Agenda and minutes

To elect a Chairman for the 2019/20 Municipal year.

RESOLVED that:-

Councillor V. Slade be elected Chairman.

To elect a Vice-Chairman for the 2019/20 Municipal year.

RESOLVED that:-

T. Goodson of the Dorset CCG be elected Vice-Chairman

To receive any apologies for absence.

Apologies were received from R. Ramtohal, T. Goodson and D. Fleming.                               

M. Mould acted as substitute for D. Fleming.

Members of the Board are required to comply with the requirements of the Localism Act 2011 regarding disclosable pecuniary interests. Declarations received will be reported at the meeting.

There were no declarations of Pecuniary Interests or any other interests made at this meeting.

To receive any public questions, statements or petitions submitted in accordance with the Constitution. Further information on the requirements for submitting these is available to view at the following link:-

https://democracy.bcpcouncil.gov.uk/documents/s2305/Public%20Items%20-%20Meeting%20Procedure%20Rules.pdf 

The deadline for the submission of public questions is 17 July 2019.

The deadline for the submission of a statement is 12.00 noon, 23 July 2019

The deadline for the submission of a petition is 12.00 noon, 23 July 2019

There were no public questions, statements or petitions submitted for this meeting.

The Council at its meeting on 16 July 2019 will be asked to approve the establishment of the Health and Wellbeing Board for the BCP area taking account of the proposed business protocol, membership and terms of reference as set out at Appendix 1 and 2 to the report.

The Board is asked to review Appendix 1 and 2 of the report including the membership. 

The Chairman and The Deputy Head of Democratic Services presented a report, a copy of which had been circulated and a copy of which appears as Appendix ‘A’ to these minutes in the Minute Book.

BCP Full Council considered and approved the establishment of a Health and Wellbeing Board for the BCP area in accordance with requirements set out in the Health and Social Care Act 2012. The Board was set up to improve the health and wellbeing of local people, reduce inequalities and to ensure joined up working between health and care services.

The report was considered and agreed by Council on 16^th July 2019. The Health and Wellbeing Board were asked to consider the Meetings and Business Protocol and the Terms of Reference at Appendix 1 and 2 of the report at Appendix ‘A’, and to submit any proposed amendments to reflect its key objectives.

In particular the Board were asked to consider including representatives from Dorset Police Service and Dorset and Wiltshire Fire and Rescue Service as either full or co-opted members of the Board. The Board recognised the contribution the aforementioned services made in the area and supported the appointment of their representatives as full members of the Board.

RESOLVED that:

(a)  The Board agreed the Meeting and Business Protocol, including the proposed membership of the Board as set out in Appendix 1 of the report.  The Board unanimously decided to include the Dorset Police Force and the Dorset and Wiltshire Fire and Rescue Services representatives as full members of the Board.

(b)  The Board sought to amend the Protocol to allow substitute members

(c)  The Board agreed its Terms of Reference as set out at appendix 2 of the report, without amendment.

To update on progress in regards to implementing the Better Care Fund (BCF) for 2019-20.

The Principal Officer, Planning and Quality Assurance (Adult Social Care, BCP Council) presented a report, a copy of which had been circulated and a copy of which appears as Appendix ‘B’ to these minutes in the Minute Book.

The report provided an update on progress in regards to implementing the Better Care Fund (BCF) Plan for 2019/20.  The report also set out the proposed governance route for ensuring delivery of the BCF so that it aligns to the Dorset Integrated Care System Governance arrangements. The aim is to use the 2019-20 plan to continue to help deliver ‘Our Dorset’ the Integrated Care System Plan.

Since 2013 the Better Care Fund (BCF) has been a programme spanning both the NHS and local government which seeks to join-up health and care services, so that people can manage their own health and wellbeing and live independently in their communities for as long as possible. The majority of the pooled resources for the Better Care Fund came from existing activity already within the health and social care system.  

The progress, resources and the five schemes of the plan were explained to the Board. Alongside the schemes it was also highlighted that Dorset CCG and BCP Council were focusing on additional areas of work which include continuing to develop strong sustainable care markets and an understanding of joint expenditure to better align NHS and Social Care budgets in the future.

