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

Matthew Tait, Chief 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 2016/17.

The Chairman welcomed Sarah Stead, Area Clinical Lead from the East of England Ambulance Service NHS Trust to the meeting.

To approve as a correct record the Minutes of the last meeting held on 6 April 2016 and note actions taken since that meeting.

RESOLVED

that the minutes of the meeting of the Central Bedfordshire Health and Wellbeing Board held on 6 April 2016 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 report back on what more could be done to increase the take up of health checks.

The Board considered a report that outlined the measures being pursued to expand the NHS Health Check programme, focussing in particular on those residents who would benefit most from a Health Check.

The report identified how Central Bedfordshire Council and Bedfordshire Clinical Commissioning Group would support further development of the NHS Health Check delivery.  Health checks would be promoted through places like the leisure centres, supermarkets and libraries.

RESOLVED

that  the delivery of the recommendations to facilitate greater uptake of an NHS Health Check by staff, patients, customers and stakeholders be supported.

To provide an update on the progress being made in respect of ‘School Readiness’. 

The Board considered a report on progress with school readiness.

The expected outcome for every child leaving a reception class was that they would have achieved a Good Level of Development.  Early indicative results for 2016 indicated that performance had risen from 64% to 68%, although the latest figure had still to be moderated.  A leaflet had been produced detailing the characteristics of school readiness which provided parents with guidance on what they could do to support their child.

The linking of the health checks and 2½ year checks to Early Years Foundation Stage had been piloted in Biggleswade and Sandy and had proved to be successful.  Between the 2½ year checks and a child entering Reception at school was a long period of time as children developed during this period and it was felt that an additional milestone was needed during this time.  Additional work with practitioners would be carried out in September 2016 to consider an additional milestone with a further report being submitted to the Health and Wellbeing Board on 25 January 2017 with  monitoring taking place through the Health and Wellbeing Scorecard.

RESOLVED

1.      that the progress made in giving every child the best start in life for school readiness, be noted; and

2.      that the Health and Wellbeing Board be updated at their meeting on 25 January 2017 as indicated above.

To consider the proposed scorecard for the Health and Wellbeing Board which will be used to assess progress in achieving the Joint Health and Wellbeing Strategy.

The Board considered a report that set out a proposed scorecard that included a series of indicators that could be used to monitor progress against the four Joint Health and Wellbeing Strategy priorities:-

·         Ensuring good mental health and wellbeing at every age.

·         Giving every child the best start in life.

·         Enabling people to stay healthy for longer.

·         Improving outcomes for frail older people.

RESOLVED

that the scorecard proposed to indicate progress against the Joint Health and Wellbeing Strategy, be approved.

To receive a presentation from the Area Clinical Lead on the Trust’s new operational model.

The Board received a presentation from the Area Clinical Lead on the East of England Ambulance Service NHS Trust’s (EEAST) proposed operating model.  The presentation explained:

·         the current model;

·         the case for change;

·         the urgent and emergency care model;

·         future workforce breakdown; and

·         key features and outcomes.

It was unclear what the cost savings of the new model would be, but the Board were advised that investment had to be made to allow the service to save money.

The Bedfordshire Clinical Commissioning Group were working closely with the EEAST on its proposed direction of travel.

RESOLVED

to report back to the Health and Wellbeing Board meeting on 25 January 2017 on the outcome of Bedfordshire Clinical Commission Group’s discussions with the EEAST.

To approve the Transforming Care Plan.

The Board considered a report that provided an update on the development of the joint transformation plan across Central Bedfordshire, Luton, Bedford Borough and Milton Keynes.  The report also set out the three year transformation plan for transforming care for children, young people and adults with learning disabilities and/or autism.

The final transformation plan had been submitted to NHS England on 11 April 2016.  All four local authorities would be responsible for reporting back to their own individual Health and Wellbeing Boards.

The Board expressed concerns about the financial support available to support the transformation over the next three years.  This would inhibit the ability to take the Plan forward.  The Board agreed that representations should be made reflecting this concern.

