Agenda and minutes

To note any apologies for absence

The following apologies for absence were noted at the meeting:

Angela Potter

Chief Superintendent Jane Probert

Professor Mark Pietroni

Ananthakrishnan Raghuram (deputising for Mark Pietroni)

Cllr Stephen Davies

Deborah Lee

Gail Pasquall

Mark Walkingshaw

Guy Stenson

Peter Williams

Bob Hodges

Peter Tonge

Chris Witham

Nikki Richardson

Members to advise of any declarations of interest relating to items for consideration, (included on the agenda), at this meeting.

No declarations of interest were reported at the meeting.

To agree the minutes of the Health and Wellbeing Partnership meeting held on 17 January 2023

The minutes of the meeting held on 17 January 2023 were confirmed as a correct record of that meeting.

Cllr Carole Allaway-Martin, (Chair of the committee), referred to an announcement made at the January meeting, (via the Chair), for any members of the committee with an interest in the role of Vice-Chair to advise her of their interest. Cllr Allaway-Martin was able to confirm, (at this meeting), that Alistair Cunningham OBE, (Chief Executive Officer at Tewkesbury Borough Council), had expressed an interest in the role. Cllr Allaway-Martin welcomed the appointment and formally announced the appointment of Alistair Cunningham as Vice Chair of the Gloucestershire Health and Wellbeing Partnership (Committee) for 2023.

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 28 March 2023 is 10.00am on Tuesday 21 March 2023

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

No public questions were submitted for consideration at this meeting

To consider any written questions from members 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 28 March 2023 is 10.00am on Tuesday 21 March 2023

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

No member questions were submitted for consideration at this meeting.

Reflections from the Gloucestershire Health and Wellbeing (HWBP) Partnership Development Session held on 3 March 2023

Geoff Underwood and Dani Gilleland presented an overview of the outcomes and discussions at the Gloucestershire Health and Wellbeing Partnership Development Session held at Shire Hall, Gloucester on 3 March 2023.

The slide-show presentation presented at the session is attached for information.

Key information agreed at the session included confirmation of the following ‘shared’ principles, to focus on how members aimed to work together in partnership to fulfil the requirements of the Health and Care Act 2022 and to deliver key messages.

Principles on how the Partnership proposed to work together, included the commitment to:

1)    Coalesce around the common purpose of serving the population of Gloucestershire (holding this as the focus for decision making and activities).

2)    Use an asset and community focused approach to address regulatory requirements.

3)    Be bold and brave in how the Partnership worked together

4)    Act as role models of the behaviours and practices members wanted the system to adopt.

5)    Build trusting relationships, where candour and challenge are celebrated.

6)    Work flexibly, whilst keeping a keen focus on delivery. This would allow the Partnership to continually learn and improve its practices and processes to ensure ethical efficiencies.

Actions set as a collective included:

1.    Each partner to shadow and spend time with another partner organisation to better understand perspectives and place in the Gloucestershire Integrated Care System.

2.    Create a clear plan of next steps (to allow each organisation to commit to taking practical steps on their individual activities in relation to the strategy and provide measures on progress). The plan to facilitate a continuous area of discussion as feedback and learning emerges.

3.    Ensure funding priorities align to the Interim Integrated Care Strategy.

4.    Make the workforce career structure transparent and fair, with a focus on breaking down barriers to get into employment.

5.    Ensure spatial planning is focused on holistic community needs, with a focus on providing social value, maximizing the potential of anchor institutions and rural proofing.

6.    Contribute to the agreed unifying themes of Blood Pressure, Employment and Smoking and progress from a ‘how’ perspective.

7.    Understand and test governance arrangements.

In addition, each member was asked to suggest an individual commitment from which to add value and focus to the Partnership working arrangement.

These included: -

1.    Get to know other ICP members by shadowing 2 people before the May meeting;

2.    Be open to all routes of explorations, including where it feels uncomfortable;

3.    Working with the members of the Public Health Management Steering Group, identify support for the blood pressure priority theme (to include how we deliver)

4.    Convene a conversation on we progress the unifying themes

5.    Support breaking down the barriers to cross sector working

6.    Activities to match fund to the strategy

7.    Enable everyone to be able to challenge poor behaviour in the organisation

8.    Create and cascade information, including providing examples on the Partnership Pillars, to 9 people, who in turn, cascade further, (with the aim of reaching 1000 people)  ...  view the full minutes text for item 6.

