The Chairman had no announcements or communication to make.

To approve as a correct record the Minutes of the last meeting held on

2 October 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 2 October 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 8 ‘Pharmaceutical Needs Assessment’ due to being employed by a dispensing practice.

To receive a report setting out the next steps in the refresh of the Joint Health and Wellbeing Strategy.

The Board considered a report that outlined the work that had been undertaken since the last meeting and the proposed steps required to finalise the Strategy.  Work on each priority within the Strategy had commenced and would provide:

·         an analysis of the data and intelligence – giving the narrative as to why the priority was an important issue locally;

·         local views – what did people think/say of current services;

·         effectiveness of current programmes (where known);

·         levers for change; and

·         the key actions required of the Heath and Wellbeing Board (HWB).

It was noted that further discussion was planned for the HWB development session on 5 February 2015, before the final Strategy was considered by the Board at its meeting on 2 April 2015.

RESOLVED

that the next steps to finalise the Strategy be approved.

To receive a report on the review of the health services in Bedfordshire and Milton Keynes and receive an update on care closer to home.

The Board considered a report on the Bedfordshire and Milton Keynes Healthcare Review.  A progress report containing the outputs from the Review had been published on 29 October 2014. 

The progress report made recommendations for taking the review forward and producing robust options for local health services that the Bedfordshire Clinical Commissioning Group (BCCG) could consider.  In particular it considered care closer to home and care in hospitals. It also supported the Health and Wellbeing Strategy’s aim of improving health outcomes and reducing inequalities.

On a point of clarification, it would not be appropriate for the Board to respond to the progress report given its membership, but Central Bedfordshire Council had been invited to respond formally was likely to reinforce the importance of local integrated services for local people.

It was noted that the bid for funding from the Transformation Challenge Award had been unsuccessful  The objectives of the bid remained valid and so a different way of delivering them would need to be considered.

RESOLVED

that Central Bedfordshire Council respond to the Bedfordshire and Milton Keynes Healthcare Review – Progress Report as appropriate.

To adopt the joint protocol between the Local Safeguarding Children’s Board, the Health and Wellbeing Board, the Children’s Trust, Community Safety Partnership and the Bedford Borough and Central Bedfordshire Adult Safeguarding Board.

The Board considered a report that presented a revised protocol for joint working between the following Boards:

·         Central Bedfordshire Health and Wellbeing Board

·         Central Bedfordshire Children’s Trust

·         Bedford Borough and Central Bedfordshire Adult Safeguarding Board

·         Central Bedfordshire Community Safety Partnership.

There was significant common membership across the Boards which would allow information sharing.

It was agreed to amend the wording under the heading ‘Leadership and Accountability’ set out in point 7 of the protocol to reflect that the Health and Wellbeing Board was responsible for the delivery of the Health and Wellbeing Strategy.

RESOLVED

1.      that the Joint Protocol be adopted, subject to the amendment above; and

2.      to authorise the Chairman of the Health and Wellbeing Board to sign the Joint Protocol on behalf of the Board.

To receive an update on response to the consultation.

The Board considered a report that provided an update on the Pharmaceutical Needs Assessment (PNA) which was currently out for consultation.  The emerging issues from the consultation were:

·         a need to look at pharmacy services and their accessibility to residents with learning disabilities; and

·         the accessibility of pharmacies for residents in rural areas.

The closing date for the consultation was the 15 December 2014.

RESOLVED

1.      that the consultation responses to date for the PNA be noted; and

2.      to authorise the Chairman and Vice-Chairman to approve the PNA for submission by 1 April 2015.

To receive an update from the BCCG on the work undertaken to put in place the National requirements for a multi-agency Crisis Care Concordat.

The Board considered a report that set out an overview of the Mental Health Crisis Care Concordat which had been developed to take account of national guidance.  The report also set out the need to sign up to a declaration and to develop and implement a local action plan.  The action plan would be aligned to the Health and Wellbeing Boards strategic objectives.  There were four key areas identified within the Concordat:

·         access to support before crisis point;

·         urgent and emergency access to crisis care;

·         the right quality of treatment and care when in crisis; and

·         recovery and staying well.

The Concordat covered the population of Bedfordshire and Luton so it was agreed to set up a meeting with a representative of each of the three Health and Wellbeing Boards to develop the required action plan.

RESOLVED

1.         to approve the recommendations as set out in the report; and

2.         that Dr Baxter would represent the Central Bedfordshire Health and Wellbeing Board at a meeting with representatives of the Boards covering Bedford and Luton to develop an action plan in support of the Concordat.

To receive a presentation on how to report concerns for the safety of children and young people.

The Board was reminded of the arrangements for the reporting of concerns about the safety of children and young people.  Board members were invited to visit the Central Bedfordshire Access and Referral Hub in Dunstable.  A restructure of the service had taken place in April 2014 and the new arrangements were working well.

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 2015/16.  The following amendments would be made:

·         the Pharmaceutical Needs Assessment scheduled for the 2 April 2015 would be removed; and

·         an update on the Crisis Care Concordat would be added to the work plan for 2 April 2015.

RESOLVED

that the work programme for the Health and Wellbeing Board be approved, subject to the above amendments.