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

The Chairman welcomed Nick Robinson, Interim Accountable Officer, Bedfordshire Clinical Commissioning Group to the meeting.

The Board acknowledged the resignation of Dr Hassan from the Bedfordshire Clinical Commissioning Group and the Health and Wellbeing Board.  The Board thanked Dr Hassan for the support and advice he had provided to the Board.

The Care Act 2014 came into force on 1 April 2015.  The Act changed how care was provided by putting people and their carers in control, with a new emphasis on preventing need and staying healthy and independent for longer.  The 1 April 2015 also saw the commencement of the contract with the East London NHS Foundation Trust who would deliveradult mental health services, specialist learning disability services, rehabilitation and recovery services and child and adolescent mental health services across Bedfordshire.

The Pharmaceutical Needs Assessment and the Protocol for Joint Working between the Strategic Boards had been signed by the Chairman, as authorised by the Board at the last meeting on 4 December 2014.

To approve as a correct record the Minutes of the last meeting held on 4 December 2014 and note actions taken since that meeting.

RESOLVED

that the minutes of the meeting of the Central Bedfordshire Health and Wellbeing Board held on 4 December 2014 be confirmed as a correct record and signed by the Chairman.

To receive from Members any declarations of interest.

None were declared.

To receive and sign off the Joint Health and Wellbeing Strategy.

The Board considered a report that set out the refresh of the Joint Health and Wellbeing Strategy.  This set out the key issues to be tackled under four priorities:

·         Ensuring good mental health and wellbeing at every age.

Key issue:  Improving emotional wellbeing and self esteem throughout life.

·         Giving every child the best start in life.

Key issue:  Ensuring that children arrive at school ready to learn.

·         Enabling people to stay healthy longer.

Key issue:  Improving outcomes for people with cardio vascular disease.

·         Improving outcomes for frail older people.

Key issue:  Reducing loneliness and isolation to improve wellbeing in older age.

Work had commenced in developing appropriate responses to each of the key issues which would be brought to the Health and Wellbeing Board.

RESOLVED

that the re-fresh of the Joint Health and Wellbeing Strategy be approved.

To receive an update on the Better Care Fund.

The Board considered a report that provided an update on the Better Care Fund Plan which had received full approval by NHS England on 19 December 2014.  The full value of the Better Care Fund in Central Bedfordshire was £18.707m. 

A Section 75 agreement was being produced in line with national guidance.  This would set out the terms for the Council and the Bedfordshire Clinical Commissioning Group (BCCG) to establish and maintain pooled funds.   The Interim Accountable Officer confirmed the BCCG’s commitment to working with the Council to improve health and social care in Central Bedfordshire, in line with the Plan.

NOTED

1.      the Better Care Fund Plan approval and the key actions being taken towards delivery of the Plan; and

2.      the Self Assessment form on readiness for delivery which had been submitted to NHS England on 19 March 2015.

To receive a presentation on the refreshed 2015/16 Bedfordshire Plan for Patients.

The Board considered a report and presentation on the BCCG’s current financial position, plans for financial recovery and the key drivers that were likely to be reflected in the refreshed Bedfordshire Plan for Patients. 

The BCCG was in the process of reviewing and refreshing the Bedfordshire Plan for Patients 2014-2016.  The refreshed Plan would continue to support the Health and Wellbeing Strategy and the aim of improving health outcomes and reducing inequality.  It would seek to drive the implementation of integrated, networked health and social care systems that provided more supportive and preventative care, especially for the most vulnerable patients and those with complex conditions.  An operational plan was being developed and would be published and shared with partners. 

RESOLVED

1.      that the update provided by the BCCG on financial recovery and its approach to the refresh of the Bedfordshire Plan for Patients be noted; and

2.      that the Health and Wellbeing Board receive the refreshed Bedfordshire Plan for Patients at their next meeting on 1 July 2015.

To receive a verbal update of the BCCG Financial Recovery Plan.

Please see minute HWB/14/45 for details.

This report provides the Health and Wellbeing Board with an overview of the Mental Health Crisis Care Concordat.

The Board considered a report that provided an overview of the Mental Health Crisis Care Concordat.  The Concordat sought to provide for:

·         Access to support before crisis point.

·         Urgent and emergency access to crisis care.

·         The right quality of treatment and care when in crisis.

·         Recovery and staying well and preventing future crises.

22 organisations had signed up to the declaration and a local action development plan would be produced and presented to the Senior Officers Group and the Crisis Care Concordat Steering Group. 

The Board agreed that a detailed plan focussing on Central Bedfordshire be submitted to the Health and Wellbeing Board to consider the delivery, next steps and governance arrangements of the Concordat.   

RESOLVED

1.      that the contents of the report be noted; and

2.      that a report be submitted to the Health and Wellbeing Board to consider the delivery, next steps and governance arrangements to be used in Central Bedfordshire to ensure that the action plan is developed and implemented locally.

The purpose of this report is for the Health and Well Being Board to consider and approve the Draft Central Bedfordshire Special Educational Needs and Disabilities(SEND) Preparing for Adulthood Strategy

The Board considered a report and presentation on the Central Bedfordshire Special Educational Needs and Disabilities (SEND) Preparing for Adulthood Strategy for 14 – 25 year olds.  The Strategy set out the framework to improve support to young people with SEND of transitional age (14-25) and their family carers.  The Council had sought the views of young people, family carers and a wide range of partner agencies and stakeholders to inform the Strategy. 

The Strategy had been approved by Central Bedfordshire Council’s Executive on 31 March 2015.  The Strategy also needed agencies to support its implementation across Central Bedfordshire. 

RESOLVED

that the Central Bedfordshire SEND Preparing for Adulthood Strategy (14-25), as set out in Appendix A to the report, be approved.

To make the Board aware of the submission of the Central Bedfordshire autism self assessment framework to Public Health England.

The Board considered a report that set out the Central Bedfordshire 2014/15 Autism Self Assessment Framework that had been submitted to Public Health England.  The self assessment demonstrated how Central Bedfordshire Council was working in partnership with health, local providers, customers and carers to ensure that the local autism agenda was being addressed.

RESOLVED

that the Central Bedfordshire autism self assessment framework to Public Health England be noted.

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.

The following question was received in accordance with the Public Participation Scheme.

1.      Nick Gibson, Chief Executive Officer, Sight Concern Bedfordshire

Mr Gibson explained thathis charity had a contract with the Bedfordshire Clinical Commissioning Group (BCCG) and was concerned about the potential impact of the CCG’s recovery plan on social care and joint health care funding within the area.  He also raised an issue that patients were being discharged on a Friday and not receiving enough medication to cover the weekend.

The Chairman thanked Mr Gibson.  The Interim Accountable Officer, BCCG would respond directly to Mr Gibson regarding the contract between the BCCG and Site Concern Bedfordshire.  The Clinical Director confirmed that GPs were working towards solving the problem of patients not receiving adequate medication on a Friday.

To consider and approve the work plan.

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 a report that set out a suggested work programme for 2015/16.  The following addition items would be included:

·         Bedfordshire Plan for Patients

·         Better Care Fund

·         Mental Health Crisis Care Concordat within Central Bedfordshire.

The Chief Executive, Central Bedfordshire Council took the opportunity to thank the Chairman for her work as Chairman of the Health and Wellbeing Board as this was her last meeting.  The Chairman was presented with some flowers on behalf of the Board.