Progressing the Unifying Themes

Barbara Piranty, (representing the Integrated Locality Partnership), and Charlie Sharp (Enabling Active Communities and Individuals Programme), gave a detailed presentation on proposals to take forward the 3 underlying themes of Blood Pressure, Employment and Smoking.

The slide show presentation presented at the meeting is attached for information.

Acknowledging the challenges of ‘where and how’ to kick-start the work, it was agreed that effective coordination and communications would be essential to make progress. It was also acknowledged that some districts might have their own themes, for which it was suggested, could be fed into the unifying themes set out for the Partnership.

Summarising proposed next steps, it was suggested that the following factors be noted: -

1.    Clarification of the role and function of the Partnership

2.    A small ‘coordination’ group to be established (the group to meet independently/develop an action plan for the themes)

3.    Using the action plan as a learning opportunity – adopt a different approach for each theme

This might include:

4.    Adopting a system wide approach - mapping and connecting work

5.    Commencing/starting out with communities

6.    Person centred design approach

7.    Target specific populations

8.    Different person(s) to lead on each theme

9.    Work to a proposed 12 month timeframe, followed by a reflect and learn session

Throughout the discussion, members noted the importance of adopting a joined up approach in order to make a difference. Acknowledging that this was an opportunity for the Partnership to demonstrate the value of making a difference from combined working, it was agreed emphasis should be placed on the desired outcomes rather than concentrating on the individual themes. From the discussion, it was proposed that a small group be established to focus on agreed outcomes. The proposal was accepted, subject to setting clear ambitions and visionary objectives. Action by – Becky Willmoth/Zoe Clifford/Barbara Piranty and Charlie Sharp

Noting that some work was already underway and could be used to inform the group, members were encouraged to provide feedback and make it known if they wished to become involved in the working group or in specific conversations/specific themes.

The presentation was noted.

To consider how to make the best impact.  

Katie Hopgood, Kat Dooley and Tom Beasley gave a detailed and in-depth overview of considerations members might wish to take into account when striving to make the best possible impact in relation to development of the Interim Integrated Care Strategy.

Focussing on the Three Pillars contained within the Strategy, members were asked to consider how best to monitor progress, add value to their work, and where necessary, how to challenge one another to achieve the best possible outcomes. Various measurement techniques were considered, including the merits of cumulative ‘ripple effect’ mapping.

In noting the presentation, it was agreed members understanding might warrant from the scheduling of further conversations and a more in-depth discussion. Whether this was something the Partnership as a whole might benefit from, at a future meeting, or workshop event, or whether a small group discussion might offer the best approach, was something that required further exploration.

Cllr Carole Allaway-Martin, (Chair of the Health and Wellbeing Partnership), stated that, to consider such a large area of work with the appropriate depth and understanding required, was a significant challenge, and one that would benefit from focussed discussions. Cllr Allaway-Martin welcomed the proposal to arrange a workshop. Action by – Becky Willmoth/Zoe Clifford

In the meantime, the following questions were suggested as questions for members to focus their attention on: -

1.    How do we decide what we measure?

2.    How do we capture the value the Partnership adds?

3.    How will do describe ‘what good looks like?

4.    What are our next steps in the development phase?

Agree next steps for future meetings of the Health and Wellbeing Board and Health and Wellbeing Partnership.

To note the dates of future meetings

The actions from the meeting were noted.

The next meeting of the Health and Wellbeing Partnership would be held at Shire Hall, Gloucester, at 1.30pm on Tuesday 30 May 2023.

This to be followed by a combined meeting (separate agendas) of the Health and Wellbeing Board and Health and Wellbeing Partnership on Tuesday 25 July 2023, (commencing 1.30pm).

A stand-alone meeting of the Health and Wellbeing Partnership would be held Shire Hall, Gloucester, at 1.30pm on Tuesday 28 November 2023.