The Chairman announced that item 10 ‘Annual Director of Public Health Report’ would be considered after item 5 ‘Executive Summary of the Joint Strategic Needs Assessment’.

To approve as a correct record the Minutes of the last meeting held on 5 June 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 5 June 2014 be confirmed and signed by the Chairman as a correct record.

To receive from Members any declarations of interest.

Dr Baxter declared a personal interest in item 14 ‘Pharmaceutical Needs Assessment’ due to being employed by a dispensing practice.

Mr Rooke declared a personal interest in item 7 ‘Better Care Fund’ and item 8 ‘Review of Health Services in Bedfordshire and Milton Keynes’ as his wife worked in clinical governance at Bedford Hospital.

To receive the annual update of the executive summary of the Joint Strategic Needs Assessment.

The Board considered a report that set out the refreshed Executive Summary of the Joint Strategic Needs Assessment (JSNA).  The JSNA identified a number of themes which would inform the commissioning intentions and strategic plans of the Board and its constituent organisations.  The key areas that had changed since the 2013 assessment that had an impact upon health and wellbeing were:

·         whilst people in Central Bedfordshire are living longer, this increase did not necessarily represent additional time spent in good health.  Therefore the importance of prevention and early intervention was emphasised to enable people to live longer healthy lives and help the system to cope with increasing demand;

·         the importance of children having a good start in life and a firm foundation to enable them to arrive at school ready to learn;

·         the proportion of adults in Central Bedfordshire who had excess weight was significantly higher than the national average;

·         the number of people quitting smoking had fallen nationally and locally; and

·         the need to increase the level of insight into dementia and support those who were affected by it.

The Board welcomed the JSNA which would be taken into account as part of the updating of the Joint Health and Wellbeing Strategy.

RESOLVED

1.      to endorse the 2014 Executive Summary of the Joint Strategic Needs Assessment for Central Bedfordshire; and

2.      to ensure that commissioning intentions for 2015/16 and relevant strategic plans take account of the main themes and implications identified.

To receive the Director of Public Health’s annual report and the implications for Central Bedfordshire.

The Board considered the annual report from the Director of Public Health that focused on increasing awareness about the consequences of poor mental health and illustrated the widespread negative impact on individuals, families, society and the economy.  The report detailed the local need, the services available and made recommendations to improve mental health and wellbeing in Central Bedfordshire. 

The Board discussed the need for early years and school-based interventions ensuring excellent maternal mental health and helping children become more resilient.  There would need to be close working between GPs, health visitors and public health to enable a difference to be made to those children and adults who were at risk of poor mental health. 

The Board noted that Healthwatch had produced a short film, which was available on their website, of young people’s experience of hospital services, accident and emergency, GP and mental health services in Central Bedfordshire.

NOTED

1.      the issues surrounding mental health and wellbeing in Central Bedfordshire; and

2.      the recommendations and suggested actions, as set out in the report, to improve mental health and wellbeing.

To approve the proposed priorities and outcomes for the Joint Health and Wellbeing Strategy.

The Board considered a report that set out the priorities and desired outcomes for the Joint Health and Wellbeing Strategy (JHWS) refresh following an extensive process of engagement with stakeholder groups.  The report also set out the next steps to further develop the strategy.

The Board welcomed the priorities and outcomes and requested that these be further developed so that a sense of the delivery plans would be considered by the Board at their next meeting on 4 December 2014. 

RESOLVED

1.      that the priorities and outcomes for the Joint Health and Wellbeing Strategy be approved; and

2.      that a report be submitted to the next Health and Wellbeing Board on 4 December taking forward the next steps to deliver the priorities and outcomes set out in the Strategy. 

To note the recent submission of the Better Care Fund plan on 19 September 2014.

The Board considered a report that provided an update on the submission of the Better Care Fund Plan (BCFP).  The report highlighted where the BCFP had been revised following the first submission on 14 February 2014.  An informal briefing was held with Board Members on 15 September 2014 to discussed the revised draft submission before the final submission was made on 19 September 2014.

The revised BCFP had retained the four priority programmes for transforming health and social care in Central Bedfordshire.  The following four programmes would support the local ambition to deliver locality based health and social care and were focused on shifting resources from hospital settings to more community-based care:

·         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 Board acknowledged that this was a great opportunity to bring care for people closer to home.

NOTED

the recent submission of the Better Care Fund Plan.

To agree the transfer of funding from Health to Adult Social Care to support the delivery of the priorities of the Health & Wellbeing Board.

The Board considered a report on the transfer of funding from Health to Adult Social Care to support the delivery of the priorities of the Health and Wellbeing Board.  The transfer for 2014/15 was £3,969,039.

Central Bedfordshire Council and the Bedfordshire Clinical Commissioning Group had identified the priority areas to be funded from the Section 256 money:

·         community equipment and adaptions;

·         telecare;

·         hospital discharge;

·         bed-based intermediate care services;

·         better care fund investment; and

·         other preventative services.

RESOLVED

that the allocation of the health funding be agreed to support the delivery of the priorities of the Health and Wellbeing Board.

To receive a report on the review of Health Services in Bedfordshire and Milton Keynes.

