Councillor Harvey welcomed everyone to the meeting.  Apologies were received from Simon Down and Karen Kibblewhite.

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on the 5 October 2021.

The minutes of the meeting held on the 5^th October 2021 were approved as a true and accurate record.

Jane Narey confirmed that the subject matter ‘Changes to transport for accessing health care inc. the new Bus Service Improvement Plan’ was on the Committee’s workplan for discussion at the committee meeting on the 5^th April 2022.

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.

There were no declarations of interest

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.

There were no petitions, deputations or questions

There were no questions submitted at short notice

To consider any questions from Members received under Procedure Rule 95.

There were no questions with notice from members

To consider any Notices of Motion from Members submitted under Procedure Rule 97.

There were no notices of motion from members

To receive an update from John Edwards, LPT and Richard Morris, LLR CCGs on the agreed proposals to improve local mental health services.

Full details of the Step up to Great Mental health consultation can be found at: https://greatmentalhealthllr.nhs.uk

The proposal document which was discussed at the Governing Body meeting on Tuesday 14 December can be found at: https://www.leicestercityccg.nhs.uk/about-us/future-governing-body-meetings/2021-governing-body-meetings/llr-ccgs-governing-body-meeting-december-2021/

An update and a presentation (copy attached) were received from John Edwards and Richard Morris.  During the discussion, the following points were noted:

·        Issues regarding the lack of workforce continued to be a challenge.

·        John Morley queried how the use of the triage car would be expanded and what the referral route was for this service.  John reported that the number of triage cars had been increased to two, the number of hours the cars operated had been increased and that both the police and the ambulance service were now supported.  The referral route was the police and ambulance service as well as the central access point.  

·        An update would be given at the Special Health and Wellbeing Board meeting on the 22^nd February 2022 so that it would link in with the Health and Wellbeing Strategy (Place Led Plan).  It was agreed that John Morley, Councillor Harvey and John Edwards would meet to identify what information was required for the meeting on the 22^nd February. 

ACTION: John Morley, Councillor Harvey and John Edwards

·        No place identified for the location of a mental health hub in Rutland.

·        Councillor Harvey queried perinatal support to those mothers who give birth outside of the LLR region. John confirmed support would be provided but that it would be a challenge to ensure that all the services provided were sufficiently connected to each other.

·        Richard Morris confirmed that 3% of the consultation results came from Rutland residents.  Rutland comprised 3.5% of the demographic information so the response was just 0.5% below target. 

·        7 engagement events were held for Rutland – some online, some face-to-face – some were specifically aimed at certain group e.g. veterans, farming community, carers etc

·        Councillor Waller reminded attendees that not all services within Rutland were accessible to Rutland residents due to the limitations of the county’s public transport.

---oOo---

John Edwards and Richard Morris left the meeting at 14:43

---oOo---

To receive Report No. 15/2022 from Mike Sandys, Director of Public Health and presented by Kajal Lad, Public Health Business Partner.

Report No. 15/2022 was received from Mike Sandys, Director of Public Health.  Mike Sandys gave apologies from Kajal Lad, Public Health Business Partner who had been due to present the report but was unable to attend due to a family bereavement.  During the discussion, the following points were noted:

·        The purpose of the Pharmaceutical Needs Assessment (PNA) was to:

Ø  Identify the pharmaceutical services currently available and assess the need for pharmaceutical services in the future,

Ø  Inform the planning and commissioning of pharmacy services by identifying which services should be commissioned for local people, within available resources, and where these services should be,

Ø  Inform decision making in response to applications made to NHS England by pharmacists and dispensing doctors to provide a new pharmacy. The organisation that will make these decisions is NHS England.

·        It was a statutory document to agree changes to the commissioning of local pharmaceutical services.

·        Two surveys will run in Spring 2022.  One for service users and one for pharmaceutical professionals.

·        A statutory 60-day consultation will run after these two surveys and wills start in June 2022.

·        Draft PNA will be published on the Rutland County Council’s website for public consultation.

·        The final PNA will be presented to the Rutland Health and Wellbeing Board for approval towards the beginning of October 2022.

·        Dr Janet Underwood reported that Healthwatch Rutland had not been invited to be part of the Steering Group and that the person who attended the Steering Group as the representative for Healthwatch Leicester and Leicestershire no longer worked for the organisation.  Mike Sandys confirmed that he would feedback this information and would ask for an invite to the Steering Group to be sent to Healthwatch Rutland.

·        Dr Fox requested that the GP practices be included as part of the PNA as they do dispense medication to approximately 30% of their registered patients.

·        Mike Sandys confirmed that the PNA noted the current dispensing services provided and not the prescribing services.  These would come under the primary care services so would not be within the remit of the PNA but this could be reviewed.

RESOLVED

That the Board:

a)     NOTED the report

b)     AGREED to receive further reports on progress and the final PNA report for approval later in 2022 (in preparation for publication by 1st October 2022).

To receive an update from Councillor S Harvey

Councillor Harvey read out a statement/update to all attendees – copy attached.

The statement referred to an email received from EMAS – copy attached.

Councillor Harvey informed attendees that the Chair’s Statement would be circulated to all Rutland Councillors for their information and asked Board members to notify her of any information they wished to be included in future editions of the Chair’s Statement.

