Agenda and draft minutes

To receive any apologies for absence from Board Members.

Apologies for absence were received from T Goodson (NHS Dorset Clinical Commissioning Group); G Farrant (Chief Executive, Bournemouth, Christchurch and Poole Council); E Yafele (NHS Dorset Healthcare Foundation) and J Vaughan (Dorset Police).

To report on any changes in the membership of the Board.

C Hicks (NHS Dorset Healthcare Foundation) attended as substitute for E Yafele and J Fielding (Dorset Police) attended as substitute for J Vaughan.

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 interest.

To confirm and sign as a correct record the minutes of the meeting held on 25 September 2019.

The Minutes of the meeting held on 25^th September 2019 were confirmed as a correct record and signed by the Chairman.

S Crowe (Director of Public Health, BCP Council) confirmed that the questions raised at the previous meeting relating to pharmacy changes as part of the pharmaceutical needs assessment referred to had been answered and copies of the answers would be provided with the Minutes of the meeting.

To note and comment as required on the action sheet which tracks decisions, actions and outcomes arising from previous meetings of the Board.

The Board noted the Action Sheet.

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 Thursday 23 January 2020.

A statement is midday, Wednesday 29 January 2020

A petition is midday, Wednesday 29 January 2020

There were no formal public issues submitted.

To provide an opportunity for input from the Board into the Local Plan development.

Nick Perrins (Head of Planning, BCP Council) presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'A' to these Minutes in the Minute Book.

The Head of Planning made a presentation to the Board about the BCP Council Local Plan process and the timetable of consultation involved leading up to adoption of the Plan at the end of 2020.

A whole range of aspects of the Local Plan had potentially an impact on Health and Wellbeing of the community including particularly areas such as the environment, housing, disability and access, public health, healthy living and using development control to design out the potential for crime and ‘harm’. There was clear opportunity to work together on development of policy that would ultimately support the objectives of the Board.

There was reference to direct correlation with the objectives set out within the adopted BCP Council strategy as summarised within the corporate strategy ‘wheel’ diagram and particularly the objective of creating vibrant communities across the Council area. The Leader of the Council explained the process of setting key performance indicators to monitor progress towards, and achievement of, corporate goals and to that end the importance of the Council and the Board working together was emphasised. The role that the Local Plan would play was an example of the cross-Council co-operation that was required.

It was reported that, as a central part of the current Plan consultation period, specific comments were being received from Organisations but that there were issues that could most effectively be addressed by the Board acting together and cross-cutting.

A Task and Finish Group including local NHS Organisations was already in place looking at the issue of developer contributions and there was opportunity for its work to be expanded to focus more broadly on Local Plan development. On an associated issue, the Board was also informed that an ‘Air Quality Policy’ to include air quality within buildings, was also in the course of preparation and that this too was something that could be brought to the Board.

The Board considered the range of options for taking these issues forward.

RESOLVED

That the emerging BCP Council Local Plan and its links with the Health and Wellbeing Board be the subject for the Board’s Development Session scheduled on 4 June 2020.

To outline the approach to develop a BCP Housing Strategy and provide an opportunity for early input from the Board on the Strategy.

Loraine Mealings (Director of Housing, BCP Council) and Kerry Ruff (Housing Enabling Manager, BCP Council) delivered a presentation emphasising the links between the Housing Strategy and the health agenda and explaining that a new Strategy was in the course of preparation with a 12 week public consultation phase commencing in April with the aim of a final report to Council in October 2020.

Engagement with the Health and Wellbeing Board was welcomed and encouraged as the Strategy was being developed and a workshop approach was suggested to explore some of the key linkages including areas such key worker and social housing provision.

It was agreed that, in this wide and complex area, key questions for discussion at a workshop event should be agreed and circulated before the meeting to enable thought to be given to the issues in advance and to ensure that the Organisations on the Board were represented by appropriate specialist professionals.

Consideration would also be given to including this subject alongside the Local Plan discussions already scheduled for the Development Session in June.

RESOLVED

That the report on the emerging BCP Council Housing Strategy be noted and the linkages between Health and Wellbeing and the Housing Strategy be considered in full at the Board’s Development Session on 4 June 2020 together with the Local Plan.

To update the Board on the new services following the completion of the Dementia Services Review.

Diane Bardwell (NHS Dorset Clinical Commissioning Group) presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'B' to these Minutes in the Minute Book.

