Agenda and draft minutes

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

Cllr Laura Mayes, Deputy Leader of the Council and Vice-Chair of the Health and Wellbeing Board, welcomed those present and explained that in the Chair’s absence she would be chairing the meeting.

Cllr Mayes also explained that the meeting was unfortunately not quorate, and therefore no formal decisions could be made at this meeting. It was suggested that the proposals for each item be informally noted, so that they could potentially be formally ratified at the next meeting.

To receive any apologies for absence.

Apologies were received from:

Cllr Richard Clewer (Chairman)

Kevin Peltonen-Messenger

Rob Llewellyn - Office for Police and Crime Commissioner

Dr Nick Ware

To approve the minutes of the meeting held on 11 July 2024.

The minutes of the previous meeting on 11 July 2024 were presented for comments.

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 19 September 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 23 September. 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.

A question had been received in time for a written response and is attached to the Agenda Supplement.

A follow up question was asked and is attached to the notes.

It was agreed that due to the level of detail contained within the question and the complexity of the situation, that the question would be taken away by senior officers and an answer would be provided after the meeting.

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

Helen Mullinger briefly introduced the update and asked for any questions.

The following recommendations were noted:

i)                    Notes the quarterly report submitted to the national team on 29 August 2024 (Appendix A).

ii)                  Notes a verbal update on the investment agreed at cabinet in community health services and the related ICB procurement (see links under background papers)

iii)                 Notes a verbal update on the refresh of a s75 agreement between BSW ICB and Wiltshire Council

iv)                Notes the latest performance in delivery against indicators in the Joint Local Health and Wellbeing Strategy (appendix B)

To receive a presentation and report from Caroline Holmes highlighting revisions in the BSW’s Implementation Plan.

The Board received receive a report and presentation from Caroline Holmes highlighting revisions in the BSW’s Implementation Plan.

The presentation included Wiltshire ICB’s successes and priorities moving forward and is attached to the minutes.

CORE20PLUS5 was clarified as allowing local areas to highlight their own priorities on top of the “Core 20” provided centrally.

It was clarified that objectives had not been listed endlessly to allow focus and clarity, and that outcomes were being closely monitored.

The following recommendations were noted:

i)               To note the update

To note the new SEND Alternative Provision (AP) and Inclusion Strategy.

The Board received from Kai Muxlow the new SEND Alternative Provision (AP) and Inclusion Strategy.

The Board was reminded of the strategies vision that ‘People in Wiltshire are empowered to live full, healthy and enriched lives.’ Children and young people need a good start in life in order to build resilience and enhance their education.

The strategy was also to offer support to all children, young people and their families, focusing on reducing inequality by helping those who need it the most.

Following the successful implementation of the 2020-2024 SEND and Inclusion Strategy, close collaboration with parents and carers, children and young people was undertaken to understand what was required from the next iteration.

As a result of this work, the new strategy “Meeting Needs Together - Ambitious for All” had been written. The Strategy has six key priorities:

Priority 1:? Children and young people and their families will be at the centre of planning, their views and aspirations heard and acted upon, as true partners.

?

Priority 2:? Getting the right support at the right time, identifying and acting on our children’s needs at the earliest opportunity and through promotion of inclusive approaches and practice across the local area.?

Priority 3: Provide opportunities for timely planning, reflective of the views of the child or young person and parent carers’ current needs, that have clear outcomes.?

Priority 4: Ensure good quality communication and information, for families to have a positive experience when navigating services, with information that is easy to access and use.??

Priority 5: Professionals and officers across the SEND system will have the skills, knowledge and training to enable effective collaboration across services, joint assessments and sharing of good practice.??

Priority 6: Children and young people will be prepared for adulthood and experience timely transitions, leading to increased skills, greater independence, and a greater range of opportunities in life.

The Board wanted to see clear examples of how families would notice the differences made by the strategy in order to build their confidence in the system.

It was clarified that the strategy was dynamic in its constant communication with families rather than relying solely on data analysis.

The Board raised concern as to how easy access to the system through this strategy could be and wanted to clarify its importance.

 The following recommendations were noted:

i)               To note the update

To note the findings of the review of the Gypsy, Roma, Traveller & Boater Strategy (2020-2025).

Supplement to follow

The Board received a report highlighting the findings of the review of the Gypsy, Roma, Traveller & Boater Strategy (2020-2025).

The review was described as a great opportunity to learn from the strategy ending in 2025 before the new strategy is created. It was described as Public Health led and conducted to update understanding of nomadic communities and assess progress against the existing strategy’s ambitions.

Significant challenges gathering data from those within GRTB communities were highlighted. Therefore, improving systems to record appropriate information with would be an aim of the emerging new Strategy alongside a commitment to share information.

