Agenda and minutes

The chairman will welcome attendees to the meeting.

The Chairman welcomed everyone to the meeting.

The PowerPoint used in the meeting is attached.

To receive any apologies for absence

Apologies for absence were received from:

Cllr Laura Mayes

Dr Nick Ware

To confirm the minutes of the meeting held on 28 September 2023.

The minutes of the previous meeting on 28 September 2023 were presented for consideration. After which, it was:

Resolved

The Wiltshire Health and Wellbeing Board approved and signed the minutes of the previous meeting held on 28 September 2023 as a true and accurate record.

To declare any personal or prejudicial interests or dispensations granted by the Standards Committee.

There were no declarations of interest.

The Council welcomes contributions from members of the public.

Statements

If you would like to make a statement at this meeting on any item on this agenda, please register to do so at least 10 minutes prior to the meeting. Up to 3 speakers are permitted to speak for up to 3 minutes each on any agenda item. Please contact the officer named on the front of the agenda for any further clarification.

Questions

To receive any questions from members of the public or members of the Council received in accordance with the constitution.

Those wishing to ask questions are required to give notice of any such questions in writing to the officer named on the front of this agenda no later than 5pm on Thursday 23 November 2023 in order to be guaranteed of a written response. In order to receive a verbal response questions must be submitted no later than 5pm on Monday 27 November 2023. Please contact the officer named on the front of this agenda for further advice. Questions may be asked without notice if the Chairman decides that the matter is urgent.

Details of any questions received will be circulated to Committee members prior to the meeting and made available at the meeting and on the Council’s website.

There was no public participation.

To receive an update on pharmacies in Wiltshire from Helen Wilkinson and Victoria Stanley.

The Board received an update and presentation on pharmacies in Wiltshire from Victoria Stanley.

During the presentation, the following topics were discussed:

• Challenges for Wiltshire
• The Development of Community Pharmacy
• Workforce

Debate

It was reiterated that development was extremely important to the ICB.

The need to see the situation from a patient perspective was stressed, especially given that Boots are currently the only pharmacy that deliver for free for those stuck at home. It was made clear that ensuring the public can access their medication was vital and plans without proper resourcing fall apart.

Resolved

i)               To note the report

To provide an update on the Technology Enabled Care service, achievements, and progress to date

The Board received an update on the Technology Enabled Care service, achievements, and progress to date.

TEC, created in 2022, covers health related technology including wearable sensors, devices in the home and health care apps. There was a strong appetite to innovate and embed a wider range of solutions into care.

The TEC Strategy 2023-2028 was put forward as a clear vision for the future, with priorities and a detailed action plan.

Pilots, including a “robocat” which was demonstrated at the meeting, were highlighted as means to test new technology.

Debate

Communication as to when initiatives begin in areas in Wiltshire was highlighted as important for the public.

It was clarified that the process for recommissioning of alarm monitoring and equipment supply contracts would be completed before the current contract finished in Spring 2024.

Resolved

i)        To note the report

To receive an update on the Better Care Plan from Melanie Nicolaou.

The Better Care Plan Quarterly Report was required to be brought to the Board and was considered as read by members of the board ahead of the meeting.

Resolved

i)        Notes the quarterly report submitted to the national team on 31st October 2023 (Appendix A).

ii)       Approves the revised quarterly report for submission to the national team (Appendix C)

To receive an update on preparations for winter health pressures.

The Board received an update on preparations for winter health pressures.

A presentation included:

• Issues likely to occur over the winter months.
• The approach planned to tackle such pressures.
• The current statistics.

A discharge communications project, called Caring Steps Together, was also presented as a means of improving awareness of life after time in hospital and the support available.

Debate

It was clarified that the need for more mental health staff and higher training relates around a lack of 24hr support, especially given higher levels of delirious patients and other mental health patients.

It was clarified that work was ongoing on how community beds and care home beds can be most appropriately used.

Resolved

i)               To note the presentations and reports

To receive an update on the Integrated Care Board (ICB) Community Care Contract.

The Board received an update on the Integrated Care Board (ICB) Community Care Contract.

The ICB would be tendering on behalf of the NHS and the 3 Local Authorities a BSW-Wide Community Services Health contract, to start from 1 April 2025 with a proposed length of 7 plus 2 years.

The ICB Board supported the commencement of the procurement at its meeting on the 21st of September. The future procurement of services was now underway.

Cabinet agreed on the 14th of November 2023 to consider continue funding, at the same level, from the BCF for new contract from April 1st, 2025, until 31st March 2032, with a possible further 2-year extension.

Debate

The importance of understanding stakeholder concerns was stressed and the fact this had been done upfront was commended.

It was clarified that there has been interest from service providers and risks associated with such a huge contract had been considered and mitigated. The service provider would be given instructions as to what to do and they would then be responsible for informing exactly how they would achieve the necessary objectives and standards.

It was understood that the Armed Forces struggle with access to care for their dependants, especially given their significance in Wiltshire. This issue was known to the ICB and being discussed.

Resolved

i)               To note the past and ongoing work between the ICB and Wiltshire Council regarding the tender of a BSW-wide Community Health Services contract.

ii)             To note the approval at the ICB Board to the agreed procurement approach to, and commencement of the procurement process.

iii)           To note the Cabinet decision to the ‘in principle’ agreement to commit Better Care Funding to the ICB Community Health Contract from 2025 to 2032 (with potential for a further 2 years to 2034). Formal commitment is dependent on a revised and agreed S.75 Agreement (Health and Social Care Act 2012) that covers the period of the contract, along with a signed Collaborative Commissioning agreement. Formal agreement will be sought in early 2024 before the contract is awarded.

To receive an update on the carers strategy.

The Board received an update on the Carers strategy.

It was noted that the Carers Strategy was returning for a second time and although this was the final draft it wasn’t necessarily the final iteration.

Debate

The importance of understanding what carers need in terms of support and equipment was stressed given the ever-growing role carers will play in the next 20-30 years and beyond.

Resolved

i)        That the Board approves the final draft strategy

To receive a report outlining the Integrated Care Strategy Implementation Plan for Wiltshire Performance Monitoring Arrangements.

The Board received a report outlining the Integrated Care Strategy Implementation Plan for Wiltshire Performance Monitoring Arrangements.

Having put the Integrated Care Strategy together, this item covers the back end of the overall strategy as to how the strategy performance is monitored.

Debate

The Board had looked and contributed to the metrics of the Strategy, and it was important that flexibility remained, and data was continuously provided through progress reports.

Resolved

i)        Notes the proposed template for Wiltshire ICA and associated subgroups to monitor performance and the latest performance information where available (Appendix 1)

ii)       Notes that further work will be undertaken through Wiltshire ICA andthe chair of each sub-group to further refine the proposed template, associated measures and targets and latest performance status in time for the next meeting of the Health and Wellbeing Board

iii)      Asks Wiltshire ICA to provide progress reports from each sub-group, highlighting things going well, areas further work is required and areas that need particular attention from the Health and Wellbeing Board

To receive a report highlighting actions being taken to address youth smoking and vaping.

The Board received a short presentation highlighting actions being taken to address youth smoking and vaping.

Resolved

i)               To note the report

Any items of urgency the chair agrees to be discussed.

There were no urgent items.

The next meeting of the Health and Wellbeing Board will be held on 1 February 2024.

The next meeting of the Health and Wellbeing Board will be held on 1 February 2024.