Agenda and draft minutes

The Chair will welcome everyone to the meeting and give any announcements.

The Chairman welcomed everyone to the meeting and asked those present to introduce themselves.

The Chair also announced that following discussion at the previous meeting, the stated support of the Health and Wellbeing Board and the issuing of a supplementary statement to the PNA, that the ICB had granted the application for an additional pharmacy in the west of Warminster.

Reports had been circulated via email to members before the meeting.

To receive any apologies for absence.

Apologies were received from:

Cllr Laura Mayes

Cllr Gordon King

To confirm the minutes of the meeting held on 23 May 2024.

The minutes of the previous meeting on 23 May 2024 were presented for consideration.

Resolved

The Wiltshire Health and Wellbeing Board approved and signed the minutes of the previous meeting held on 23 May 2024 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 4 May 2024 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 8 May 2024. 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 a report from Jo Cullen providing an update on the delegated primary care medical services across Wiltshire.

Jo Cullen briefly introduced the report, which updated the board on the delegated primary care medical services across Wiltshire, recovery plans and the impact of ARAP (Afghan MOD) resettlement and potential impact of collective action by the BMA.

It was clarified that although equal access was incredibly important, gaps were largely due to significant resource issues, and this was a nationwide concern. It was accepted that such a concern could not be solved by this Board, but efforts should be made to ensure access was available to as many as possible and specifically by targeting those areas and demographics that have the largest access issues. It was noted that estates remain a significant area of focus (particularly the funding for areas such as Calne, Sherston and Hindon) and a more detailed update on funding for this (including through the planning system) could be provided at a future meeting.

It was clarified that shifting to prevention focused strategies rather than “day-by-day firefighting” was an essential target. The Board commented that it was important that care and prevention not be pitted against each other.

Resolved

To note the update

To receive further updates highlighting successes with prevention

To receive an update on the provision of pharmacy services in Wiltshire.

David Bowater introduced the report and the Board noted that Carolyn Beale from Community Pharmacy Swindon and Wiltshire (the Local Pharmaceutical Committee) was in attendance for this item. It was noted that consultation would be an important part of the process and views would be sought from both the public and providers.

Victoria Stanley and Uzo Ibechukwu (chief pharmacist) provided an update on the ICB’s community pharmacy initiatives, including Pharmacy First and independent prescribing which was being piloted in two locations in Wiltshire. This initiative had hit the ground running. The aim now was described as replicating that success in other areas. The potential for closer collaboration with care homes on dispensing and the opportunity to consider dosette boxes was also raised.

It was raised that a lot of pharmacies are contained within larger shops whose staff don’t necessarily understand the value of Pharmacy First. It was clarified that communication was really important for this and would be improved so that staff and the public can be more aware of what pharmacies can and cannot provide.

Resolved

That the Board:

i)  Approves the formation of a steering group for development of the

PNA for Wiltshire as set out in paragraph 10.

ii) Notes the outline timescale for development of the PNA (appendix 1)

iii) Confirms the governance for responding to consultations on market

entry and market consolidations and the issuing of supplementary

statements set out in paragraph 15.

iv) Note the update on wider community pharmacy initiatives to be

provided by NHS Bath & NE Somerset Swindon and Wiltshire Integrated Care Board (NHS BSW ICB)

To receive a report highlighting progress and assurance regarding the ICB’s work to embed the Armed Forces Covenant Duty.

The Board received a report from Emma Higgins highlighting progress regarding the ICB’s work and self-assessment on embedding the statutory Armed Forces Covenant Duty.

The Board debated the significant problems military personnel face accessing secondary care, including travelling issues where a lot of soldiers don’t have cars and can end up catching two buses to reach care facilities from some garrisons.

Further issues surrounding military personnel registering onto systems was raised as they and their families can move around frequently.

Mandy Stokes of the Veterans Healthcare Alliance also provided an update on the national work to ensure veterans are not overlooked in healthcare. The accreditation of GP surgeries as veterans-friendly was also discussed as well as the specific research undertaken by Healthwatch Wiltshire

ICB executives clarified that the Self-Assessment was essentially formalising what was already suspected to be true.

Resolved

To note the update

To receive an update on Urgent Care at Home services in Wiltshire.

Helen Mullinger introduced the report to the Board, and it was noted that some services would be moving in house from Medvivo at the end of July 2024, 9 months earlier than that original date in May 2025.

Resolved

That the Board:

i)               Notes the recent decision of Cabinet to approve the delivery of the Urgent Care at Home and Telecare Response Service to Wiltshire Council in-house services from the 1 August 2024 at an annual cost of £1.665m, to be funded from the Better Care Fund.

ii)             Delegate to Emma Legg, Director Adult Social Care in consultation with Cllr Jane Davies, Cabinet Member for Adult Social Care, SEND and Inclusion to finalise operational matters to ensure a safe transfer of the services. This will include the TUPE transfer of eligible staff and the purchase of the necessary resources such as uniforms, laptops, phones, equipment for service deliver and the use of fleet vehicles.

To receive an update on developments relating to the implementation of the Better Care Plan.

Helen Mullinger introduced the report highlighting developments relating to the implementation of the Better Care Plan, with a PowerPoint presentation including budget statistics, demand and capacity numbers and future contracts due to be re-commissioned in the next 12 months.

Councillors acknowledged the national reporting requirements but also requested that more contextual narrative be set around performance measures for the Board to fully understand progress wherever possible.

Resolved

i) To approve the 2024-25 BCF Planning Refresh.

The next meeting will take place on 26 September 2024.

The next meeting will take place on 26 September 2024.

To discuss any items the chair agrees to as a matter of urgency.

There were no urgent items.