To elect the Vice-Chairman of the Central Bedfordshire Health and Wellbeing Board for the remainder of the municipal year 2015/16.

The Board were invited to make nominations for Vice-Chairman of the Health and Wellbeing Board.

Matthew Tait, Accountable Officer, Bedfordshire Clinical Commissioning Group was nominated and seconded. 

RESOLVED

that Matthew Tait be elected Vice-Chairman of the Health and Wellbeing Board for 2015/16.

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

The Chairman had received a request from the Police and Crime Commissioner (PCC) requesting representation on the Board for both his Office and for the Police.  The Board had concluded, at their Development Session on 2 December 2015, that current composition of the Board was appropriate for the stage of development reached, particularly bearing in mind recent changes within the Clinical Commissioning Group.  The PCC and Police Force had representation on other boards which fed into the work of the Health and Wellbeing Board.

The Board agreed that at the current time the membership would not be amended and a review would be carried out in the future.  The Health and Wellbeing Board was a public meeting and the PCC’s representatives would be welcomed to attend and observe.  The Chairman would respond to the PCC with the Board’s decision.

To approve as a correct record the Minutes of the last meeting held on  7 October 2015 and note actions taken since that meeting.

RESOLVED

that the minutes of the meeting of the Central Bedfordshire Health and Wellbeing Board held on 7 October 2015 be confirmed as a correct record and signed by the Chairman.

To receive from Members any declarations of interest.

None were declared.

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.

There were no members of the public registered to speak.

To outline the roadmap to enable people to stay healthy for longer, specifically to reduce premature mortality from cardiovascular disease, one of the priorities within the Health and Wellbeing Strategy.

The Board considered a report that provided an outline roadmap to help people to stay healthy for longer, focussed specifically on reducing premature mortality from cardiovascular disease, one of the priorities within the Health and Wellbeing Strategy.  The Board considered the actions, milestones and Key Performance Indicators (KPIs) that were set out within in the report for each element of the programme.

Public Health colleagues were working alongside Leisure Services and Children’s Services to encourage residents and young people to be more physically activity.  Work was also being carried out to encourage people to stop smoking, take up the offer of healthchecks, to eat more healthly and reduce their intake of alcohol, working closely with GP practices. 

A Lifestyle Hub was being piloted to support individuals to modify their lifestyles.  The pilot was schedule to run until 31 March 2016 and would be appraised to help inform future commissioning arrangements.

The Board challenged partners to consider further ways in which they could support the delivery of the strategic objective.  

RESOLVED

1.      that progress against milestones and Key Performance Indicators for Reducing Premature Mortality from Cardiovascular Disease be report back to the Health and Wellbeing Board meeting on 27 July 2016; and

2.      that Central Bedfordshire Council and Bedfordshire Clinical Commissioning Group consider what more it could do to increase the take up of healthchecks and report back at the Health and Wellbeing Board meeting on 27 July 2016. 

To update the Board on progress to date with the delivery of the Better Care Fund Plan and performance against key delivery targets.

The Board considered a report that provided an update on progress with the delivery of the Better Care Fund (BCF) Plan and performance against key delivery targets.  The report also provided information on the BCF Plan for 2016/17.  The first draft was due to be submitted by the 8 February 2016 with the final submission requiring sign off by the Health and Wellbeing Board in April 2016.

The Board discussed each KPI and noted the number of factors that had contributed to the slow pace of delivery of the BCF Schemes.  For indicator BCF3, the proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services, the data available did not present a true picture of the position as a record of access to community rehabilitation outcomes was needed to complete the assessment of the effectiveness of intermediate and reablement services.

The Pooled Fund of £18.707m showed a forecast underspend of £1.053m.  This would offset the loss of the Pay for Performance target payment of £0.527m, as the target for non-elective admissions set out in the plan had not been achieved.

The Board agreed that that the BCF Plan 2016/17 should focus on what was required locally to improve outcomes and should concentrate on a more manageable number of schemes.  A further discussion would take place at the Board’s Development Session in February.

RESOLVED

1.      that the progress on delivering the Better Care Fund Plan, including the quarter two return to NHS England, be noted;

2.      that the actions taken to support improvement be noted; and

3.      that the proposed process for producing the 2016/17 BCF Plan be noted.

To receive a verbal update on the Community Health Services Review.

The Board received a verbal update on the Community Health Services (CHS) review.  The current contract for the CHS was due to finish in March 2016.  The Bedfordshire Clinical Commissioning Group (BCCG) had extended the contract until March 2016 but to enable further discussion on the aspirations and vision of the service within Central Bedfordshire and Bedford was likely to extend this through to March 2017.

In the meantime, commissioners would continue working with SEPT to make improvements. 

The Board welcomed the visit to Biggleswade Hospital prior to the Board meeting, which had highlighted the need to make better use of the resource.

RESOLVED

that the update be noted.