Agenda and minutes

The Chairman will welcome those present to the meeting.

The Chairman welcomed all to the meeting.

The Chairman also passed on his condolences to the family and friends of former Wiltshire Council cabinet member and councillor Jerry Wickham and the Board joined him in observing a minute’s silence.

To announce the membership changes to the Health and Wellbeing Board as agreed at the last meeting of the Council.

The Chairman announced three changes to the membership of the Health and Wellbeing Board as agreed at the last meeting of the Council:

• Cllr Philip Whitehead (Leader of the Council, Co-Chair)
• Cllr Laura Mayes (Cabinet Member for Adult Social Care, Public Health and Public Protection)
• Cllr Pauline Church (Cabinet Member for Children, Education and Skills)

To receive any apologies or substitutions for the meeting.

Apologies were received from Cllr Ben Anderson, Dr Gareth Bryant, Dr Carlton Brand and Dr Andrew Girdher.

To confirm the minutes of the meeting held on 23 May 2019.

The minutes of the previous meeting held on 23 May 2019, previously circulated, were considered.

Resolved

To approve the minutes as correct.

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 18 July 2019 in order to be guaranteed of a written response. In order to receive a verbal response questions must be submitted no later than 5pm on22 July 2019. 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.

·         Public Annual Health Report

The Chairman made the following announcement:

·       Public Health Annual Report

The Public Health Annual report for 2018/19 is now available as a short film.

Members of the Board and public can watch the film and find other supporting information by following the link included in the pack:

http://www.wiltshire.gov.uk/public-health-intelligence

To receive a presentation on developments within the BSW STP (a stakeholder briefing is included in the pack).

Responsible Officer: Linda Prosser

Linda Prosser gave a presentation on developments within the BSW STP (a stakeholder briefing is included in the pack).

Matters raised during the presentation included: the formation of one, new single statutory CCG and its roll out; the area context; the NHS Long Term Plan; the growth of integrated care systems (ICS); the BSW Integrated Care System; the commissioning alliance; the benefits for Wiltshire’s patients and the benefits for partners.

In answer to a question raised by the Board it was noted that there is already collaboration and information sharing between the partners. Each partner has similar priorities and challenges.

In response to a question from the Chairman it was noted that CCGs are measured on 140 indicators and are subject to management targets that would be recorded and discussed at a future Board meeting.

It was noted that the BSW STP had been discussing the different needs and priorities of Wiltshire residents, and that his would influence the planning and implementation of the merger.

It was noted that the desired outcome of the proposed merger is a better, more targeted service. Primary Care Networks would make the biggest improvement, which would provide the building blocks for better cooperation between providers and services and improved outcomes.

In answer to a question raised by the Board it was noted that most services will continue to be run locally and in some instances patients will be invited to attend other practices to provide better outcomes.

Resolved

To note the update on developments within the BSW STP.

To consider the transformation of mental health services across BSW STP.   

Responsible Officers: Linda Prosser and Carlton Brand

Report author: Lucy Baker, Claire Edgar and Nicola Hazle

Lucy Baker presented a report on the transformation of mental health services across BSW STP.

Matters raised during the discussion included:the Mental Health Strategy; the THRIVE model; the six key strategic workstreams; the development of a conceptual model of care; Avon and Wiltshire Mental Health Partnership (AWP) service reconfiguration; the inpatient adult bed base; the creation of mental health support teams and mental health out of hours support.

It was noted that there are gaps in commissioning for LD/ASD services. A full review of how these services are delivered and the outcomes they produce, including a review of the Daisy Unit in Wiltshire, would be carried out. In addition, the ongoing use of Health Based Places of Safety by those from outside the area was also considered.

In response to a question from the Chairman it was noted that work is being done to ensure that these initiatives can be sustained. The money would be used to pilot initiatives to revolutionise existing services.

Resolved

To note the Mental Health Transformation update.

Julie Brown presented a report on the extent to which Wiltshire is dementia friendly.

Matters raised during the discussion included: who Healthwatch spoke to during their consultation; information from dementia friendly initiatives; information from people living with dementia and their carers; what people value most and how it benefits them and further dementia work. 

In response to a question from the Chairman it was noted that Wiltshire Council’s Area Boards would be a good point of engagement regarding Healthwatch’s dementia work and this will be followed up.

Resolved

1.    To note the key messages from the report.

2.    To confirm its commitment to listening to the voice of local people to influence commissioning and service provision.

