Agenda and draft minutes

Rutland Health and Wellbeing Board - Tuesday, 5th October, 2021 2.00 pm

Venue: Via Zoom - https://us06web.zoom.us/j/86409035180

Contact: Jane Narey  01572 758311

Media

Items
No. Item

1.

WELCOME AND APOLOGIES RECEIVED

Minutes:

Councillor Walters welcomed everyone to the meeting.  Apologies were received from Dawn Godfrey, Strategic Director of Children and Families, Simon Down, Acting Chief Executive/Monitoring Officer, Office of Police and Crime Commissioner, Inspector Audrey Danvers, NPA Commander Melton & Rutland, Leicestershire Police and Mark Powell Deputy Chief Executive, Leicestershire Partnership NHS Trust

2.

RECORD OF MEETING pdf icon PDF 221 KB

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 22 June 2021.

Minutes:

The minutes of the meeting held on the 22 June 2021 were approved as a true and accurate record.

3.

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 interests were declared

4.

PETITIONS, DEPUTATIONS AND QUESTIONS pdf icon PDF 482 KB

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.

 

Additional documents:

Minutes:

Jane Narey informed attendees that one deputation, nine questions with notice and one question with short notice had been received. The questions with notice had been added to the website and circulated to committee members in advance of the meeting. 

 

She also stated that the Board had a total of 30 minutes allotted for petitions, deputations and questions as per Procedure Rule 93 so any questions not disposed of at the end of the 30 minutes would be answered in writing and reported for information to the next meeting.  

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Mrs Jennifer Fenelon, MBE joined the meeting at 14:05

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Mrs Jennifer Fenelon – Chair, Rutland Health & Social Care Policy Consortium addressed the Board with her deputation regarding the Place Led Plan.

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Mrs Jennifer Fenelon, MBE left and Mr Ron Simpson BEM joined the meeting at 14:14

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Mr Ron Simpson BEM – Chair, CPRE Rutland addressed the Board with his question regarding the Place Led Plan.

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Mr Ron Simpson BEM left and Mr Andrew Nebel MBE joined the meeting at 14:16

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Mr Andrew Nebel, MBE – Ryhall Parish Councillor, Co-Chair- Empingham Medical Practice PPG and Chair - Better Health Care for Stamford addressed the Board with his question regarding the Place Led Plan.

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Mr Andrew Nebel MBE left and Mrs Elaine Woodhead joined the meeting at 14:20

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Mrs Elaine Woodhead – Vice-Chair of local alms-house charity St John and St Anne addressed the Board with her question regarding the Place Led Plan.

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Mrs Elaine Woodhead left and Mrs Mary Gallacher joined the meeting at 14:22

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Mrs Mary Gallacher addressed the Board with her question regarding the Place Led Plan

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Mrs Mary Gallacher left and Mrs Claire Henry MBE joined the meeting at 14:24

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Mrs Claire Henry MBE - Director of Dying Matters in Rutland addressed the Board with her question regarding the Place Led Plan

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Mrs Claire Henry MBE left and Mr Clifford Bacon joined the meeting at 14:27

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Mr Clifford Bacon - Clerk to Clipsham Parish addressed the Board with his question regarding the Place Led Plan

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Mr Clifford Bacon left the meeting at 14:30

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At the end of the 30 minutes, Councillor Walters thanked everyone for their questions and confirmed that a full written response would be sent and would be published with the minutes of the meeting on the Council’s website.

 

He also stated that the Board continued to work in close collaboration with stakeholders such as Rutland Healthwatch as part of the Integrated Delivery Board and the Rutland Health and Wellbeing Board to ensure that the voice of Rutland residents was heard in such matters as community healthcare and integrated services.

5.

Leicester, Leicestershire and Rutland (LLR): Learning Disability and Autism (LDA) 3 Year Plan pdf icon PDF 22 KB

To receive Report No. 132/2021 from David Williams, Director of Strategy and Business Development Leicestershire Partnership NHS Trust

Additional documents:

Minutes:

Report No. 132/2021 and a presentation were received from David Williams, Director of Strategy and Business Development, Leicestershire Partnership NHS Trust.  During the discussion, the following points were note:

 

·         National strategy for supporting people with a learning disability and/or autism.

·         Aim was to make LLR FIT (Focussed on the needs of our people; Integrated team delivery; Targeted on where the greatest difference could be made).

·         Councillor Wilby thanked David for his excellent presentation which set out very clearly the aims of the strategy and the actions to be taken. He continued that this was an exemplar of how a plan should be and he was convinced that the services were on the right road.

·         Janet Underwood thanked David for an excellent presentation.  Rutland residents have requested social activities that are accessible but these do not appear to be included in the plan. 

·         Dr Hilary Fox stated that some Rutland patients including those with LDA, lived outside of the county’s borders and was engagement with other local authorities being held to ensure that a uniformed offer was open to all, across all counties.  David Williams confirmed that all work must be county wide to encompass all members of the public regardless of where they live and where they access services. 

