Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 23 January 2018 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:

No declarations of interest were received.

2.

Minutes of the previous meeting pdf icon PDF 86 KB

To approve the minutes of the meetings on Tuesday 19 September 2017 and Tuesday 28 November 2017.

Additional documents:

Minutes:

2.1       The minutes of the meeting held on Tuesday 19 September 2017 were agreed as a correct record and signed by the Chairman subject to the following amendment:-

Minute 5.4: to note that the Office of the Police and Crime Commissioner had worked with 460 organisations since 2012, not 360.

 

2.2       The minutes of the meeting held on Tuesday 28 November 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 16 January 2018. 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 pdf icon PDF 105 KB

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 16 January 2018. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email: andrea.clarke@gloucestershire.gov.uk).

 

Minutes:

4.1       A written question had been received from Cllr Iain Dobie. The question and answer are available on the council website and would be included in the minute book.

 

4.2       Cllr Dobie asked a supplementary question, asking again whether the Gloucestershire Clinical Commissioning Group (GCCG) would commit to applying its own ring fence to any central government funding it receives labelled mental health. The Accountable Officer, GCCG, and STP Lead, informed Cllr Dobie that the GCCG spent a large percentage of its funding allocation on mental health, and that mental health was also a key part of the STP. She was not sure how the funding could be ring fenced given the manner in which overall funding was allocated by central government.

 

4.3       The Chairman took the opportunity to remind Board members that the Gloucestershire Pharmaceutical Needs Analysis (PNA) was out for consultation, and they had until 28 February 2018 to respond.

5.

Adverse Childhood Experiences (ACEs) - Update pdf icon PDF 49 KB

The Board to receive an update on actions following the meeting on 28 November 2017.

Additional documents:

Minutes:

5.1       Assistant Chief Constable Moss brought the Board up to date with ACEs related activity following on from the Board’s special meeting on this issue on 28 November 2017. An ACEs Panel had been commissioned by the Board and it had been agreed that ACC Moss would lead on his work.

 

5.2       The Panel had met for the first time on 19 January 2018 and hoped to meet on a monthly basis to ensure that momentum was sustained. 20 actions had been identified at this first meeting and were focused on strategy, current (live) activity, communication, and more general factors.

 

5.3       It had been recognised that the communications work stream would need funding and agencies around the table had indicated that they would be prepared to contribute to this funding. Further offers of support were received at the Board meeting.

 

5.4       ACC Moss informed the Board that he would be looking to identify ACEs champions across all agencies and partners to promote and inform on how an ACEs informed approach could improve life chances and outcomes for children and young people.

 

5.5       It was agreed that the Board would receive a further update at its meeting on 20 March 2018.

6.

Public Mental Health pdf icon PDF 92 KB

1.         Self Harm - The board to receive an update on progress against the actions identified at the meeting on 19 September 2017.

 

2.         Public Health England (PHE) Prevention Concordat for Better Mental Health – the Board to discuss a Gloucestershire approach to this national concordat.

Minutes:

6.1       Jennifer Taylor, Lead Commissioner Public Health, and Suzie Lane, Outcome Manager Public Health, gave a detailed presentation of the report. It was noted that the Board’s commitment and leadership on self harm was proving to be very helpful as this agenda was progressed with partners and stakeholders. The first draft of the self-harm action plan would be shared with stakeholders and be considered, and agreed by the Mental Health and Wellbeing Partnership in due course.

 

6.2       The purpose and aims of the Gloucestershire Consensus Statement for Better Mental Health and the development of a strategy for better mental health for everyone in Gloucestershire were discussed. It was agreed that this was a good opportunity for partners to come together and that there needed to be a system wide commitment to deliver on this strategy. It was also agreed that signing up to the consensus statement was about being an active participant not merely a signatory.

 

6.3       It was agreed that it would be helpful to have a communications plan in place alongside the strategy and consensus statement. The Director of Public Health agreed to take this away as an action. It was also agreed that it would be important to be sure that the focus was on the right things and was being maintained and outcomes achieved, and that it would be helpful for there to be an action plan monitoring activity. It was also noted that there was already a lot of work in place and it would be good to build on this, not duplicate activity. The Workplace Wellbeing Charter was also a good opportunity to work with and encourage the private sector in this regard.

 

6.4       Healthwatch Gloucestershire agreed with the principles of the statement but did question the use of the word ensure at point 6, questioning how this could be achieved. This point was acknowledged and it was agreed that officers would look at how this could be reworded. Healthwatch Gloucestershire indicated that this would not prevent them from agreeing to and signing up to this statement.

 

6.5       The Board therefore agreed to note the progress made on the project to review and improve pathways for self-harm in Gloucestershire; and that it could approve the proposed Gloucestershire Consensus Statement for Better Mental Health; and approved the development of a strategy for better mental health for everyone in Gloucestershire, in line with the Public Health England Prevention Concordat for Better Mental Health.

 

6.6       Board members reported on the progress against the actions they had identified at the meeting on 19 September 2017. The Board was pleased to note that all actions had been taken forward and had been well received. It was agreed that this had been a valuable exercise and demonstrated that this Board was prepared to put its words into actions. This approach would be repeated where it would add most value.

7.

Future in Mind Transformation Plan - Update on progress pdf icon PDF 55 KB

Additional documents:

Minutes:

7.1       Helen Ford, Lead Commissioner Children, Young People and Maternity, gave a full presentation of this report. She highlighted the work in development with the Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) looking at how to better support children with a long term condition to enable them to enjoy a fuller and healthier life. A lot of work was also in development in the arts and culture fields. For those more vulnerable children NHS England have awarded funding for 2 years to pilot a new approach to supporting the mental health of Children in Care– this would enable a more personalised approach; a lot of work was in progress with young people to develop this support.

 

7.2       The Board welcomed this update and thanked the Lead Commissioner for her work. It was agreed that this report demonstrated that the focus was in the right place, and that the work in and with schools would be very beneficial in developing resilience in our children and young people. ACC Moss informed the Board that the new neighbourhood model adopted by Gloucestershire Police fitted with this approach, and that, with regard to the ACEs agenda, he had already met with the Gloucestershire Association of Primary Headteachers (GAPH), and would be meeting with the Gloucestershire Association of Secondary Headteachers (GASH) in March 2018. He emphasised that going forward it would be important that there was a joined up approach across all partners and agencies.

 

7.3       In response to a question the Lead Commissioner informed the Board that she was aware of Gloucestershire Police’s Children First initiative, and was linked in with the Lead Officer.

 

7.4       The Board noted the good progress made in implementing the Future in Mind Transformation Plan.

8.

Prevention Peer Challenge pdf icon PDF 62 KB

The Board to receive a briefing informing on the Peer Challenge process.

Minutes:

8.1       The Director of Public Health (DPH) briefed the board on the forthcoming peer review. She hoped that this would be a constructive and informative exercise. Feedback from the peer review would be on 7 February 2018.

 

8.2       She informed the Board that the organisational elements of this review had been challenging and thanked Suzanne Caine, her Personal Assistant, for her hard work in ensuring that everything was in order.