The Chairman made no announcements or communication.

To approve as a correct record the Minutes of the last meeting held on 9 January 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 9 January 2014 be confirmed and signed by the Chairman as a correct record.

To receive the updated Better Care Fund Plan for Central Bedfordshire.

The Board considered a report on the Better Care Fund Plan that set out the vision for health and social care in Central Bedfordshire, rooted in a locality-based delivery model.  The initial submission had been made to NHS England and the Local Government Association.  The final submission had addressed the comments from the assurance process and would be submitted on 4 April 2014.  The following four priorities had been set to recognise the importance of shifting resources from hospital settings to more community-focussed care, to deliver improved health and care experiences as well as more effective use of resources:

·         reshaping the model for prevention and early intervention;

·         supporting people with long term conditions through multi-disciplinary working;

·         expanding the range of services that support older people with frailty and disabilities; and

·         restructuring integrated care pathways for those with urgent care needs.

The Plan was designed to help closer working to deliver integrated and locality based services based on a shared vision for improving outcomes and the health and care experience for older people.

RESOLVED

1.      that the Better Care Fund Plan for Central Bedfordshire be approved for submission to NHS England on 4 April 2014;

2.      to delegate authority to the Director of Social Care, Health and Housing and the Director of Strategy and System Redesign, Bedfordshire Clinical Commissioning Group, to make any final amendments required before the final submission.

To receive the Bedfordshire Plan for Patients.

The Board considered a report that set out a summary of the national requirement for the development of a two year operational Clinical Commissioning Plan entitled ‘Your Health in Central Bedfordshire’.  This document summarised the Bedfordshire Plan for Patients (BPP) 2014-2016.  The BPP contained technical details that described the two year operating and financial plans and reflected the Better Care Fund Plan.

The Bedfordshire Clinical Commissioning Group’s (BCCG) priorities had been developed in line with Central Bedfordshire’s Health and Wellbeing Strategy and over the next two years the BCCG would commission local services that:

·         help children and young people receive a healthy start to a healthy life;

·         enable adults and older people to remain healthy; and

·         support mental health and wellbeing for everyone in Central Bedfordshire.

It was noted that at the previous meeting the Chairman and Vice-Chairman of the Health and Wellbeing Board had been authorised to approve the BPP before its submission to NHS England. 

RESOLVED

1.      that the summary document ‘Your Health in Central Bedfordshire 2014-16’ be approved.

To present the Stepped Care Model for Mental Health Services in Bedfordshire.

The Board considered a report that presented a new proposed Stepped Care Model for Mental Health Services in Bedfordshire.  The proposed model would bring a more local focus to mental health services with provision across all of the steps, from GP based counselling to mental health practitioners, consultant support and Memory Assessment Services.  The procurement of Mental Health services had commenced with an advert on 14 March 2014 for four separate streams:

·         Steps 1-3 – primary care mental health;

·         Steps 4-5 – secondary care mental health;

·         rehabilitation and recovery; and

·         children and adolescents mental health services.

The Board was advised that there would be a comprehensive hand-over period from the expired contracts to the new proposed model to ensure patients were not affected adversely.

NOTED

the new proposed new Stepped Care Model for Mental Health Services in Bedfordshire.

To receive a verbal update regarding the Strategic Review of services across Bedfordshire.

The Board received a verbal update from the representatives of the Bedfordshire Clinical Commissioning Group (BCCG) about the strategic review of services that was taking place across Bedfordshire and Milton Keynes.

A lot of evidence gathering had taken place and an initial report was due to be published by the BCCG during week commencing 7 April 2014.  This report would be used as a basis for consultation with the public and stakeholders on the proposed changes and improvements on how to provide better services locally. 

NOTED

that a report would be submitted to the Health and Wellbeing Board on 5 June 2014 that would enable the Board to consider the options developed during the course of the strategic review.

To provide information on the sufficiency of Health Visitors and School Nurses in Central Bedfordshire.

The Board considered a report on the Health Visitor and School Nurse Sufficiency Review.  The Board noted that Central Bedfordshire had sufficient numbers of key workers in post.  Members were made aware of the following amendment to the report:

‘The performance in relation to new birth visits (quarter 2 performance shows 42% took place within 14 days with an additional 42% taking place between 14 and 21 days, 7% by 25 days and 3% by 30 days ). This means 94% are therefore taking place in 30 days. The reasons for babies currently not being seen within 30 days relate to babies that are born outside of area, still in neonatal units etc.  The service is working towards a plan to achieve the Healthy Child Programme 14 day target of 95% of babies visited by April 2015.’

The Board concurred with the suggestion that this report revealed the need for protocols to be agreed between the Health and Wellbeing Board and the Local Safeguarding Children’s Board.

RESOLVED

1.      the performance in relation to new birth visits and support progression towards achieving the target in 2014/15 be noted; and

2.      that the protocols setting out the relationship between the Local Safeguarding Children’s Board and this Board be developed to clarify respective roles.

To receive an update on recent activities on Healthwatch Central Bedfordshire.

The Board considered a report that provided an update on the recent activities of Healthwatch Central Bedfordshire.  It was noted that Healthwatch were holding the Bedfordshire Clinical Commissioning Group to account by holding regular meetings. 

NOTED

the report.

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

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

1.         Mr T Granger

Mr Granger welcomed the proposed Stepped Care Model for Mental Health Services and commended the public engagement with the development of this and the Bedfordshire Plan for Patients.

He was keen to know more about the number of vacancies for members/volunteers that were available within Healthwatch.

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 from the Chief Executive, Central Bedfordshire Council that set out a suggested work programme for 2014 -2015.  An up to date version was tabled at the meeting and the following items would be added:

·         Strategic Health Review – 5 June 2014;

·         Protocols governing the relationship with the Local Safeguarding Children’s Board – date to be confirmed;

·         Bedfordshire Clinical Commissioning Group 5-year vision for their systems – 5 June 2014.

RESOLVED

that the work programme for the Health and Wellbeing Board be approved.