Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 19 September 2017 10.00 am

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

Contact: Andrea Clarke 01452 324203 

Items
No. Item

1.

Declarations of interest

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

Minutes:

Dr Andy Seymour expressed a personal and pecuniary interest with regard to agenda item 8.

2.

Minutes of the previous meeting pdf icon PDF 89 KB

Minutes:

The minutes of the meeting held on Tuesday 13 June 2017 were agreed as a correct record and signed by the Chairman.

3.

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 12 September 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.

4.

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

 

Minutes:

No members’ questions were received.

5.

Mental Health - Self Harm pdf icon PDF 1 MB

The Board to take a detailed look at the issues surrounding self harm.

Minutes:

5.1       The Chairman reminded members that at the Board’s development session,18 July 2017, it was agreed that, as the Public Health Profile (http://fingertipsreports.phe.org.uk/health-profiles/2017/e10000013.pdf) for Gloucestershire showed that the county was Red for hospital admissions for self-harm, the Board should undertake a deep dive into this issue. It had been agreed that every member of the Board could contribute to work to improve how this issue was managed, and also agreed that at this meeting Board members would commit to take away an action, and report back in January 2018.

 

5.2       Jennifer Taylor, Lead Commissioner Public Health and Chair of the Gloucestershire Suicide Prevention Partnership (GSPP), gave a detailed presentation which included:-

Ø  The types of behaviour that were usually categorised as self-harm

Ø  Debunked the myths around self-harm

Ø  Discussed the headline indicators (eg. hospital admissions)

Ø  Looked at statistics, including admissions by age, gender, by areas of multiple deprivation

Ø  Looked at self-reported data

Ø  Discussed what was being done locally to address self-harm

Ø  What was being done to promote good mental health

Ø  Future work

(For information the presentation slides were uploaded to the council website.)      

 

5.3       Board members engaged in a detailed discussion and debated. Significant points were:

Ø  Important to remember that improving health and wellbeing was a board priority

Ø  Were resources deployed in the right way and targeted appropriately

Ø  It was important not to judge or stigmatise people

Ø  Need to understand the implications of the Public Health England Prevention Concordat for Better Mental Health (https://www.gov.uk/government/publications/prevention-concordat-for-better-mental-health-consensus-statement/prevention-concordat-for-better-mental-health)

Ø  Does the data tell us what we need?

Ø  It was important not over medicalise self-harm - Everyone feels low sometimes

Ø  Important to talk to young people in their language

Ø  Were all the available support mechanisms signposted clearly, and accessible

Ø  Did the data indicate a gender difference or was it that incidents were logged differently dependent on gender?

Ø  Was there learning to be taken from the County Durham Crisis and Liaison Vanguard (https://www.england.nhs.uk/mental-health/case-studies/durham-camhs/ and https://www.england.nhs.uk/mental-health/case-studies/mh-county-durham/)

Ø  The Online Pupil Survey was an important and valuable tool

Ø  The data showed a link between admissions for self-harm and areas of deprivation

Ø  Was social prescribing for young people something that should be developed?

Ø  It was important to note that the Public Health Profiles for Cheltenham, Stroud and Gloucester were also showing Red for this indicator

Ø  It was agreed that there were examples of good preventative work in place across the county, eg. the Stroud Schools Pilot.

 

5.4       Reflecting on what each Board member could do to promote mental wellbeing:-

Ø  Cllr Roger Wilson agreed to become a Mental Health Champions http://www.mentalhealthchallenge.org.uk/the-challenge/)

Ø  The Cabinet Member Public Health and Communities agreed to continue to support the work that the Lead Commissioner Public Health on this issue

Ø  The Cabinet Member for Children and Young People agreed to work with the Interim Director of Children’s Services to look at what  ...  view the full minutes text for item 5.

6.

Better Care Fund pdf icon PDF 57 KB

This report is To Follow.

Additional documents:

Minutes:

6.1       The Board thanked the Lead Commissioner for Older People for her work. Board Members were aware that guidance for the BCF had not been published until July 2017 which had meant a short timescale to write and agree this plan. The Board noted that due to the timescale for the submission of this plan to NHS England (NHSE) it had agreed, at the Board meeting on 13 June 2017, to delegate the authority to sign off the plan to the Board Chairman.

 

6.2       The Board welcomed the plan and was pleased that the BCF has passed the NHSE approval process. With the current local and national workforce challenges across health and social care there was concern as to whether all the identified activity was achievable. It was also questioned as to whether members of the public understood the changes to care pathways and whether it would be helpful to develop a communication plan to support this work.

 

6.3       It was commented that this information had not been shared with the districts ahead of this discussion. However the Board was reminded of the timescales for this work, and also that there was a lot of engagement with district councils on BCF activity particularly the Housing agenda.

 

6.4       The Board agreed to receive an update on this work following the winter period.

 

7.

Pharmaceutical Needs Analysis (PNA) Briefing pdf icon PDF 96 KB

The next iteration of the PNA is in development and must be approved by the Health and Wellbeing Board by March 2018.

 

The Board to receive a briefing on work undertaken so far, and the timeline for final sign off.

Minutes:

7.1       The Board agreed to the timetable and approach for publishing the revised PNA, noting key dates for input from the HWB Board, and agreed to promote the public engagement survey within their local constituencies.

 

7.2       The Board also agreed to receive an e-copy of the draft PNA in the New Year for comment prior to consultation, and to formally sign off the PNA at its meeting on 20 March 2018.