A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Council and councillors

Agenda and minutes

Venue: Council Chamber, Catmose, Oakham, Rutland, LE15 6HP

Contact: Joanna Morley  01572 758271

Items
No. Item

80.

APOLOGIES FOR ABSENCE

Minutes:

Apologies were received from Mrs Helen Briggs, Mr Mark Andrews, Ms Roz Lindridge, Mr Robert Lake and Mr Will Pope. Ms Karen Kibblewhite and Ms Kate Holt attended as substitutes.

81.

RECORD OF MEETING

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 6 March 2018 (previously circulated).

Minutes:

The minutes of the meeting of the Rutland Health and Wellbeing Board held on 6 March 2018 were confirmed as a correct record and were signed by the Chair.

82.

DECLARATIONS OF INTEREST

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.

Minutes:

No declarations of interest were received.

83.

PETITIONS, DEPUTATIONS AND QUESTIONS

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.

 

Minutes:

No petitions, deputations or questions were received.

84.

RUTLAND LOCALITY PLAN pdf icon PDF 44 KB

To receive Report No. 117/2018 from the Chief Executive Officer, East Leicestershire and Rutland Clinical Commissioning Group

Additional documents:

Minutes:

Report No. 117/2018 was received from the Chief Executive Officer, East Leicestershire and Rutland Clinical Commissioning Group (ELR CCG).

 

Mr Tim Sacks presented the report, the purpose of which was to identify the healthcare and physical challenges faced by the locality in delivering healthcare in a collaborative way. The report provided the health building block for future work on planning collaborative health and social care delivery in Rutland.

 

During discussion the following points were noted:

 

·         The report was a high level overview and a sharing of a first draft and was not a replacement of the Sustainable Transformation Plan (STP) document. Instead the report was a starting point from which partners could ask what could be influenced specifically for Rutland and an opportunity to do something differently for the people of Rutland. There was not the ability to commission just for Rutland on such things, for example, as ambulance services but local services such as mental health services could be influenced.

·         Although not mentioned in the report, consideration would be given to the Rutland Hub project but from a CCG perspective, what services would be delivered in Rutland would not be dependent on what building they could go in.

·         The community provision for Rutland such as the number of available nurses needed to be defined in more detail.

·         The St Georges Development would have a major effect on Uppingham and Empingham surgeries.

·         When designing something for long term future need, more collaboration with Joint Strategic Needs Assessment (JSNA) colleagues would be sought.

·         The ELR CCG would still be commissioning services from the Corby Urgent Care Centre as 940 Rutland patients had accessed services from Corby.

·         The Save Corby Urgent Care Centre Action Group had just had the go ahead for a judicial review against their local CCG because they had not held a thorough public consultation about their plans.

·         A number of different models were being proposed by the government; amongst these were the ACO (accountable care organisations) model which would mean that services and the budget would be commissioned and managed by Rutland and the multi specialist provider (MSP) model which would mean a pooling of funding and commissioning for all non-acute services and would provide for a broader range of more integrated services in the community.  Partners would have to consider what services could be included and what services could be ‘repatriated’ from hospitals so that people did not have to travel.

·         The Integrated Locality Team (ILT) which looked at providing more care and support in the community than in the acute sector, would welcome input from voluntary groups on their work.

·         The ILT held monthly meeting with GPs so that they could take ownership and look at the design of commissioning models.

·         If clinic provision within Rutland was improved it would greatly enhance the patient provision.

 

·         There was a need to look at what was possible and if not, why not.

Members felt that understanding the timescales involved would help in terms of the engagement process.  ...  view the full minutes text for item 84.

85.

LEICESTERSHIRE SAFEGUARDING CHILDREN BOARD BUSINESS PLAN pdf icon PDF 58 KB

To receive Report No. 106/2018 from Simon Westwood, Chair of the Leicestershire and Rutland Safeguarding Children Board.

 

Additional documents:

Minutes:

Report No. 106/2018 was received from Simon Westwood, Chair of the Leicestershire and Rutland Safeguarding Children Board.(LRSCB)

 

During discussion the following points were noted:

 

·         The current form of the board was going to be abolished and would be replaced by multiagency safeguarding arrangements in 2019. The LSCB were working to an ambitious target of having the arrangements in place by April 2019. Until that came into place however the Board had to abide by its statutory requirements and work to current regulations.

·         The priorities for the LRSCB included partnership transition, the impact of multiple risk factors on children, making sure there were effective pathways and access to services, safeguarding against child exploitation and improving the approach to safeguarding children with Special Educational Needs and Disabilities (SEND).

·         It was noted that responsibility for the Child Death Overview Panel had now moved to Public Health, and that LSCB Members believed this would be in line with the new guidelines.

·         There was now a Young Persons Advisory Group to the Board which had identified some areas of work. The make-up of this group was a mixture with some children in the mainstream, some with care experience and some who were members of the Youth Council. Young people from Rutland were directly involved in this group.

·         The LRSCB had not specifically mentioned children’s mental health issues as it did not want to duplicate efforts and overlap the work of other boards in this area. Although the Board was keen to hear from them they did not feel that they should lead on this work.

