The Chairman acknowledged that there were a number of apologies and suggested that the issue of substitutes should be considered.

To approve as a correct record the Minutes of the last meeting held on 27 July 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 27 July 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 update the Board on progress made across a range of initiatives aimed to Improving Outcomes for Frail Older People

The Board considered a report that set out progress across a range of initiatives aimed at improving outcomes for frail older people. Current work was focussing on two particular outcomes:

·         enabling older people to stay well at home for longer; and

·         helping people with dementia and their careers to feel supported to manage their dementia.

A key issue to be tackled was to reduce isolation and loneliness in older people. The Council was about to commence a public consultation on a draft day offer for older people and adults with disabilities. The Council was also working closely with the voluntary sector to find out what other services were being provided with a view to integrating or complementing provision.

RESOLVED

1.         that the progress towards delivering improved outcomes for frail older people, be supported; and

2.         that the Board receive an update in a year’s time on improving outcomes for frail older people.

The report outlines the partnership strategy and implementation plan to reduce excess weight in adults and children.

The Board considered a report that outlined the partnership strategy and implementation plan to reduce excess weight in adults and children.  Overweight and obesity in adults was associated with a range of health problems including type 2 diabetes, heart disease and cancer. The percentage of adults overweight in Central Bedfordshire was statistically higher than the England average.

The Strategy identified how the Council, Bedfordshire Clinical Commissioning Group and partner organisations would work with stakeholders e.g. schools, GPs, local food retailers and public protection.

The Excess Weight Implementation Group would be meeting twice a year to monitor progress against the Action Plan. The Government had issued  guidance on how obesity would be addressed nationally. Central Bedfordshire's Strategy was supportive of the proposals set out in the national guidance.

RESOLVED

1.         that the Excess Weight Partnership Strategy be endorsed; and

2.         that the Board receives an update every six months highlighting key issues.

To receive the latest performance monitoring of the progress in delivering the priorities in Health and Wellbeing Strategy.

The Board considered a report that set out performance for the four key outcomes within the Joint Health and Wellbeing Strategy.  The Board discussed each key measure:-

·         the Board was due to receive an update on the CAMHS Transformation Plan on 25 January 2017, this would include the work being carried out to address emotional wellbeing;

·         a direction of travel to be included in future reports;

·         a benchmark figure where no target had been set to be included in future reports;

·         the Board would receive an update on school readiness on 25 January 2017and this measure would give an indication of those parts of Central Bedfordshire struggling with school readiness;

·         the proportion of people diagnosed with diabetes not meeting their treatment targets was worse than the England average.  To improve these rates the Bedfordshire Clinical Commissioning Group (BCCG) would be delivering a diabetic service during the next financial year to support patients to loose weight, stop smoking etc.

·         additional data would be included in the Better Care Fund reports to help explain why the number of falls were increasing; and

·         diagnosis of dementia rates whilst improving were below target and the BCCG were in the process of identifying a clinical lead to support this service.

RESOLVED

1.         that the progress in delivering the Joint Health and Wellbeing Strategy be noted; and

2.         that the areas for further focus arising from the performance in each of the key priority areas, as outlined in paragraphs 5-8 in the report, be noted.

To inform the Board of the key outcomes of the Integrated Care for Older People thematic review undertaken by the Care Quality Commission (CQC).

The Board considered a report that set out the key outcomes of the Integrated Care for Older People thematic review undertaken by the Care Quality Commission (CQC).  This involved a number of different systems across England, with Central Bedfordshire being one of the systems studied.  The project explored how well care was organised and coordinated for older people and how this affected their experience of care.  The CQC had now produced a national report ‘Building Bridges, Breaking Barriers’ with the outcome of the findings from the review.

An LGA Peer Review of reablement and rehabilitation services had taken place in October 2016.

The Council’s Social Care, Health and Housing Overview and Scrutiny Committee had appointed a task force to investigate the integration of health and social care in Central Bedfordshire.  The outcome of this review would be reported back to the Board on 29 March 2017.

