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

Apologies for absence were received from Councillors Pritchard and Scouler, Paula Vasco-Knight and Sam Barrell who was represented by David Greenwell.

To confirm as a correct record the Minutes of the Health and Wellbeing Board held on 3 December 2014 and note the actions set out in Appendix 1.

The minutes of the meeting of the Health and Wellbeing Board held on 3 December 2013 were confirmed a correct record and signed by the Chairman.

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

The Board noted the update on Adult Services and paid particular attention to patient participation groups and the potential for duplication with Healthwatch Torbay.

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

The Board noted the update from the Clinical Commissioning Group in particular the progress being made on Pioneer.  Members were informed that the strategy for the Pioneer Community Hubs was progressing and being led by the locality groups.   Members were advised that before a physical location of the Hubs could be determined the function and role needed to be established.

Members welcomed the update on Pioneer and requested updates be presented at all future meetings.

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

Members noted the update on Public Health and Caroline Dimond, Interim Director for Public Health responded to Members questions.  Members welcomed the reference to offender health in the draft Public Health Business Plan: 2014-2015.

To receive an update on the current position of Healthwatch Torbay.

Members noted the report and were advised of concerns that Healthwatch Torbay had regarding the lack of a clear information and advice strategy and a lack of ‘point of contact’ for the local authority.  The Board were advised of various different organisations trying to co-ordinate information and advice in their field however the co-ordination of services did not cut across different sectors and was therefore leading to duplication.  Richard Williams, Director of Children’s Services, advised of an initiative with the Community Development Trust (CDT) and in order to cross the sector boundaries Richard agreed to establish a working group including the Joint Commissioning Group, Healthwatch Torbay and CDT.

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

The Board noted the update on Children’s Services and welcomed the news that the service was no longer judged as being in ‘intervention’.  Richard Williams advised the Board that future inspection regimes would be more intense with inspections taking four weeks with a quarter of Children’s Services cases being examined.  The inspection regime would also examine how the service took on the views of children and young people which it was hoped Healthwatch Torbay would be able to help with. 

The Board praised Richard Williams and his staff for their hard work to improve the service.

To receive an update on the current position of the Police & Crime Commissioner.

Members of the Board noted the update from the office of the Police & Crime Commissioner (PCC).  Members were advised that following an inspection by Her Majesty’s Inspectorate of Constabulary (HMIC) concerns were raised regarding the number custody suites that were used for detaining people under the ‘Mental Health Act 1983 section 136 places of safety in exceptional circumstances’.  The PCC and the constabulary has to address the situation as per the recommendation of the HMIC, in order to do so a peninsula wide steering group had been established and funds had been allocated to a triage initiative that would aid custody officers in dealing with people detained under section 136.

Members questioned who was representing Torbay’s views at the peninsula wide steering group.  Members were advised that Amanda Fisk, Director of Operations and Delivery (NHS England) was the local link for Torbay.

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

Members noted the update on the Integrated Care Organisation, the report set out the progress that had been made on the integration of the care model and care pathways.

To consider a report provides an update on the Better Care Fund and in addition sets out the Clinical Commissioning Group Strategic Plan for 2014-19.

Members considered a report that provided an update on the Better Care Fund that would deliver the priorities to achieve whole system change through the Integrated Care Organisation and progress the projects as set out in the Pioneer bid.  The report also detailed the Clinical Commissioning Group Strategic Plan 2014-19 for comments from the Board.

Resolved:

That the Health and Wellbeing Board

i)     noted and supported the current return for the Better Care Fund, the Integration Next Steps summary and the ambition to have an amassed fund of £3.5 million;

ii)    noted and supported the preferred local metric as set out in the submitted report; and

iii)   noted and supported the South Devon and Torbay Clinical Commissioning Group Strategic Plan 2014-19.

To note the report.

Members considered and noted the update on Winterbourne View and welcomed the opportunity to consider the Learning Disability Strategy at a future meeting of the Board.

To receive a briefing from John Hamblin, Shekinah Mission, on a low alcohol drink initiative which will be launched in Torbay.

The Board received a presentation from John Hamblin, Shekinah Mission, on a low alcohol initiative that was being launched in Plymouth and could be considered for Torbay.  Members were advised that the initiative sought shops and off licences to introduce a voluntary ban on selling ‘super’ strength alcohol.  Members were advised that in areas where the initiative had been launched a strong evidence base had been compiled highlighting that the consumption of super strength alcohol was contributing to a particular problem such as crime and anti-social behaviour or health and poverty.

Resolved:

That a steering group consisting of the Executive Head of Community Safety, John Hamblin of Shekinah Mission, an officer from the Public Health Team and an appropriate Officer from Devon and Cornwall Constabulary be established to lead the implementation of a low alcohol drink initiative.

To consider a report that asks the Health and Wellbeing Board to sign up to the Time to Change pledge.

The Board considered a report that set out the Time to Change pledge.  Members were advised that national guidance ‘No Health without Mental Health’ required the development and implementation of an action plan that aimed to:

Ø  Reduce the stigma surrounding mental health problems in the workplace;

Ø  Support the principle of the ‘Five Ways to Wellbeing’ in terms of all Torbay Council policies, processes and procedures;

Ø  Support a positive model of mental health and wellbeing for Adult, Young People and Children’s Services.

Resolved:

i)     that the Health and Wellbeing Board signs up to the Time to Change pledge and oversees the development of an Action Plan which will become a core part of a revised joint Torbay Health and Wellbeing Strategy and requires a change in culture; and

ii)    that the Health and Wellbeing Board support the current Mental Health Champion, to work with the Public Health Mental Health lead to develop a culture which challenges stigma and discrimination around mental health, and to develop an action plan to ensure that this is embedded in good governance, practice and behaviours.

Discussion Topic: In light of significant budget reductions what can the Health and Wellbeing Board do to lessen the impact of these changes on the health and social care system?

Members were advised that as already witnessed the local authority is experiencing unprecedented budget pressures which have had a knock on effect for services in Torbay.  Members were informed that further shrinkages in finances are likely therefore a debate was required to determine whether the notion of one health and social care system can ‘shape up’ quick enough to avoid a breakdown in the system.

The Board recognised that the different organisations represented at the Health and Wellbeing Board had common priorities but the budgetary pressures would require work that was radical, with fast implementation and strong leadership as there would be further budget issues in 12 months time.  Members felt that the Health and Wellbeing Board should be consulted on future budget targets to enable debate about the potential impact upon services.

In light of the budget pressures and the Board having been in operation for 12 months during which time the Board had heard details of a range of different initiatives and responded to the changing government agenda for health and wellbeing boards, Members felt it appropriate to undertake a review of the Health and Wellbeing Board’s priorities and evaluate the governance framework.  In order to facilitate such a review Members were requested to complete the ‘Ten questions every Health and Wellbeing Board should ask about its Joint Health and Wellbeing Strategy’ and return their views to Gerry Cadogan by 28 February 2014.