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

Apologies for absence were received from Mayor Oliver, Alison Hernandez, Pat Harris who was represented by Kevin Dixon and Nick Roberts who was represented by Gill Gant.

To confirm as a correct record the Minutes of the Health and Wellbeing Board held on 19 May 2016.

The Minutes of the Health and Wellbeing Board held on 19 May 2016 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 was pleased to announce that following the sugar awareness campaign the Herald Express had agreed to create a new Business Award for businesses that offer reduced sugar products.

Discussion topic.

The Board received a presentation from Mark Richards, Advanced Public Health Practitioner, on Healthy Torbay.  Mark informed Members phase 1 of Healthy Torbay was established in March 2015, the programme is managed by Public Health and supported by a strategy and action plan, at present the programme is internal to Torbay Council with multiple departments and business units represented.

Members were informed the programme was created to tackle the socio-economic and wider determinants of health in Torbay.  The programme has several work streams such as:

·         housing and health resulting in health related outcomes being recognised within new housing and homelessness strategies, and the Fire Service home safety checks are aligned with households subject to fuel poverty; and

·         healthy workplaces resulting in Torbay Council working towards accreditation level of Workplace Wellbeing Charter.

The Board were asked for their thoughts on what the future focus of Healthy Torbay may look like.  Mark advised that many work streams had health and wellbeing embedded and are delivering outcomes therefore it is envisaged these work streams continue ‘business as usual’ with periodical reporting on progress with focus shifting to work streams where there is scope to add value for example, emotional wellbeing (including isolation), economy and enterprise (including tackling poverty).

Members requested that the second phase of the programme consider whether partners should be involved, therefore enabling public health colleagues to take a whole system view of particular work streams.

Presentation

The Board received a presentation from Laura Nicholas, Director of Strategy for Northern, Eastern and Western Devon CCG (NEW Devon) on the Sustainability Transformation Plan (STP).  Laura informed Members that the STP planning process gives local health and care organisations the opportunity to develop a shared health and wellbeing vision, agree improvement priorities, develop new care models and deliver dynamic place based transformation plan to accelerate implementation of the Five Year Forward View.  The best plans will have a clear and powerful vision.  They will create coherence across different elements, for example a prevention plan, workforce, digital, new care models and finance.  Once the vision and values are established examination of how funds are spent and whether service delivery is providing the outcomes required can then be considered across the whole STP footprint.

Members were advised that the health system faces a significant funding gap.  Members were advised that there were six priority areas all underpinned by significant enabling work streams.  A submission was made to NHS England in June and to date indications have been that NHS England were pleased with the progress made and confidence has been expressed that the key initiatives will start to address the challenges the system is faced with.

The Board questioned whether the STP was a NHS or partnership plan, Laura advised that the plan was a partnership plan with a role for voluntary and community sectors with local leaders assisting to develop the vision.  The Health and Wellbeing Board had a role with the process by having a robust Health and Wellbeing Strategy with the Joint Strategic Needs Assessment (JSNA) being key to target work and influencing the wider determinants of health.

Members queried how community engagement regarding the new care model fitted within the STP.  Laura explained that the consultation regarding the community hospitals was part of the STP with acute services likely to be next, Laura explained that Torbay has a good model of practice regarding engagement especially with service users that are difficult to engage such as acute service users who tend to be transient.

Members suggested that a future meeting of the Health and Wellbeing Board debate straw models of what further integration looks like, examine what is being done locally and what would greater integration look like across wider Devon and what are the barriers.

To receive an update on the above.

The Board noted a report on the Torbay Safeguarding Adults Board and welcomed the new Independent Chair, Julie Foster.  Members noted that the Board had developed a Safeguarding Adults Strategic Plan which sets out its vision regarding safeguarding adults and identified five key priorities and objectives for strategic development.

Members made reference to the serious case review regarding the Western Rise Care Home, Members were reassured that the Adult Safeguarding Board would be closely monitoring the action plan and suggested a charter for care homes to achieve what the authority would consider to be a good standard.

To receive an update on the current position of the Torbay Culture Board.

The Board noted the update on the Torbay Culture Board.  Members were advised of funding opportunities and projects that had an impact upon the health and wellbeing of the participants.  The Board formally thanked Kate Farmery and her team for the work they had undertaken to date and were pleased to note that evidence of the success of the projects was being seen in other service areas.

To note the report on the above.

The Board noted a report that set out the actions determined at the Board’s seminar on 28 July 2016 and the progress to implement these actions.

To receive an update on the current position of the Community Safety Partnership.

The Board received an update from the Community Safety Partnership (CSP).  Vicky Booty, Partnerships Lead Manager, advised Members that the CSP had been considering its structure, governance and how the partnership fitted within the broader strategic structure of the Health and Wellbeing Board, Adults Safeguarding Board and Children’s Safeguarding Board.  A mapping exercise the four strategic boards was undertaken resulting in the CSP signalling a need to move to a leaner, more efficient governance structure.

Resolved:

That the Chairman of the Health and Wellbeing Board accept the invitation to meet with the Chairs of the four strategic boards in order to communicate regularly with each other to ensure that the combined efforts of the Boards are appropriately structured, efficient, and are able to drive forward change with shared accountability, collaborative approaches and in some cases joint commissioning.

To receive an update on the current position of the Better Care Fund.

Members noted the report that provided an update on the Better Care Fund (BCF).  Caroline Taylor advised the Board that the BCF had been compiled within a context of changing NHS guidance.  The BCF had been submitted in May 2016 following support in the form of mediation from the Local Government Association.  The Section 75 agreement has been signed between the Council and the CCG underpinning the BCF and is the legal document that supports the transfer of funds.

To receive an update on the above.

The Board noted the progress against the ‘Measure Up – Torbay’s Multi-Agency Strategy for Unpaid Carers’ and committed to ‘think person and their carer’ whenever responding to consultation regarding new models of care and plans.