RESOLVED

1.         that the publication of the CQC report on the Thematic Review of Integrated Care of Older People be noted; and

2.         that the work that was taking place locally to secure better and more integrated care for older people be supported.

To receive an update on the Better Care Fund Plan 2016/17.

The Board considered a report that provided an update on the final outcome of the NHS England assurance process for the Better Care Fund Plan 2016/17 and the quarter one performance monitoring.  The Plan for 2016/17 had been awarded full approval and had been endorsed by the NHS Executive on 18 August 2016.

The Chairman confirmed that the Section 75 Agreement to create the pooled budget had been signed.

The Board considered the arrangements for managing implementation of the plan and for monitoring performance against national and local metrics.  The plan for 2016/17 would be focussed on three key schemes which aim to deliver improvements, cost efficiency and more streamlined pathways of care to meet national targets.  The three key schemes agreed locally that would deliver more significant benefits were: 

·         out of hospital care;

·         prevention; and

·         protecting social services.

The Bedfordshire Clinical Commissioning Group representative confirmed that their financial position was under control. 

RESOLVED

1.         to note that the Central Bedfordshire’s Better Care Fund Plan 2016/17 had received full approval from NHS England;

2.         to note that the Section 75 agreement had been signed to create the pooled budget;

3.         that the quarter one return on the 2016/17 Better Care Fund Plan to NHS England be noted;

4.         that the September 2016 performance report in paragraphs 16 to 24 of the report be noted; and

5.         that the performance information provided in future reports to the Board be simplified where possible.

To receive an update on the Sustainability and Transformation Plan 2016-2020.

The Board considered a report that provided an update on the development of the Sustainability and Transformation Plan (STP) for Bedfordshire, Luton and Milton Keynes (BLMK).  The draft STP had been submitted on 30 June 2016 which set out the Plan’s priorities.  The feedback from NHS England and NHS Improvement on the draft plan had been positive.  Work on the development of the five key priorities was continuing locally.

RESOLVED

1.         that the update on the STP be noted;

2.         to note hat the STP would take forward work on the appropriate configuration of acute services across Bedfordshire and Milton Keynes, building on the work of the Health Care Review; and

3.         that the requirement for local involvement and engagement in shaping the plan be noted.

To confirm the Local Digital Roadmap process for engaging with the Health and Wellbeing Board.

The Board considered a report that set out the key points on the preparation and implementation of the Local Digital Roadmap (LDR) for the Bedfordshire Clinical Commissioning Group (BCCG). 

The LDR was focussed on better use of technology to support residents and patients more effectively e.g. data sharing (in a managed and controlled data environment) between social care, community care, primary and acute care settings.

RESOLVED

1.         that the requirements for LDR to engage with local partners and how this would be achieved be noted;

2.         that the key proposals contained within the BCCG LDR be noted; and

3.         that the HWB received an update alongside the Sustainable and Transformation Plan on 25 January 2017.

To receive the Bedford Borough and Central Bedfordshire Annual Safeguarding Adults Report.

The Board considered a report that set out the Bedford Borough and Central Bedfordshire Annual Safeguarding Adults Report that detailed what the Safeguarding Adults Board (SAB) had undertaken during the year to achieve its main objective and implement its strategic plan and what each member had done to implement the strategy as well as detailing the findings of any safeguarding adults review and subsequent action.

RESOLVED

1.         that the 2015-2016 Annual Report of the Safeguarding Adults Board 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 their work plan for 2016-2017.

RESOLVED

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

·         the CAMHS Transformation Plan update on 25 January 2017 would include the data from the emotional wellbeing survey;

·         an update on improving outcomes for frail older people to be timetabled for a year’s time;

·         a review of the key elements in the Excess Weight Strategy be added to the Agenda for 29 March 2017;

·         that a regular update be provided on the Sustainability and Transformation Plan and the Local Digital Roadmap.