·         The presentation on suicide which was to be given to the Health and Wellbeing Board later in the meeting had already fed into the LRSCB.

 

AGREED:

 

1.    The Board NOTED the LRLSCB Business Plan for 2018/19.

 

2.    The Board REQUESTED that the LRSCB passes on to the RCC Director for People the names of the Rutland young people involved in the Advisory Group.

86.

LEICESTERSHIRE SAFEGUARDING ADULTS BOARD BUSINESS PLAN pdf icon PDF 58 KB

To receive Report No. 113/2018 from Robert Lake, Chair of the Leicestershire and Rutland Safeguarding Adults Board.

 

 

Additional documents:

Minutes:

A report was received from Mr Robert Lake, Chair of the Leicestershire and Rutland Safeguarding Adults Board (LRSAB) As Mr Lake was unable to attend the meeting, Mr Westwood, Chair of the Safeguarding Children’s Board, delivered the report to the Board

 

During discussion the following points were noted:

 

 

·         This year there were no shared priorities with the Children’s Safeguarding Board and because of the statutory changes to the Children’s Board it would have been very difficult to align work strands.

·         There were joint areas of concern between the boards such as adult mental health issues and the issue of domestic violence on children but the boards did not work together on them.

·         The Board had been involved in partnership work with carers on the issue of consent.

 

AGREED:

 

1.    The Board NOTED the LRSAB Business Plan for 2018/19.

 

87.

LLR DEMENTIA STRATEGY: DELIVERY PLAN FOR RUTLAND pdf icon PDF 374 KB

To receive a presentation from Kim Sorsky, Senior Practitioner – Transitions and Complex Cases.

 

Minutes:

A presentation (appended to the minutes) was received from Ms Kim Sorsky, Service Manger, Adult Social Care. The presentation gave an update on the delivery plan for Rutland.

 

During discussion the following points were noted:

 

·         The strategy was very broad and had 20 action points but officers wanted to fine tune it for Rutland patients and what it would mean for them.

·         The Admiral Nurse Service for Rutland had been launched on March 21 of this year and was proving very successful.

·         Care navigation following diagnosis meant that there would be a named person that could be contacted about an individual’s care.

·         Service users were being supported to establish DEEP (Dementia, Empowerment and Engagement Project), that enabled dementia patients and their families to tell the services what support they needed.

·         The role of physical activity in the prevention of the disease and the slowing of its progression was well known and officers had started to make links with Active Rutland which would be built on.

·         Rutland had a clinical lead in the social care setting which enabled the co-ordination between services to work. This was different to the arrangement Leicester City and Leicestershire.

·         Closer working with GP surgeries would lead to better outcomes.

·         The service hoped to unlock community resources and have community led groups organizing activities for those with Dementia.

·         The strategy was in the process of being finalised.

 

 

AGREED: 

 

1.    That the Board NOTED the presentation

 

2.    That the Board AGREED that the Dementia Strategy would be shared with the Board before final approval.

 

 

 

88.

LLR CARERS STRATEGY: DELIVERY PLAN FOR RUTLAND pdf icon PDF 441 KB

To receive a presentation from Emma-Jane Perkins, Senior Service Manager – Adult Social Care.

Minutes:

A presentation (appended to the minutes) was received from Ms Emmajane Perkins, Senior Service Manager – Adult Social Care. The presentation gave an update on the Carers Strategy delivery plan for Rutland.

 

During discussion the following points were noted:

 

·         The Carers Strategy was running to a similar timescale as the Dementia Strategy and had been to Scrutiny and out to consultation

·         It was important to ensure that carers had a life outside of their caring responsibilities

·         The right support, at the right time, had to be available to carers

·         Everyone in the wider community needed to be upskilled so that they could recognize what and who a carer was. The number of carers would increase if the community were actively identifying them.

·         Housing MOT’s were available which looked at people’s home environments to help alleviate carers’ burden by providing, for example, a home safety check, warm home/energy advice, minor adaptations and assistive technology.

·         The Council had to ensure that young carers’ education and employment opportunities were not being compromised.

·         Social housing providers had worked very closely with housing MOT assessors and had looked at covering the costs involved going forward, including the maintenance of items such as Homeline.

 

 

AGREED: 

 

1.    That the Board NOTED the presentation.

 

2.    That the Board AGREED that a report on the Carers Strategy would be shared with the Board before its final approval.

 

 

 

 

89.

CLOSURE OF THE INTEGRATED POINTS OF ACCESS PROGRAMME

To receive a verbal update from Mark Andrews, Deputy Director – People.

 

 

Minutes:

A verbal update on the closure of the Integrated Points of Access Programme (IPOA) was received from Ms Karen Kibblewhite, Head of Commissioning on behalf of Mr Mark Andrews, Deputy Director for People.

 

The following points were noted:

 

·         The Board had previously discussed this project and had noted that the Council did not believe Rutland would benefit from participating in the IPOA.

·         The business case for the IPOA had been completed and had not proved viable so the programme as a whole was not being taken forward.

 

 

AGREED:

 

1.    The Board NOTED the update on the IPOA

 

90.

