Agenda and minutes

To receive any apologies for absence received.

Apologies were received from:

·         Dr Sarah Schofield, Chairman West Hampshire Clinical Commissioning Group, her substitute Heather Hauschild, Chief Officer, was unable to attend in her place due to a CCG Board meeting.

·         Michael Lane, Police and Crime Commissioner for Hampshire. He did not have a nominated substitute.

·         Julie Dawes, Acting Chief Executive, Southern Health NHS FT. Her substitute Sue Harriman, Chief Executive, Solent NHS Trust also sent apologies.

·         Steve Crocker, Director of Children’s Services, due to attending the Isle of Wight Health and Wellbeing Board meeting. He did not have a nominated substitute. 

·         Dr Andrew Whitfield, Chairman North East Hampshire and Farnham Clinical Commissioning Group. Dr Peter Bibawy, Medical Director, his substitute, attended in his place.

All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to the circumstances described in Part 3 Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Non-Pecuniary interest in a matter being considered at the meeting should consider whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.

Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Non-Pecuniary interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.

To confirm the minutes of the previous meeting

The Minutes of the Health and Wellbeing Board meeting held on 23 February 2017 were confirmed as a correct record and signed by the Chairman.

To receive any deputations notified under Standing Order 12.

No deputation requests had been received.

For the Board to elect a Vice Chairman, as required by the Hampshire County Council Constitution at the first meeting of the Board following the Annual General Meeting in each year.

The Chairman proposed that Dr Barbara Rushton continue as Vice Chairman of the Health and Wellbeing Board for the coming year. This nomination was seconded by Dr David Chilvers, and was agreed by the Board.

RESOLVED:

Dr Barbara Rushton appointed Vice Chairman of the Health and Wellbeing Board for 2017/18.

To receive any announcements the Chairman may wish to make.

The Chairman welcomed members of the Board who had not attended a meeting before.

To receive a presentation from the Director of Public Health regarding the Hampshire Domestic Abuse Strategy and priority actions.

The Board received a presentation on behalf of the Director of Public Health (see Item 7 in the Minute Book) regarding the Hampshire Domestic Abuse Strategy for 2017-2022.

The Board heard that:

·         It was important to learn from Domestic Homicide Reviews, for example a recent case involved a couple in their seventies, which showed it is important not to make assumptions about who may or may not be affected by domestic abuse

Board Members commented:

·         That it would be helpful for NHS Providers to be involved in the strategy group

·         That dementia can change people’s behaviour and make them more aggressive. This could be a developing risk area for domestic abuse

RESOLVED:

That the Health and Wellbeing Board endorse the strategy, and support partnership actions to take the strategy forward.

To receive a report of the Director of Adults’ Health and Care regarding the Improved and Integrated Better Care Fund 2017-2019.

The Board received a report from the Director of Adults’ Health and Care (see Item 8 in the Minute Book) regarding the Improved and Integrated Better Care Fund.

The Board heard that:

·         In March 2017 an improved Better Care Fund had been announced in the budget by central government, aimed at supporting social care pressures, including in relation to the care market and reducing pressure on the NHS in terms of delayed discharge from hospital

·         The short term additional funding was welcome, however there remained significant financial challenges in social care

·         The five Clinical Commissioning Groups in Hampshire had met with the County Council to discuss use of the funding for the 2017/18 financial year

·         The split of use of the additional funding in Hampshire was planned to be 30% for social care needs, 37% towards alleviating NHS pressures, and 32% to support care provider stability. It was noted that this spread was more even than in other parts of the country

·         By 2020 19% would be removed from Hampshire County Council’s budget due to reductions in Revenue Support Grant, which equated to a £56 million reduction to the Adults’ Health and Care department budget

Board Members commented:

·         The Voluntary Sector representative highlighted that engaging communities in commissioning decisions had been shown to be effective. It was noted that engagement was taking place in Hampshire with the voluntary sector through the Supportive Communities Programme, and with specific populations where services were being adapted locally e.g. under the vanguard programmes

·         The NHS England representative commented that it would be important to establish at the outset how many people were estimated to benefit from the additional funding. It was noted that discussions were due shortly to determine this.

