Agenda and draft minutes

Apologies for absence were submitted by Emma Bennett, Viv Griffin Proffessor Linda Lang and Sarah Norman

R Khuttan attended the meeting in place of Proffessor Linda Lang

The Chair paid tribute to Bob Jones, the Police and Crime Commissioner, who had recently passed away.

The Committee stood for a minutes silence in his memory.

There were no declarations of interest

[To approve the minutes of the previous meeting as a correct record]

Resolved

            That the minutes of the meeting held on 7 May 2014 be approved as a correct record and signed by the Chair subject to the following amendments

·           Apologies for Absence 3^rd line delete the word “local”

·           Add Maxine Bygraves to the list of attendees

·           Change Noreen Dowd’s job title to Interim Director

[To consider any matters arising from the minutes of the meeting held on 7 May 2014]

There were no matters arising

[To consider and comment on the summary of outstanding matters]

                                                                                                                     [Viv Griffin]

The following issues were noted:

·                Child Poverty Strategy – Ros Jervis would talk to Keren Jones about the timing of the submission of the report

·                Primary Care Strategy – was listed twice but no date was set for when it would be reported

·                Children’s Trust Board – it was noted that written reports on the work of the Trust Board would be submitted to this meeting in future  

[To consider and comment on the items listed on the Forward Plan]

                                                                                                                     [Viv Griffin]

There were no issues raised

[To receive an update on progress regarding the development of the Better Care Fund]

                                                                                                               [Noreen Dowd]

A report was received on the progress made on the development of the Better Care Fund programme.

It was noted that the initial submission of the Better Care Fund Programme had been made to NHS England in April. A further iteration was required to be submitted in early August 2014 with a more robust financial analysis. It was felt that rather than hold a special meeting to approve the further submission delegated authority should be given to the Chair and other members of the Board to approve it.

Work was ongoing on working towards national and local metrics associated with the development of the Better Care Fund programme. It was noted that as part of the consideration of the impact on the acute sector a work programme was being developed to look at the impact of reducing the number of bed days. It was felt that a local view was needed on how to measure the impact on the acute sector. This would aid benchmarking. It was noted that 85% of funding was being spent on existing resources and there was a need to develop a more integrated care pathway.

It was recognised that engagement with community groups would be an important part of the design of services. Mapping work was already underway  to understand  the level of existing community provision.

Resolved

            1.    That the report be received

            2.    That delegated authority be given to Councillor Samuels, Helen and Hibbs and Sarah Norman to approve the further submission of the Better Care Fund Programme to NHS England

[To receive an update on the Urgent Care Strategy prior to the commencement of the public consultation exercise]

                                                                                                               [Noreen Dowd]

Consideration was given to a report on the joint urgent and emergency care strategy. The strategy had been reported to and agreed by the CCG Governing body on the day before the meeting of the Board.

It was considered important to understand the equality impact assessment of the strategy and felt that this should be reported to the next meeting of the Board

Resolved

1.      That the report be noted

2.      That details of the equality impact assessment of the joint urgent and emergency care strategy be reported to the next meeting of the Board

[To consider the Joint Re-ablement and Intermediate Care Strategy 2014 – 16]

                                                                                                                     [Tony Ivko]

A report was considered on the Joint Re-ablement and Intermediate Care strategy 2014-16.

Resolved

              That the Joint Re-ablement and Intermediate Care strategy 2014-16 be approved

[To consider the Director of Public Health’s Annual Report 2013/14]

                                                                                                                    [Ros Jervis]

The Director of Public Heath gave a presentation on the Public Health Annual report 2013/14. The report focussed on the issue of obesity in the city.

It was noted that 13% of reception class children were obese and this rose to 25% by year 6. 70% of the population of the city was overweight. 54% of the population did not participate in any physical activity. It was noted that deprivation played an important role.

The report was intended to act as a call for all to engage with this issue and get the message out regarding the need to combat obesity.

The Board was asked to pledge its support for action to combat obesity and to support a conference to be held in the autumn on the subject.

It was noted that obesity was a particular problem amongst certain ethic groups and therefore there was a need to involve community groups in the fight against obesity.

