Venue: Council Chamber, Catmose, Oakham, Rutland, LE15 6HP. View directions
Contact: Joanna Morley 01572 758271
Apologies were received from Inspector Siobhan Gorman (Leicestershire Constabulary), Dawn Richards (Spire Homes) and Melanie Thwaites (Leicester City CCG).
RECORD OF MEETING
To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 25 June 2019 (previously circulated).
The minutes of the meeting of the Rutland Health and Wellbeing Board held on 25 June 2019 were confirmed as a correct record and signed by the Chairman.
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.
No declarations were received.
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.
No petitions, deputations or questions were received.
To receive Report No.01/2020 from Trish Crowson, Senior Public Health Manager.
Report No.01/2020 was introduced by Mike Sandys, Director of Public Health.
During discussion the following points were noted:
· The report summarised the main points that had come out of the workshop held in October, with the main focus being working with the community and getting an authentic ‘voice’ feeding into the document.
· It would be a much more meaningful process if engagement with the community took place at initial stages rather than consulting afterwards on a fully completed process and document.
· The Strategy was going to look very different to previous years’ versions.
· There was an emerging ambition to develop a plan for broader health care for Rutland which officers needed to be mindful of.
· There needed to be a focus on the key enablers of connectivity and IT solutions as there were some major pieces of work currently happening that needed to be aligned. These included the community services review of the health plan, the planning strategy (including the plan for health estate), and the joint strategic needs assessment.
· It needed to be recognised that getting community input would have a financial implication.
The Board endorsed the report as an accurate reflection of the outcomes from the workshop in October and agreed that it should form the basis for the draft Health and Wellbeing Strategy. Subject to available resource, officers would look to present the Strategy to the Board in March.
To receive Report No.09/2020 from Karen Kibblewhite, Head of Commissioning.
Report No.09/2020 was received from Karen Kibblewhite, Head of Commissioning. Mark Andrews, Strategic Director for People introduced the report which provided some background information to support and inform the discussions relating to military health and wellbeing that were to follow the presentations.
To receive a presentation from Mike Sandys, Director of Public Health.
Mike Sandys, Director of Public Health gave a presentation (appended to the minutes) on the Health Needs Assessment for Army Personnel and their families which had been carried out in 2018 and published in autumn 2019.
During discussion the following points were noted:
· The assessment included the army personnel and their families but did not include veterans.
· Rutland had the third highest military population after Wiltshire and North Yorkshire.
· Awareness of army life needed to be raised so that civilians had an understanding of their unique lived experience.
· Most local authorities working on a needs assessment focussed on quantative work but this assessment had also undertaken some important qualitative work.
· The mental health of army personnel and their families was similar to that of the general population with the most common issues being depression and anxiety.
· The full needs assessment could be found at:
To receive a presentation from Michelle Woolman–Lane, Armed Forces Officer.
Michelle Woolman-Lane, Armed Forces Officer gave a presentation (appended to the minutes) on the Armed Forces Survey. The survey, which was undertaken between January and April 2019, supported the aim of the Armed Forces Covenant which was to ensure that those serving and who had served in the Armed Forces, and their families, were treated fairly and were not disadvantaged by their service.
During the discussion the following points were noted:
· The survey looked at armed forces families that were living and working locally and the much wider dispersed ie. where the family was living locally but where the service man or woman was working away and coming back at weekends.
· Mrs Woolman-Lane as armed force officer, covered three areas; Rutland, South Kesteven and Harborough and the survey was conducted across these three regions. 59% of those who responded were from Rutland.
· Those surveyed included regular personnel, reservists, veterans, families and the bereaved.
· The local military population data was difficult to quantify and compare as the number of personnel changed so often and the parameters of having a military connection could be viewed differently by different communities.
· The MoD produced figures on the number of serving personnel but this was taken at a specific point in time.
· The largest number of responses came from veterans.
· The number of service children in school was an accurate figure as it was provided by the National Audit Office who monitored those in receipt of the service pupil premium.
