Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 17 July 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 73 KB


The minutes of the meeting on Tuesday 20 March 2018 were agreed as a correct record and signed by the Chairman.


Public Questions

To answer any written 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 July 2018. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email:


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 10 July 2018. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email:



No member questions had been received.


Plan for the development of the Joint Health and Wellbeing Strategy for Gloucestershire pdf icon PDF 240 KB


21.1     The Board had planned for a refresh of the Joint Health and Wellbeing Strategy (JHWBS) and the recent LGA Prevention System Peer Review supported this proposal. Zoe Clifford, Public Health Consultant, outlined the proposals, including the engagement activity, to take this matter forward, informed by the Board’s Development Meeting on 15 May 2018.


21.2     With regard to the Leadership Model, Figure 1, members commented that there were a lot of Boards managing these areas and it would be important not to duplicate work that was already in process, but rather take the opportunity to influence and inform.


21.3     The Board welcomed the involvement of the district councils. It was commented that it could be helpful for the Board to review its membership to include all the district councils. The Director of Public Health acknowledged that the district councils were key to the delivery of the JHWBS; and that she would take away the membership question as an action.

ACTION:        Sarah Scott


21.4     It was also agreed that the LEP was a valid partner in this work.


21.5     It was commented that the Gloucestershire 2050 vision was focused on infrastructure and it was questioned where were the ideas relating to children? It was commented that the Board should aim to influence this work. The Chairman reminded the Board that following the Board Development meeting in May 2018 the Board agreed to send a response to the Vision 2050 consultation. The proposed response had been sent to members for comment/approval, and the Chairman urged members to respond to this email as soon as possible if they had any comments to add.


21.6     The Board agreed that it could support the principles and the leadership model, and the proposed timeline for the development of the strategy. Board Members Pat Pratley, Jennie Watkins, Mary Hutton, and Chris Brierley indicated that they would wish to be members of the steering group.


Draft Children's Partnership Framework pdf icon PDF 1 MB


22.1     Charlotte Bigland, Public Health Registrar, informed the Board on the background and context to the development of the draft children, young people and families partnership framework. This would be a whole system approach, which placed the child at the centre, listened to their voice and ensured that their needs remained central to all activity. It was important to ensure that this framework was effective; delivering good outcomes for children and young people.


22.2     The Director of Children’s Services informed the Board that he supported this work. The system has lacked an overall strategy from which to ‘hang’ significant interventions. He felt that this report outlined a good framework to take forward.


22.3     It was agreed that it would be important to engage with children, and their families, on the development of this framework. The Board was assured that stakeholders and families would be involved, particularly to help test evidence, and identify priorities.


22.4     It was commented that communities were a key stakeholder and partners in this work, particularly with regard to resilience and prevention.


22.5     The Board agreed that it could support the draft framework, and approved it for county-wide consultation.



Adverse Childhood Experiences - Update pdf icon PDF 2 MB

Additional documents:


23.1     ACC Julian Moss and Dr Tanya Richardson, Public Health Consultant, gave a detailed presentation outlining the vision, strategy, communications plan, branding for the ACEs movement in Gloucestershire, and drew the Board’s attention to the seven key messages that everyone, panel members and Board members, could take to meetings. (For information the presentation slides were uploaded to the council website and included in the minute book.)


23.2     The Chairman thanked ACC Moss, Dr Richardson and the Panel, commenting that they had achieved a lot in the first six months of this work. Board members echoed the Chairman’s comments, and agreed that progress has been impressive.


23.3     It was suggested that this work was shared with the Integrated Locality Boards, and that this work would link with community connectors and social prescribing. It was important to be aware of how we could add to each other’s efforts.


23.4     The Director of Children’s Services informed the Board that he felt that this was a great piece of work; particularly the message of hope. He informed members that the statement that resilience trumps ACEs was true; he never ceased to be surprised at how resilient children could be. He felt that this strategy gave real hope.


