To receive any apologies for absence, including notifications of any changes to the membership of the Committee.

Apologies for absence were received from Keith Perkins, Tara Harris, Alison Hernandez, David Somerfield, Adel Jones, Cheryl Ward, Jo Williams and Alison Botham who was represented by Jon Brown.

To confirm as a correct record the Minutes of the Health and Wellbeing Board held on 31 July 2019.

The Minutes of the Board held on 31 July 2019 were confirmed as a correct record and signed by the Chairwoman.

To consider any other items that the Chairman/woman decides are urgent.

The Chairwoman shared an update provided by Keith Perkins from Devon and Cornwall Police in respect of domestic abuse.  Members were informed that Keith had persuaded the Herald Express to run a series of articles on domestic abuse, the articles will seek public support to start a culture in Torbay where domestic abuse is seen as unacceptable.  The first Torbay DASV Community Forum had also taken place with a further meeting being held solely to consider how to start a wide campaign or social movement in respect of domestic abuse.  The 16 days of Action in November will also be an opportunity to recommunicate the messages that are printed in the Herald Express.

To receive a verbal update on the Long Term Plan.

The Board noted an update in respect of the engagement on the Devon NHS Long Term Plan.  Members were advised that engagement commenced on 11 July and ended on 5 September.  The key themes to emerge from the engagement were:

·         Over 50% of respondents had a preference for face to face hospital appointment, whilst there was an appetite for technology more education, channel shift and reassurance was required;

·         People were attending A&E because it is easier then accessing other services;

·         Need more joined up communication between services, signposting and information;

·         Community support and social interaction is critical to mental illness, support and recovery;

·         People were willing to travel for care for up to an hour, and expect provision to be available in Devon and Cornwall.

Members were informed that a further iteration of the Long Term Plan would be circulated for final response shortly.

Resolved:

That the Board delegate approval of the final submission of the Long Term Plan to the Director of Public Health in consultation with the Chairwoman.

To review the priorities set out in the Thriving Lives – Torbay’s Joint Health and Wellbeing Strategy.

The Board considered a report that detailed the progress made against the Thriving lives priorities over the last year and a draft outcomes framework was also circulated for the Board’s views.

Resolved:

i)          that the priorities within the Thriving Lives – Torbay’s Joint Health and Wellbeing Strategy remain unchanged;

ii)         that the current areas of focus i.e. children and complex vulnerabilities also remain unchanged for 2019/2020;

iii)        that the Health and Wellbeing Board annual work programme reflects the emphasis on areas of focus and sponsor; and

iv)        that the proposed outcome framework is adopted as a draft that will be presented and amended within appropriate forums leading priority work.  Upon discussion with the appropriate forums the final outcome framework be agreed at a future meeting of the Health and Wellbeing Board and subject to quarterly updates and annual oversight.

To consider a report that details how the Better Care Fund will be used in 2019/20.

The Board considered a report that detailed how the Better Care Fund for 2019/20 would be used.  Members were advised that the schemes included in the Better Care Fund supported the prevention and early intervention strategies supporting the aims of the Thriving Lives – Torbay’s Joint Health and Wellbeing Strategy.

Resolved:

That the Board:

i)     supported the commitment to transformative care learning from the initiatives and taking the momentum from successes to date to deliver improvements in patient experience of care (including quality and satisfaction), improvements across the health of populations, and reducing the per capita cost of health care and deliver the goals of the NHS Long Term Plan;

ii)    recognised and supported the pace of change required with the demographic, workforce and care demand drivers being faced; and

iii)   supported the proposals set out in Appendix 1 to the submitted report, that they be taken through due governance, to deliver a transformation in Torbay’s care provision for the wellbeing of the population including those working and caring within it.