The Chair welcomed everyone to the meeting.  Apologies were noted from Lindsey Booth (Inspector), Mark Powell, James Burden (Dr), Andy Williams, Louise Platt, Melanie Thwaites

To receive a brief update from the Chair on the Integrated Care Partnership and any other matters arising.

The Chair read out her written statement and confirmed that a copy would be attached to the minutes.

To appoint the Vice Chair of the Rutland Health and Wellbeing Board for the municipal year 2022-2023.

·       The Chair nominated Dr James Burden in his absence for the role of Vice Chair.

·       There were no other nominations.

RESOLVED

That the Board:

a)    APPROVED Dr James Burden as the Vice Chair for the Rutland Health and Wellbeing Board for the municipal year 2022/2023 on the provision that he accepted the nomination.

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 5^th April 2022.

The minutes of the Rutland Health and Wellbeing Board meeting held on the 5th April 2022 were approved as an accurate record.

To review and update the actions arising from the previous meeting.

Action 1

The Chair requested that by the next Health and Wellbeing Board meeting in July 2022, the Place Led Delivery Plan was updated for the first year and that the sub-groups had identified their work-streams, named their work-streams and taken ownership of their work-streams.

The Chair confirmed that this action would be picked up the relevant agenda item.

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 73.

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 a deputation had been received from Mrs Jennifer Fenelon on behalf of the Rutland Health & Social Care Policy Consortium. The deputation had been approved by the Chief Executive and the Monitoring Officer and had been added to the website and circulated to committee members in advance of the meeting. 

---oOo---

Mrs Fenelon joined the meeting at 2.18 p.m.

---oOo---

·       Mrs Fenelon addressed the Board with the details of her deputation. 

·       To move from a broad strategy to a defined implementation plan, a process needed to be identified so that the correct conclusions could be identified.

·       A dedicated resource e.g. officer time to focus on co-production and understanding the gaps within the proposal would be beneficial.

·       The Chair re-iterated that the Board continued to work in close collaboration with stakeholders such as Rutland Healthwatch as part of the Integrated Delivery Board to ensure that the voice of residents was heard in such matters as community healthcare and integrated services.

---oOo---

Mrs Fenelon left the meeting at 2.28 p.m.

---oOo---

To consider any questions from Members received under Procedure Rule 75.

There were no questions from members.

To consider any Notices of Motion from Members submitted under Procedure Rule 77.

There were no notices of motion from members.

To receive a presentation from Andy Williams, Joint Chief Executive, LLR CCGs.

A presentation was received from Andy Williams, Chief Executive, Integrated Care System (ICS) and was presented by Sarah Prema, Executive Director of Strategy and Planning, ICS.  During the discussion, the following points were noted:

·       The Clinical Care Group ceased to exist on the 30^th June 2022.

·       The Integrated Care Board (ICB) came in to effect on the 1^st July 2022.

·       As from the 1^st April 2023, the ICB will take on the delegated authority for direct commissioning (pharmacy, optometry and dental services) and for other specialised commissioning services.

·       The Health and Wellbeing Partnership (HWP) held their first workshop, which was well received.

·       Terms of Reference would need to be approved at the inaugural meeting of the HWP before a discussion could be held regarding extending the membership to include representatives from Children’s Services as well as Adult Services.

·       Extended workshops could be held in addition to the formal meetings of the HWP.

·       The Board thanked Sarah and her colleagues for all their hard work in the creation of the new service and it was noted that the Chair would notify Board members of the date for the first meeting of the HWP.

ACTION: Councillor S Harvey

To receive Report No. 131/2022 from Councillor S Harvey, Portfolio Holder for Health, Wellbeing and Adult Care and presented by Sandra Taylor, Health and Integration Lead, RCC.

Report No. 131/2022 was presented by Sandra Taylor, Health and Wellbeing Integration Lead, RCC.  During the discussion, the following points were noted:

·       The Social Prescribing Platform and the Shared Care Record had been created to improve collaboration.

·       The Primary Care Network (PCN) was recruiting additional pharmacists, who could diagnose and prescribe so increasing the support to the service.

·       The JHWS Update Reports shown in Appendix A were reviewed to ensure that they gave the Board sufficient information and that outcomes fed into the delivery plan.

·       It was noted that a dual RAG rating system was needed.  The first would be to measure the current progress of the item.  The second would be to measure where the item was against the delivery plan indicators.

·       A simpler more public facing document was requested as the current format was felt to be complicated and incredibly detailed when just the headlines were needed.

·       It was proposed that an update should be given at the next meeting on the changing landscape of primary care, the diagnostic provision and the care services close to home.

·       The amendments to the update reports would be discussed at the next meeting of the Integrated Delivery Group and the agreed way forward reported back to the Chair and the Strategic Director of Children and Families.

ACTION: Sandra Taylor and Debra Mitchell

---oOo---

The Chair paused the meeting at 3.20 p.m.

The Chair re-started the meeting at 3.25 p.m.