Responsible Officer: Robert Jefferson   

Report author: Stacey Plumb

Stacey Plumb presented Healthwatch Wiltshire’s Annual Report 2018/19 and its priorities for the forthcoming year.

Matters raised during the presentation included: the highlights of the past year; how Healthwatch has made a difference; Healthwatch’s volunteers; the Local Leadership Board; Healthwatch’s plans for the year ahead and the Community Cash Fund.

In answer to a question raised by the Board it was noted that there is an appetite for closer collaboration between Healthwatch Swindon, Bath and NE Somerset and Wiltshire.

It was noted that there is an opportunity for Healthwatch to engage with the public regarding BSW STP and Mental Health Transformation.

Resolved

To note Healthwatch Wiltshire’s Annual Report 2018/19 and to consider Healthwatch’s priorities for the forthcoming year.

To consider the latest performance information and receive a presentation on the development of a new Better Care Plan for Wiltshire. 

Responsible Officers: Ted Wilson, Helen Jones and James Corrigan

Report author: James Corrigan

James Corrigan provided an update on the latest performance information and give a presentation on the development of a new Better Care Plan for Wiltshire.

Matters raised during the discussion included: the development of the 2019/20 Better Care Plan (BCP); overall performance trends; the impact of 2019/20 Better Care schemes on national performance frameworks; national and local indicators; intermediate care; delayed transfers of care; financial contributions to the BCF; the BCFs priorities compared to the national priorities and the High Impact Changes Model.

In answer to a question raised by the Board it was noted that the level of consent for data sharing  is low in comparison to the rest of the country and work needed to be done to address this. There are local and national comparative grids that are regularly monitored across all aspects of the BCP.

In response to an issue raised by the Board it was noted that there was cooperation with a range of partners to try to alleviate some of the issues that the BCP face, including those from neighbouring areas.

It was noted that patients can be incorrectly placed in reablement. There was a desire for transparent work plans to highlight and tackle the individual issues that leads to delayed transfers care.

In response to a question from the Board it was noted that there needs to be improvement in the discharge to assess model. Supporting patients so that they can go home and not need to use the service again would make a difference in terms of flow and the use of intermediate beds.

Resolved

To note the latest performance information.

To consider the progress made with the delivery of the end of life care strategy and the future ambitions. 

Responsible Officers: Linda Prosser and Carlton Brand

Report authors: Ted Wilson and Hannah Massey

Ted Wilson will present a report on the progress made with the delivery of the end of life care strategy and the future ambitions.

Matters raised during the presentation and discussion included: Wiltshire’s End of Life Care Strategy for Adults; National Palliative and End of Life Care Partnership Framework; the key priorities of the strategy; Personalised Care Planning; shared records and appropriate implementation of the ReSPECT template; evidence and information; involving and supporting carers; 24/7 access; education and training; informing co-design of services and the next steps for the strategy across the BSW footprint. The multi agency programme board continues to monitor delivery.

Resolved

1.    To note the progress made to date against the delivery of Wiltshire’s End of Life Strategy for Adults.

2.    Consider the key priorities for the next strategy.

To note the ambitions of working at scale across BaNES, Swindon and Wiltshire (BSW) to develop the next three year strategy.

To acknowledge the Health Protection Assurance Annual Report 2018/19 document and agree the formation of a multi-agency Health Protection Committee.

Responsible Officer: Tracy Daszkiewicz

Report authors: Kate Blackburn and Rachel Kent

Tracy Daszkiewicz presented a report on the Health Protection Assurance Annual Report 2018/19 document and agree the formation of a multi-agency Health Protection Committee.

Matters raised during the presentation/discussion included: the links to the Corporate Plan; reported communicable disease; outbreaks; health emergency planning; sexual health; immunisation and screening; screening programmes and the Health Protection Committee.

In response to a question from the Chairman it was noted that the multi-agency Health Protection Committee would enable more effective outbreak planning with a range of partners and a quicker, coordinated response if an outbreak were to occur.

Resolved

To note and acknowledge the Health Protection Assurance Annual Report 2018/19 document and supports the formation of a multi-agency Health Protection Committee.

Any other items of business which the Chairman agrees to consider as a matter of urgency.

There were no urgent items.

The next meeting will be held on Thursday 26 September at 9.00am.

The next meeting will take place at Thursday 26 September at 9.00am.