Council and councillors

Apologies were received from Insp. Audrey Danvers, Sheila Fletcher, Louise Platt and Mel Thwaites. Mina Bhavsar attended for Mel Thwaites.

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 12 January 2021 (previously circulated).

The minutes of the meeting of the Rutland Health and Wellbeing Board held on 12 January 2021 were confirmed as a correct record.

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 of interest were received.

To receive any petitions, deputations and questions received from Members of the Public in accordance with the provisions of Procedure Rule 216.

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.

No petitions, deputations or questions had been received.

John Morley, Director for Adult Services and Health, updated the Board on the Joint Health and Wellbeing Strategy which would now become the Place Plan and would be one document. The Plan was currently being worked on by the Integrated Delivery Group (IDG) and subgroups, and a detailed outline would be submitted to the Adults and Health Scrutiny Committee for consideration before coming back to the next Health and Wellbeing Board in a draft format.

An update on the engagement strategy was provided by Healthwatch. Data collection began in April which comprised of interviews with individuals and groups, both face to face where possible, and by telephone. The information gained from these interviews would be shared as a draft report with the Portfolio Holder, once agreed with Healthwatch officials. Issues identified include primary care access, cross boundary services, lack of public visibility in the development of plans, learning disability services, transport difficulties and the need for a more local hemodialysis service.

Dr Underwood also confirmed that a representative from Healthwatch had been appointed to the IDG.

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Agenda items 6 and 7 were amalgamated into one agenda item.

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To receive a presentation from Fay Bayliss, Deputy Director of Integration and Transformation LLR CCGs.

A joint presentation (appended to the minutes) was received from Sarah Prema, Fay Bayliss and John Morley.

During discussion the following points were noted:

·       Issues had been identified with those living on or around the county borders accessing the healthcare offering within Rutland due to being registered with GPs out of county.  This was also true in reverse with patients registered with Rutland GPs not matching criteria within their county of residence to access services provided by their local healthcare providers.  An example of this was access to Admiral Nurses for dementia patients; Rutland criteria was based on residency in the county but across the Northamptonshire border it was based on GP registration, this meant that if a Northamptonshire resident was registered with a Rutland GP they did not qualify for Admiral support in either provision.

·       Rutland would be happy to engage with other Integrated Care System (ICS) groups to try and put into place some mutual arrangements for healthcare, in order to prioritise people rather than borders.

·       The CCG needed to work on publicising the extent of its healthcare provision as it was noted that residents previously interviewed were not generally aware of the range of services offered. It was noted that 90% of the healthcare provided in Rutland was done so locally.

To receive a presentation from Amit Sammi, Head of Strategy and Planning at NHS Leicester CCG.

This item has been included in the previous minute text.

To receive a presentation from Emma-Jane Perkins, Head of Service – Community Care Services.

A presentation (appended to the minutes) was received from Emma-Jane Perkins, Head of Service – Community Care Services.

The presentation covered supporting people’s independence and helping them stay at home, or at the least allow them to return home from acute care settings more quickly by utilizing informal and formal networks, as well as an element of self-management with regard to healthcare and integrated community health and social care networks available.

During discussion the following points were noted:

·         Communication would be the key to community encouragement to get behind the initiative and the HWB should work on this.

·         Following their success, RISE and MiCare could be expanded to offer more services to aid the initiative.

·         Focus should be on encouraging people to work as a strength base approach working on things that are good in the community and that people can access and support. This could prevent more expensive longer term and crisis response.

·         The engagement interviews conducted by Healthwatch also indicted that a greater sense of community was felt in Rutland villages.

·         The initiative was a great way forward but there was still work to be done to make it viable in practice.

To receive Report No.81/2021 from the Director of Adult Services and Health.

Report No. 81/2021 was received from the Director of Adult Services and Health.

During discussion the following points were noted:

·         There was an opportunity for the Health and Wellbeing Board to develop a strategy for obesity given that weight management was now a priority for Primary Care Networks.  It was suggested that this should form part of the grand plan for Rutland and should be considered by the IDG as partners who could facilitate services across the Tiered system were already around the table.

·         Community wellbeing should be about promoting activity and healthy lifestyles.

·        There was a need to approach surrounding counties in regard to the BCF provision they had in order to ensure no-one living around borders was disadvantaged.

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

There was no urgent business.

The next meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 5 October at 2.00 p.m.

The next meeting of the Rutland Health and Wellbeing Board would be on Tuesday, 5 October at 2.00pm.