Agenda and minutes

The Chairman welcomed all and clarified the purpose of the meeting which was to consider the draft Better Care Plan.

The Board had requested at the last meeting held in January to arrange an extraordinary meeting for the purpose of reviewing the draft Better Care Plan before its submission to NHS England on 14 February.

Once agreed, Laurie Bell, Head of Communities and Communications, would ensure the draft Plan was of an appropriate design to be presented. 

Apologies for absence were received as follows:

Cllr Keith Humphries (Cabinet member Public Health, Protection Services, Adult Care and Housing)

Debra Elliott  - (NHS England)

Dr Helen Osborn -  (CCG Chair WWYKD Group)

James Scott -  (Bath RUH)

Nerissa Vaughan  -  (Great Western Hospital)

Ken Wenman -  (South West Ambulance Service Trust – SWAST)

Angus Macpherson -  (Police and Crime Commissioner)

Gareth Bryant (Wessex Local Medical Committee)

Cllr Ian Thorn (Opposition Group Representative)

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

No declarations of interest were received.

The Better Care Fund (formerly known as the Integration Transformation Fund) was announced by Government in June 2013 to ensure a transformation in integrated health and social care.

The Fund is a critical part of the NHS 2 year operational plans, 5 year strategic plans as well as local government planning. 

The Chairman, Cllr Jane Scott OBE, will introduce the item.  The Board will be asked to consider the content of the draft Better Care Plan before its submission to NHS England on 14 February 2014.

The Chairman introduced the draft Plan as circulated, hard copies of which were available at the meeting.

In introducing the item the Chairman clarified that the purpose of the Plan was to demonstrate to ministers how the Health and Wellbeing Board intended to take forward the vision of health integration in the future.

Sue Geary, author of the report, was welcomed to the meeting to run through the report itself and in receiving thanks for her hard work in preparing the report, also gave thanks to fellow colleagues both in the authority and at the CCG whose assistance allowed for the report to be presented.

Sue Geary went through the Plan section by section to allow the Board to make contributions as appropriate, where the following points were made:

Further engagement with the public would be required which it was hoped would commence from March.  This would include awareness through the Council Area Boards and the Disabilities Partnership Board.

The person centred approach to future provision should be better highlighted throughout the plan as well as within the Introduction.

Further information should be included on Dementia, to include the campaign being launched regarding the development of dementia friendly communities, the missing people scheme run by the police authority and the joint care coordinator positions.

The ‘onion’ diagram highlighting the support around the person centred approach should be titled and provided with further explanatory text.

The principles of joint commissioning as agreed by the Joint Community Board for Adults Services and through the Health and Wellbeing Board should be highlighted, including the Health and Wellbeing Strategy.

Details of the Wiltshire Council Business Plan should also be included as a demonstration of the understanding of joint future working.

The implications of the change in future care provision should be highlighted, noting that if integration was to succeed changes would be required to achieve a future care provision suitable for the needs of future generations.

Appropriate ‘non jargon’ wording understandable to the public should be used.

The Plan should be clear on demonstrating how integration is working, how risks will be monitored and what plans surrounded it in terms of contingency planning.

The Plan should acknowledge the strong position of Wiltshire noting the additional funding contributions by both Wiltshire Council and the CCG for integrated working and the already established and ongoing partnership working.

The Chairman thanked all for their contributions and asked that any further comments should be provided to Sue Geary no later than midday on Friday 7 February, noting that the final draft would need to be signed and sent to NHS England on Wednesday 12 February. 

The Board were reminded that this was the initial draft to which NHS England would perhaps comment and request change and therefore the final plan submitted was subject to ministerial approval.

The draft Plan would now be amended to reflect the comments of the Board, a copy of which would be signed by the Chairman and Vice Chairman at the Health  ...  view the full minutes text for item 13.

The next meeting of the Board will take place on 20 March 2014.

The next scheduled meeting of the Board would take place at 3pm on 20 March 2014 and would be held in Jenner House, AWP Headquarters, Langley Park, Chippenham.