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, Caroline Dimond who was represented by Mike Roberts, Eleanor Rowe who was represented by Mark Procter and Tony Hogg who was represented by Ian Ansell.

To confirm as a correct record the Minutes of the Health and Wellbeing Board held on 17 December 2014.

The Minutes of the Health and Wellbeing Board held on 17 December 2014 were confirmed as a correct record and signed by the Chairman.

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

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

The Chairman advised that he had received a letter from the Police and Crime Commissioner regarding working closer with the Health and Wellbeing Board, the Chairman advised that the Director of Public Health would provide a response.

Presentation and discussion on the Ageing Well project.

Members received a presentation from Tracey Cabache (Community Development Trust); Tracey informed Members that a bid had been made to the BIG Lottery, the bid sought to address isolation experienced by older members of the population.  Members were advised that the reasons for isolation varied across the three towns.  However older people generally felt ‘undervalued’, ‘wanting the opportunity to contribute’ and ‘not be seen as a burden’.  Subject to BIG Lottery confirming the allocation of funds Ageing Well would focus activities that fell under three themes:

Neighbourhoods Themed Activities e.g.

·         Create a network of neighbourhood based community builders and volunteer connectors who will provide local intelligence and ongoing engagement to target the most isolated older people.

·         Community info-magazine would be delivered to every doorstep in the target areas.

Raising Aspirations and Service Re-design Themed Activities e.g.

·         Social prescribing will be trialled by two local GPs.

·         Lobbying for better people centred services will come from a new Older People’s Assembly, and older people will be supported to co-design their services.

Positive Ageing Themed Activities e.g.

·         The themes above will provide a body of evidence of the value of older people to the wider community that can be communicated and showcased at a bi-annual ageing festival ensuring ageing is celebrated and viewed more positively by all.

Tracey advised that as well as the project outcomes, it was hoped that a legacy of the project would be an older citizen assembly that would ultimately be responsible for the operation of the project.

Members welcomed the project and acknowledged the need for the project to be self funding upon the conclusion of the BIG Lottery grant.

To consider a report that provides a comprehensive assessment of the current and expected future pharmaceutical needs of the local population.

The Board received a report that explained the purpose of the Pharmaceutical Needs Assessment (PNA).  Members were advised that the PNA was a comprehensive assessment of the current and expected future pharmaceutical needs of the local population.  The PNA would inform:

·         Decisions regarding which NHS funded services need to be provided by community pharmacies and dispensing appliance contractors in Torbay;

·         Whether new pharmacies or expansion of services are needed;

·         Decision-making about the relocation of existing pharmaceutical premises in response to applications by providers of pharmaceutical services;

·         The commissioning of locally enhanced services from pharmacies

Members noted that access to pharmacies (opening times and distance to travel) was outside the scope of the PNA however in light of the pressure being placed upon A&E, Members requested a future meeting of the Health and Wellbeing Board to consider how to influence the public that pharmacies should be the first port of call and consider the need for pharmacies to be open 24 hours.

Resolved:

That the Torbay Pharmaceutical Needs Assessment be endorsed and formally published.

To consider a report on the above.

The Board considered a report that set out the long-term vision of the South Devon and Torbay Clinical Commissioning Group (CCG).  Members were advised that 2014/15 had been a challenging year for the CCG resulting in the focus for 2015/16 being directed towards two areas, firstly, achieving the NHS Constitution standards and secondly, delivering the Quality, Innovation, Prevention and Productivity Plan (QIPP), in order to achieve financial balance for 2015/16 and future years.

Members were concerned about the recurrent over-commitment of finances, and sought reassurance that the QIPP was an effective plan that addressed the associated risks.  The Board felt a debate at a future meeting was required to consider how to communicate to citizens about reduced and changed services as a result of the reduction in public sector funding.

Resolved:

i)     The Health and Wellbeing Board endorsed the South Devon and Torbay Clinical Commissioning Group Operational Plan 2015/16 subject to the following amendments:

a)            that reference to the children’s hub be included;

b)            that the introduction include reference to Pioneer as well as the Vanguard bid;

c)            that joint commissioning with Torbay Council be included as an intention;

d)            that a stronger reference to the risk share arrangement for the Integrated Care Organisation with Torbay Council be included; and

e)            that reference be made to the intention to appoint a joint Director of Public Health with Torbay Council.

ii)    The Board requested the Public Health Team investigate whether there was an economic case for the South West to lobby for a better share of health resources, should the economic case be proven the Chair of the Health and Wellbeing Board liaise with other Chairs in the South West to lobby Government Ministers.

To note the 2014 Annual Report from the Director of Public Health.

The Board noted the Annual Report from the Director of Public Health, Members were advised that a ‘light touch’ approach to the report had been taken in order to avoid repetition of other documents.  Members welcomed the format of the report and the message of prevention that was prevalent throughout the document.

To consider a report on the above.

The Board considered a report that provided an update on the Pioneer/Joined Up projects.  Members were advised of a number of successful funding bids as well as work to support information sharing between GPs and other organisations to improve care.

Members were informed that South Devon and Torbay’s plans for the Better Care Fund have been fully approved with performance being measured against a number of national targets.

Resolved:

That:

i)       the Health and Wellbeing Board continues to support pioneer and integrated care projects;

ii)    delegation be granted to the original signatories to agree a revised Better Care Fund indicator regarding non-elective emergency admissions; and

iii)   the Senior Manager Joined Up and Pioneer be the link between the Health and Wellbeing Board and the South West Integrated Personal Commissioning Network(IPC).  That the Chairman receive a regular briefing from the Senior Manager Joined Up and Pioneer on the work of the IPC.

To note the report.

The Board noted the report, and questioned why they were still awaiting sight of an operational plan.  Members felt that mental health required greater focus especially with the creation of the Integrated Care Organisation.

Members were advised of a funding issue with the mental health street triage service, the pilot was originally commissioned by NHS England however whilst the evaluation of the pilot areas was underway funding arrangements for future years had not been put in place.  Ian Ansell advised that the Police and Crime Commissioner had agreed to match fund the service with the NHS Northern, Eastern and Western Devon Clinical Commissioning Group and hoped that the remaining Clinical Commissioning Groups would also agree to fund.  The Executive Head of Community Safety explained that the whole system was very fragile and the loss of such a service would have a detrimental impact.  Mark Procter advised that he would seek a response from Derek O’Toole regarding the match funding.

Resolved:

That the Health Scrutiny Board be requested to undertake a review of mental health services in Torbay and that the findings of the review be disseminated to the Health and Wellbeing Board.

To receive an update on the current position of the Care Act.

The Board considered an update on the Care Act.  The Act will provide better support for carers and also puts into legislation the changes recommended by the Dilnot Commission regarding the funding of ‘Care and Support’.  The Government has made available £285 million for the new burdens arising from the Care Act, with the funding being allocated by the Department of Communities and Local Government.

Resolved:

That the Board noted:

i)       The significant changes to the delivery of Care and Support as outlined in the Care Act 2014; and

ii)     The estimated financial pressures the Care Act may have on the Council’s budget setting process 2015/16 onwards if Central Government do not fully fund these pressures.

To note the update from the Community Safety Partnership.

The Board noted the update from the Community Safety Partnership.  The Executive Head Community Safety requested the opportunity to present the Community Safety Partnership’s high level priorities to a future meeting of the Health and Wellbeing Board.

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

The Board noted the update and were informed that the regulatory assessment for the Integrated Care Organisation (ICO) has started with the commencement of ICO expected in July.

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

The Board noted the update from the Clinical Commissioning Group.