Agenda and minutes

To receive any apologies for absence from Councillors.

Apologies were received from Patricia Miller, Karen Loftus, Graham Farrant, Siobhan Harrington and Marc House. 

To receive information on any changes in the membership of the Committee.

Note – When a member of a Committee is unable to attend a meeting of a Committee or Sub-Committee, the relevant Political Group Leader (or their nominated representative) may, by notice to the Monitoring Officer (or their nominated representative) prior to the meeting, appoint a substitute member from within the same Political Group. The contact details on the front of this agenda should be used for notifications.

David Freeman substituted for Patricia Miller, Emma Lee substituted for Karen Loftus, Darren Langdown substituted for Marc House and Richard Renaut substituted for Siobhan Harrington.

To elect the Chair of the BCP Health and Wellbeing Board for the 2023/24 Municipal Year.

RESOLVED that Councillor Brown be elected Chair of the BCP Health and Wellbeing Board for the 2023/24 Municipal Year.

To elect the Vice Chair of the BCP Health and Wellbeing Board for the 2023/24 Municipal Year

This item was deferred until the next meeting of the Board.

To confirm and sign as a correct record the minutes of the Meeting held on 23 February 2023.

The Minutes of the meeting held on 23 February 2023 were confirmed as an accurate record and signed by the Chair.

Councillors are requested to declare any interests on items included in this agenda. Please refer to the workflow on the preceding page for guidance.

Declarations received will be reported at the meeting.

There were no declarations of interest on this occasion.

To receive any publicquestions, statements or petitions submitted in accordance with the Constitution,which is available to viewat the following link:

https://democracy.bcpcouncil.gov.uk/ieListMeetings.aspx?CommitteeID=151&Info=1&bcr=1

The deadline for the submissionof a public question is4 clear working days beforethe meeting.

The deadline for the submissionof a public statement is middaythe working daybefore themeeting.

The deadlinefor the submission of a petition is10 working days before the meeting.

There were no public issues received on this occasion.

The Chair advised that there would be a slight change in the Agenda order and Agenda Item 10 Better Care Fund 2023-25 would be considered first.

This report provides an overview of the content of the Better Care Fund (BCF) plan for 2023-25.

The BCF is a key delivery vehicle in providing person centred integrated care with health, social care, housing and other public services, which is fundamental to having a strong and sustainable health and care system.

National planning guidance was released in April 2023 advising that plans needed to be completed and submitted for national assurance by NHS England by 28^th June 2023. The plan needs to be jointly agreed and signed off by the Health and Wellbeing Board as one of the planning requirements and so the draft planning document has been submitted to meet the deadline but is pending Board approval.

The Interim Corporate Director for Wellbeing 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 report provided an overview of the content of the Better Care Fund (BCF) plan for 2023-25.

The BCF was a key delivery vehicle in providing person centred integrated care with health, social care, housing and other public services, which was fundamental to having a strong and sustainable health and care system.

National planning guidance was released in April 2023 advising that plans needed to be completed and submitted for national assurance by NHS England by 28^th June 2023. The plan needed to be jointly agreed and signed off by the Health and Wellbeing Board as one of the planning requirements and so the draft planning document had been submitted to meet the deadline but was pending Board approval.

The Board discussed the report and comments were made:

• In response to a concern regarding the disabled facilities grant and the length of time it took for adaptions in people’s homes to be implemented, the Board was advised that the process could take up to two years, and a good challenge would be to consider how the contributing services could streamline and accelerate the process. ACTION.
• In response to a query regarding the BCF Key Delivery plans and how it could be measured, the Board was advised of the CQC Assurance process which required the service to consider how it could capture service users journey and how learnings could be used to improve services.
• The Healthwatch Manager advised there was a real opportunity to capture an entire story from the start of a user’s journey and she would discuss it with Officers to progress this. ACTION
• There was some further discussion around how the impacts could be measured through data captured from all partners and how that information could be displayed and shared.
• It was highlighted that the BCF detailed a two-year plan which enabled more scope and a good opportunity to reflect and grow.
• The NHS Dorset representative advised of the opportunities around place-based partnerships and the requirements and opportunities that would bring, including the transformation and improvement of health and wellbeing for BCP residents.

The Chair summarised the key areas discussed, and it was agreed that a mid-year progress report be provided to the Board.  ACTION. 

The Chair concluded by requesting the Boards thanks be passed to the staff involved in pulling together the plan. ACTION.

RESOLVED that the Health and Wellbeing Board approve the Better Care Fund Plan for 23-25 taking into account the investment and delivery plans as outlined in this report.

Voting:  For - Unanimous.

This report provides members with an overview of the Dorset Integrated Care Board Joint Forward Plan 2023-2028 which was developed with partners from across the health and care system in Dorset.

The plans sets out five pillars which the ICB will focus on and how through these it will support the delivery of the Integrated Care Partnership Strategy and the Health and Wellbeing Strategies.