It was explained that the BCF Plan for 2019/20 was a refresh of the 2017/19 Plan. The Joint Commissioning Board had oversight of implementation of the Plan. However the Health and Wellbeing Board has overall responsibility to sign off the plan and this needs to be completed before 27^th September to meet the deadline for the national assurance process. The Plan would then go through NHS Improvement and NHS England as part of the national assurance process.

The BCF Plan was part of the wider transformation work already underway to align incentives and strategies. It was a representation of wider work on identifying vulnerable populations earlier, of collaborative working to provide a tailored and personalized response to improve outcomes for people and of an ambition to reduce or delay individuals’ needs for intensive services. 

It was explained that the responsibilities of the Board would include the ongoing monitoring of the plan, the budget and the performance metrics. Additional monitoring of the Plan would be undertaken by the Council and CCG officers monthly and through the Council and Cabinet quarterly. It was highlighted that there were challenges to the sustainability of funding for both the CCG and the Local Authority with the continued short-term funding arrangements being insufficient to cover the resource gap in the system.

It was also highlighted that the metrics and the targets associated with them were complex because they were set both nationally and locally and could be understood differently by different partners. It was therefore considered important to align and make transparent how the performance indicators were measured and monitored.  ...  view the full minutes text for item 8.

In 2014, the Department for Education and Department of Health set out the duties of Local Authorities, health bodies, schools and colleges to provide for those with special educational needs under part 3 of the Children and Families Act. This was later translated into a comprehensive Code of Practice in 2015.

This paper sets the framework for which the strategic and operational response to the Act and Code of Practice will be developed and delivered for children and young people across BCP and for the governance of that work.

The BCP Interim Service Director for Inclusion and Family Services presented a report, a copy of which had been circulated and a copy of which appears as Appendix ‘C’ to these minutes in the Minute Book.

The report set out the statutory framework for the strategic and operational response to the Children and Families Act 2014 and the subsequent SEND Code of Practice 2015 and was recommended to the Board to ensure compliance with the Act and the Code of Practice. The report requested that the Health and Wellbeing Board agree to provide governance and strategic oversight for the delivery of SEND services for children and young people across BCP, in accordance with the Act and the Code.

The Board were asked to consider and support the recommendations in the report. The recommendations identified areas for progressing the reimagining of the service and to support the establishment of a framework of operation that would improve outcomes for children and young people with special educational needs and disabilities across BCP.

It was explained to the Board that Ofsted and the Care Quality Commission (CQC) would be undertaking a joint, system wide, inspection. The inspection could be as early as the new year. It would review how the Councils responsibilities to children and young people (from birth to age 25) with special educational needs or disabilities (SEND) were being met.

It was highlighted that there would be a focus on working alongside parents and carers of children and young people, in addition to vulnerable young people who may not have a SEND. It would also be a priority to consider Child and Adolescent Mental Health Services (CAMHS). It was considered that there was an opportunity to raise the profile of Children’s Services and work with partners, including Dorset, on shared learning and best practice.

The Board also recognized the importance of giving a voice to children and young people through engagement and participation. It was particularly highlighted that a forum for young adults would be worth considering. Permission was sought from the Health and Wellbeing Board to ensure all groups of children and young adults were represented and enabled to have a voice that informed how services were improved.

A number of questions were raised and discussed by the Board including;

·         The need for greater clarity around the governance expectations of the Board. It was suggested that a new Transformation Board for BCP would look at this and bring back clear proposals to the Board within the next 6-12 months.

·         That following the Self-Assessment and the updating of the Joint Commissioning Plan the Transformation Group would consider the best options for either collaborative working or work as BCP Council;

·         That consideration would be given to the engagement of disengaged parents and carers through the Parent and Carer Forum.

·         The gap between those presenting with a need for SEND support and those in receipt of support should be monitored. This would be covered when the Board considered the Improvement Plan;

·         It was requested  ...  view the full minutes text for item 9.

To consider the timetable of meetings and development sessions for the Board in 2019/20 and to consider the development of the Forward Plan.

RESOLVED that:-

(a)  The Board agreed the dates for developmental sessions and future meetings;

Board meetings:

25 September 2019 – 9am - 11 am

30 January 2020 – 10am - 12 noon

26 March 2020 – 10am - 12 noon

17 June 2020 – 10am - 12 noon

Development Sessions:

27  ovember 2019 – 10am - 12 noon

27 February 2020 – 10am - 12 noon

(b)  That a draft Forward Plan be brought before the Board at the next meeting for approval