Agenda and minutes

To receive any apologies for absence received.

Apologies were noted from the following:

·         Cllr Keith Mans, Executive Lead Member for Childrens Services and Deputy Leader. His Substitute Cllr Roy Perry, Executive Member Policy & Resources & Leader of the Council, was in attendance in his place

·         Cllr Patricia Stallard, Executive Member Health and Public Health. Her Substitute Cllr Ray Bolton attended in her place

·         Graham Allen, Director Adults Health and Care       

·         Dr Sallie Bacon, Director of Public Health. Her Substitute Simon Bryant attended in her place

·         Dr Nicola Decker, Clinical Chair, North Hampshire Clinical Commissioning Group

·         Dr Barbara Rushton, Chairman South East Hampshire Clinical Commissioning Group. Her Substitute Susanne Hasselmann attended in her place

·         Dr David Chilvers, Chairman Fareham & Gosport Clinical Commissioning Group  

·         Dr Andrew Whitfield, Chairman North East Hampshire and Farnham Clinical Commissioning Group       

·         Dominic Hardy, Director of Commissioning Operations, NHS England (Wessex)              

·         Michael Lane, Police and Crime Commissioner for Hampshire. His Substitute Superintendent Paul Bartolomeo attended in his place

·         Nick Tustian, Chief Executive, Eastleigh Borough Council

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 last meeting held on 29 June 2017 were reviewed and agreed.

To receive any deputations notified under Standing Order 12.

No deputations were received at this meeting.

To receive any announcements the Chairman may wish to make.

The Chairman had no announcements to make at this meeting.

To consider an overview of the key findings of the joint targeted area inspection on Domestic Abuse, and progress to date regarding response to the recommendations.

The Board considered a report of the Director of Children’s Services at Hampshire County Council regarding the Joint Targeted Area Inspection (JTAI) of the multi-agency response to abuse and neglect in Hampshire, following the receipt of the letter of findings earlier in the year.

It was noted that the findings of the inspection were very positive, and an action plan was being prepared to respond to the small areas of improvement that had been identified. The Chairman congratulated all involved on behalf of the Board.

RESOLVED:

The Health and Wellbeing Board note the exceptionally positive JTAI letter and the progress made to address the minor areas for improvement.

To consider the annual report of the Hampshire Safeguarding Children’s Board and discuss the strategic priorities going forward.

The Board considered the Annual Report of the Hampshire Safeguarding Children’s Board (HSCB) and a supporting presentation. The Board heard that the membership of the HSCB had increased this year to include a representative of the Diocese of Winchester, in order to improve links with the faith community following the findings of a serious case review last year.

The Board heard that over the past year the HSCB had focused on the following priority areas; neglect; the ‘trigger trio’ of domestic abuse, substance abuse and mental health; key safeguarding issues; quality assurance; and stakeholder engagement.

Board Members asked questions for clarification. The Board heard that in future the HSCB would have a regular agenda item on ‘assurance during transformation’ to monitor the impact of any service changes being planned. It was noted that the HSCB partnership in Hampshire was strong and mature.

RESOLVED:

The Health and Wellbeing Board note the Annual Report of the Hampshire Safeguarding Children’s Board.

To receive a presentation providing an update on the implementation of the Hampshire and Isle of Wight Sustainability and Transformation Plan, including regarding communication and community engagement, and the development of an inter-authority Health and Wellbeing Board Chairman’s forum.

The Board received a presentation regarding the Hampshire and Isle of Wight Sustainability and Transformation Plan (STP). The Board heard that a Health and Care Alliance had been formed, which included the four Health and Wellbeing Board Chairmen from the areas covered by the STP, five Chairmen from the Clinical Commissioning Groups covering this area, and an independent Chair Sir Neil McKay. This Alliance would provide strategic oversight over the STP and was due to hold an inaugural meeting in October 2017.

The Board heard that a workshop was planned in November 2017 to discuss the big issues for the health and care system on which the public needed to be engaged.

The Board heard about a number of examples where the health and care system had worked together in partnership successfully.

