Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 14 May 2019 10.00 am

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

Contact: Andrea Clarke 01452 324203 

No. Item


Election of Chairperson


Cllr Roger Wilson was elected Chairperson for the council year 2018/2019.


Election of Vice Chairperson


Dr Andy Seymour was elected Vice Chairperson for the council year 2018/2019.



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 97 KB


14.1     The minutes of the meeting on Tuesday 19 March 2019 were agreed as a correct record and signed by the Chairman.


14.2     The Board was updated on the actions from the meeting on 19 March 2019:-

The County Strategic Directors Group was due to meet on 28 May 2019 to discuss housing issues within the context of the Joint Health and Wellbeing Strategy.


14.3     Bob Lloyd Smith, Healthwatch Gloucestershire, updated the Board on the level of engagement achieved through the ‘Campervan and Comments Tour 2019’. HWG was in the process of analysing this feedback, as well as the responses to the national Healthwatch England survey and Mental Health survey undertaken earlier this year. He expected that this analysis would be available by the next Board meeting.


14.4     Chris Spencer, Director of Children’s Services, updated the Board on the actions taken forward by the Director of Partnerships and Strategy, following the meeting on 19 March 2019. He explained that the Safer Gloucestershire partnership has agreed the Safer Gloucestershire Strategy but has not yet agreed on a consultation exercise. The Children’s Partnership Framework was being taken forward by the Director of Partnerships and Strategy and the Accountable Officer, Gloucestershire Clinical Commissioning Group (GCCG). The Early Years Service was within the remit of the Director of Education and was a successful service. The Board was also informed that the council has received over three quarters of a million pounds from the Department of Education to improve speech, language and communication skills in young children before they start school. 



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 7 May 2019. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email:



No public questions were 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 7 May 2019. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email:



No member’s questions were received.



Social Isolation deep dive pdf icon PDF 57 KB

Additional documents:


17.1     Emma Savage, Associate Director Self Care, Prevention and Diabetes (GCCG), gave a detailed presentation of her report. This discussed how the research had been undertaken and the main findings of the deep dive so far. The report included case studies illustrating how small changes could make a significant impact on the individual.


17.2     The Board welcomed this work. This was a significant matter and how to alleviate the factors involved in social isolation was something that the Board wanted to give its full support to. It was clear that there were a number of initiatives already in place that were effective, in particular the community building work in Barton and Tredworth and the inter-generational projects. It was good to see that some private companies were making volunteering opportunities available to their staff.


17.3     The debate identified that access to education and work were significant factors in social isolation. How to engage with people who needed this type of support was important. It was agreed that it would be beneficial if this work were to be linked into/connected with the developing spatial planning strategies being developed as part of the 2050 vision for Gloucestershire.


17.4     The Director of Children’s Services (DCS) informed the Board that the care leaver cohort of young people were particularly vulnerable with regard to social isolation, and that we should be doing more to support them. Linked into this was the lack of purposeful activity available to children and young people; the DCS stated that this was a real issue for the county.


17.5     It was felt that there was a role for the parish and town councils in this work given their knowledge of their ‘patch’.


17.6     It was commented that the inter-generational work could be really effective with regard to supporting the Cyber agenda.


17.7     The Director of Public Health (DPH) stated that in taking this work forward it would not be about creating strategy upon strategy. An action plan would be developed over time so that it was clear to people what was being done to address the issues around social isolation. It was agreed that it would be beneficial to this work if Board members were to champion individual priorities/areas.


17.8     It was agreed that this work would be brought back to a future Board meeting (September 2019).


Joint Health and Wellbeing Strategy pdf icon PDF 721 KB


18.1     Zoe Clifford, Consultant in Public Health, presented the draft Joint Health and Wellbeing Strategy (JHWBS) which had been amended in line with the outcome of the discussion at the Board’s development session on 22 January 2019. 


18.2     The majority of Board members agreed that the draft strategy was in a good place to go out for consultation. There was some disappointment that Alcohol was not included in the JHWBS as a priority. It was acknowledged that this issue fell within the purview of the Safer Gloucestershire partnership, but it was felt that it should be referenced (along with Domestic Abuse). It was agreed that it would be important for the Board to have sight of the Safer Gloucestershire strategy to ensure that shared priorities were appropriately actioned. This strategy would be received by the Board at its meeting on 23 July 2019. It was also suggested that it would be beneficial if the Board was to hold some joint meetings with the Safer Gloucestershire partnership to ensure that there was closer connectivity across the system.


18.3     Board members were aware that a discussion was ongoing as to what a ‘Wigan Deal’ would look like for Gloucestershire. It was agreed that it would be helpful if this was brought to the 23 July 2019 Board meeting along with the JHWBS. The Board would agree at that time whether to submit the JHWBS for consultation.


18.4     It was noted that a meeting was to be held on 26 June 2019 to discuss the Wigan Deal for Gloucestershire. It was agreed that given the important role of the district councils in delivering a place based approach that a district council representative should attend this meeting. (Post meeting note: The Head of Communities, Gloucester City, would attend the meeting.)



18.5     It was noted that a strategic lead was still required for two of the priorities. Dr Andy Seymour, Clinical Chair Gloucestershire Clinical Commissioning Group, agreed to lead the Physical Activity priority. This left the Mental Wellbeing without a strategic lead; the Board would need to ensure that this position was taken up in the longer term.



Air quality strategy pdf icon PDF 75 KB

Additional documents:


19.1     Dave McConalogue, Consultant in Public Health, and Philip Williams, Lead Commissioner Community Infrastructure, brought the Board up to date with progress of the Air Quality and Health Strategy.


19.2     The Board agreed that this work was not just about specific projects but about making sure that decisions made were not having a wider negative impact. It was also agreed that there was still much to do to encourage people to reduce their carbon footprint. Everyone has a role to play in this agenda.


19.3     The Chairman challenged all Board members to consider what their organisations could do to support this agenda. The Board would recive a further report on this matter in six months and Board members would be asked at that time what actions they have taken in support of this agenda.


19.4     The Board agreed to approve the strategy for implementation through the Gloucestershire Air Quality and Health Partnership Group.



New strategies and plans

The Director of Public Health to give a verbal update on current work.


20.1     The Board would receive the Safer Gloucestershire Strategy at its meeting on 23 July 2019.


20.2     The Director of Public Health informed the Board that the Gloucestershire Sufficiency Strategy (Right Place, First Time) had recently been launched. The Cabinet had agreed (24 April 2019) a proposal to redevelop Trevone House, Gloucester, to support a sufficiency of placements for children in the care of Gloucestershire County Council.


20.3     The Local Industrial Strategy was in development led by Gloucestershire LEP. A call for evidence was currently in place. This overlapped with a lot of the work that the Board was doing, eg. the ageing society, green growth. The DPH informed the Board that this strategy included a theme on inclusive growth; this would also be the theme of the Annual Report of the DPH.