RESOLVED that the position of Vice-Chairman for 2017/18 remain vacant until the new Accountable Officer, Bedfordshire Clinical Commissioning Group was in post.

The Chairman reported that he was settling into his new role of Executive Member for Health and Chairman of the Health and Wellbeing Board.  He had spent time with managers getting to know the services and would be visiting the teams to gain further understanding.

To approve as a correct record the Minutes of the last meeting held on          29 March 2017 and note actions taken since that meeting.

RESOLVED

that the minutes of the meeting of the Central Bedfordshire Health and Wellbeing Board held on 29 March 2017 be confirmed as a correct record and signed by the Chairman.

To receive from Members any declarations of interest.

None were declared.

To receive any questions, statements or deputations from members of the public in accordance with the procedures as set out in Part A4 of the Council’s Constitution.

There were no members of the public registered to speak.

To provide a comprehensive summary of the Health and Wellbeing needs in Central Bedfordshire and the areas which require further focus.

The Board considered a report that provided a summary of the Health and Wellbeing needs in Central Bedfordshire and the areas which required further focus. 

The proposed areas of focus that required action across the system were:

·         improving the emotional health and wellbeing of children and young people;

·         the preventing and minimising the impact of air pollution;

·         the prevention and management of falls;

·         reducing social isolation; and

·         the prevention and management of diabetes.

The National Institute for Health and Care Excellence (NICE) issued Air Pollution guidelines.  Dunstable, Ampthill and Sandy town centres were classed as Air Quality Management Areas in Central Bedfordshire as these towns were likely to exceed national air quality objectives.  Air quality was being monitored in Central Bedfordshire and it was hoped that with the opening the A5/M1 link road the air quality in Dunstable would be improved.

RESOLVED

1.      that the 2017 Executive Summary of the Joint Strategic Needs Assessment for Central Bedfordshire be endorsed; and

2.      that the areas of focus requiring action across the system, as set out above, be incorporated into a refreshed strategy.

The decision was unanimous.

a)        To receive a report on the actions being taken to reduce excess weight in the context of reducing the prevalence of diabetes.

b)        To receive a report on the actions being taken to reduce the prevalence of diabetes and increase the proportion of people with diabetes meeting their treatment targets.

a)      Reducing Excess Weight

The Board considered a report and received a presentation that provided an update on the actions being taken to reduce excess weight particularly in the context of reducing the prevalence of diabetes.  A copy of the presentation is attached at Appendix A.

The Bedfordshire Clinical Commissioning Group confirmed that they were working on a diabetes programme and recognised the increasing burden that excess weight was placing on the system.  Patients were being referred to BeeZee Bodies and practice nurses were being trained in dealing with patients with excess weight. 

There was concern that actions for preventing diabetes were not being progressed as quickly as Central Bedfordshire’s statistical neighbours and was there any learning that could be gained from those areas that were leading in this area.

RESOLVED

that a report be submitted to a future Health and Wellbeing Board meeting providing clear defined recommendations.

The decision was unanimous.

b)      Reduce the Prevalence of Diabetes

          The Board considered a report that provided an update on the rising rates of diabetes and the low proportion of people with diabetes meeting their treatment targets.  Reducing diabetes was a key priority for the Bedfordshire Clinical Commissioning Group (BCCG) as it was evident that there was an increase in the numbers of people being diagnosed with diabetes across Bedfordshire.  From October 2017 data would be collected from GP practices to help understand the number of residents with the condition.  A programme was being developed to help reduce the prevalence of diabetes.

World Diabetes Day takes place on 14 November every year and it was suggested that this opportunity be used to generate awareness of diabetes. 

RESOLVED

1.         that the developments in improving care of patients who were diagnosed with Type 2 Diabetes across Central Bedfordshire be noted, in particular in relation to improving achievement of The National Institute for Health and Care Excellence recommended treatment targets;

2.         that the Board lead and influence health and social care partners to improve the early diagnosis of diabetes through improved uptake of NHS Health Checks and promotion of Diabetes UK’s ‘Know your risk’ tool.  This was particularly required more in known populations who had high risk such as BME and deprived communities; and

3.         that all partners actively implement the Excess Weight Partnership Strategy to tackle excess weight to both prevent diabetes and ensure that treatment targets were improved for those with diabetes.

            The decision was unanimous.

a)        To receive the Child and Adolescent Mental Health Services Local Transformation Action Plan.

b)        To receive the Children and Young People’s Early Intervention and Prevention Mental Health and Wellbeing Action Plan.

a)        Child and Adolescent Mental Health Services Local Transformation Plan

The Board considered a report that provided an update on the Future in Minds Local Transformation Plan for Children and Young People’s Mental Health.  This was year 2 of a 5 year plan with key priorities identified:

·         implementation of an eating disorders community specialist service;

·         improving access and waiting times to Child and Adolescent Mental Health Services through developing crisis and community services;

·         skilling up the workforce and embedding the principles of goal focussed outcomes developed collaboratively with children and young people;

·         development of early intervention and schools support;

·         development of perinatal mental health services;

·         development of pathways for vulnerable groups; and

·         development of collaborative commissioning plans with specialist commissioning for Tier 4 beds and Forensic pathways.