· In response to a question on whether the number of children from military families in Rutland’s independent schools was known, Mr Smith, who used to work at Oakham School, responded that during his time there 7% of boarders were children of military personnel. The number of boarders was higher than the number of day pupils because boarding places were funded by the military.
· In total nearly 25% of the Rutland population had served/were serving, or as family members had direct experience of military life.
· 21% of regular serving personnel who responded were female; nationally this was usually 10%.
· Only 46% of serving personnel lived in MOD housing with the rest choosing to live in the community.
· The impact on family life, especially in terms of mental health, came through very strongly.
· It was the younger age groups where most loneliness was experienced.
· An unexpected bonus of the survey was the qualitative aspect. There were only three areas where you could free text but 450 responses were given.
· A series of recommendations had been produced some of which overlapped with the Health Needs Assessment.
· Of particular concern was that military personnel and their families who were on waiting lists for medical treatment should not be disadvantaged if they were posted to a different area. In theory, the patient should go on the list in the new area from the time that they were originally referred in their former location. In practice, however, there were problems with the IT systems that could not cope with these transfers. ... view the full minutes text for item 425.
To receive a presentation from Dr Richard Hurwood, Co-Chair Leicester, Leicestershire and Rutland Civil & Military Partnership.
Dr. Richard Hurwood, Co-Chair of Leicester, Leicestershire and Rutland Civil and Military Partnership Board gave a presentation (appended to the minutes) on the work of the Board.
During the discussion the following points were noted:
· The Board was started in 2017 and was sponsored by the Council but had no statutory powers.
· The Armed Forces Covenant was promoted by the Board which also provided networking opportunities for statutory and voluntary organisations.
· There was an Armed Forces Veteran Friendly accreditation scheme for GP practices to sign up to and all four Rutland GP practices were members of it.
· University Hospitals Leicester (UHL) and the Leicestershire Partnership Trust (LPT) were both holders of the MoD Employer Recognition Scheme Gold Award.
· The health of military personnel around alcohol abuse was something that Board members needed to be aware of.
· Spino-skeletal problems and deafness were two of the most common health issues for people leaving military service.
· In response to a question from Dr Fox on what mechanism UHL had in place to pick up on military patients and make sure they were seen, Tim Sachs, Chief Operating Officer of ELR CCG stated that there was no formal process or contractual issue that meant that military personnel must be expedited. Dr Fox clarified that it was not about preferential treatment but about being put on the waiting list where they were before so that they were not disadvantaged. Mr Sachs was not aware of what was happening with this issue and it would be one of the commissioning acts that he would investigate further.
· The Council had run an event in schools for the children of military personnel. The broad message that came out of the event was that although many children experienced issues such as separation and moving schools there was a need to understand the context in which it was done. Understanding the military context meant schools would be better able to respond.
· There was a need to tailor services to the individual rather than making the person fit our system.
· The issue was less about the unique health of the military population but how responsive we were to the individual and understanding the context.
· The health literacy of the military personnel was raised as an issue because the Council and other services could provide excellent services that looked to the individual but if the military did not know about them they would go unused.
· A new committee or meeting group was suggested to take forward the issue of awareness and commissioning services that addressed the matter in a different way.
· There was a plethora of military channels that were all trying to help but which badly needed co-ordination.
· The Minister for Veterans’ Affairs, Johnny Mercer wanted to engage with the LLR Civil and Military Partnership Board further to promote best practice and understand what was happening locally.
· A report from the MoD which set out the Government’s approach to veterans was expected in the next quarter.
Post meeting note report published ... view the full minutes text for item 426.
ANY URGENT BUSINESS
To receive any items of urgent business which have been previously notified to the person presiding.
No urgent business had been received.
DATE OF NEXT MEETING
The next meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 3 March at 2.00 p.m. in the Council Chamber, Catmose.
The next meeting of the Rutland Health and Wellbeing Board will be held on Tuesday, 3 March 2020 at 2.00 p.m. in the Council Chamber, Catmose.