Agenda and minutes

It was noted that the meeting would be managed by the Vice-Chair.

Apologies were noted from Tracey Dasziewiscz, Angus MacPherson, Nerissa Vaughan, Paul Birkett-Wendes

To confirm the minutes of the meeting held on 29 March 2018.

The minutes of the meeting held on the 29 March 2018 were considered.

Resolved

To approve the minutes as a correct record.

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

There were no declarations of interest.

·        Health Watch Wiltshire Commissioning

The meeting’s attention was drawn to the announcement regarding the award of contract for Health Watch Wiltshire.

The Chair asked that a letter be sent to the previous contract holders and to their Chair for the hard work and contribution to the Wiltshire.

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 (4 clear working days, e.g. Wednesday of week before a Wednesday meeting) 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 (2 clear working days, eg Friday of week before a Wednesday meeting). 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 were no questions from the public.

A verbal update covering: recent developments following the CQC review and their awaited report; action planning already underway; and developments on Continuing Health Care and system integration.

Responsible Officer: Cllr Jerry Wickham, Linda Prosser

Cllr Jerry Wickham and Linda Prosser stated that they were working towards an approve for a governance framework, and were seeking to address the issues arising from the recent CCG visit. A further meeting would be taking place with NHS England.

To consider plans for the expansion of personal health budgets and their uptake in Wiltshire.

Responsible Officer: Ted Wilson

Report author: Shelley Watson

Ted Wilson, Wiltshire CCG, presented the report which outlined the progress made during 17/18 by Wiltshire CCG to increase the offer of Personal Health Budgets.

Matters highlighted in the course of the presentation and discussion included: how the programme built on the personalisation agenda developed largely in the local government sector; the ambitions to drive the programme on further in the health sector and the local targets for that; that progress was in excess of those targets and that forecasts had been adjusted to take account; the desire to focus on those with long-term conditions with health and social care needs; that personal budgets are a choice; the better outcomes for individuals and how barriers can be overcome; the support, through brokerage, that can be offered.

In response to a question from Cllr Ian Thorn, Ted Wilson stated that budgets could be for up to five years and were for a range of amounts. It was noted that less complex cases had been the focus for support.

At the end of the debate, the meeting;

Resolved

1.         To note the progress made during 17/18

2.         To note Wiltshire CCG’s commitment to expand the offer of the number of personal health budgets and integrated social care and health budgets currently offered in Wiltshire

3.         To request a report back with a six month update as appropriate.

To receive an update on the FACT programme.

Responsible Officers: Terence Herbert

Report author: Theresa Leavy

Terence Herbert, Corporate Director, presented the report which provided an update to the Board on the Families and Children's Transformation (FACT) programme.

Matters highlighted in the course of the presentation and discussion included: How the Health and Wellbeing Board could provide oversight in terms of governance of the programme; the ambitions for ensuring all children, targeted at those in most need, have the opportunity to thrive; the benefits of partnership working; the need to invest in staff to ensure a flexible and responsive workforce; the number of projects being undertaken under the programme; the shared outcomes framework; the seven golden threads running through the programme including: co-production.

In response to an issue raised by the Vice-Chairman, it was confirmed that performance information could be reported along with information about how data had been used to focus resources on priorities.

In response to an issue raised by Cllr Thorn, it was confirmed that less progress had been made on the education work stream, but that the Education, once set up, would be diverse.

In response to an issue raised by the Chief Inspector, it was confirmed that data sharing with partners will be a specific project within the programme.

Resolved

1. To notes and agree that the FACT Board will be overseen by the Health and Wellbeing Board.

2. To note the scale and ambition of this transformation programme – and support its delivery as required;

3. To request regular updates and/or items of interest from the FACT Board

To receive an update on progress with the transformation of adult social care.

Responsible Officers: Carlton Brand, Tracy Daszkiewicz

Report author: Catherine Dixon

Terence Herbert, Corporate Director, presented the report which provided an update to the Board on the Families and Children's Transformation (FACT) programme.

Matters highlighted in the course of the presentation and discussion included: How the Health and Wellbeing Board could provide oversight in terms of governance of the programme; the ambitions for ensuring all children, targeted at those in most need, have the opportunity to thrive; the benefits of partnership working; the need to invest in staff to ensure a flexible and responsive workforce; the number of projects being undertaken under the programme; the shared outcomes framework; the seven golden threads running through the programme including: co-production.