·         Kim Sorsky informed attendees that Rutland’s Adult and Children’s Services had worked together to put in place early intervention and prevention work to keep people out of hospital.  Commissioned services also gave a person choice on how and when to access the services e.g. job seeking, living independent lives

·         Councillor Walters queried the increased number of LDA people who had not received treatment due to a DNR (do not resuscitate) on their medical records.  David Williams confirmed that actions (proactive and reactive) had been taken to ensure that inappropriate DNR’s were not on medical records and stated that having a learning disability was not a fatal condition so a LDA person should not have a DNR on their records.

 

RESOLVED

That the Rutland Health and Wellbeing Board:

 

a)    Understood and SUPPORTED the 3-year programme

b)    RECOGNISED that change would be delivered through individuals including members of the Health and Wellbeing Board

c)    CHAMPIONED joined up working between system partners to deliver improvements

d)    RECOGNISED their role and opportunities to improve and enhance pathways to provide great care, support and lives

e)    CONTRIBUTED to the system goal of making LLR FIT (focused, integrated and targeted on need).

 

6.

Integrated Care System (ICS): Purpose, Principles and Priorities pdf icon PDF 20 KB

To receive Report No. 129/2021 from Sarah Prema, Executive Director of Strategy and Planning, Leicester, Leicestershire and Rutland City Clinical Commissioning Group

Additional documents:

Minutes:

Report No. 129/2021 and a presentation was received from Sarah Prema, Executive Director of Strategy and Planning and was presented by Rachna Vyas Executive Director of Integration & Transformation, Leicester, Leicestershire and Rutland Clinical Commissioning Group as Sarah was on annual leave.  During the discussion, the following points were noted:

 

·         The main purpose of the ICS was for everyone in Leicester, Leicestershire and Rutland to have a healthy and fulfilling life.

·         The principles were to:

 

o   Ensure that everyone had equal access to health and care services

o   Make decisions that enabled great care for all residents

o   Deliver services that were convenient for people to access

o   Develop integrated services in partnership with residents

o   Make LLR health and care a great place to work

o   Use combined resources to deliver the best value for money and support the local economy and environment.

·         The operational priorities to be delivered in partnership were to:

 

o   Deliver the COVID vaccination programme and winter flu programme

o   Recover services that have been affected during the pandemic

o   Deliver changes to UHL hospitals including mental health services

o   Work as a partnership to transform access to the health and care services including primary care, urgent care, chronic conditions and mental health services.

·         Councillor Walters asked how often the operational priorities would need to be refreshed and Rachna Vyas confirmed that it would be on an ‘as and when’ basis so that as one priority was achieved, there would be another one to take its place.

 

RESOLVED

That the Rutland Health and Wellbeing Board:

 

a)    ENDORSED the Leicester, Leicestershire and Rutland Integrated Care System Purpose, Principles and Priorities

 

7.

Health Inequalities Framework pdf icon PDF 62 KB

To receive Report No. 128/2021 from Sarah Prema, Executive Director of Strategy and Planning, Leicester, Leicestershire and Rutland City Clinical Commissioning Group

Additional documents:

Minutes:

Report No. 128/2021 was received from Sarah Prema, Executive Director of

Strategy and Planning and was presented by Rachna Vyas Executive Director of Integration & Transformation along with Mike Pierce, Head of Health Population and Steve McCue, Senior Strategic Development Manager at Leicester, Leicestershire & Rutland CCGs.    During the discussion, the following points were noted:

 

·         Some groups had poorer health or were more likely to have poor health outcomes in the long-term including children living in poverty, routine and manual workers, people with disabilities and military families.

·         The framework identified a series of system wide principles and actions to help prevent health inequality but it would be up to the Rutland Health and Wellbeing Board to work with partners to develop a plan that would work in Rutland.

·         Reducing or removing health inequality was a core purpose of the ICS, with the core principle being prevention.

·         The main aim was to move away from the current ‘national sick service’ and move to a ‘national health service’.

·         The UK offered a universal health care service which was free at the point of access. 

·         Moving forward, this universal provision of services would be varied in response to the differences in need within and between groups of people. Services would be proportionate to the needs of the people using that service within that geographical area.

·         Mike Pierce confirmed that LLR was the first NHS partnership to start to use new data to distribute primary care funding proportionally and so reduce inequality.

·         Steve McCue stated that the framework was a strategic document and rural inequalities, an important point for Rutland, had been recognised within the framework i.e. the number of retired/active armed forces personnel within the County.

·         Dr Hilary Fox queried how we would ensure we have enough personalised information within the data.  Mike Pierce stated that collaboration between partners such as local authority and voluntary sector colleagues was vital to ensure the personalisation of the data.