The report and presentation described a rigorous process of needs assessment, data analysis and view seeking which had resulted in a co-produced new model for dementia care in Dorset. The nature of the new model was described and its various elements explained. A new dementia care pathway was set out and the role of a team of Dementia Co-ordinators explained involving less fragmented and more streamlined care with emphasis on support for people with dementia and their carers from diagnosis onwards. The anticipated benefits of the approach were set out and, subject to financial decisions to be taken by Dorset Clinical Commissioning Group, implementation was expected to commence during the current year.

The Board welcomed this important and significant development which, once again, linked in with the Council’s strategic objectives around creating ‘age friendly communities’. Organisations represented on the Board recognised their own roles and welcomed opportunities for involvement. There was also agreement of the need to continue to lobby at Central Government level for maintaining and increasing support for this expanding area of need.

RESOLVED

That the Health and Wellbeing Board note the proposals for the future model for provision of dementia care and the evidence of need on which the new model has been based.

To receive an update on the current position.

The Board received a short verbal update on the current position and it was reported that a Local Government Association ‘Peer Review’ team were currently on site undertaking the review as commissioned by the BCP Council Health and Wellbeing Board. Following its conclusion a more substantive report would be made to the next meeting of the Board.

To receive an update on the CAMHS transformation.

Elaine Hurll (NHS Dorset Clinical Commissioning Group) presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix 'C' to these Minutes in the Minute Book.

The report to the Board provided information about and an update on progress with transformation of Children and Adolescent Mental Health Services (‘CAMHS’) and there was an opportunity for the Board to contribute to development plans. By way of background, the current service was described within the context of the challenges currently facing the service and the influence of locally driven developments.

The report also set out a high-level timetable of activity within various workstreams including needs analysis, view seeking and strategy and business case development. It was noted that practical issues such as recruitment were likely to influence the implementation timetable. The overall objective was to ensure that all children living in Dorset were able to access the right support at the right time. A new approach entitled ‘Assessment and Brief Intervention’ was described as an essential element of the transformation and would significantly improve access and referral and ensure that interventions were most effectively delivered in a timely way and better reflected the needs of the particular service user. There were also essential links with adult mental healthcare provision.

It was accepted that the role of the Board was to ensure that there was joint ownership of the process and that the Board was able to maintain appropriate overview. This would include, for example, having a role in promoting the ‘voice’ of young people in addressing their needs. Other Organisations represented on the Board would also have a relevant input.

RESOLVED

(a)  That the Health and Wellbeing Board note the update on the CAMHS transformation project;

(b)  That a similar report be presented, as soon as possible, to the BCP Council Children’s Services Overview and Scrutiny Committee;

(c)  That in order to maintain an overview, a further report on progress of the CAMHS transformation project be presented to the Board in six months.

The Board will consider outcomes and actions from the development session held on 28 November 2019.

Jan Thurgood (Corporate Director, Adult Social Care, BCP Council) presented a report, a copy of which had been circulated to each Member and a copy of which appears as Appendix ‘D' to these Minutes in the Minute Book.

The Board received a summary in the form of a public record of discussions at the Health and Wellbeing Development Session which took place on 28 November 2019. Particularly, the areas covered included the multi-agency response to working with high deprivation; development of a BCP Health and Wellbeing Strategy and identification of priorities for the Local Government Peer Review of Special Educational Needs and Disabilities.

It was also noted that a presentation on ‘Promoting Active Life’ could be made to the next meeting of the Board.

RESOLVED

(a)  That the Health and Wellbeing Board approve the public record of the Development Session on 28 November 2019 including the decisions identified in the report;

That the Health and Wellbeing Board approve the Health and Wellbeing Strategy framework as set out and that the framework be used by Officers to further develop the Strategy before bringing the Strategy back to the meeting of the Board in June 2020.

The Board will be updated on the above and the sign off arrangements for the Plan.

It was reported that in accordance with delegated powers, the Plan had been signed off and officially submitted to NHS England which was undertaking an approval process for all local area plans.

For the Board to receive an update on the development of the Forward Plan.

The Board confirmed the Forward Plan subject to the additions agreed in these Minutes.

The Board is asked to consider dates for meetings of the Board beyond June 2020.

The Board was reminded that a list of prospective meeting dates had been circulated prior to the meeting.

RESOLVED

(a) That future meetings of the Board be agreed as follows:

26 March 2020;

17 June 2020;

1 October 2020;

21 January 2021;

18 March 2021;

17 June 2021;

with all meetings commencing at 10am.

(b) That, in addition, informal Development Sessions be held on:

27 February 2020; and

4 June 2020.