RESOLVED:

The Health and Wellbeing Board:

1.    Note the current position with regard to the Better Care Fund policy and guidance.

2.    Consider and confirm the proposed application of the IBCF.

3.    Note that a Deed of Variation to the current Section 75 agreement will be required, so that Hampshire meets expected National Conditions for a jointly agreed plan.

To receive an update from the Director of Public Health regarding findings of the Hampshire Joint Strategic Needs Assessment (JSNA).

The Board received a presentation from the Director of Public Health (see Item 9 in the Minute Book) regarding the Hampshire Joint Strategic Needs Assessment.

The Board heard that:

·         Areas of focus included reducing levels of smoking during pregnancy, and self harm rates which are higher in Hampshire than the national average

·         Healthy life expectancy has not increased in line with life expectancy

·         It was planned to create a JSNA steering group, to prioritise requests for indepth needs assessments. It was discussed that the membership of this steering group could be explored via the Business Sub Group or the Executive Group supporting the Board

·         A form would be available on the website for requesting an indepth needs assessment

RESOLVED:

The Health and Wellbeing Board note the update and agree to publication of the JSNA.

To receive a presentation providing an introduction to the Hampshire Clinical Commissioning Group Partnership including the new structure, governance arrangements and key priorities going forward.

The Board received a presentation from the Chair of North Hampshire Clinical Commissioning Group and the Chair of North East Hampshire and Farnham Clinical Commissioning Group (see Item 10 in the Minute Book) regarding the Hampshire Clinical Commissioning Group Partnership.

The Board heard that:

·         Four of the five Clinical Commissioning Groups (CCGs) in Hampshire had come together as a partnership, under one Chief Executive

·         This arrangement was part of a journey and the partnership was open to other partners joining in future

Board Members commented:

·         Board Members welcomed the development

RESOLVED:

The Health and Wellbeing Board note the arrangements for the Hampshire CCG Partnership.

To receive an update from the lead Officer on the Hampshire and Isle of Wight Sustainability and Transformation Plan.

The Board received an update from the Lead Officer for the Hampshire and Isle of Wight Sustainability and Transformation Plan (HIOW STP) regarding progress with the HIOW STP.

The Board heard that:

·         The STP was pushing for a more joined up approach across the HIOW STP area including joint commissioning. The Health and Wellbeing Board could help with identifying and removing any barriers to achieving this

·         Independent advice had been sought regarding potential governance structures for the STP, and it was hoped that proposals would be presented to the four Health and Wellbeing Board Chairmen for the Hampshire and Isle of Wight area in the next few months.

Board Members commented:

·         That consideration could be given to opportunities to make efficiencies through working together on back office functions. It was reported that the STP Executive Delivery Group would be considering this issue.

RESOLVED:

The Health and Wellbeing Board note the update regarding the Hampshire and Isle of Wight Sustainability and Transformation Plan.

To receive an update from the Chairman of the Business Subgroup on the progress of the sub group.

The Board received a report from the Director of Adults’ Health and Care (see Item 12 in the Minute Book) regarding the work of the Business Sub Group of the Health and Wellbeing Board.

The Board heard that:

·         The sub groups were now set up and included good representation

·         The Business sub group was continuing to review membership, and whether organisations could best provide input via a seat on the Board or involvement in a sub group

·         Proposals regarding ongoing support to the Board had been made to the Director of Adults’ Health and Care and were being discussed with partners

RESOLVED:

The Health and Wellbeing Board:

1.    Note progress regarding the implementation of the Hampshire Health and Wellbeing Board Business Plan.

2.    The Business Subgroup to complete the review of board membership and to bring back recommendations to the HWB in October. The HWB to make recommendations to the County Council for a final decision.

3.    Note the progress regarding permanent HWB business support arrangements.

To consider any other Business Members of the Board wish to raise.

No other business was raised on this occasion.

To note that the next meeting of the Health and Wellbeing Board is due to take place on 5 October 2017.

The Chairman proposed that the planned workshop following the meeting be deferred to the next meeting, as a number of Board Members couldn’t stay on this occasion. This was agreed.

The Chairman of the Co-design, Co-production and Community Participation sub group sought assurance that the Board was supportive of the amended purpose for this group to pursue in the meantime (as indicated in a briefing paper circulated in support of the workshop). This was agreed.

The Chairman confirmed that the next meeting of the Board was due to take place on Thursday 5 October from 10:00am, with the deferred workshop session to follow the formal business of that meeting.