The Board Chairman highlighted that some of the changes planned under the STP may be politically difficult for some Members of the Alliance. It was acknowledged that difficult decisions may need to be made.

The Healthwatch representative highlighted the importance of patient involvement and the opportunity for co-design of proposals as they are developed rather than consulting once proposals are formulated.

RESOLVED:

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

To receive an update from the Chair of the Hampshire District Health and Wellbeing Forum.

The Board received a report providing an update on the work of the District Health and Wellbeing Forum, which was undertaking the role of sub group of the Board for the ‘Healthy Communities’ priority. The Board heard that the Forum were focusing on inequalities in health. The Forum was also now represented on the sub groups for the other three priority areas (Starting, Living and Ageing Well) to champion the role of district councils in delivering against these aims as well.  

The voluntary sector representative (Phil Taverner) queried the extent to which social prescribing was used in Hampshire. The West Hampshire Clinical Commissioning Group representative confirmed that this was happening, and national funding was available to support this, that the CCG was bidding for. Phil Taverner declared an interest as he was involved in preparing the bid. He reported that a Hampshire wide social prescribing network was being established, and there could be benefit to linking this in to the work of the Board. 

RESOLVED:

The Health and Wellbeing Board note the update from the Districts Health and Wellbeing Forum.

To receive an update from the Health and Wellbeing Board Business Sub Group, and to discuss proposed membership changes, and arrangements regarding the refresh of the Hampshire Joint Health and Wellbeing Strategy.

The Board received a report from the Board manager providing an update on the work of the Business Sub Group of the Board. It was highlighted that it was planned for future meetings to have a thematic focus, linked to the strands of the Joint Health and Wellbeing Strategy.

It was reported that the Membership of the Board had been reviewed, and it was proposed to add a place on the Board for a representative from the Hampshire Fire and Rescue Service, as their ‘Safe and Well’ programme linked to the Health and Wellbeing agenda. It was noted that many other agencies had an impact on wider determinants of health, however it had been concluded that these areas could best feed in to the work of the Board via the sub groups. Cllr Perry commented that the work of Parish and Town Councils may impact on health and wellbeing. It was agreed to consider how this could be reflected.

It was noted that the current Joint Health and Wellbeing Strategy was coming to an end, and it would be a focus for the coming year to refresh this. It was also proposed to agree a protocol regarding how the Health and Wellbeing Board would relate to the Children’s and Adults’ Safeguarding Boards.

RESOLVED:

a) To note progress of the Health and Wellbeing Board Business Plan and the work of the subgroups.

b) To adopt the thematic programme of meetings and the review arrangements outlined in paragraph 2.5 of the report.

c) To endorse the proposal to appoint a representative of the Hampshire Fire and Rescue Service as a full member of the Health and Wellbeing Board in place of the County Council’s Director of Transformation and Governance, and to recommend this change to a meeting of the County Council.

d) To note the proposed changes in respect of Substitute Members as shown in Appendix B to the report.

e) To ratify the Joint Health and Wellbeing Board, Hampshire Safeguarding Children’s Board and Hampshire Safeguarding Adults Board protocol.

f) To receive an action plan at the December Health and Wellbeing Board meeting regarding the Joint Health and Wellbeing Strategy refresh.

g) To note the progress regarding permanent Health and Wellbeing Board business support arrangements.

To discuss any other business Members of the Health and Wellbeing Board wish to raise.

The Public Health representative (Simon Bryant) highlighted that the Hampshire Pharmaceutical Needs Assessment would be out for consultation in October. It was the responsibility of the Health and Wellbeing Board to agree the Assessment, and it was proposed to bring this to the Board for approval at the March 2018 meeting. The Public Health team would respond to consultations by neighbouring authorities about their Pharmaceutical Needs Assessments on behalf of the Board.

To note the date scheduled for the next meeting of the Health and Wellbeing Board is 14 December 2017.

It was noted that the next meeting of the Health and Wellbeing Board was scheduled for 14 December 2017.