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

Apologies for absence were received from Councillor Scouler, Graham Lockerbie, John Lowes, Melanie Walker, Councillor Doggett who was represented by Councillor Darling, Tony Hogg who was represented by Ian Ansell and Mandy Seymour-Hanbury who was represented by Julie Foster.

To confirm as a correct record the Minutes of the Health and Wellbeing Board held on 2 October 2014.

The Minutes of the Health and Wellbeing Board held on 2 October 2014 were confirmed as a correct record and signed by the Chairman.

To consider a report that informs the Board on consultation to develop an interagency carers strategy and the proposed priorities for action.

The Board considered a report that set out the proposed priorities which were detailed in the interagency Carers strategy.  Members were advised that the ‘Measure Up’ approach to Carer support continued to be recognised as an example of national good practice.  It was based on a long term, whole systems approach, grounded in assessment of local needs and an evidence base of what works.

Members were informed that an action plan to accompany the strategy would be produced within the next three months and performance monitoring would be undertaken through the single outcome framework.

The Board referred to the engagement of volunteers, James Drummond, Lead Officer for Carers Services, explained that a significant amount of people will volunteer for their own GP practice, these skills can be applied to their neighbourhood through other agencies such as Crossways.  Whilst attaching volunteer services to GP practices is advantageous, it isn’t always the right model for delivery.

Resolved:

i)     That the draft priorities for ‘Measure Up’ 2015-17 be endorsed;

ii)    that an action plan be produced with clear targets, timescales and responsibilities for delivery, that the action plan be reviewed annually and the Health and Wellbeing Board be updated on achievement.

To consider a report that refreshes the data the Market Position Statement for Adult Social Care and Support in Torbay.

The Health and Wellbeing Board noted the refresh of the data that informed the Market Position Statement for Adult Social Care and Support in Torbay 2014 onwards and the Children’s Commissioning Plan and Sufficiency Strategy.  The Market Position Statement (MPS) was produced in February 2014 to provide information and analysis of benefit to providers of care and support services in Torbay. 

Members noted that the MPS was a large piece of work which enabled more people to remain in their own homes with support.  However there had been an increase in homelessness and temporary accommodation which was posing pressure for those services and the system as a whole.  Members were informed that an in-depth review was being undertaken by Public Health to establish the reasons for the increase in homelessness, the findings of which would be reported to the Health and Wellbeing Board.

Members were informed that the refreshed document does not change any text or commissioning intentions of the MPS but updates the data set.  Also included was the Children’s Commissioning Plan and Sufficiency Strategy that sets out the current position for Children Services which will be reviewed and merged into one document during a full review of the Market Position Statement in six months time.

To receive a presentation on the NHS – Five Year Forward View.

Members received a presentation and were informed that the paper set out a new direction of travel for the NHS, budget pressures had resulted in an imbalance in the system requiring the NHS to develop a new ethos – ‘its what matters to me not what’s the matter with me’. 

The Board was advised that throughout the plan there were three themes:

·         Radical upgrade in prevention and public health

·         Greater control for patients and carers

·         Breaking down barriers to how care is provided

Members were asked to consider the role of the Health and Wellbeing Board within the shifting focus of the NHS.  Some Members challenged whether the Health and Wellbeing Board should undertake a review of its own priorities and achievements prior to the elections in 2015, in order to use the experience gained from the last 18 months to aid and inform a new administration, whilst others were of the view that there were a number of organisational changes due to be implemented along with a general and local election that may mean a review at later stage may be more advantageous.  The Board requested the Torbay Joint Commissioning Group consider the appropriate time for a review of the Health and Wellbeing Board. 

To receive a report that provides a summary of the assurance functions of the Health Protection Committee and significant matters considered since its inaugural meeting on 15 October 2013.

The Board noted a report that provided a summary of the assurance functions of the Health Protection Committee and detailed the significant matters considered since 2013.  The report also summarises action taken to date against the programme of health protection work priorities for period 2014 to 2015.

To receive an update on the priorities of the Special Educational Need and Disability reform work.

Members were informed that the Special Educational Need and Disability (SEND) reforms came into force on 1 September 2014 with the conversion of ‘statements’ to Education Health and Care Plans (EHCPs) having to be completed by 2018.

Whilst the SEND reforms were being implemented, officers took account of the implications of the Health and Care Act and had established an operational group specifically focusing on the implementation of the reforms.

Resolved:

That the Special Educational Need and Disability Reforms Operational Leads group report to the Partnership for Families Strategic Group.

To consider correspondence that seeks support for a declaration to made on the National Concordat website.

The Board were informed that the Council had already signed up to the mental health concordat, however an action plan was still awaited.  Members were informed that mental health was a weak area for Torbay with the political spotlight intensifying.  The Board was informed that the Devon Health and Wellbeing Board will be approving an action plan shortly, some of which could also be applicable to Torbay.  A Section 136 protocol would also become live on 1 March 2015.

Members were advised that NHS England would be undertaking a review of the recent detention of a young person in police cells due to the lack of a ‘safe place’.  The findings of the review would be made available for the Health and Wellbeing Board.

To consider a report on the above.

Members noted the report that set out the findings of a Regional Adult Social Care Peer Challenge.  Bob Spencer, Chairman of the Adult Safeguarding Board informed Members that the peer review had a wide remit with the resulting action plan having been compiled by theme.

The Board were advised that the Health and Social Care Act reforms would have an impact upon the Adult Safeguarding Board in relation to the responsibility of the Board and governance of joint boards.  However the act would put both the Children Safeguarding Board and Adult Safeguarding Board on the same statutory footing enabling joint working on emerging themes.

To note a report that sets out the activities of Torbay Safeguarding Children Board for 2013-14.

Members noted the annual report of the Torbay Safeguarding Children Board (TSCB) for 2013/14.  The report set out the work of the TSCB and its sub-committees over the last year, noting achievements and areas for improvement and future work. 

The Board paid particular attention to the Business Plan Update, David Taylor, Chairman of the TSCB advised of an audit regarding neglect, he explained that an action plan would be shared with the Health and Wellbeing Board in order to determine whether Members would be able to assist with the implementation.

The Chairman, expressed his thanks to David Taylor and Bob Spencer for the support they have provided both the Torbay Children Safeguarding Board and Adult Safeguarding Board.

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

The Board noted the update on adult services.

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

The Board noted the update on the Clinical Commissioning Group.

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

The Board noted the update on Public Health.

To receive an update on the current position of Healthwatch.

The Board noted the update from Healthwatch.

To receive an update on the current position of the Integrated Care Organisation.

The Board noted the update on the Integrated Care Organisation.