Challenges with those from GRTB communities registering at a GP were also raised, with people still being refused access based on not having a fixed address.

The Board welcomed the report and described it as a great piece of work. The Board commended Officers for their work and vocalised its understanding of the challenges and barriers present in working with GRTB communities.

The Board expressed concern that GRTB communities could feel patronised or that assistance is being forced upon them. Officers did clarify that as long as understanding of their way of life and trust was gained, that such a barrier could be removed, and closer collaboration be achieved to help those who want it.

It was clarified that the work with traveller communities was in its very early stages, with the other groups further ahead in terms of groups and programmes that had been set up. The opportunity to deliver the same for travellers was welcomed.

It was clarified that the strategies were long term and could only work at “the speed of trust”. Avoiding fatigue within the communities was also seen as significant.

It was clarified that barriers such as needing an address to register with your GP was set by national policy.

It was clarified that nomadic communities were often registered with GPs in different counties to where they currently reside, such as boaters “skedaddling” between BaNES and Wiltshire, and individual practitioners had different approaches to handling this.

The following recommendations were noted:

1. Note the findings of the review of the Gypsy, Roma, Traveller &Boater Strategy (2020-2025);

2. Note progress against the current strategy, and areas for development;

3. Encourage partners to work with Wiltshire Council: to raise awareness of the community’s needs, and to further develop the aims and objectives for a new Strategy; and

4. Request an update report from officers on the development of the Strategy.

To receive and note Healthwatch Wiltshire’s Annual Report for 2023/2024.

The Board deferred Healthwatch Wiltshire’s Annual Report for 2023/2024 until the next meeting.

To receive a verbal update from Ian Saunders, Assistant Chief Constable, on the Wiltshire Community Safety Partnership.

The Board received a presentation from Ian Saunders, Assistant Chief Constable, on the Wiltshire Community Safety Partnership.

The CSP included five responsible authorities:

·       Police

·       Local Authority

·       Fire and Rescue Service

·       Health partners (Integrated Care Board)

·       Probation Services

The CSP has statutory responsibility to review or scrutinise decisions made, or other action taken, in connection with the discharge of crime and disorder functions and to make reports or recommendations to the local authority or its executive with respect to the discharge of those functions.

The CSP gave updates on each of its “headlines”:

Domestic Abuse Local Partnership Board

•       The prevalence of DA in Wiltshire remains high, with increasing demand on services.

•       The Domestic Abuse Local Partnership Board has embedded a Line-of-Sight approach to monitor how well the system was functioning, improve scrutiny and oversight of response, as a partnership, to DA. the Board worked to hold Wiltshire Police as the lead agency to account to ensure that the backlog was cleared

Exploitation

•       Wiltshire and Swindon are part of a National Referral Mechanism pilot scheme regarding devolved decision-making. Since this local panel has been in place, there has been a 50% increase in referrals to the NRM relating to children (16 in 2022-23 and 24 in 2023-24)

•       The system response to Adult Exploitation response requires improvement. Currently, work is happening regarding increasing awareness of Adult Exploitation, amongst the workforce and the community, and also mapping what support services there are for adults who are victims of exploitation.

•       The Strategic Group are working on the development of an All-Age Exploitation Strategy and delivery plan.

Safer Communities

•       Working hard on the development of a partnership dashboard to direct the work of the group, in an evidence-based way.

•       A small Working Group has been formed, led by the OPCC, to develop an ASB strategy for Wiltshire

CSP Transformation

New guidance from the Home Office was described as follows:

1. Create a power for PCCs to make recommendations on the activity of CSPs to support the delivery of the objectives set out in the Police and Crime Plan.
2. Create a duty on CSPs to take those recommendations into account. A CSP will not be mandated to implement the recommendations but should demonstrate consideration.
3. Create a requirement for CSPs to include in their Strategic Assessments how it has had due regard to the police and crime objectives set out in the Police and Crime Plan.
4. Create a requirement for the CSP to send a copy of its Strategic Assessment to the PCC or equivalent.
5. Create a requirement for the CSP to publish the executive summary of their strategic assessment.
6. Clarify how PCCs can best fulfil their duty to have regard to the priorities of the responsible authorities making up the CSPs in the police force area.

The CSP’s proposed strategic objectives were listed including where different areas of crime would sit within them.

• Protect Vulnerable People
  • Domestic Abuse
  • Exploitation

• Reduce Harm
  • Substance Use
  • Serious Violence Duty
  • Serious and Organised Crime  ...  view the full minutes text for item 48.

The date of the next meeting will be the 28 November 2024.

The date of the next meeting will be the 28 November 2024.

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

Alison Ryan wished to highlight that Organ Donor week was taking place and urged attendees to consider registering.