JOINT STRATEGIC NEEDS ASSESSMENT

To receive a verbal progress update from Mike Sandys, Director of Public Health.

Minutes:

A verbal update on the Joint Strategic Needs Assessment (JSNA) was received from Mike Sandys, Director of Public Health.

 

During discussion the following points were noted:

 

·         The Board had a statutory responsibility to produce a JSNA. The last one was completed in 2015 and was due to be refreshed; a new JSNA would therefore be completed for December of this year.

·         The JSNA reference group were overseeing the JSNA process and the Integration Executive would approve the draft version of the Rutland JSNA.

·         A draft version of the JSNA 2018 would be ready for the September meeting of the Health and Wellbeing Board and comment by Board members.

·         Members requested that the draft JSNA went to Scrutiny for comment before final approval.

 

AGREED:

 

1.    The Board NOTED the verbal update on the JSNA

 

2.    The Board AGREED that the draft JSNA would be presented at the Health and Wellbeing Board meeting on 18 September 2018.

 

3.    The Board AGREED that the draft JSNA should go to Scrutiny before its final approval at the end of the year.

 

 

91.

LLR SUICIDE PREVENTION PROGRAMME pdf icon PDF 465 KB

To receive Report No. 108/2018 from Dr Mike McHugh, Consultant in Public Health.

 

Additional documents:

Minutes:

Report No. 108/2018 was received from Dr. Mike McHugh, Consultant in Public Health.

 

 

During discussion the following points were noted:

 

·         Suicide was an incredibly complex issue and as such many organisations were involved in tackling it.

·         Both the Health and Wellbeing board and Scrutiny Panels were involved in the governance of the Suicide Prevention Programme.

·         Suicide was not inevitable and work was concentrated on preventative measures.

·         Overall suicide rates had been in decline until the onset of the recession about ten years ago and since then it had started to creep up again.

·         The latest focus of the programme was on a STOP Suicide Leicester, Leicestershire and Rutland (LLR) task and finish group which was developing a website to capture all of the preventative work that was happening.

·         Leicestershire County Council Public Health had been challenged to reduce suicide deaths further by adopting and learning from the STOP suicide prevention programme that Peterborough and Cambridgeshire had developed.

·         The LLR STOP programme would have a dedicated co-ordinator that would join up with the work of the Audit and Prevention group as well as external organisations such as the Police.

·         Members wanted to know whether Rutland, in light of the fact that the County had less deprivation and less of the 30-54 demographic that made up the majority of suicides, was faring worse or better than neighbouring Councils.

·         Sessions of awareness training regarding suicide and self-harm had been funded for those who worked with children and young people.

·         It was extremely difficult to measure the impact of different preventative measures and as such the only valid measure was seeing a reduction in the rate of death by suicide.

·         The STOP campaign would have the same targeting challenges faced by any other preventative area.

·         There would be representatives from Rutland involved in the campaign so that any risk factors or particular triggers because of the county’s rurality would not be ignored or neglected.

·         The STOP campaign was about targeting people before they got to crisis point and the campaign wanted to have an organisational pledge from Rutland County Council to support its work looking at risk factors.

·         There would be no cost to Rutland County Council of being involved in the campaign as the costs were already being borne by Leicestershire County Council.

·         The campaign would mean that there would be extra resources for the partners involved in the campaign and the work would be carried out alongside wider suicide prevention activities.

 

AGREED:

 

1.    The Board NOTED the purpose and work of the LLR Suicide Audit and Prevention Group

 

2.    The Board NOTED and APPROVED the LLR Suicide Prevention Strategy and Action Plans (2017-20)

 

3.    The Board NOTED the creation and development of the STOP Suicide Leicester, Leicestershire and Rutland programme and AGREED that an additional report should be presented to the Adults and Health Scrutiny Panel for comment and approval before the full support of Rutland County Council could be pledged.

 

92.

CHILDREN'S TRUST BOARD - UPDATE ON THE CHILDREN, YOUNG PEOPLE & FAMILIES PLAN: 2017/2018 ACTIONS pdf icon PDF 68 KB

To receive report No. 110/2018 from Bernadette Caffrey, Head of Service: Early Intervention, SEND and Inclusion.

 

Additional documents:

Minutes:

Report no. 110/2018 was received from Bernadette Caffrey, Head of Service: Early Intervention, SEND and Inclusion.

 

The report was taken without debate.

93.

ANY URGENT BUSINESS

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

Minutes:

There was no urgent business.

94.

DATE OF NEXT MEETING

The next meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 18 September 2018 at 2.00 p.m. in the Council Chamber, Catmose.

 

Proposed Agenda Items:

 

·         Children’s Mental Health Transformation Plan: Future in Minds

·         Health and Wellbeing Annual Report

 

 

 

 

 

 

Minutes:

The next meeting of the Rutland Health and Wellbeing Board would be on Tuesday 18 September 2018 at 2.00pm in the Council Chamber, Catmose.

 

Proposed Agenda Items:

 

·         Children’s Mental Health Transformation Plan: Future In Minds

·         Health and Wellbeing Board Annual Report

·         Draft JSNA

 

 

 

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The Chairman closed the meeting at 4.10pm

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