RESOLVED

1.      that the joint three year plan be approved in principle as there would need to be an ability to flex the plans to take account of the the outcome of the engagement work stream across the footprint during 2016/17;

2.      noted that as this was a joint plan with Central Bedfordshire, Bedford Borough, Luton and Milton Keynes, it would be subject to approval and sign off through each of the organisation’s governance arrangements; and

3.      to authorise representations registering the Board’s concerns about funding support to deliver the Plan.

To receive an update on the Sustainability and Transformation Plan.

The Board considered a report that set out the requirement for every health and care system to come together to create a local blueprint for responding to the NHS’s Forward View.  The NHS Shared Planning Guidance for 2016/17 – 2020/21 required local areas to produce a five year, place-based Sustainability and Transformation Plan (STP). 

Central Bedfordshire was part of the Bedfordshire, Luton and Milton Keynes (BLMK) footprint and was be working with neighbouring local authorities, Clinical Commissioning Groups, the three acute hospitals and other significant NHS providers.  The STP would seek to address:

·         the health and wellbeing gap;

·         the care and quality gap; and

·         the finance and efficiency gap.

The draft STP had been submitted and would be reviewed nationally by NHS England and NHS Improvement.  In the meantime, work would continue locally to develop the five key priorities of the Plan:

·         illness prevention and health improvement;

·         primary, community and social care;

·         secondary care;

·         digitisation; and

·         demand management and commissioning.

The Board would receive an update at the next meeting on 19 October 2016.

RESOLVED

1.         that the requirement for a place-based health and care Sustainability and Transformation Plan be noted;

2.         that the approach to developing the Sustainability and Transformation Plan for the BLMK Footprint be endorsed; and

3.         that the five priorities for the BLMK Footprint be endorsed.

To receive an update on the Better Care Plan.

The Board considered a report that provided an update on the development and submission of the Better Care Fund (BCF) Plan for 2016/17.  The report also set out the BCF Quarter 4 performance return to NHS England and narrative on progress. 

The BCF Plan 2016/17 would focus on three key schemes to help deliver improvements, cost efficiency, more streamlined pathways of care and to meet the national conditions.  The three key schemes were:

·         out of hospital care;

·         prevention; and

·         protecting social services.

The 2016/17 BCF Plan would be accredited on a regional basis by a panel consisting of NHS England and Local Government representatives.  Early indications were that the Central Bedfordshire BCF Plan would be approved with support.

The total BCF pooled fund was £20.534m from Central Bedfordshire Council and the Bedfordshire Clinical Commissioning Group.  A Section 75 Agreement had been drawn up as part of the requirement of the amended NHS Act 2006.  It was proposed to amend the recommendations to authorise the Chairman of the Health and Wellbeing Board to sign off the Section 75 Agreement.

RESOLVED

1.      that the BCF plan for 2016/17 that was submitted on 5 May 2016, with approval from the Chairman of the Board, be endorsed;

2.      that the core elements of the plan including themes, national conditions, metrics and the assurance process be noted;

3.      that the expected outcome of the assurance process be noted;

4.      to authorise the Chairman of the Health and Wellbeing Board to approve and sign off the Section 75 Agreement for the 2016/17 fund; and

5.      that the quarter four return on the BCF Plan to NHS England be noted.

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 the updated work programme for 2016/17.

RESOLVED

that the work plan be approved, subject to the inclusion of the following items:-

·         to receive an update on the Sustainability and Transformation Plan 2016-2020 - 19 October 2016;

·         to receive an update on the discussions between the Bedfordshire Clinical Commission Group and the EEAST –

            25 January 2017;

·         to receive an update on Giving Every Child the Best Start in Life:  School Readiness – 25 January 2017;

·         to receive an update on the Transforming Care – Transformation Plan following the implementation of phase 1 - 29 March 2017;

·         the Health and Wellbeing Scorecard would be submitted to every meeting; and

·         the integration of Health and Social Care in Central Bedfordshire – to be timetabled.