To elect a Chairman/woman for the 2013/2014 Municipal Year.

Councillor Lewis was elected Chairman for the 2013/2014 Municipal Year.

(Councillor Lewis in the Chair)

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

An apology for absence was received from Councillor Pritchard.

To appoint a Vice-Chairman/woman for the 2013/2014 Municipal Year.

Debbie Stark was appointed as Vice-Chairman for the 2013/2014 Municipal Year.

To confirm as a correct record the Minutes of the Shadow Health and Wellbeing Board held on 21 March 2013.

The Minutes of the meeting of the Shadow Health and Wellbeing Board were confirmed as a correct record and signed by the Chairman.

Councillor Scouler declared a non-pecuniary interest as she was a Governor of Torbay Hospital.

To note the report above.

The Board noted the report on the Operation of the Torbay Health and Wellbeing Board.

To receive an update on the current position of Adult Social Services.

Members noted the report and were advised that partners would shortly be asked to engage in a review of accommodation based support, taking into account Torbay’s Local Plan.

To receive an update on the current position of the Clinical Commissioning Group.

The Board noted the update from the Clinical Commissioning Group.

To receive an update on the current position of Public Health.

Members noted the update report and were informed that Plymouth City Council and Torbay Council had entered into interim shared arrangements for the post of Director of Public Health.

The Board was also advised that the alcohol strategy was due to be refreshed with discussions had regarding whether or not the Alcohol Strategy should become an action plan within the Health and Wellbeing Board Strategy in order to avoid duplication within strategies.

To receive an update on the current position of Healthwatch.

Members noted the update report on Healthwatch and welcomed the news that Torbay was recognised as being ‘ahead of the field’ in terms of the development of Healthwatch.

To receive an update on the current position of Children’s Services.

Members were informed that a recent unannounced Ofsted inspection had found the local authority arrangements for the protection of children to be adequate which was considered a significant milestone in the journey of improvement.  Members were advised that responsibility for the continued improvements in child protection services from a partnership perspective sat with the Health and Wellbeing Board.

Resolved:

(i)         that the Ofsted Inspection report be noted;

(ii)       that a Partnership Executive be established as a sub-group of the Board, to ensure continued improvements in child protection services and to act on the areas for improvement identified within the Ofsted report;

(iii)       that the membership of the Partnership Executive consist of:

·         Director of Children’s Services

·         Executive Head – Safeguarding and Wellbeing (Torbay Council)

·         Representative of Devon and Cornwall Police

·         Director of Nursing and Professional Practice – Torbay and South Devon Health and Care NHS Trust

·         Head of Quality Governance – Southern Devon and Torbay Clinical Commissioning Group

·         Headteacher representative – nominated by Torbay Association of Secondary Heads

(iv)      that the protocol arrangements with the Local Safeguarding Children’s Board, as recommended in the accompanying report, be agreed;

(v)       that the Chairman of the Health and Wellbeing Board together with the Chairman of the existing Children’s Improvement Board formally respond to the Department for Education detailing these arrangements.

To consider a report that provides a brief overview of the role of the Torbay Safeguarding Children Board.

The Board considered a brief overview of the role of the Torbay Safeguarding Children Board and considered the inter-relationship between both Boards.  Members recognised the importance for both the Health and Wellbeing Board and the Torbay Safeguarding Children Board to develop an effective joint protocol to support their working relationship in the interests of safeguarding children.

Resolved:

(i)      That the Director of Children’s Services develop a draft protocol to support the working relation between the Health and Wellbeing Board and the Torbay Safeguarding Children Board in the interests of safeguarding children; and

(ii)     the draft protocol be agreed by the Chairmen of the Health and Wellbeing Board and Torbay Safeguarding Children Board prior to formal ratification by the respective boards.

To consider a report that seeks to establish a performance framework for the Joint Health and Wellbeing Strategy.

The Board considered a report which sought to establish a performance framework for the Joint Health and Wellbeing Strategy.  Members were advised that the Shadow Health and Wellbeing Board had agreed that at each meeting an update would be provided on each of the three outcomes identified within the Joint Health and Wellbeing Strategy.  In drafting the outcome reports it became obvious that a wider discussion to determine the indicators to be used to measure the success of the Health and Wellbeing Strategy was required.

