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

Apologies for absence were received from Councillor Ken Pritchard, Tony Hogg and Sam Barrell who was represented by Siobhan Grady.

To confirm as a correct record the Minutes of the Health and Wellbeing Board held on 5 June 2014.

The Minutes of the meeting of the Health and Wellbeing Board held on 5 June 2014 were confirmed as a correct record and signed by the Chairman.

Councillor Doggett declared a non-pecuniary interest as he is lay member of the Joined Up Medicines Optimisation Group.

To consider a report on the above.

Members were advised that on 3 December 2013 the Health and Wellbeing Board reviewed the outline Integration Transformation Fund Plan which was subsequently renamed the Better Care Fund.  The Board supported development of the Plan and endorsed a ‘single pooled’ arrangement for revenue and capital aspects of the Better Care Fund.  A further iteration of the original plan has been updated following publication of an amended template, which seeks a greater focus on evidence to support proposed schemes and more detail in achieving the set metrics.

The Board was informed that latest guidance placed a focus on emergency admissions and the acute sector.  Siobhan Grady advised that despite the change in focus the five metric, financial details and performance measures were unlikely to change.  The Plan sets out how the South Devon and Torbay Clinical Commissioning Group and Torbay Council will pool funding and work together with provider organisations to achieve a 3.5% reduction in hospital admissions in 2015/16.  Four key schemes are identified in the Plan as supporting delivery of this target:

Ø  Single Point of Contact

Ø  Frailty Services

Ø  Multiple long term conditions

Ø  Community Care: locality teams and community hospital beds.

The Plan has to be submitted by Friday 19 September, officers had found the deadlines to be quite tight and the template constraints had made the alignment of the Integrated Care Organisation difficult, resulting in significant senior officer resource.

Members of the Board referred to the change of focus in the Plan and sought reassurance that issues that had to be removed from the Plan were not lost.

The Chairman thanked officers of the Clinical Commissioning Group and Torbay Council for their effort in compiling the Better Care Fund.

Resolved:

That the Better Care Fund Plan, as set out in the submitted report, be endorsed.

To consider a report on the Children and Young People’s Plan and Early Help Strategy,

Members were advised that following a seminar in July, the Children and Young People’s Plan (CYPP) and Early Help Strategy had been revisited to take account of comments that had been made.  The CYPP was a concise document that picked up the key issues, with documents that underpin the CYPP also being reviewed.

Members were informed of changes being made to the referral process to the Early Years and Safeguarding HUB’s.  At present initial contact is made with the Safeguarding HUB this will be changed with referrals being made through the Early Years HUB.  It is hoped that this referral route will alleviate the fear of ‘children being removed’ as the immediate contact will not be with the Safeguarding HUB.  A social worker will be assigned to the Early Years HUB who will then determine the appropriate route for the referral.  Richard Williams advised the Board that the thresholds that have already been set for a child’s journey will remain; with the referrals being screened the mechanisms will be in place to make the HUBs work well.

Resolved:

i)      that the Children and Young People’s Plan and the Early Help Strategy be endorsed; and

ii)     that the points raised at the Seminar on 31 July 2014 be highlighted through the Pioneer process and that the Health and Wellbeing Board assure itself over the coming months that appropriate action is being taken.

To consider a report on the above.

The Board noted an update on the Integrated Care Organisation (ICO), Members were advised that the Business Case and draft Integration Plan was almost ready for submission, with the deadline being 1 October.

Members were informed that in terms of adult social care a joint contract was expected to be presented to Council in February 2015.  Officers were trying to model the financial pressures and were using the model to see if decisions that are being made now would be different under the ICO.

To receive an update on the Care Act.

Members noted a report that updated the Board on the implementation of the Care Act.  Members were advised that the Care Act legally cleared up disparate legislation and provided a way forward for care.  A lot of the guidance was still being written with financial guidance expected by autumn.  There will be a number of changes to areas such as ICT, finance and the public’s expectations.

Members requested that further updates be presented to the Health and Wellbeing Board, in particular the implications and impact of a universal deferred payment scheme for those requiring residential care.

To note the briefing paper on the above.

The Board noted a briefing paper that advised Members of the Health and Wellbeing Board’s statutory responsibility to deliver the Pharmaceutical Needs Assessment.  The paper also set out the consultation process and deadlines.