To receive Report No. 17/2022 from Vivienne Robbins, Consultant in Public Health

Report No. 17/2022 was received from Vivienne Robbins, Public Health Consultant.  During the discussion, the following points were noted:

·        The revised Public Health Team for Rutland would be as follows:

1.     Director of Public Health (0.2 whole time equivalent (WTE))

2.     Consultant in Public Health (0.4WTE)

3.     Strategic Leads for Rutland and Rutland Commissioning (1.8WTE)

4.     Public Health analyst (0.2WTE)

5.     Additional support from within RCC including Health and Wellbeing Integration Lead.

·       A clear strategic direction and future objectives were being worked on and these would link in with the development of the Rutland Joint Health and Wellbeing Strategy.

·       Dr Janet Underwood asked if the public could be included in the new public health offer.  Vivienne Robbins confirmed that the public would be involved via the consultation of the Health and Wellbeing Strategy and through engagement with the Rutland Health and Wellbeing Board.  Future communication and engagement with the public was also being investigated.

·       Dr Hilary Fox requested that the small numbers linked with Rutland should be investigated and not overshadowed by the large numbers linked with Leicester and Leicestershire so that Rutland’s specific needs were focused on.

·       Dawn Godfrey confirmed that the Public Health Team was already having a positive impact on Children’s Services within Rutland.

·       Councillor Harvey stated that Rutland had a 40% rate of dental decay in the under 5’s and asked that the issue of dental health checks be included as a priority for public health to focus on.

·       Councillor Harvey noted that the armed forces were mentioned within the Public Health Team’s remit but not veterans.  She informed attendees that 20% of the Rutland population had a connection with the armed forces.

·       Councillor Harvey requested that the wording under Domain 1 be changed to read ‘Consideration must be needed for climate change, air quality, road safety etc.’

RESOLVED

That the Board:

a)     NOTED the content of the paper and revised public health offer for Rutland

b)     PROVIDED any recommendations for priority public health areas to focus on over the next year

To receive Report No. 18/2022 from Sandra Taylor, Health and Wellbeing Integration Lead.

Report No. 18/2022 was received from Sandra Taylor, Health and Wellbeing Integration Lead.  During the discussion, the following points were noted:

·        No consultation took place regarding the new Better Care Programme due to the pandemic restrictions but it was approved for submission by the then Chair of the Rutland Health and Wellbeing Board.

·        The Rutland Better Care Programme was regionally approved on the 9 December 2021 with one minor amendment. 

·        It was approved nationally in January 2022 and a confirmation letter was expected presently.

·        Dr Janet Underwood queried the level of domiciliary care staff in Rutland.  Sandra Taylor confirmed that staffing levels in Rutland were good compared to nationally following good partnership working with care homes and service providers. 

·        John Morley informed the Board how proud he was of his staff and how hard they had all worked during the pandemic crisis, going above and beyond their normal duties.  He emphasised that the staff continued to assist those working on the front line, which left the service unable to fully open Brightways.

RESOLVED

That the Board:

a)     Retrospectively APPROVED the Rutland 2021-22 Better Care Fund Programme.

b)     NOTED the new targets against which BCF performance will be tracked.

To receive Report No. 16/2022 from Karen Kibblewhite, Head of Commissioning.

Report No. 16/2022 was received from Michelle Woolman-Lane, as Karen Kibblewhite was unable to attend the meeting.  During the discussion, the following points were noted:

·        The report outlined the new Armed Forces Covenant legislation which was being implemented as part of the updated Armed Forces Bill.

·        One fifth of the residents in Rutland comprised of the Armed Forces Community.

·        The ‘Armed Forces Community’ included:

1.     Members of the Regular and Reserve Forces,

2.     Members of British Overseas Territory Forces who are subject to Service Law,

3.     Former members of any of Her Majesty’s forces who are ordinarily resident in the UK,

4.     Relevant family members; and

5.     Bereaved immediate family of Service Personnel and veterans who have died.

·        The main issues are that the Council pays ‘due regard’ and gives ‘special consideration’ to the Armed Forces Community in all services but especially in education, housing and health.

·        The Council’s implementation plan identifies the key actions to be undertaken, timescales and the officer lead responsible in each business area.

·        John Morley proposed that the Armed Forces send a representative to be a member of the Rutland Health and Wellbeing Board.  Councillor Harvey and Councillor Wilby both agreed John’s proposal.

·        Councillor Waller queried if the Armed Forces representative should attend a more ‘operational’ group.

RESOLVED

That the Board:

a)     NOTED the implications of the forthcoming amendment to the Armed Forces Bill for Rutland County Council, the CCG, and health providers.

b)     AGREED that Sandra Taylor and Michelle Woolman-Lane would discuss with the Armed Forces suitable future representation and identify which groups, boards and committees the representative should attend.

---oOo---

Michelle Woolman-Lane left the meeting at 15:57

---oOo---

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 using the following link:

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

The Forward Plan was reviewed and no changes were made to the annual work plan.

There was no urgent business

The next meeting of the Rutland Health and Wellbeing Board will be a SPECIAL MEETING on Tuesday, 22^nd February 2022 at 2.00 p.m.

Agenda Items:

1.     Rutland Health and Wellbeing Strategy (Place Led Plan) including draft delivery plan [John Morley/Sarah Prema/Rachna Vyas]

2.     Primary Care Task and Finish Group: initial report [Councillor Paul Ainsley]

A ‘Special Meeting’ of the Rutland Health and Wellbeing Board would be held on Tuesday, 22^nd February 2022 at 2 p.m.

The agenda for this special meeting would consist of two items:

1.     Rutland Health and Wellbeing Strategy (Place Led Plan) including a draft delivery plan [John Morley/Sarah Prema/Rachna Vyas]

2.     Primary Care Task and Finish Group: initial report [Councillor Paul Ainsley]