The Board were invited to make nominations for Vice-Chairman of the Health and Wellbeing Board. 

Sarah Thompson,  Accountable Officer, Bedfordshire Clinical Commissioning Group was nominated and seconded. 

RESOLVED

that Sarah Thompson be elected Vice-Chairman of the Health and Wellbeing Board for 2017/18.

To receive any announcements from the Chairman and any matters of communication.

The Chairman had recently attended an LGA conference and was pleased with the progress being made in Central Bedfordshire on the Health and Wellbeing agenda compared with other local areas. Officers were thanked for the work that had taken place as part of the Sustainability and Transformation Partnership (STP).

The Chairman had also attended a meeting with Community Led Initiatives during which an overview of the support, advice, mentoring and advocacy services available for adults with complex drug and alcohol needs was given.

The East London NHS Foundation Trust (ELFT) had been announced as the preferred bidder for the  Community Health Services contract that would commence on the 1 April 2018.

To approve as a correct record the Minutes of the last meeting held on 12 July 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 the 12 July 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 4G of the Council’s Constitution.

There were no members of the public registered to speak.

To consider the Child and Adolescent Mental Health Services Local Transformation Plan.

The Board considered a report which provided an update on the Future in Minds Local Transformation Plan (LTP) for Children and Young People’s mental health.

The final version of the Bedfordshire Children and Young People’s Mental Health and Wellbeing Local Transformation Plan 2017-2020 had been submitted to NHS England and had been published on the Bedfordshire Clinical Commissioning Group website.

The Plan outlined the strategic priorities for promoting and improving the emotional wellbeing and mental health of children and young people (CYP) in Bedfordshire and work was taking place to develop the draft Action and Implementation Plans.

Local areas would need to develop and implement their own plans to deliver the Five Year Forward View for Mental Health by 2020.

Promoting and developing protective factors would help to prevents problems, aid recovery and contribute to achieving more positive outcomes. The range of interventions and support in place included specialist staff, training and improved joint working.

RESOLVED

1.    that the Local Transformation Partnership (LTP) identifying how Bedfordshire and Luton were aiming to achieve the recommendations identified in Future in Minds and the Five Year Forward View for Mental Health, be noted;

2.    to note that the refresh of the joint LTP circulated to the Board in September 2017. The revised version attached to the report had been sent to the East of England Region for comment on the 25October 2017 in preparation for submission to NHSE on the 31October;

3.    to note that this was year two of a five-year work programme 2015-2020 and the Board were being provided with assurance on progress of the work plan; and

4.    that an update on the LTP would reported to the Health and Wellbeing Board in 6 months and 12 months.

The decision was unanimous.

To receive the Integration and Better Care Fund 2017/18 – 2018/19 and an update on the mobilisation of the plan in alignment with the Out of Hospital Strategy and the procurement of Community Health Services.

The Board considered a report on the Integration and Better Care Fund 2018/18 - 2018/19 and received an update on the mobilisation of the Plan in alignment with the Out of Hospital Strategy and the procurement of Community Health Services.

The Integration and Better Care Fund Policy Framework for the 2017-19 Better Care Fund had been published in March 2017.

The 2017-19 Plan had five broad schemes which were built on the last 2 reiterations of the Better Care Fund:

•      Prevention and Early Intervention

•      Delivering Integrated and Improved Outcomes through Out of Hospital Services

•      Integrated Health and Care Hubs

•      Enhanced Care in Care Homes

•      High Impact Change Model.

The Better Care Fund (BCF), Out of Hospital (OOH) Strategy and Collaborative Investment and Savings Programme (CISP) work was set out in Appendix 3 of the report. Work had been taking place on a diagram to illustrate the links between the individual complex programs and to identify synergies.

The key focus and emphasis of the Better Care Plan (BCP) needed to be clarified in terms of national pressures and emphasis. Further work also needed to take place on delayed transfers of care, unplanned admissions and also with care homes.

The Chairman thanked officers for the work on the Integration and Better Care Fund Plan 2017/18 – 2018/19.

RESOLVED

1.    that the submission of the Integration and Better Care Fund Plan 2017-19, the outcome of the assurance process and the strategic alignment of the Integration and Better Care Fund Plan to the STP’s Priorities and the emerging Out of Hospital Strategy, be noted; and

2.    the revised governance framework establishing a Transformation Board for Central Bedfordshire as a sub-group of the Health and Wellbeing Board be approved.

The decision was unanimous.

To provide an update on the STP.

The Board considered a report that provided an update on the progress of the Sustainability and Transformation Partnership (STP) and the creation of an Accountable Care System across Bedfordshire, Luton and Milton Keynes, and the emerging collaborative approach.

The STP was seeking to address the triple aim as set out in the Five Year Forward View:

·         Health and Wellbeing

·         Care and Quality; and

·         Sustainability (finance and efficiency).

To achieve this, the focus was  on prevention, on strengthening out of hospital services to reduce the current dependency on acute services which were under a great deal of pressure and moving to an approach where the system operated as one to deliver better outcomes.

Given the importance of prevention, the Chairman suggested that the Executive Member for Community Services should be invited to join the Health and Wellbeing Board with other members of the Executive being requested to attend as required.

RESOLVED

1.    that the progress of the Sustainability and Transformation Partnership be noted;

2.    that the emerging collaborative approach as an Accountable Care System be endorsed; and

3.    that the opportunities and implications of the Accountable Care System for Central Bedfordshire’s current and future Health and Care system be noted;

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 2017/18.

RESOLVED

that the following items be scheduled for the next meeting:

·         Refresh of the Joint Health and Wellbeing Strategy

·         Integrated Health and Care Hubs

The decision was unanimous.