The Board considered a report that set out the current progress of the review of health services in Bedfordshire and Milton Keynes.  The review report was due to be submitted to the Bedfordshire Clinical Commission Group’s (BCCG) governing body.  The review was likely to provide the BCCG with a direction to accelerate and prioritise bringing care closer to home and developing more integrated models of proactive, preventative care.  The review would also recommend further analysis of options for redeveloping hospital services in Bedford and Milton Keynes. 

The Board agreed to receive a further progress report at their next meeting on 4 December 2014.

NOTED

the current progress being made by the review of health services in Bedfordshire and Milton Keynes.

To receive a progress report on the delivery of Winterbourne View Joint Action Plan.

The Board considered a report that provided an update on the progress against the key work streams being taken forward by health and social care partners in Central Bedfordshire. This was in response to the severe concern highlighted by the Panorama undercover programme on the Winterbourne View private hospital for people with a learning disability in May 2011 and the subsequent Department of Health enquiry.

A Joint Improvement Plan was being developed and implemented between the Bedfordshire Clinical Commissioning Group, Central Bedfordshire Council and Bedford Borough Council.  A Winterbourne View Register had been set up and broken down into 4 Phases, where individuals who meet the Winterbourne View criteria had reviews of their needs and any hospital detained status completed against set target dates.  Central Bedfordshire was in a good position and was responding to the review.

NOTED

the update on the progress and key work streams which were being undertaken by health and social care partners in Central Bedfordshire.

To receive the annual report of the Local Safeguarding Children’s Board.

The Board considered the annual report from the Central Bedfordshire Local Safeguarding Children Board (LSCB) for 2013/14 ‘The effectiveness of partner’s work to safeguard and promote the welfare of children in Central Bedfordshire’.  The annual report provided rigorous and transparent assessment of performance and effectiveness of local services.  Safeguarding of children in Central Bedfordshire continued to be good and regular rigorous performance evaluation had provided assurance to the LSCB throughout 2013-2014.

A request was made for further promotion of to whom concerns about the safety of children and young people should be reported.

NOTED

1.      the Central Bedfordshire Local Safeguarding Board’s Annual Report 2013-2014 as required by the Working Together 2013 statutory guidance on interagency working to safeguard and promote the welfare of children; and

2.      the achievements and areas for development described within the Annual Report 2013-14.

To receive a report on the proposed protocols governing the relationship between the Local Safeguarding Children’s Board and the Health and Wellbeing Board.

The Board considered a report proposing protocols between the Local Safeguarding Children Board and:

·         Central Bedfordshire Health and Wellbeing Board;

·         Central Bedfordshire Children’s Trust;

·         Bedford Borough and Central Bedfordshire Adult Safeguarding Board; and

·         Central Bedfordshire Community Safety Partnership.

The report set out the expectations of the relationship and working arrangements between the above list of Boards as there were shared priorities relating to protecting vulnerable adults and children from harm. 

The Board agreed that it was important to have arrangements in place to support the complex governance requirements and be clear on the areas each Board would take prime responsibility for.  The Board supported the interim arrangements and it was agreed that a final protocol be submitted to the Health and Wellbeing Board on 4 December 2014 to enable the new Director of Children’s Services and the new Chairman of the Local Safeguarding Children Board to have an opportunity to feed into the arrangements. 

RESOLVED

to adopt the Interim Joint Protocol with the final Joint Protocol being submitted to the Health and Wellbeing Board at their next meeting on 4 December 2014.

To receive an update from Healthwatch Central Bedfordshire.

The Board considered a report that provided an update on the recent activities of Healthwatch Central Bedfordshire (HWCB).  There were a number of concerns that HWCB had highlighted:

·         Mental Health Services – research and procurement;

·         Sub-acute South Services Pilot – withdrawal of services; and

·         Telehealth – withdrawal of services.

There had been changes to the HWCB Board of Directors as Ruth Featherstone had stepped down as Chair in August 2014.  Robin Smith had subsequently been appointed as Interim Chair and Dave Simpson was Vice-Chair.  The Chairman requested that the Health and Wellbeing Board’s thanks be passed to Ruth for her commitment to Healthwatch and the Health and Wellbeing Board.

It was explained that the Sub-acute South Services Pilot and Telehealth services had been discontinued due to the lack of funding needed to run these services.

NOTED

the update on recent activities of Healthwatch Central Bedfordshire.

To receive the executive summary of the Pharmaceutical Needs Assessment prior to public consultation.

The Board considered a report that provided an update on the Pharmaceutical Needs Assessment (PNA).  The first draft of the PNA had been completed in anticipation of the statutory public consultation running from 15 October 2014 to 15 December 2014.  The PNA considered the current provision of pharmaceutical services across Central Bedfordshire and whether they met the needs of the population.

An update on the PNA would be submitted to the Health and Wellbeing Board on 4 December 2014.

NOTED

that the first draft of the Pharmaceutical Needs Assessment had been completed in anticipation of the statutory public consultation starting in October 2014.

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.

No members of the public had registered to speak.

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.  The following items would be added:

·         Review of Health Services in Bedfordshire and Milton Keynes; and

·         Joint Protocols between the Local Safeguarding Children Board and the Health and Wellbeing Board.

RESOLVED

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