To elect a Chairman/woman for the 2017/2018 Municipal Year.

Councillor Mills was elected Chairman for the 2017/2018 Municipal Year.

(Councillor Mills in the Chair)

To appoint a Vice-Chairman/woman for the 2017/2018 Municipal Year.

Martin Oxley was appointed as Vice-Chairman for the 2017/2018 Municipal Year.

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

Apologies for absence were received from Martin Oxley, Alison Hernandez, Melanie Walker, Mayor Oliver, Liz Thomas and Pat Harris who was represented by Jonathan Drew.

Members were also advised that the membership of the Health and Wellbeing Board had been amended following Mairead MacAlinden nominating Ann Wagner to be her permanent substitution.

To confirm as a correct record the Minutes of the Health and Wellbeing Board held on 16 March 2017.

The Minutes of the Health and Wellbeing Board held on 16 March 2017.

To consider a report that informs Members of progress on the procurement of Children and Young People’s Services.

Members noted a report that informed Members of the progress on the procurement of Children and Young People’s Services. Simon Tapley, South Devon and Torbay Clinical Commissioning Group informed Members that the current contract expires on 31 April 2018 with a further extension having been put in place in order to ensure consistent service provision.  Commissioners had taken the opportunity to review the provision of community health and care services and during the pre-procurement planning phase is looking at services ranging from those that all children and young people come into contact with at some point.  This means that the procurement will include in scope services provided not only by the current provider but some services provided by the Council.

Members sought reassurance that feedback would be sought from both clients and employees of the current services and that the timeline set out in the submitted paper had been confirmed.

To consider a report that sets out the approach being adopted in relation to the Better Care Fund.

The Board considered a report that set out the schemes to be funded by the Better Care Fund.  Whilst sign-off from NHS England is required for the overall schemes, Torbay has already begun to use the funding within its control to make a positive difference and reduce demand and costs whilst improving the experience for people in receipt of care.

Members noted that the outcomes were reported via the Local Account but felt the reporting should be more than a once a year and requested a Better Care Fund monitoring outcome framework be included to the Board’s work programme.

Resolved by consensus:

i)       That the Better Care Fund arrangements as set out in the attached appendix be approved; and

ii)      that the approach to the Improved Better Care Fund be endorsed.

To undertake a deep dive into the Health and Wellbeing Board priority ‘support for vulnerable adults and families’.

Members had a detailed discussion on the merits of the Systems Optimisation Group which had been set up to provide a co-ordinated, multi-agency approach to supporting vulnerable people with complex needs who are at risk of harm to themselves or others.

Members expressed frustration that the group was struggling to gain traction and that client consultation was perceived to be the next step. It was suggested that any past consultation exercises that had been undertaken by various agencies should be reviewed first to see to what extent they already identified what the issues were.  Members felt the group needed to refocus and seek quick success in order to ensure that the group provides value for money rather than losing the good will of those who attend.

Members further questioned the value of the Health and Wellbeing Board, feeling that it too had lost its strategic focus with the Board itself being challenged as to its mandate and role.  Ann Wagner offered, and the Board accepted, to assist the Board to address the following:

·         Going forward what does the Health and Wellbeing Board feel like;

·         How is the Health and Wellbeing Board going to work going forward; and

·         What is working well and what can be done differently.

Ann and Caroline Dimond were asked to take this review forward and report back when appropriate.

To note the highlight report.

The Board noted the report and were advised that since the submission of the report the Suicide Prevention Strategy had been put in place with staff resource assigned to support its implementation.  Members were also informed that the Alcohol Strategy would be revisited as some areas were not being progressed as officers had hoped.

To note the highlight report.

The Board noted the report and requested that the ageing well innovations be turned into business cases showing what worked well and needs to sustained as a invest to save scheme.

Members further noted the next tranche of activity was designed to make older people to feel par to the community and requested the next report from the Community Development Trust detail how it intends to measure sustainability of that activity and how it can be sustained going forward.

To note the highlight report.

The Board noted the report.

To note the above report.

The Board noted the report.

To note the revised approach to the next adult social care focused Market Position Statement.

The Board noted the Market Position Statement was a statutory requirement and that going forward the Board may need to consider a report on the state of the market for adult social care.