauma and abuse.


56.2     The Board agreed that this plan was very positive and welcomed the breadth of work to support children and young people. Board members also agreed that it was important not to underestimate the continuing challenges, particularly with regard to the impact of trauma on very young children, which could lead to a lifetime of mental health challenges if not supported appropriately.


56.3     It was felt that there could be greater involvement by the VCS and faith groups in the county, and that this could balance out what could be perceived as a very system heavy approach. It was noted that the Stroud Schools Project had been working through the role of the wider community and voluntary groups. This project had been evaluated and the early findings were that it was making a difference and had been well received. The Board was also informed that work was ongoing with faith groups to work through how the links into these groups could be improved.


56.4     The Board was pleased to note that the plan demonstrated that mental health was everyone’s business, and given the importance of early intervention and identification that work was already in place with schools (through Gloucestershire Healthy Living and Learning (GHLL)), providing teachers with the necessary skill base. Members were also pleased to note that the Online Pupil Survey enabled targeted work to be undertaken with schools should it be needed. It was agreed that the role of education in promoting health and wellbeing was a theme that the Board would wish to consider in detail at a future meeting.


56.5     In conclusion the Board agreed to note the good progress made with implementing the plan; and to approve the 2016 update to the plan.



Housing - Report from the Better Care Fund Forum pdf icon PDF 117 KB

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57.1     The Lead Commissioner for Older People, Health and Care gave a detailed presentation of this report, and drew particular attention to the challenges, in a two tier local authority area, relating to the legal aspects related to the funding, and that this had impacted on the speed of this work. The Joint Commissioner was pleased to report that the Chief Executives of the six District Councils had addressed this issue through a joint agreement on this matter and work was now able to proceed apace.


57.2     The Board was pleased to note that due to the progress made on reaching a joint agreement around funding Gloucestershire had been invited to attend the national advisory board. The national board had reinforced that the funding would be passed to district councils, even though this was not the wish of the district councils in Gloucestershire, but the national board had agreed that Gloucestershire’s joint agreement would stand.


57.3     The Board agreed that it was good to see this focus on housing, fully supported this work, and would wish to receive an update on progress in due course.


57.4     The Board agreed to note the current position, the progress to date, that Gloucestershire had been invited to join the national board tasked with providing guidance for future years’ allocations via the Better Care Fund (BCF) and the proposed local governance and reporting arrangements.



Charter: Transform the lives of people with dementia in your community pdf icon PDF 74 KB

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58.1     The Board were informed that there was already a lot of work relating to dementia in place through the STP; a Clinical Programme Group was already working on this matter. The Board was also informed that some schools were doing some inter generational work to improve understanding and raise awareness.


58.2     The Board agreed that this pledge supported the direction of travel of the dementia work already commissioned and planned by the health and care community in Gloucestershire. The Accountable Officer (GCCG) emphasised that dementia was already a top priority in Gloucestershire. It was suggested that the District Councils could be approached to sign up to this as well, particularly given their role in housing provision and the role that they could play in developing dementia friendly communities.


58.3     In conclusion the Board agreed to identify a council Dementia Lead to work with the Dementia Clinical Programme Group to respond to the Alzheimer’s Society Local Councillors Pledge. The Chair, Cllr Dorcas Binns, indicated that she would be happy to take on this role until the end of this council, and dependent upon the outcome of the May council elections would take this role forward in the next council.



Motor Neurone Disease Association (MNDA) Charter pdf icon PDF 69 KB

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59.1     The Board felt that the principles identified in this Charter were already being followed in Gloucestershire. Some Board members did not fully understand the complexity of this disease and it was agreed that information on this disease would be shared with Board Members offline.


59.2     The Board agreed to endorse this Charter.