Agenda and minutes

Agenda and minutes

Venue: Council Chamber, Priory House, Monks Walk, Shefford

Contact: Sandra Hobbs  0300 300 5257

Items
No. Item

13.

Chairman's Announcements and Communications

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

Minutes:

 

The Chairman announced that the date of the next meeting would be 20 January 2016 and not the 6 January 2016 as originally scheduled.  This would include a visit to Biggleswade Hospital with the Board meeting at an alternative venue in the area.

 

The Chairman proposed that the Board invite the Local Government Association to facilitate a self assessment.  This was agreed and would enable the Board to develop its future work programme to improve the health and wellbeing of the community in Central Bedfordshire.

 

 

 

14.

Minutes pdf icon PDF 98 KB

To approve as a correct record the Minutes of the last meeting held on 1 July 2015 and note actions taken since that meeting.

Minutes:

 

RESOLVED

 

that the minutes of the meeting of the Central Bedfordshire Health and Wellbeing Board held on 1 July 2015 be confirmed as a correct record and signed by the Chairman.

 

 

 

15.

Members' Interests

To receive from Members any declarations of interest.

Minutes:

 

None were declared.

 

 

 

16.

Public Participation

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.

Minutes:

 

There were no members of the public registered to speak.

 

 

 

17.

Giving Every Child the Best Start in Life pdf icon PDF 97 KB

 

To receive an update on progress towards the Joint Health and Wellbeing Strategy priority.

Minutes:

 

The Board received a presentation on the Joint Health and Wellbeing Strategy priority of giving every child the best start in life and school readiness.  In previous years Central Bedfordshire was behind the national average for achieving a good level of development at the end of Year R.  Following research and group discussions the Children’s Trust found that three key areas emerged which were considered important to improving outcomes:-

 

·         Communication with parents and professionals.

·         Assessment and observation.

·         Pathways.

 

Health Visitors were now helping to lead the delivery of the Health Child Programme 0-5 years and would also focus on school readiness.  Further work was being carried out to improve communications with parents and embed a ‘whole education’ approach, including data sharing and developing clear pathways to support children.

 

RESOLVED

 

to report back to the Health and Wellbeing Board at their next meeting on 20 January 2016 on the progress being made on school readiness.

 

 

 

 

 

18.

Ensuring Good Mental Health and Wellbeing at Every Age pdf icon PDF 132 KB

 

To receive an update on progress towards the Joint Health and Wellbeing Strategy priority.

Additional documents:

Minutes:

 

The Board considered a report that provided an update on progress towards the Joint Health and Wellbeing Strategy priority of ensuring good mental health and wellbeing at every age.

 

The East London Foundation Trust were working on a number of priorities, including improving the crisis pathway, reducing the number of out of area placements for people and improving the environments within acute in-patient settings.  Also work had been established to improve recovery outcomes locally and to implement national guidance on permitting GPs to make diagnosis of dementia for people in care and nursing homes.

 

A draft Child and Adolescent Mental Health Services (CAMHS) Transformation Plan for Bedfordshire and Luton had been developed following the Government’s Taskforce report, Future in Mind.  The key priorities were:-

 

·         Eating disorders.

·         Perinatal mental health.

·         Early intervention/crisis prevention.

·         Embedding the children and young people’s Improving Access to Psychological Therapies principles.

·         Schools/CAMHS training pilot.

 

In response to a question, it was noted that the Bedfordshire Clinical Commissioning Group had received additional funding to help clear the waiting list for Improving Access to Psychological services.

 

RESOLVED

 

1.      that the proposed steps to develop the CAMHS Transformation Plans for Bedfordshire be endorsed;

 

2.      to authorise the Chairman, in consultation with the Directors of Public Health and Children’s Services to sign off the CAMHS Transformation Plan for submission;

 

3.      that the Board supports the five ways to wellbeing campaign;

 

4.      that the progress to date in promoting mental wellbeing be noted and the next steps be endorsed, including the Board receiving an update on progress in six months time.

 

 

 

19.

Better Care Fund pdf icon PDF 289 KB

 

To receive an update on the Better Care Fund including quarterly reporting and to approve the section 75 agreement.

Additional documents:

Minutes:

 

The Board considered a report that provided an update on the performance against the delivery targets of the Better Care Fund (BCF) Plan. The report also set out the Section 75 agreement between Central Bedfordshire Council and the Clinical Commissioning Group to allow for the BCF to be transferred into a pooled fund.

