Councillor Harvey welcomed everyone to the special meeting of the Rutland Health and Wellbeing Board. Apologies were received from Melanie Thwaites, Simon Down, Mark Powell, Louise Platt and Fiona Myers, who had sent a representative, John Edwards

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.

The Clerk confirmed that one question had been received from Mr Godfrey Jennings.

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Mr Godfrey Jennings joined the meeting at 2.32 p.m.

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Mr Jennings addressed the Board with his question regarding the Joint Health and Wellbeing Strategy.  Councillor Harvey gave a verbal response and confirmed that a full written response would be sent to Mr Jennings and would be published with the minutes. 

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Mr Godfrey Jennings left the meeting at 2.38 p.m.

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The Clerk confirmed that one question had been submitted at short notice from Mrs Susan Pickwoad who was not present at the meeting due to the earlier IT issues. 

The Clerk confirmed that details of Mrs Pickwoad’s question and the response would be sent to her and published with the minutes of the meeting.

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

There were no questions with notice from members.

To receive Report No. 42/2022 – Joint Health and Wellbeing Strategy and Place Led Delivery Plan from Councillor S Harvey, Portfolio Holder for Health, Wellbeing and Adult Care

Report No. 42/2022 was received from Councillor Harvey as the Portfolio Holder for Health, Wellbeing and Adult Care.  During the discussion, the following points were noted:

·       Councillor Harvey informed members that the Board could not legally endorse the Joint Health and Wellbeing Strategy (JHWS) as this would require the Board to make a decision, which it was not legally allowed to do whilst meeting virtually.  It was agreed to defer the decision to the next meeting of the Rutland Health and Wellbeing Board on the 5^th April 2022 when the meeting would be held in person in the Council Chamber at the Council offices in Oakham.

·       The strategy and delivery plan were detailed but remained evolving working documents that were flexible to adapt and change as the reconfiguration of UHL (University Hospitals of Leicester) progressed.

·       Rutland had a clear vision and a comprehensive delivery plan as detailed in Appendix B.

·       Key performance indicators were identified in Appendix D, including current values to serve as baselines.  It was noted that this was just the beginning of the journey for Rutland so the document would evolve as the journey progressed, including developing core quantified targets with involved partners in line with the confirmed timing and scope actions in the plan.

·       A quarterly update report would be submitted to the Rutland Health and Wellbeing Board.

·       Patient access to all services was being investigated including the availability of public transport, with the aim of equitable access for all.

·       It was suggested that the delivery plan should include a ‘crisis plan’ to cover such things as a pandemic or other health emergency.

·       Staff shortages within the health service were noted and it was proposed that there should be a focus on staff training including the offer of training and development to graduates and school leavers.

·       Cross border working remained an issue and work was ongoing locally between neighbouring areas regarding integration to ensure a smooth transition for patients from Rutland to other areas and vice versa.

·       The role of the Rutland Health and Wellbeing Board was being reviewed and this would give the opportunity to develop the Board into something ideal for Rutland moving forward.  The groups reporting into the Health and Wellbeing board were also being extended to facilitate ongoing collaboration and ensure that there was clear ownership and accountability around delivery of the strategy’s seven priorities.

·       It was important that the public should be kept informed and included in the conversations regarding the development of the Board and the integration work being discussed.

·       It was proposed that to monitor the progress of the plan, an annual update on the Joint Strategic Needs Assessment (JSNA) and the JHWS should be reviewed in detail by the Rutland Health and Wellbeing Board i.e. what had worked well or needed more work, what had changed as a result and how this would inform future priorities.

RESOLVED:

That the Committee:

a)    NOTED the context and purpose of the Joint Health and Wellbeing Strategy (JHWS).

b)    NOTED the  ...  view the full minutes text for item 6.

To receive a verbal update from John Edwards, Associate Director for Transformation for Mental Health and Rob Melling, Head of Community Development, Leicestershire Partnership NHS Trust

A verbal update was received from John Edwards, Associate Director for Transformation for Mental Health, Leicestershire Partnership NHS Trust.  During the discussion, the following points were noted:

·       Details of the immediate priority areas would be distributed to the group once approved by the LPT Board at the end of March 2022.

·       Governance for mental health would consist of place-based delivery groups which would cover all ages i.e. children, young people and adults.  A draft document would be distributed in March 2022 for review.

·       Projects would be created around a place or system that would work for the population of Rutland.

·       £1m in grant money was available across Leicester, Leicestershire and Rutland (LLR).  The funding would be reviewed by the relevant panel in March 2022 for deployment/allocation. 

