Agenda and minutes

To note any apologies for absence

Apologies for absence were received from Alistair Cunningham OBE, Keith Gerrard, Kathy O’Leary and Gail Pasquall.

To advise of any declarations of interest relating to matters for discussion at the meeting.

No declarations of interest were made at the meeting.

To agree and confirm the minutes of the meeting held on 22 December 2022 (attached).

The minutes of the meeting held on 22 December 2022 were confirmed as an accurate record of that meeting.

To seek nominations for the appointment of Vice-Chair.

Members will be invited to make nominations before taking a vote on each of the nominees. The nominee with the majority of votes will be appointed as Vice Chair for a period of one year.

Chair of the Partnership, Cllr Carole Allaway-Martin, outlined the process for the appointment of Vice-Chair and invited anyone with an interest in the appointment to submit nominations via email before the next meeting.

To consider any written questions from members of the public about matters within the powers and duties of the Partnership.

Written questions to be marked for the attention of the Chair of the Gloucestershire Health and Wellbeing Partnership and submitted by 10.00am four clear working days before the date of the meeting. The deadline for submitting questions for consideration at the meeting on 17 January 2023 is 10.00am on Tuesday 10 January 2023.

Please submit any written questions to: jo.moore@gloucestershire.gov.uk

No public questions were submitted for consideration at this meeting.

To consider proposals for a new model of working, (aligning the work of the Health and Wellbeing Board with the statutory requirements of the Health and Wellbeing Partnership).

To note proposed changes to the terms of reference for the Health and Wellbeing Board.

6.1 Siobhan Farmer, Director of Public Health, (Gloucestershire), outlined proposals relating to the proposed alignment of the membership and meeting arrangements of the Gloucestershire Health and Wellbeing Partnership (HWP) and the Health and Wellbeing Board (HWB).

6.2 The Health and Care Act 2022 introduced significant changes to the structures and governance of local NHS bodies, including changes to the way local Health bodies work with Local Government. As a consequence of the changes, the Gloucestershire NHS Integrated Care Board was formed on 1 July 2022, taking on the responsibilities and functions formerly held by the Gloucestershire Clinical Commissioning Group. It was noted that the Act did not impact on the statutory duties of Health and Wellbeing Boards, and that these must still be discharged. There remained, however, a potential overlap in the intended roles and responsibilities of Integrated Care Partnerships (ICP) and Health and Wellbeing Boards (HWB), for areas that are coterminous.

6.3 One change introduced by the Act was a requirement for each Integrated Care Board (ICB) and each upper tier or unitary Local Authority within its geographical area to establish a joint committee, (an Integrated Care Partnership). It was explained that, since Gloucestershire County Council and the ICB are coterminous, this resulted in the establishment of a single Integrated Care Partnership for the County. Each Integrated Care Partnership can determine its own procedures and methods of working.

6.4 Although at an advantage from Gloucestershire’s co-terminosity, the new arrangement also created the anomaly whereby the pre-existing Health and Wellbeing Board and the new Integrated Care Partnership covered the same geographical area. With the support of members from both the Health and Wellbeing Partnership and the Health and Wellbeing Board, consideration was given to how the two bodies might develop complementary roles in order to add value and streamline the delivery and improvement of local outcomes and services.

6.5 Making reference to the Health and Wellbeing Board - Guidance document published by the Department of Health and Social Care in November 2022, and the specific issue of coterminous areas, members were informed that: ‘In the few areas where the ICP and HWB are coterminous, (covering the same geographical boundaries), it may be appropriate for the HWB and the ICP to have the same members. This can be done, for example, by one part of the meeting formally being of the HWB, and the other part of the ICP. However, both have different statutory functions which each will be required to fulfil.”

6.6 Following publication of the guidance, comparisons were made between the existing membership of the HWB and HWP. As a result of the comparisons, it became apparent that the HWP had a significant number of core officer members in common with the HWB, plus additional representation from the Voluntary, Community and Social Enterprise (VCSE) sector and wider representation from health and care sectors. It also had several appointed members in common, including the Chair. However, the HWB included elected Cabinet portfolio leads from GCC, and the Deputy Police  ...  view the full minutes text for item 6.

To discuss and expand on the unifying themes set out in the Health and Wellbeing Partnership Interim Integrated Care Strategy.

For 2023, the three unifying themes are Employment, Smoking and Blood Pressure. 

7.1 Members received detailed presentations on the 3 unifying themes of Employment, Smoking and Blood Pressure. Set out in the Health and Wellbeing Board Strategy, the themes to form the basis of work for the Partnership in 2023 and enable all partners to contribute. It was clarified that there was no expectation for members to work on all three themes.

7.2 Having made their presentations, Vikki Walters, Gemma Artz and Tracy Marshall responded to questions.

7.3 Key points emerging from the discussion included, i) concerns about the increased popularity of vaping and ii) links between addictive smoking and health inequalities.

7.4 Following on from the presentations, members were asked to separate into 3 ‘theme based’ workshops to consider two important considerations; i) What are we doing to address the issues and ii) What could we do differently? The outcomes from the workshops to be incorporated into future discussions.

To note and agree the following changes to the dates of partnership meetings in 2023:

21 Mar (1.30pm) amended to 28 March (1.30pm)

09 May (1.30pm) amended to 30 May (1.30pm)

25 Jul* (1.30pm) *no change

19 Sep (1.30pm) amended to 26 Sept (1.30pm)

07 Nov (1.30pm) amended to 28 Nov (1.30pm)

The dates of combined meetings were confirmed as:

28 March (1.30pm)

30 May (1.30pm)

25 July (1.30pm)

26 Sept (1.30pm)

28 Nov (1.30pm)