 

Work was progressing to create a shift to out of hospital care and early intervention and prevention through multidisciplinary working as this remained fundamental to the BCF Plan, especially as non-elective admission rates remained high and were rising.  Under each of the overarching priorities there were key work streams taking place.  It was agreed to report back to the next meeting on 20 January, setting out the areas where delivery was proving difficult to achieve. 

 

RESOLVED

 

1.      that the quarterly report, submitted to NHS England on 28 August 2015, be noted;

 

2.      that the financial details of the BCF Plan, as set out in the Section 75 agreement, be approved; and

 

3.      that the governance structure to support the delivery of the BCF Plan through the Section 75 pooled budget arrangements be approved.

 

 

 

20.

Board Development and Work Plan 2015/2016 pdf icon PDF 86 KB

 

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.

Additional documents:

Minutes:

 

The Board considered the updated work programme of items for the Health and Wellbeing Board for 2015-2016. 

 

RESOLVED

 

that the work plan be approved, subject to the inclusion of a report on Giving Every Child the Best Start in Life – School Readiness for the meeting on 20 January 2016.

 

 

 

21.

Local Safeguarding Children's Board Annual Report 2014-2015 pdf icon PDF 85 KB

To receive the Central Bedfordshire Local Safeguarding Children’s Board Annual Report for 2014-2015.

Additional documents:

Minutes:

 

The Board considered a report that set out the annual report of the Central Bedfordshire Safeguarding Children Board that provided evidence of the commitment and determination among agencies and professionals to keep children and young people across Central Bedfordshire safe.

 

The Chairman of the Safeguarding Children Board highlighted the key challenges:-

 

·         Ensuring that the voice of children was heard and that their views were taken into account in all aspects of safeguarding.

·         Ensuring that lessons learned from local and national case reviews and audits were embedded in local practice and improve the quality of the provision of services to children and young people.

·         Ensuring the effectiveness of safeguarding support for children living with the consequences of domestic abuse, parental mental ill health and parental substance misuse.

·         To continue to monitor and evaluate the impact of early help.

·         Ensuring the Central Bedfordshire response to child sexual exploitation (CSE) was identifying those children at risk of CSE at the earliest opportunity and evaluating the multi-agency response to keep children safe.

 

RESOLVED

 

1.      that the Central Bedfordshire Safeguarding Children Board Annual Report be noted; and

 

2.      that key messages for stakeholders be considered and to communicate the relevant messages back to their organisation and staff.

 

 

 

22.

Bedford Borough and Central Bedfordshire Safeguarding Adults Board Annual Report 2014-2015 pdf icon PDF 97 KB

 

To receive the Bedford Borough and Central Bedfordshire Safeguarding Adults Board Annual Report 2014-2015.

Additional documents:

Minutes:

 

The Board considered a report that set out the Bedford Borough and Central Bedfordshire Safeguarding Adults Board (SAB) Annual Report.  The SAB had continued with strong strategic leadership and operational arrangements which had enabled standards to improve, evidence robust safeguarding arrangements and deliver sustained professional improvement.  The main areas the SAB had focused on were:-

 

  • Preparation for the new duties under the Care Act 2014 for adult safeguarding and for managing quality and safety in care provision.
  • Ensuring the implications of the Supreme Court ruling on Deprivation of Liberty Safeguards (known as “Cheshire West”) were robustly managed.

·         Making safeguarding personal, ensuring that person centred outcomes were at the forefront of safeguarding work.

 

RESOLVED

 

that the Bedford Borough and Central Bedfordshire Safeguarding Adults Board Annual Report 2014-2015 be noted.

 

 

 

23.

Exclusion of the Press and Public

 

To consider whether to pass a resolution under section 100A of the Local Government Act 1972 to exclude the Press and Public from the meeting for the following items of business on the grounds that the consideration of the items is likely to involve the disclosure of exempt information as defined in Paragraph 3 of Part I of Schedule 12A of the Act.

Minutes:

 

RESOLVED

 

that in accordance with Section 100A (4) of the Local Government Act 1972 the public be excluded from the meeting for the following item of business on the grounds that it involved the likely disclosure of exempt information as defined in paragraph 3 of Part I of Schedule 12A of the Act.

 

 

 

24.

Outcomes of Data Sharing and Analysis between BCCG and CBC

 

To receive the outcome of data sharing and analysis between the Bedfordshire Clinical Commissioning Group and Central Bedfordshire Council.

Minutes:

 

The Board received a presentation on what was driving unplanned hospital admissions in Central Bedfordshire.  Joint working to identify high risk patients was taking place between the Bedfordshire Clinical Commissioning Group and Central Bedfordshire Council as well as integrated care teams.

 

RESOLVED

 

to consider the results of the risk profiling work at the next meeting as part of the Better Care Fund update.