The Chair welcomed everyone to the meeting.  Apologies were received from Mike Sandys.

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on the 27^th June 2023.

The minutes of the Rutland Health and Wellbeing Board meeting held on the 27^th June 2023 were approved as an accurate record.

To review and update the actions arising from the previous meeting.

Action 1

Emma Jane Hollands, Head of Community Care Services to distribute the mental health pathways by the 18th July 2023.

The Strategic Director of Adult Services and Health confirmed that the action had been completed.

Action 2

Councillor Ellison to circulate a copy of the independent review undertaken by the Rutland Health & Social Care Policy Consortium regarding the ICB’s implementation of the guidance to the Director of Public Health and the Chief Strategy Officer, LLR ICB.

Councillor Ellison confirmed that the action had been completed.

In accordance with the Regulations, Members are invited to declare any personal or prejudicial interests they may have and the nature of those interests in respect of items on this Agenda and/or indicate if Section 106 of the Local Government Finance Act 1992 applies to them.

There were no declarations of interest.

To receive any petitions, deputations and questions received from Members of the Public in accordance with the provisions of Procedure Rule 73.

The total time allowed for this item shall be 30 minutes.  Petitions, declarations and questions shall be dealt with in the order in which they are received.  Questions may also be submitted at short notice by giving a written copy to the Committee Administrator 15 minutes before the start of the meeting.

The total time allowed for questions at short notice is 15 minutes out of the total time of 30 minutes.  Any petitions, deputations and questions that have been submitted with prior formal notice will take precedence over questions submitted at short notice.  Any questions that are not considered within the time limit shall receive a written response after the meeting and be the subject of a report to the next meeting.

There were no petitions, deputations or questions.

To consider any questions from Members received under Procedure Rule 75.

There were no questions with notice from members.

To consider any Notices of Motion from Members submitted under Procedure Rule 77.

There were no notices of motion from members.

30 MIN

To receive a presentation from Debra Mitchell, Deputy Chief Operating Officer, Leicester, Leicestershire and Rutland Integrated Care Board.

ITEM FOR DISCUSSION

A presentation was received from Debra Mitchell, Deputy Chief Operating Officer, LLR ICB giving an update on the Rutland Health Plan.  During the discussion, the following points were noted:

A copy of the presentation would be distributed with the minutes but if members had any queries, they should contact the Deputy Chief Operating Officer.

The Chair of Healthwatch requested that a list of the Rutland pharmacies who would be involved in ‘Pharmacy First’ should be publicised to prevent members of the public being charged for private prescriptions. 

The Strategic Director of Adult Services and Health stated that the presentation identified what the Leicester, Leicestershire and Rutland 5 Year Joint Forward Plan (LLR 5YJFP) would mean for Rutland and its residents.

The Deputy Chief Operating Officer confirmed that a more ‘user friendly’ format would be published for the public.

The Group Director of Strategy & Partnerships Leicestershire Partnership NHS Trust & Northamptonshire Healthcare NHS Foundation Trust asked members to note the recently published annual LLR report - Learning from Lives and Deaths: People with a Learning Disability and autistic people (LeDeR).

Members noted that some areas of the plan were in the first stages of development while others were more advanced.

The Rutland Health Plan was ambitious but would be achieved through positive partnership working.

15 MIN

To receive a verbal update from Adrian Allen, Assistant Director – Delivery, Public Health.

ITEM FOR DISCUSSION

A verbal update was received from Adrian Allen, Assistant Director – Delivery, Public Health.  During the discussion, the following points were noted:

The next chapters of the Joint Strategic Needs Assessment (JSNA) - Substance Misuse and Alcohol Misuse – had been postponed for review/approval by the HWB until the January meeting as the two chapters had been merged into one and required finalising by the respective groups.

Work on the Rutland Military and Veterans Needs Assessment was ongoing.

Mental health and learning disabilities were being scoped as the next chapters of the JSNA with links between the two to be clearly identified.

Phases 2 and 3 of the JSNA were being planned for 2024/2025 with chapters:

• Best Start for Life
• Staying Healthy & Independent
• Healthy Ageing
• Equitable Access to Services

The removal of the chapter ‘COVID Recovery’ was being discussed due to relevancy.

An updated version of the JSNA would be circulated with the minutes.

10 MIN

To receive Report No. 148/2023 from Katherine Willison, Health and Integration Lead, Rutland County Council.

ITEM FOR INFORMATION

Report No. 148/2023 was received from Katherine Willison, Health and Integration Lead, Rutland County Council. 

The report gave an update on the progress of the Joint Health and Wellbeing Strategy Delivery Plan and highlighted elements of the Rutland Outcomes Report.

There were no questions.

RESOLVED

That the Board:

NOTED the further development of the JHWS Delivery Plan.

NOTED the latest Rutland Outcomes Report.

10 MIN         

To receive Report No. 150/2023 from Katherine Willison, Health and Integration Lead, Rutland County Council.

ITEM FOR INFORMATION

Report No. 150/2023 was received from Katherine Willison, Health and Integration Lead, Rutland County Council.  During the discussion, the following points were noted:

The Joint Health and Wellbeing Strategy Delivery Plan had been updated following comments and feedback received at the last meeting.

An ‘easy read’ summary version had been completed for public use and a copy would be sent to Healthwatch for comment.

ACTION: Katherine Willison

RESOLVED

That the Board:

NOTED the content of the report.