·       A ‘Mental Health Neighbourhood Lead’ would be allocated in Rutland to bring partners together.  It was agreed that it would be a good for this person to link in with Rutland’s Family Hub development.  A feasibility study including physical space for the Family Hub was to be done so it would be good to feed into this study regarding a possible space for the mental health groups.  It was agreed that the Family Hub Programme Manager would link in with Emma Jane Perkins, Head of Community Care Services to take this matter forward. 

·       Investment in adult social care roles had been made by Leicestershire County Council to ensure sufficient resources to cover LLR.

·       Rutland was to be used as an ‘innovation site’ to bring partners to work locally together.  This would be a good start to equalize mental health with physical health and provide more mental health support services in the community.

·       It was suggested that the plan needed to include the mental health care provided by the military to serving members and veterans. Councillor Harvey reported that the Rutland Health and Wellbeing Board was in discussions with the armed forces to have a representative at future meetings.

·       It was noted that mental health support in Rutland should include support for men and particularly men working in agriculture e.g. farmers, labourers etc.

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John Edwards left the meeting at 3.00 p.m.

The Chair paused the meeting for a break at 3.00 p.m. and re-started the meeting at 3.10 p.m.

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To receive the Primary Care Task and Finish Group’s preliminary report from Councillor Paul Ainsley, Chair of the Primary Care Task and Finish Group

The preliminary report from the Primary Care Task and Finish Group was presented by Councillor Ainsley, Chair of the Primary Care Task and Finish Group.  During the discussion, the following points were noted:

·       Over 900 responses were received as part of the patient survey, which had been undertaken via leaflet distribution, face-to-face meetings and telephone conversations as well as online.

·       The Task and Finish Group continued to collate information for publication in the final report.

·       The final report would detail recommendations and proposed actions for each committee before being presented to the Rutland Health and Wellbeing Board and Council. 

·       The feedback from patients differed between the various medical practices and had been very informative.

·       The preliminary report had been distributed to the medical practices, the Integrated Care System (ICS) and the Leicester, Leicestershire and Rutland Clinical Commissioning Groups (LLR CCG).

·       Dr Fox, Clinical Director of the ICS and Rachna Vyas, Executive Director of Integration & Transformation at the LLR CCG had attended the meeting of the Primary Care Task and Finish Group on the 21^st February 2022. Their presentation and the subsequent discussion were both interesting and informative in equal measure and showed their depth of knowledge regarding the proposed Joint Health and Wellbeing Strategy.

·       Councillor Ainsley publicly thanked everyone for their assistance in the production of the report and confirmed that the Local Authority would welcome the opportunity to continue working in close collaboration with all stakeholders to ensure that the voice of Rutland residents was heard in such matters as community healthcare and integrated services.

·       It was confirmed that the recommendations from the Primary Care Task and Finish Group would need to link in with the Joint Health and Wellbeing Strategy. 

·       Engagement with the community should be continued and improved.  The community had commented that they had been informed of the Joint Health and Wellbeing Strategy but had not been involved in the discussions regarding the how, what and why.

·       Concern was expressed regarding the housing growth and the number of care homes planned for Rutland.  It was reported that no definitive numbers were available due to the lack of a Local Plan from the local authority. 

·       Councillor Ainsley confirmed that an asset review was being undertaken by the Council but that the estates plan within the JHWS also needed to be considered by the Task and Finish Group.

·       Councillor Ainsley agreed that the communication between GP practices should be improved including the sharing of good practice.

RESOLVED

That the Committee:

a)    REPEATED the patient survey within 12 months when the health services were more ‘back to normal’ as the changes made by the GP practices were recent and were done whilst staff were under immense pressure from the Covid pandemic.

The next ordinary meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 5^th April at 2.00 p.m. and will be held via Zoom.

Proposed Agenda Items:

1.     New Terms of Reference

2.     Rutland Health and Wellbeing Strategy (Place Led Plan)

3.     Changes to Transport for Accessing Health Care (inc. the new Bus Service Improvement Plan)

4.     Primary Care Task and Finish Group: Final Report

Tuesday, 5th April at 2.00 p.m. in the Council Chamber, Catmose and via Zoom - https://us06web.zoom.us/j/88171089954

Agreed Agenda Items:

1.    New Terms of Reference

2.    Rutland Joint Health and Wellbeing Strategy (Place Led Plan)

3.    Changes to Transport for Accessing Health Care (inc. the new Bus Service Improvement Plan)

4.    Primary Care Task and Finish Group: Final Report