 

RESOLVED

That the Rutland Health and Wellbeing Board:

 

a)    NOTED the LLR Health Inequalities Framework and the intended implementation of the Framework across partner organisations

 

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David Williams, Mike Pierce and Steve McCue left the meeting at 15:30

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8.

Place Led Plan: Draft pdf icon PDF 769 KB

To receive Report No. 130/2021 from Emma Jane Perkins (Rutland County Council), Charlie Summers (LLR Clinical Commissioning Groups), Viv Robbins / Kajal Lad (Public Health), Tracey Allan-Jones (Rutland Healthwatch), Sandra Taylor (Rutland County Council) and Adhvait Sheth (LLR Clinical Commissioning Groups)

Additional documents:

Minutes:

Report No. 130/2021 and a presentation was received from Emma Jane Perkins (Rutland County Council), Charlie Summers (LLR Clinical Commissioning Groups), Viv Robbins / Kajal Lad (Public Health), Tracey Allan-Jones (Rutland Healthwatch), Sandra Taylor (Rutland County Council) and Adhvait Sheth (LLR Clinical Commissioning Groups).  During the discussion, the following points were noted:

 

·         John Morley thanked all the staff for their hard work on the production of the place led plan.  All done while fighting on the front line during the pandemic under very difficult and stressful conditions.  Everyone worked in partnership and collaboration and these were the key words stated by everyone who worked on the plan.

·         Commented that it was good to hear of the plethora of good quality and quantitative data that was also Rutland specific. 

·         It was agreed that the Place Led Plan needed to be a living document that breathed and changed according to the changes in the data. 

·         It was confirmed that the public were at the centre of the plan and that’s why it needed to be a working document.

·         Dr Janet Underwood stated that this was an overall strategy and not a specific step-by-step plan.  The details of how and when would come in due course but this needed to be better communicated to the public. 

·         The plan detailed a lot of work that needed to be done in the next 3 months and that it was important that the public made the whole journey with us and not just be consulted as a small part of it.

·         It was agreed that the term ‘finishing dates’ within the plan should be amended to ‘transition dates’ so making it clear to everybody that the plan was a fluid and living, changing plan.

·         Councillor Walters proposed and it was agreed that the Integrated Delivery Group, in consultation with the Chair of the Rutland Health and Wellbeing Board, run the public consultation on the draft strategy.

·         Rachna Vyas confirmed that the carers’ voice had been heard and would be included in the life course events but that each community needed different levels of service and we needed to identify what was needed and then decide how best to deliver it.

·         The Board recommended that ‘end of life’ should have its own special section.  It would focus people on the last few days of life and it would act as a catalyst to get people talking about death and dying.

 

 

RESOLVED

That the Rutland Health and Wellbeing Board:

 

a)    NOTED the context for and progress towards the development of the Rutland Health and Wellbeing Strategy: A Plan for Place 2022-25 (the HWS).

b)    Discussed, agreed and ENDORSED the overall vision, principles, priorities and action areas set out in the draft strategy and plan.

c)    CONFIRMED proposals for a public consultation and AUTHORISED the Integrated Delivery Group in consultation with the Chair of the Rutland Health and Wellbeing Board to run a public consultation on the draft strategy.

d)    AGREED that the frequency of reporting of the performance  ...  view the full minutes text for item 8.

9.

REVIEW OF FORWARD PLAN AND ANNUAL WORK PLAN pdf icon PDF 126 KB

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 at:

 

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

 

Minutes:

The work plan and the Forward Plan were discussed.  During the discussion, the following points were noted:

 

·         John Morley requested that a report from Viv Robbins regarding the new Public Health Offer at RCC be added to the Forward Plan.

·         Janet Underwood requested a report on what the changes to transport for accessing health care would be including the new Bus Service Improvement Plan.  Jane to add to the Forward Plan and Councillor Walters to confirm with colleagues.

Dr Hilary Fox requested a briefing from Rachna Vyas regarding the transport changes for accessing community-based services.

10.

Any Urgent Business

Minutes:

None

11.

Date of Next Meeting

The next meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 11 January 2022 at 2.00 p.m.

 

Proposed Agenda Items:

 

a)    Place Led Plan: Update

b)    Social Care White Paper: Update

c)    Better Care Fund: Update

d)    Pharmaceutical Needs Assessment: TBC

 

 

 

 

 

Minutes:

Tuesday, 11 January 2022 at 2.00 p.m.

 

Agenda Items:

 

1.    Final Rutland Health and Wellbeing Strategy (Place Led Plan) inc. draft delivery

2.    Briefing on the changes to transport to access community-based services

3.    Social Care White Paper: Update

4.    Better Care Fund: Update

5.    Armed Forces Covenant Legislation and the Impact of Health Provision

6.    Enhanced Public Health Offer at RCC

7.    Pharmaceutical Needs Assessment: TBC

 

Closed 16:08