NOTED the finalisation of the Health and Wellbeing Communication and Engagement Plan following input from stakeholders, including representation from Children’s Services.

10 MIN

To receive Report No. 151/2023 from Dawn Godfrey, Strategic Director of Children and Families.

ITEM FOR INFORMATION

Report No. 151/2023 was received from Councillor Tim Smith, Portfolio Holder for Children’s Services and Dawn Godfrey, Strategic Director of Children and Families, Rutland County Council.  During the discussion, the following points were noted:

Councillor Smith informed the Board that the inspection report reflected well on all those involved in the provision of SEND services.

Work was ongoing regarding the suggested three areas of improvement detailed in the report.

Rutland County Council (RCC) had been appointed joint lead alongside Leicestershire County Council and Leicester City Council for the East Midlands Change Partnership in relation to the SEND and Alternative Provision national change programme.

It was agreed that the Deputy Chief Operating Officer would check to ensure that the suggested health actions were referenced in the Rutland Health Plan.

ACTION: Debra Mitchell

RESOLVED

That the Board:

NOTED the Area SEND inspection outcome and the Delivering Better Value (DBV) Programme progress.

10 MIN

To receive Report No. 149/2023 from Emma Jane Hollands, Head of Community Care Services.

ITEM FOR APPROVAL

Report No. 149/2023 was received from Emma Jane Hollands, Head of Community Care Services.  During the discussion, the following points were noted:

The Action Plan was an ‘easy read’ summary of what the Rutland Mental Health Neighbourhood Group was doing.

Pepper’s Café was the first Mental Health Neighbourhood Café in Rutland.

The Board noted the excellent work provided by the RISE Team.

The Strategic Director of Adult Services and Health noted that the Action Plan was a ‘work in progress’ and that further details regarding timelines would be included moving forward.

The Head of Community Care Services confirmed that the strategy covered all ages including children and young people and that the LLR Mental Health Collaborative Group worked to identify any gaps in the mental health service provision and resolve any issues.

RESOLVED

That the Board:

APPROVED the Rutland Neighbourhood Mental Health Strategy 2023-2027 and Rutland Neighbourhood Mental Health Action Plan 2023-2027 for the Rutland Mental Health Neighbourhood Group.

10 MIN

To receive Report No. 146/2023 from Katherine Willison, Health and Integration Lead, Rutland County Council.

ITEM FOR INFORMATION

Report No. 146/2023 was received from Katherine Willison, Health and Integration Lead, Rutland County Council.  During the discussion, the following points were noted:

The report highlighted the progress of the Rutland BCF Partnership Board and detailed the Rutland Better Care Fund (BCF) Programme Plan, which had been submitted for approval to the BCF national team on the 28^th June 2023.

The Health and Integration Lead informed the Board that since the publication of the report, the Rutland BCF Programme Plan had gained assurance at national level.

RESOLVED

That the Board:

NOTED the content of the report.

NOTED the Rutland 2023-25 Better Care Fund plan, submission of which to the BCF national team on 28 June 2023 was signed off by the Chair of the Health and Wellbeing Board.

10 MIN

Annual review and update of the Terms of Reference for the Rutland Health and Wellbeing Board.

ITEM FOR REVIEW

The Terms of Reference for the Rutland Health and Wellbeing Board were reviewed.  During the discussion, the following points were noted:

Under Section 5 - Position within wider governance: the two new sub-groups of the Health and Wellbeing Board – the Mental Health Neighbourhood Group and the Staying Healthy Partnership – should be listed under the existing two sub-groups.

Under Section 1 – Aim: The World Health Organisation’s definition of ‘health’ would be added to clearly state its meaning with regard to the aims of the Health and Wellbeing Board.

Under Section 7 – Membership: the ‘Clinical Commissioning Groups’ would be amended to read the ‘Integrated Care Board’.

It was agreed that the Clinical Place Lead for Rutland, Dr Lynette Freire-Patino would be included as a member of the Rutland Health and Wellbeing Board.

RESOLVED

That the Board:

APPROVED the Terms of Reference for the Rutland Health and Wellbeing Board subject to the requested amendments being made.

5 MIN

To consider the current Forward Plan and identify any relevant items for inclusion in the Rutland Health and Wellbeing Board Annual Work Plan, or to request further information.

The Forward Plan is available on the website using the following link:

https://rutlandcounty.moderngov.co.uk/mgListPlans.aspx?RPId=133&RD=0

The work plan was discussed and the following amendments were agreed:

The Group Director of Strategy & Partnerships Leicestershire Partnership NHS Trust & Northamptonshire Healthcare NHS Foundation Trust requested that the recently published annual LLR report - Learning from Lives and Deaths: People with a Learning Disability and autistic people (LeDeR) – be added to the January meeting’s agenda.

The Strategic Director of Children and Families requested that an update on the Early Language and Support for Every Child (ELSEC) be added to the April meeting’s agenda.

The Chair noted that details regarding ‘Winter Preparedness’ and the vaccination services would be sent to members of the Board.  The Board urged members of the public to get their COVID and flu vaccinations using the mobile COVID and flu vaccination service to help health services with their winter preparedness. 

5 MIN

To receive any items of urgent business, which have been previously notified to the person presiding.

There was no urgent business.

Tuesday, 16^th January 2024 at 2.00 p.m.

Tuesday, 16th January 2024 at 2.00 p.m.