Resolved

            1.    That it be recognised that obesity presents a serious a serious health issue for the health of the city and that rates of excess weight in Wolverhampton are significantly worse than national and comparator areas

            2     That the Public Health Annual Report 2013/14 ‘A Call to Action’ on obesity in Wolverhampton be endorsed and supported.

            3.    That the Autumn Obesity Call to Action Conference be supported.

            4.    That individual partner agencies be asked to make pledges of support to take action as part of their commitment to a partnership ‘whole systems’ approach to tackling obesity and to attend the Autumn conference.

[To receive details on the Local Government Declaration on Tobacco Control and to consider becoming a signatory to the Declaration]

                                                                                                                    [Ros Jervis]

A report was received on the Local government Declaration on Tobacco control. The declaration had been developed by Newcastle City Council as a means of showing commitment to the importance of tackling issues related to smoking. The declaration gave a number of specific commitments to tackling smoking. A number of other councils had already signed the declaration.

Resolved

            That the Board requests that the Council and partner organisations sign the Tobacco Control Declaration

[To receive details of the Care Act Implementation and Personalisation Programme Board]

                                                                                                             [Emma Bennett]

The Board received a report on the progress made on implementing the Care Act and the personalisation programme. The act placed additional responsibilities on the Council. The government had said that the implications of the Act would be cost neutral on the council but it was anticipated that there would be additional costs incurred. The report detailed the changes arising from the Act.

A Board had been created to manage the implementation of the Act and work was also ongoing with 14 other councils on how to respond to the Act .

It was noted there was concern that the implications of the Act could cost  additional £5 million at time when there was a need to save money.

It was felt that in conjunction with the other councils a letter should be sent to the Department of Health to raise awareness of the need for adequate funding to be available to ensure that the requirements of the Act are deliverable

Resolved

            That a further progress report be submitted to the October meeting of the Board

[To consider the 5 year Strategic Plan for the Wolverhampton Health and Social Care Economy]                                                        

                                                                                                               [Noreen Dowd]

Consideration was given to the Five Year Strategic Plan for the Wolverhampton Health and Social Care Economy. The five year plan built upon detail provided in the two year operational plan. The production of the five year strategy was a requirement from NHS England for all healthand social care economies.  The Health and Well-Being Board was required to sign off the plan.

Resolved

            1.    That Five Year Strategic Plan for the Wolverhampton Health andSocial Care Economy be approved

            2.    That any further changes to the plan would be represented to the Health and Well-Being Board for final approval.

[To receive feedback from the following Sub Groups]

(i) Children’s Trust Board

                                                                                                             [Emma Bennett]

(ii) Adults Delivery Board

                                                                                                             [Viv Griffin]

(iii) Public Health Delivery Board

                                                                                                             [Ros Jervis]

·                Children’s Trust Board

A review had been undertaken of the terms of reference and the membership of the Children’s Trust Board. The review had also looked at the structure of Board and its relationship with other boards.

The children, young people and families plan would provide the focus for  the work programme. It was noted that there was a need for partner organisations to bring items forward.

The annual stakeholder event was being planned.

Concern had been expressed at levels of attendance at Board meetings. The partnership agreement had stressed the need for consistency of attendance for partners with an aspiration that all members of the board would attend 80% of meetings. Most representatives had signed and returned the agreement

·                Adult Delivery Board

The content of the report of the progress made by the Adult Delivery Board was noted.

·                Public Health Delivery Board

The 10 June meeting of the board had closed down the previous years’ work streams and had agreed seven new ones for the forthcoming year.

The Board had also received a report on the social inclusion model

 [To pass the following resolution:

That in accordance with Section 100A(4) of the Local Government Act 1972 the press and public be excluded from the meeting for the following items of business as they involve the likely disclosure of exempt information relating to the financial or business affairs of any particular person (including the authority holding that information).]

Part 2 – exempt items not open to the public and press

Resolved

            That in accordance with Section 100A(4) of the Local Government Act 1972 the press and public be excluded from the meeting for the following item of business as it involves the likely disclosure of exempt information relating to the financial or business affairs of any particular person (including the authority holding that information)

[To receive a report on the current position]

                                                                                                              [Dr Kiran Patel]

The Board received a report on the developments with the provision of GP surgeries in Bradley, Bilston Urban Village, The Scotlands and Heath Town

Resolved

1.      That the report be received

2.      That the report be considered by the Health Scrutiny Panel