In response to an issue raised by the Vice-Chairman, it was confirmed that performance information could be reported along with information about how data had been used to focus resources on priorities.

In response to an issue raised by Cllr Thorn, it was confirmed that less progress had been made on the education work stream, but that the Education, once set up, would be diverse.

In response to an issue raised by the Chief Inspector, it was confirmed that data sharing with partners will be a specific project within the programme.

Resolved

1. To notes and agree that the FACT Board will be overseen by the Health and Wellbeing Board.

2. To note the scale and ambition of this transformation programme – and support its delivery as required;

3. To request regular updates and/or items of interest from the FACT Board

To receive an update on the delivery of the Better Care Plan for Wiltshire and the stocktake of existing schemes and their impact.

Responsible Officers: Linda Prosser, Tracy Daszkiewicz

Report author: Tony Marvell

Jeremy Hooper presented the report which proved a status report for the Better Care Fund Programme, including an update on the Section 75 agreement.

Matters highlighted in the course of the presentation and discussion included: the changes in performance and the underlying reasons for that; the reablement opportunities for those coming out of hospital; the efforts to address information governance issues to identify performance information.

Resolved

1.         To note the performance levels contained in the Integration and Better Care Fund Dashboard;

2.         To note the progress being made to further improve our whole system governance and leadership for Wiltshire residents.

A presentation providing in depth analysis of the latest DTOC figures for Wiltshire

Responsible Officer: Tracy Daszkiewicz, Linda Prosser

Report author: Jeremy Hooper

The meeting received a presentation, circulated as a supplement, regarding the Delayed Transfers of Care work.

Matters highlighted in the course of the presentation and discussion included: that further improvements required to meet targets for lost bed days; the reasons for delays and the changes, including that delays accessing domiciliary care had reduced but remained significant; that some others areas around choice and assessment had increased; the acknowledgement that some progress had been made but more to do; the need to pay attention to specific location based issues; the changes to widen the focus on all patients overstaying in beds; the work undertaken to co-ordinate the work around discharge; the need to discuss how to reduce, appropriately, unnecessary medical interventions; the need to support more exercise in hospitals so people are healthier to support a more successful discharge; the needs of the wider cohort and how their needs are best assessed for them to be cared in the best setting; the role of Wiltshire Health and Care, and the need to strengthen links to social care and establishing the pathway to seamless handover; the need for further capacity.

Resolved

1.    That an update be given in the autumn regarding reablement to be included as part of a wider discussion on winter preparedness;

2.    That the September and November meetings be cancelled and an October meeting date be arranged as this would be a better time.

To consider the strategy document and note the evidence used to develop it.

Responsible Officers: Tracy Daszkiewicz

Report author: Steve Maddern

Steve Maddern, Consultant in Public Health, presented the report which, brief the Health and Wellbeing Board on the Sexual Health and Blood Borne Virus Strategy (SHBBVS).

Matters highlighted in the course of the presentation and discussion included: that that the strategy had been approved by Wiltshire Council’s Cabinet; the scope of the strategy and its focus on preventing infection and unwanted pregnancies; the work on reducing hepatitis and HIV; the consequence of poor sexual health including widening health inequalities; the cost implications from infection and unwanted pregnancies; how best to identify groups at risk; the assessments undertaken and how this targets action; that some issues of sexual violence are low but still being targeted as they have significant impacts on individuals; the importance of health promotion and information in reducing harm and targeting information to at risk groups; the links to national guidance and evidence; the work being undertaken with other stakeholders in the sector; the strategy’s key milestones for implementation and governance; the opportunities for measuring performance and identifying progress.

In answer to questions raised, Steve Maddern responded that: prevention work and improving sexual education in schools is key to reducing unwanted pregnancies, and work was helping to focus on those vulnerable groups that were not accessing contraception and sexual health services.

In answer to questions raised, Steve Maddern responded that: safeguarding issues, including efforts to prevent Child Sexual Exploitation, we included in the plan and gave the example of how frontline staff like pharmacists will be provided with risk assessment tools to identify information to feed into the MASH.

At the conclusion of the debate, the meeting;

Resolved

1.    To note and acknowledge the Sexual Health and Blood Borne Virus

strategy document

2.    To welcome an opportunity to receive an update in year but asked officers to consider a possible update within 6 months

The next meeting will be 12 July 2018

The next meeting of Board would be 12 July 2018