The Bedfordshire Clinical Commissioning Group were working closely with the Children’s Leadership Board to improve the mental health of children and young people in Central Bedfordshire.

RESOLVED

that the progress being made towards developing a local transformation plan be noted and to report back to the next Health and Wellbeing Board meeting with the updated action plan and priorities coming forward.

The decision was unanimous.

b)      Emotional Health, Wellbeing and Resilience in Children and Young People and their Families

The Board considered a report that provided an update on the partnership approach in addressing emotional health, wellbeing and resilience in children and young people and their families.  Improving the emotional wellbeing of children and young people through promotion, prevention and early intervention had the potential to contribute to far-reaching improvements in physical health and wellbeing, a better quality of life, higher educational attainment, economic wellbeing and reduction in crime and anti-social behaviour. 

Partners were working collaboratively to address the issues, including participation from the voluntary sector.  A suggestion was made that families be assisted financially to enable the child/young person to be able to attend activities outside of school e.g. Scouts.  The Community Services Team were running a programme of activities aimed at vulnerable children.

RESOLVED

1.         that the draft partnership action plan to improve emotional health and wellbeing of children and young people across Central Bedfordshire be noted; and

2.         to support commissioners across health and social care to identify the opportunities to embed and mainstream emotional wellbeing into commissioning for health and social care for children and young people.

The decision was unanimous.

To receive a presentation from ELFT regarding access to the service, the challenges and opportunities to improving access and recovery rates.

The Board welcomed Sandra Harrild, Associate Clinical Director for ELFT Psychological Therapies to the meeting.  The Board received a presentation on the Bedfordshire Wellbeing Service.  The presentation gave a breakdown of who had been accessing the service over the last twelve months, the challenges and opportunities for accessing the service and the Step Care Model of Talking Therapies. 

RESOLVED

that a further report be submitted to the Health and Wellbeing Board to provide additional data on the number of people and waiting times for Central Bedfordshire.

The decision was unanimous.

To present the latest performance data in the priority areas of the Joint Health and Wellbeing Strategy.

The Board considered a report that presented the latest performance data in the priority areas of the Joint Health and Wellbeing Strategy.

It was noted that some of the data collected was 2-3 years old and was no longer relevant.  It was agreed that the performance data be updated where possible and presented to the Board on 24 January 2018.

RESOLVED

1.      that the actions identified for the Health and Wellbeing Board outlined on each scorecard be noted; and

2.      the scorecard be updated with relevant data and presented to the Health and Wellbeing Board on 24 January 2018.

The decision was unanimous.

To receive an update on the Better Care Fund Plan 2017/18 – 2018/19.

The Board considered a report that provided:

·         an update on the development of the Better Care Fund Plan for 2017-2019;

·         advised on the planned use of the additional social care grant and the improved better care fund; and

·         the delivery of the 2016/17 Plan and quarter 4 monitoring.

RESOLVED

1.      that the latest policy framework in respect of Better Care Fund Plan for 2017-2019 and the progress made on developing the plan be noted;

2.      the end of year progress against the 2016/17 Better Care Fund Plan be noted; and

3.      that the Quarter 4 Better Care Fund monitoring template was submitted to NHS England on 31 May 2017.

The decision was unanimous.

To receive a presentation on the Strategic Partnership Leadership arrangements including the emerging Children and Young People’s plan for 2017-2019.

The Board received a presentation on the Strategic Partnership Leadership Arrangements for Children, including the development of a new Children and Young People’s Plan (CYPP).  The new governance arrangement were explained and the Children’s Leadership Board (CLB) had already started to make a difference. 

The CLB were leading on the development of the new CYPP and the draft Plan was being consulted upon.  The final CYPP would be submitted to the next Health and Wellbeing Board meeting.

A Member Reference Group was being developed to assist the CLB.

A copy of the presentation is attached at Appendix B.

NOTED the presentation.

The decision was unanimous.

To consider and approve the work programme.

A forward plan ensures that the Health and Wellbeing Board remains focused on key priorities, areas and activities to deliver improved outcomes for the people of Central Bedfordshire.

The Board considered their work plan for 2017. 

It was noted that the meeting on 18 October 2017 might be rescheduled.

RESOLVED

1.         that the following items be scheduled for the next meeting:

·         Better Care Fund Plan

·         Child and Adolescent Mental Health Services Local Transformation Action Plan

·         Accountable Care System and STP Update

2.         improving Outcomes for Frail Older People to be removed from the next meeting;

3.         the Pharmaceutical Needs Assessment Update would be circulated electronically and would be removed from the next meeting;

4.         Excess Weight/Diabetes Update to be scheduled for 24 January 2018;

5.         Dual Diagnoses Substance to be timetabled as this would be considered by the Drug and Alcohol Partnership first; and

6.         Bedfordshire Wellbeing Service to be timetabled.

The decision was unanimous.