Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 20 March 2018 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 meeting pdf icon PDF 78 KB


The minutes of the meeting on Tuesday 23 January 2018 were agreed as a correct record and signed by the Chairman.


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 13 March 2018. 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 had been 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 13 March 2018. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email:



No member questions had been received.


Feedback from the Prevention Peer Challenge pdf icon PDF 79 KB

Report to follow.

Additional documents:


13.1     The Director of Public Health gave a detailed presentation of the LGA lead Prevention Peer Challenge. She also thanked everyone who had been involved in this process.


13.2     She informed the Board that the report had reflected what the council already knew, and that it had been helpful to have this challenge as it gave an opportunity to reposition/reframe the work to address health inequalities across the county. The Joint Health and Wellbeing Strategy had been written in 2011/12 so it was timely to refresh this work.


13.3     Board members thanked everyone who had been involved with and supported the Peer Challenge. They welcomed the insights and opportunities identified in the report, and agreed that this work would help to ensure that the Board was best positioned to deliver on the health and wellbeing needs of the county. The Board particularly welcomed the points relating to the number of other Boards, how best to involve the voluntary and community sector, and the Joint Strategic Needs Analysis.


13.4     In considering the next steps Board members agreed to use their next scheduled Board meeting (15 May 2018) as a development session to discuss the recommendations from the Peer Challenge and how best to respond.


Feedback from the Adverse Childhood Experiences Panel pdf icon PDF 86 KB

Report to follow.


14.1     Detective Inspector Emma Davies presented the report on behalf of Assistant Chief Constable Julian Moss (ACEs Lead). The Board welcomed the update and agreed that this was an important part of the Board’s work.


14.2     In response to a question it was explained that the Panel was aware of the Children First initiative funded by the Office of the Police and Crime Commissioner (OPCC) and that Children First already used an ACEs informed approach. It was also explained that the Police have been using an ACEs approach for some time, eg the Aston Project, and that this work was continuing in earnest.


14.3     It was agreed that the scope of this work was huge and it wold be important to maintain focus; it was therefore important to for the strategy to be agreed.


14.4     The Board agreed that it would be helpful to receive regular updates on the work of the Panel.


Director of Public Health Annual Report pdf icon PDF 2 MB

Additional documents:


15.1     The Director of Public Health gave a detailed presentation of her report. (For information the presentation slides were uploaded to the council website and included in the minute book.)


15.2     The Board agreed that this was a valuable report that gave real insight into the challenges faced by vulnerable children and their families in Gloucestershire. Members agreed that the report very much brought to the fore important questions such as what did we mean by school ready, and what did we mean when we said that we wanted a thriving population, do we know what this would look like? It was also clear on the challenges, and highlighted the importance of driving forward an ACEs informed agenda. The Board agreed that this report would be an important part of the refresh of the Joint Health and Wellbeing Strategy.


15.3     It was commented that it was easy to medicalise issues but that this was not always the appropriate response, and that often more community based solutions delivered better options, eg. social prescribing.


15.4     It was agreed that the Matson and Podsmead regeneration project presented a good opportunity for the Board to engage at the beginning of a project, and it was agreed to ask Gloucester City Homes to give an oversight of this project at a future Board meeting.


15.5     It was also agreed that this report could be helpful to the 2050 Vision team.


Pharmaceutical Needs Assessment pdf icon PDF 94 KB


16.1     The Public Health Outcome Manager updated the Board on the development of the Pharmaceutical Needs Analysis (PNA) 2018-2021. The public consultation had concluded on 28 February 2018. The PNA Steering Group would consider and comment on the responses to the consultation, and the final draft of the PNA needed to be signed off by the Board by 31 March 2018 in order that it could be published on the council website on 1 April 2018 as required by legislation.


16.2     The Board had a detailed discussion as to whether or not to sign off the PNA. There was a strong feeling across the Board that there was a disconnect between the legislation in support of the PNA and the current direction of travel for community pharmacies. Some Board members felt strongly that the PNA legislation was very out of step with the needs of local communities.


16.3     The Board was aware of the challenges around the timeline for signing off the PNA and agreed that members would do this ‘virtually’. Given the shared concern relating to the perceived disconnect between legislation and the current and future role of community pharmacies it was agreed that Board members would vote on as to whether to sign off the final draft of the PNA or not. When sending out the final draft information would be provided as to whether there were any ramifications for not signing off the PNA.


16.4     It was agreed that a letter be sent to the Secretary of State for Health and Social Care, and NHS England, informing them of the Board’s concerns.


(Post meeting note: The Board agreed to signoff the PNA 2018 – 2021 and the document is available at this link