To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 28 March 2017 (previously circulated).

The minutes of the meeting of the Rutland Health and Wellbeing Board held on the 28 March 2017, copies of which had been previously circulated, were confirmed as a correct record and signed by the Chair.

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.

To receive any petitions, deputations and questions received from Members of the Public in accordance with the provisions of Procedure Rule 93.

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.

No petitions, deputations or questions were received.

To receive Report No. 130/2017 from Vivienne Robbins, Consultant in Public Health to provide assurance from the LLR Health Protection Board that it is meeting its statutory functions

Report No. 130/2017 from Vivienne Robbins, Consultant in Public Health was received.  The report was presented by Dr Mike McHugh, Consultant in Public Health.

During discussion the following points were noted:

a)    Priorities for the next 12 months included anti-microbial resistance and E-coli in urinary tract infection; and on-going emergency plans.

b)    The Board requested intermediate updates on priorities and if there was an incident in Rutland, a report on the management of the incident.

c)     The text of future reports would be more Rutland focussed.

AGREED:

1.     The Board NOTED the specific health protection issues that had arisen locally and steps taken to deal with these.

To receive Report No. 131/2017 from Mike Sandys, Director of Public Health

Report No. 131/2017 from Mike Sandys, Director of Public Health was received.  The report was presented by Dr Mike McHugh, Consultant in Public Health.

During discussion the following points were noted:

a)    Public Health England profiles and indicators were due to be published the week commencing 3rd July 2017.

b)    The relative affluence of Rutland tracked closely to good health outcomes. However, this could result in problems, such as, childhood obesity being hidden.

c)     Nationally, obesity was a massive challenge.  Childhood obesity was starting to plateau but it was important to continue to monitor this area.

d)    Rutland County Council was able to access areas of deprivation in the county through its business strategy management.

e)    Road Traffic Accident figures (killed or seriously injured) were affected by a number of factors that were beyond the control of the Local Authority including the A1; and there was a link nationally where military personnel had recently returned from active service abroad and accidents.  Locally, the Fatal 4 continued to run and the police working together with the fire service and schools were undertaking preventative work.

f)      The Board felt that the recommendations were too broad. It was agreed that the Chair in conjunction with the Deputy Director for People would decide on areas to drill down.

g)    That it was important to look at positive impacts as well as the negative.

h)    Hospital stays for self-harm: predominately younger people. LLR working with schools on the ‘Future in Mind’ programme.

i)       Workplace Wellbeing Charter: Partners requested to consider how to encourage employers to sign and how to reach out to the private sector.

j)      Having declared an interest, the Chair, Mr Clifton, stated that it would be beneficial to work with whoever was awarded the Working Health Programme contract being commissioned by the DWP.  Mr Clifton undertook to pass contact details to Dr McHugh to allow for direct contact with the successful bidder.

AGREED:

1.     The Board AGREED to support the recommendations in the report.

2.     The Board AGREED that the Chair in conjunction with the Deputy Director for People would decide on areas to drill down (discussion point f)).

3.     The Chair AGREED to pass contact details to Dr McHugh to allow for direct contact with the successful bidder for the Working Health Programme contract (discussion point j)).

To receive Report No. 121/2017 from Bernadette Caffrey, Head of Families Support – Early Intervention on the SEND transformation plan and the SEND inclusion strategy

Report No. 121/2017 from Bernadette Caffrey, Head of Families Support – Early Intervention was received.

Ms Caffrey gave a presentation to the Board.

During discussion the following points were noted:

a)    The Local Authority was responsible for identifying suitable provision to meet needs.

b)    Parents were involved in naming choice of provision.  Parents had the right to take the Authority to appeal if not in agreement with the provision identified.

c)    The £500k funding for SEND was not ring-fenced and it’s being earmarked to SEND provision, which will require Cabinet approval.

d)    Out of county provision, can result in young people missing out on peer friendships in their community and can be a challenge for their transition into independence and adulthood. 

e)    The High Needs funding sum presented did not include the approximate cost of £500k per annum to transport children to their provision.

AGREED:

1.    The Board NOTED the update on the SEND transformation and requested a progress update on the SEND Action Plan in six months.

2.    The Board NOTED the forthcoming Peer Review and Ofsted and CQC area inspection.

To receive a Report No. 126/2017 from Sandra Taylor, Health and Social Care Integration Manager, Rutland County Council

Report No. 126/2017 from Sandra Taylor, Health and Social Care Integration Manager was received.  The report was presented by Mark Andrews, Deputy Director for People.

During discussion the following points were noted:

a)    The Better Care Fund Framework was expected to remain the same.

b)    There had been an increase in the Disabled Facilities Grant.

c)     The Improved Better Care Fund (i-BCF) was allocated over three years.

d)    Voluntary additional contribution of £136k received from Rutland County Council.

e)    In agreement with Partners, Rutland’s Better Care Fund programme would sustain the actions contained in the 2016-17 programme with scope for adjustment or reorganisation.

f)      There was a national approval process for the spending of the additional funding.  With spending to be drafted there was a small risk to the two funding organisations.

g)    Rutland on track to meet new Government guidelines.

h)    Rutland would be reliant on the Midlands Alliance to meet new Government targets.

i)       Percentage of older residents still at home 91 days after discharge from hospital (97%) was the highest in the East Midlands.

AGREED:

1.     The Board NOTED the budget position, with increased funding available.

2.     The Board NOTED the position in relation to the new 2017-18 – 2018-19 BCF Programme,

3.     The Board confirmed INTERIM APPROVAL for the actions in Appendix 1 to continue or proceed, pending national readiness.

4.     The Board AGREED to approve the final plan by correspondence if the timing did not coincide with a scheduled HWB meeting.

There was no urgent business.

The next meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 26 September 2017 at 2.00 p.m. in the Council Chamber, Catmose.

Proposed Agenda Items:

General Practice Five Year Forward View

East Midlands Ambulance Service: Rutland Listening Event – Final Report

Future meetings of the Rutland Health and Wellbeing Board will be held at 2.00 p.m. in the Council Chamber, Catmose on the following dates:

Tuesday, 26 September 2017

Tuesday, 5 December 2017

Tuesday, 6 March 2018

DISTRIBUTION

MEMBERS OF THE Health and Wellbeing Board:

OTHERS FOR INFORMATION

The next meeting of the Rutland Health and Wellbeing Board would be on Tuesday 26 September 2017 at 2.00 p.m. in the Council Chamber, Catmose.

AGREED:

The following items would be included on the next agenda:

1.     General Practice Five Year Forward View

Report from Tim Sacks, Chief Operating Officer, East Leicestershire and Rutland Clinical Commissioning Group

2.     East Midlands Ambulance Service: Rutland Listening Event – Final Report