23.5     The Board agreed that how to link this work into schools was important. The level of exclusions (fixed term and permanent) in the county was high. The Board was informed that Restorative Practice could deliver change in schools. ACC Moss also informed the meeting that he has met with the Gloucestershire Association of Primary Headteachers, the Gloucestershire Association of Secondary Headteachers, and the Gloucestershire Association of Special School Headteachers. He has also arranged for information on ACEs to be included in the ‘What’s Up Gov’ and ‘Heads Up’ e-zines for Headteachers and School Governors.


23.6     A particular challenge for the Panel was the number of requests coming in to present to other bodies on this issue.


23.7     The Board supported the branding messages, and agreed that positive supportive messages were the way to go.


23.8     Cllr Jennie Watkins, a member of the Panel, informed the Board that it was a privilege to work on this Panel, and was clear that this was about starting a movement. She thought it likely that there would be challenge in the future regarding evidencing improved outcomes, but felt that with viral change it could be difficult to keep track of all outcomes.


23.9     Board members therefore agreed: -

Ø  To the Panel continuing its work and to receive a further update at the Board’s meeting on 6 November 2018,

Ø  To share this update report with the attendees of the meeting on 28 November 2017,

Ø  To approve the ACEs strategy,

Ø  To approve the ACEs Communications Strategy, 

Ø  To become an ACEs Champion, 

Ø  To identify the key people in their organisation to attend the ACEs Practitioner Conference,

Ø  To consider what and how they could contribute to the ACEs movement.



Permanent Exclusion Task Group Report pdf icon PDF 834 KB

Board members to consider and agree a response to the report’s recommendations to the Health and Wellbeing Board.


24.1     Cllr Lesley Williams, Task Group member, presented the report.


24.2     The Board welcomed the report and agreed to the recommendations in the report relating to Adverse Childhood Experiences, in that the ACEs Panel would:-

Ø  Ensure that those officers, across all partners, that directly work with and support permanently excluded young people, and those at risk of permanent exclusion, are invited to the planned practitioner conference.


Ø  Within its ACEs and Communications Strategies, identify and realise opportunities for working with schools, early years settings, further education and higher education settings, to ensure that an ACEs informed approach was recognised by education leadership teams and reflected in their school policies and practice. 


Ø  Deliver a Members Seminar to inform the wider council, and district council, membership of the aims and objectives of an ACEs informed approach.



Restorative Practice in Schools pdf icon PDF 630 KB

The Board to receive a verbal presentation.


25.1     Tim Browne, Head of Education, and Alison Walker, Headteacher Moat Primary School, presented on and discussed the principles and practice involved in a Restorative Practice approach in schools. (For information the presentation slides were uploaded to the council website and included in the minute book.)


25.2     The Board was informed that being excluded from school brought with it a significant social cost to the child/young person; school exclusion could lead to social exclusion. The personal cost could be incalculable and tragic. Alongside this was the financial cost to the wider society; for every excluded child the additional costs (eg. health, criminal justice, social care) was around £370k.


25.3     Ms Walker explained that Restorative Practice was not a behaviour strategy but rather an ethos; a complete change of mind-set. She felt that if the adults could change their mind-set then everything could change. She was clear that this was not a simple or straightforward process; in her school there had been challenges from staff, pupils and parents. However the school was now starting to see real change. The Robinswood Academy Trust, which included Moat Primary School, was now rolling out Restorative Practice to the other three schools in the Trust.


25.4     The Board was impressed with what has been achieved at the Moat Primary School, and thanked Ms Walker for attending today’s meeting and sharing her experience. It was clear that strong leadership was an important factor in the success of Restorative Practice. Board members agreed that Restorative Practice should be considered as an option by all schools.


Joint Commissioning Annual Report pdf icon PDF 4 MB


26.1     Kim Forey, Director of Integration, gave a detailed presentation of the report which demonstrated all the work undertaken by the joint commissioning teams in the previous 12 months. She informed the Board that Gloucestershire was recognised nationally for its integrated commissioning practice, and that officers had been contributing to the development of the adult social care green paper.


26.2     The Board welcomed the update and agreed to note progress on the integration of community based commissioning and aligned areas.