Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 13 June 2017 10.00 am

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

Contact: Andrea Clarke 01452 324203 

Items
No. Item

1.

Election of Chairperson

Minutes:

Cllr Roger Wilson was elected Chairman with a term of office of one year.

2.

Election of Vice Chairperson

Minutes:

Dr Andy Seymour was elected Vice Chairman with a term of office of one year.

3.

Declarations of interest

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

Minutes:

No declarations of interest were received.

4.

Minutes of the previous meeting pdf icon PDF 76 KB

Minutes:

The minutes of the meeting held on 17 January 2017 were agreed as a correct record and signed by the Chairman.

5.

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 6 June 2017. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email: andrea.clarke@gloucestershire.gov.uk).

 

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.

Minutes:

No public questions were received.

6.

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  6 June 2017. 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.

7.

Director of Public Health Annual Report pdf icon PDF 266 KB

The Director of Public Health will present her Annual Report at the meeting.

Minutes:

7.1       The Director of Public Health (DPH) gave a full presentation of her Annual Report. The Board welcomed the structure and format of the report, and the use of case studies to illustrate how public health funding had been used, and the impact that it was having on the community and individual lives.

 

7.2       It was commented that this report structure did not enable identification of trends. However the DPH explained that she would be trialling a new report to be received by the Health and Care Scrutiny Committee which would include information on high level trends, and that the Joint Strategic Needs Assessment featured a wealth of information on the health and wellbeing needs of the population of Gloucestershire, including trend data (https://inform.gloucestershire.gov.uk).

 

7.3       The DPH informed the Board that her next annual report would be focusing on children and families.

8.

Joint HWBS Delivery Plan Performance Report pdf icon PDF 510 KB

Minutes:

8.1       The Director of Public Health (DPH) gave a full presentation of this report, including the context relating to the development of the structure of the report. The Board commented that the report included more information relating to inputs rather than outcomes, but acknowledged the challenges involved as this activity was spread across a wide area of work and partners. The Board had no suggestions as this stage as to any changes to the structure of the report.

 

8.2       It was explained that following the local election and the changes to the local authority membership on the Board that there was no identified lead for the Alcohol Harm Reduction Delivery Plan. Cllr Jennie Watkins agreed to lead on this work.

9.

Gloucestershire Health and Wellbeing Board in the new council 2017 to 2021 pdf icon PDF 599 KB

Minutes:

The Director of Public Health (DPH) led the discussion on the direction of travel for the Board in the new council. The main points from this discussion were listed below. These would be taken forward for further discussion at the Board’s development session on 18 July 2017.

 

Ø  How does/should the work of the Board get cascaded up as well as across partners?

Ø  Should the Board identify three specific issues, related to the 5 priorities, to follow through each year?

Ø  Board members should not be fixated on the Board being only these meetings. As system leaders board members could drive things through the system in other ways.

Ø  A link with the Gloucestershire Local Enterprise Partnership (LEP) should be established; the LEP could be invited to join the Board.

Ø  A place based approach was appropriate given the diverse communities in Gloucestershire; but that a wider approach remained viable where appropriate.

Ø  How to better involve the voluntary and community sector (VCS).

Ø  Engagement with the Community Safety Strategy.

Ø  Acknowledged that it was important to understand whether sufficient resources were available to deliver priorities.

Ø  Importance of having an evidence base to underpin the Board’s work.

10.

Adult Social Care - Additional DCLG Funding

The Director of Operations: Adult Services & Business Development to update the Board.

Minutes:

10.1     The Chairman agreed to include this additional item as there was no other opportunity to inform the Board of this matter given that the council’s Cabinet would meet to discuss this matter on 19 June 2017.

 

10.2     The Director of Operations: Adult Services and Business Development updated the Board on the situation related to the additional funding from the Department of Communities and Local Government (DCLG) of some £10.598 million in the current year to be used on:

·                     Meeting adult social care needs generally;

·                     Reducing pressures on the NHS, including delayed discharges of care (DToCs), and;

·                     Stabilising the social care provider market.

 

10.3     This notification had arrived subsequent to the council setting its annual budget for 2017/21018.

 

10.4     The Director informed the Board that discussions have taken place between the Council and the Gloucestershire Clinical Commissioning Group (GCCG), with input from both the Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) and Gloucestershire Care Services NHS Trust (GCS), as to how this may best be utilised to both address these conditions and further the intentions set out in both the Accident and Emergency improvement plan and the wider Sustainability and Transformation Plan (STP). Accordingly it was intended that permission would be sought from the Cabinet (19 June 2017) as part of its budget monitoring reports for this to be actioned subject to the detailed plan being approved by the Health and Well Being Board as all other Better Care Funding was required to be (this element being referred to as IBCF2).

 

10.5     This will be submitted to the Board as soon as possible after the detailed national conditions have been released. However to ensure that schemes can commence without further delay the Board may be asked to comment on the plan virtually over the summer. The full report would then be brought to the next available meeting for further discussion alongside consideration as to how sums were to be made available in relation to both IBCF1 and IBCF2 in future years, plus the main BCF should also be utilised (again subject to confirmation of the national conditions and as appropriate the agreement of the Council and/or the Cabinet and the GCCG).

 

10.6     The Board agreed that the timeline pressure meant that a virtual discussion was appropriate; and also agreed to delegate authority to the Chairman and Vice Chairman to make any decision in this regard during this virtual discussion period. The Board looked forward to receiving more detail in due course.