Resolved:

That the Partnership Commissioning Board (or Joint Commissioning Management Group, as appropriate) review the performance framework for the Joint Health and Wellbeing Strategy.

To consider a report that outlines the commitment from Government to integrate health and social care by 2018.

The Board considered a report which outlined the commitment from Government to integrate health and social care by 2018 and inviting expressions of interest to become ‘pioneers’ in this area.  The ‘pioneers’ will work across the whole local health, public health and social care systems as well as other local authority departments and the voluntary and community sector.

The Board was of the view that successful ‘pioneers’ would have an opportunity to transform health and social care, with the opportunity going beyond the traditional adult services.  Whilst there was no tangible funding the members were of the view that there were other benefits to be gained from the examination of the whole health and social care system.

Resolved:

(i)      that the health and care system leaders in Torbay prepare an expression of interest to become health and social care integration pioneers;

(ii)     that, if successful, further consideration be given to how the Health and Wellbeing Board can work effectively with any other governance arrangements to support the pioneer work.

To consider a report that provides an update on work that has been undertaken to develop a clear picture of the variety and nature of organisations in the Bay.

Members considered a report that provided an update on work that had been undertaken on mapping the statutory, voluntary, community and public sector organisations within Torbay.  Members were informed that it was important to have a clear picture of the variety and nature of the organisations in the Bay in order to adopt an efficient single resource that would be used for consultation and communication.

Resolved:

(i)      that available information relating to contacts and links for all relevant organisations in Torbay be cross-referenced to ensure accuracy;

(ii)     that, once completed, the Torbay Health and Wellbeing Board adopt a single resource which will be used as the focus for consultation and communication with health and social care organisations in Torbay; and

(iii)    that the Torbay Health and Wellbeing Board support the upkeep and maintenance of the resource.

To discuss how the Health and Wellbeing Board can broaden and lengthen the whole community approach to dementia.

As part of its agreed approach, the Board gave consideration to one of its priorities within the Joint Health and Wellbeing Strategy, namely Priority 15: Improve Care for People living with Dementia and their Carers.  Representatives from the Clinical Commissioning Group, Devon Partnership NHS Trust and Torbay Southern Devon Health and Care NHS Trust gave details of the work that was currently underway in Torbay in relation to this Priority together with that which was planned.

Members of the Board then discussed how the Health and Wellbeing Board could “broaden and lengthen” the whole-community approach to dementia.  In particular, members were asked to pay particular attention to whether the actions within the Joint Health and Wellbeing Strategy were the right ones, what needed to change locally to meet the outcomes required by the Board, and what could the Board do to promote integrated working to support this priority.

In addition to the representatives of the NHS organisations listed above, a representative of the Alzheimer’s Society also contributed to the discussion.  Members of the Board had been asked prior to the meeting to consider how their organisation was helping to create a dementia friendly society in Torbay together with any feedback received from clients, patients or the general public about how those living with dementia and their carers are treated within the wider community.

The current diagnosis gap in Torbay is 47% with an ambition of reaching 55% by 2014.  This gap in diagnosis is not unusual for population makeup of the area and is typical of other seaside resorts.  The performance within Torbay could be tested out through comparison with other local authority areas and across GP practices.

Whilst age is the biggest risk factor associated with dementia, there is more that can be done around prevention with some of the contributory factors also being the same contributory factors to heart disease and stroke.  Future public health campaigns should highlight dementia alongside the healthy living message.

Training would continue within community settings such as care homes and domiciliary services, as well as in the wider primary care environment (including practice nurses, community nurses, pharmacists and receptionists – all of whom may be seeing patients on a more regular basis than doctors and may therefore be more able to identify changes in behaviour).

Ensuring that people can live well with dementia would help to address the stigma associated with the condition as well as helping to allay the fears of seeking a diagnosis.  Raising awareness of dementia within the wider community would increase the number of people who are aware of symptoms and associated changes in behaviour in order that concerns could be raised and referrals made.

In terms of raising awareness, it was noted that there were a series of opportunities throughout the year (including the inaugural meeting of Healthwatch Torbay, the Devon Interfaith Festival and the Peninsula Public Health Network) which could be used to promote healthy lifestyles and preventable diseases.  The increased use of social media would also  ...  view the full minutes text for item 16.

To note the contents of the information pack which is published as a separate document to the main agenda reports pack.

The information pack was noted.