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Agenda and minutes

Venue: Online

Contact: Ben Fielding  Email: Benjamin.fielding@wiltshire.gov.uk

Media

Items
No. Item

1.

Chairman's Welcome, Introduction and Announcements

Supporting documents:

Minutes:

Dr Edward Rendell, Co-Chair of the Board welcomed everybody to the meeting.

 

Before the meeting began each Member of the Board, other Councillors and

officers who would be contributing to the meeting were given the opportunity to

confirm their attendance for those watching the live stream of the meeting.

 

Dr Edward Rendell provided the following Chairman’s Announcements:

 

·       Wiltshire Health and Wellbeing Board Membership

·       Wiltshire Health and Wellbeing Board Forward Work Plan

2.

Apologies for Absence

Minutes:

Apologies for absence were received from Councillor Phillip Whitehead, Terence Herbert, Stacey Hunter, Tony Fox, Tracey Cox, Christine Blanshard, Kevin Macnamara, Douglas Blair, Gareth Bryant, Clare O’Farrell, Seth Why and Dr Sam Dominey.

3.

Minutes

To confirm the minutes of the meeting held on 26 November 2020.

 

Supporting documents:

Minutes:

It was noted that the previous minutes of the meeting held on 26 November 2020 would be amended to record Gillian Leake as an attendee.

 

Decision - The minutes of the meeting held on 26 November 2020 were agreed as a correct record.

4.

Declarations of Interest

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

Minutes:

There were no declarations of interest.

5.

Public Participation

COVID-19The Council welcomes contributions from members of the public. During the ongoing Covid-19 situation the Council is operating revised procedures and the public are able participate in meetings online after registering with the officer named on this agenda, and in accordance with the deadlines below.

 

Guidance on how to participate in this meeting online.

 

Statements

Members of the public who wish to submit a statement in relation to an item on this agenda should submit this is electronically to the officer named on this agenda no later than 5pm on Tuesday 26 January 2021. State whom the statement is from (including if representing another person or organisation), state points clearly and be readable aloud in approximately 3 minutes. Up to three speakers are allowed for each item on the agenda.

 

Questions

Those wishing to ask questions are required to give notice of any such questions electronically to the officer named on the front of this agenda no later than 5pm on 21 January 2021 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 25 January 2021.

 

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 members prior to the meeting and made available at the meeting and on the Council’s website; they will be taken as read at the meeting.

 

Minutes:

There were no questions raised by members of the Public to be answered at this meeting.

6.

COVID-19

To receive a presentation from Clare O’ Farrell – Interim Director of Commissioning, Lucy Townsend – Interim Corporate Director People (DCS/DASS) and Kate Blackburn – Director of Public Health.

Minutes:

The Board received a presentation from Lucy Townsend - Interim Corporate Director of People (DCS/DASS), Kate Blackburn - Director of Public Health and Elizabeth Disney - Wiltshire COO, BSW CCG.

 

The Director of Public Health commented on the following matters during the presentation:

 

·       Wiltshire’s recent case figures compared with the South West and England along with seven-day rolling data specific to the county.

·       The impact of Covid-19 on the differing age demographics within Wiltshire.

·       Wiltshire’s recent mortality figures and comparison to the South West and England.

 

Elizabeth Disney provided an update from a CCG perspective, which commented on the following matters:

 

·       An overview of how demand and capacity is being handled and modelled.

·       An update on acute care, featuring how trusts have been caring for cohorts of Covid-19 positive patients.

·       Measures that are in place for primary care, including the use of telephone triage and the importance of Think 111, a service in place to divert people away from emergency departments.

·       An update on adult community services with a prioritisation of treatment at home, the community bed capacity and managing the flow of patients.

·       How mental health services are working to provide a system response and are providing support for discharging individuals from hospital settings.

 

In addition, the Board noted comments on the following matters:

 

·       The purpose of the brokerage team, which works to find the best possible care package available for the needs of residents.

·       The importance of learning and reviewing the work being completed whilst working as a partnership to tackle issues collectively.

 

Decision – That the presentation and comments be noted.

7.

Better Care Fund 2021

To receive a report from Clare O’ Farrell – Interim Director of Commissioning and Helen Jones - Director Joint Commissioning on the Better Care Fund 2021.

 

Supporting documents:

Minutes:

The Board received a report from Elizabeth Disney - Wiltshire COO, BSW CCG and Helen Jones - Director Joint Commissioning.

 

The Better Care Fund was introduced, and the report was discussed, with the following matters commented on:

 

·       The purpose of the Better Care Fund was shared as being an integrated funding arrangement between the CCG and the local government.

·       The report sets out the outline of spending for 2019/2020 and the budget for 2020/2021.

·       The activities of the Better Care Fund.

 

Decision -

1.     The Board noted the report including the impact of the Better Care programme both in supporting continuing operations and during the Covid pandemic.

2.     The Board noted the out-turn position of the Better Care Fund for 2019/20 and the 2020/21 funding position.

8.

Children's Health

To receive a presentation from Clare O’ Farrell – Interim Director of Commissioning and Martin Davies – Director Families & Children.

 

Supporting documents:

Minutes:

The Board received a presentation from Myfanwy Champness – Wiltshire CCG, Elizabeth Disney - Wiltshire COO, BSW CCG, Val Scrase - Virgin Care, James Fortune – Oxford Health and Judy Edwards – Wiltshire Council.

 

During the presentation the following matters were commented on:

 

·       The impact of Covid-19 on children has been different to that of adults, with a focus on minimizing the impact of lockdown restrictions rather than managing the outbreak.

·       Acute hospitals have seen a significant decrease in the number of A&E attendances, however, there has been aa significant pressure on children’s inpatient beds due to mental health.

·       Majority of elective surgery has been cancelled, leading to long waiting lists which could potentially have a long-term impact on child development.

·       Overall appointments for children and young people in primary care are down on last year.

·       Community health services are currently operating as Business as Usual, offering virtual provisions, with some face to face a standard.

·       CAMHS referrals are beginning to return to pre-Covid levels and funding bids for projects have been made.

·       National shortage of Children and Young People inpatient Mental Health beds, leading to care having to be provided in the community or on wards in acute hospitals.

·       The emotional wellbeing of young people and how support is being offered to combat these issues.

 

In addition, the Board noted comments on the following matters:

 

·       There has been positive feedback for digital offerings, however there is an awareness of digital poverty preventing some people having access.

·       Though referral rates decreased, acuity and complexity of some of the cases increased for CAMHS.

 

Decision –

1.     That the presentation and comments be noted.

2.     The Board agreed to receive follow up information regarding Children’s elective surgery waiting lists and Children and Young People’s mental health services at a future meeting for assurance.

9.

Mental Health Community Service Framework

To receive a presentation from Clair Edgar – Director of Learning Disabilities & Mental Health.

 

Supporting documents:

Minutes:

The Board received a presentation from Claire Edgar - Director Adult Social Care Operations.

 

The Director commented on the following matters during the presentation:

 

·       An overview of the Mental Health Community Service Framework along with what the model is required to deliver and how this will be achieved

·       The need for the model to adopt the principle of inclusivity and the criteria to which groups of people would be considered

·       Next steps which would be undertaken by the framework.

 

Decision – That the presentation and comments be noted.

10.

Date of Next Meeting

The next meeting is being held on 4 March 2021 starting at 9.30am.

 

Minutes:

The date of the next meeting is 4 March 2021 at 9:30 am.

11.

Urgent Items

Minutes:

There were no urgent items.