The Chief Strategy and Transformation Officer, Dorset Integrated Care Board, 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 provided members with an overview of the Dorset Integrated Care Board (ICB) Joint Forward Plan 2023-2028 which was developed with partners from across the health and care system in Dorset.

The plan set out five pillars which the ICB would focus on and how through these it would support the delivery of the Integrated Care Partnership Strategy and the Health and Wellbeing Strategies.

The Board discussed the report and comments were made, including:

• In response to a query about the next phase, the Board was advised of the need to understand the risks, making sure there was clear communication between partners, ensuring mistakes weren’t repeated, stopping things that weren’t working, aligning things that were and identifying things that need to be commenced.
• In response to a query regarding ensuring the Board had accurate data to monitor progress, the Board was advised of the work of the Dorset Information Service (DIS) and the importance of ensuring a data driven approach was taken and that reporting back to the Board on progress should be included in its Forward Plan. ACTION.
• There was an acknowledgment that whilst quantitative data was beneficial, qualitative data from users need to be collected to create a full picture of experiences from all users which could be monitored and shared.
• The NHS Dorset representative advised of the exciting opportunity the plan presented to improve local lives by ensuring all partners come together to achieve the best possible health outcomes for the local population.
• In response to a query regarding the data provided about the projected increase in children being overweight, the Board was advised where the statistics came from, including national data, if no effective interventions were implemented.  The Board was advised of need for joined up working to reduce the projection and considering and addressing all the elements which contributed to childhood obesity.
• The impact of environmental changes was highlighted as something which needed to be considered when implementing the plan.
• The need for the plan to be considered by all partners in their workstreams/plans to ensure the five key pillars were at the forefront of everything they did was emphasised.
• It was highlighted that communication and engagement within the plan was imperative by ensuring it was accessible, understandable and meaningful.

RECOMMENDED that:

1) Members note and support the Joint Forward Plan and the

2) next steps in its implementation.

The Health and Care Act 2022 creates a new duty for the Care Quality Commission to review local authorities’ performance in discharging their adult social care functions under the Care Act 2014.

This report sets out the work that has been undertaken to date and further work that is planned to ensure the Council is best placed to achieve a positive outcome from any review of the Council’s services.

The Director of Adult Social Care 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 Health and Care Act 2022 created a new duty for the Care Quality Commission to review local authorities’ performance in discharging their adult social care functions under the Care Act 2014.

The report set out the work that had been undertaken to date and further work that was planned to ensure the Council was best placed to achieve a positive outcome from any review of the Council’s services.

The Board discussed the report:

• In response to a query, the Board was advised about any learning which could be taken from how stronger partnership working could have assisted before the Children’s Service inspection and the impact a negative CQC rating could have on a service
• The Director of Adult Social Care thanked all the partners who assisted with the LGA peer review and highlighted that work needed to be progressed on the collection of good quality data, improved information sharing and how a user’s narrative could be captured and shared.
• In response to a query about the feedback from the peer review, the Board was advised of the initial feedback which included that staff were very resilient, committed, and proud of their work and that leadership was good.  The Shared Lives scheme was highlighted as having a very positive impact for users. Potential concerns highlighted included issues regarding back log, the new administration and what challenges that could bring, budgetary challenges, the ability to demonstrate more tangible outcomes demonstrated through data and the need to get collective support from other services and partners.

RECOMMENDED that the Health and Wellbeing Board note the content of the report.

To update on changes since the Pharmaceutical Needs Assessment (PNA) was published in October 2022.

The Director of Public Health 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 purpose of the report was to provide an update on changes since the Pharmaceutical Needs Assessment (PNA) was published in October 2022.

In response to a query, the Board was advised the reason there wasn’t a complete review of the Pharmaceutical Needs Assessment was because of upcoming changes which were detailed to the Board.

RECOMMENDED that the Board:

(a)  approve publication of the supplementary statement.

(b)  delegate authority to the Director of Public Health to publish such further statements as required.

(c)  note response to NHS England on a consolidation request.

To consider the Membership of the BCP Health and Wellbeing Board.

The Director of Public Health advised that the current membership reflected the previous Clinical Commissioning Group (CCG) which had now been replaced by NHS Dorset, so consideration needed to be given to refreshing it to ensure it was appropriate for the Boards remit going forward.  Potential consideration of co-opting local health partners for the place-based partnership work was also needed.  It was suggested that Officers and NHS Dorset consider this further.  ACTION.

To consider the development of the BCP Health and Wellbeing Board’s Forward Plan and a future development session.

The Director of Public Health advised of the need for a development session to consider the Health and Wellbeing Boards remit in scrutinising the Integrated Care Partnership Strategy together with the new responsibilities the Board had.  The Director of Public Health advised he would work with Officers to consider a draft Forward Plan and items which could be included were highlighted. ACTION.