---oOo---

·       The Draft Health and Wellbeing Communications and Engagement Plan shown in Appendix D was discussed.

·       A working group that included Healthwatch Rutland had been created to produce a collaborative communication and engagement plan.

·       A period of engagement, with members of the public, stakeholders and the workforce, was required to enrich the plan as the public needed to be at the forefront of all communication.

·       Resources were limited but dedicated resources could be allocated to maximise the potential of the communications and engagement plan.

---oOo---

Sandra Taylor left the meeting at 3.41 p.m.

---oOo---

·       A weekly newsletter was proposed that would update the public on what had been achieved and what was being done.

·       All communication needed to be co-ordinated and sent via a one-stop-shop for all information regarding the JHWS.

---oOo---

Sandra Taylor re- joined the meeting at 3.44 p.m.

---oOo---

RESOLVED

That the Board:

a)    NOTED the further development of the JHWS Delivery Plan coinciding with the July transition to the Integrated Care System, and the summary of progress to date.

b)    ENDORSED the direction of travel of the associated Communications and Engagement plan and APPROVED:

·       public engagement to enhance and refine that plan; and

·       as the plan was not cost neutral, the development of an options appraisal addressing what could be achieved under the plan with different levels of resourcing.

To receive Report No. 130/2022 from Councillor S Harvey, Portfolio Holder for Health, Wellbeing and Adult Care and presented by Sandra Taylor, Health and Integration Lead, RCC.

Report No. 130/2022 was presented by Sandra Taylor, Health and Wellbeing Integration Lead, RCC.  During the discussion, the following points were noted:

·       The policy and planning guidance for this year’s Better Care Fund (BCF) was expected imminently.

·       Only minor amendments were being made to the current plan.

·       A BCF two-year program was being proposed for 2023-2025 with planning guidance expected this financial year.

·       Funding has been raised by a small inflationary increase but costs continued to rise.

RESOLVED

That the Board:

a)    NOTED the Rutland 2021-22 Better Care Fund end of year return, whose submission to the BCF national team on 27 May was signed off by the HWB Chair.

b)    NOTED the update on the 2022-23 programming period.

c)    AGREED to delegate the decision regarding the BCF planning for 2023-2025 to the Chair of the Health and Wellbeing Board and the Strategic Director of Adult Services.

To receive an update from Councillor David Wilby, Chair of the Children and Young People Partnership.

An update was received from Councillor D Wilby and the Strategic Director of Children and Families.  During the discussion, the following points were noted:

·       Virtual meetings of the partnership had helped with the attendance at meetings.

·       The recommissioning of the 0-19 Healthy Child Programme had been successful and recruitment to the new posts was ongoing.

·       Grant funding for the Reducing Parental Conflict Programme had been received for a further 2 years.

·       A Programme Manager was now in place to support the Family Hub and would be funded for 1-year.  No funding was available for the delivery of the Family Hub but an update would be given at the next meeting.

·       Increased secondary mainstream plus provision for children with SEND would begin at Uppingham Community College in September 2022.

To receive an update from Debra Mitchell, Chair of the Integrated Delivery Group.

An update was received from Debra Mitchell, Deputy Director Integration & Transformation, ICS.  During the discussion, the following points were noted:

·       The Group had improved the way partners worked together and this integration work would continue.

·       The Strategic Health Development Group had been established regarding the health work as part of the JHWS.

·       It was proposed that the JHWS update reports (as detailed in Appendix A of Report No. 131/2022) would be included as part of the updates from the Children and Young People Partnership and the Integrated Delivery Group at future HWB meetings and not be listed as a separate agenda item.

·       Quarterly performance data from the ICS was presented to the Strategic Overview and Scrutiny Committee and it was proposed that an annual performance data report should also be presented to the Health and Wellbeing Board to identify future actions.

---oOo---

Councillor P Browne left the meeting at 4.19 p.m.

---oOo---

To receive Report No. 132/2022 from Mike Sandys, Director of Public Health and presented by Hannah Blackledge, Public Health Intelligence Lead.

Report No. 132/2022 was presented by Andy Brown, Business Intelligence Team Leader and Hannah Blackledge Public Health Intelligence Lead. During the discussion, the following points were noted:

·       The Joint Strategic Needs Assessment (JSNA) underpins local planning for health services and was last published in 2018.

·       It was proposed to develop dashboards for the key information for Rutland on a regularly refreshed basis, with more in-depth reports and summaries of key topic areas for the Board, as required.

·       Preparing for Population Growth: census data would need to include proposed housing figures.  Population growth in Rutland would be a key issue.

·       Equitable Access to Services: would need to ensure that work was not duplicated across the partnership.

·       It was noted that Rutland does have areas of deprivation even though they would not register as such against the standard deprivation measurements.

·       Proposed that the JSNA would become a rolling 3-year programme rather than a final document that was out of date as soon as it was published.

·       A deep-dive exercise was suggested on the impact of Covid on very young children.  Reports were being received from education sector about the effect on very young children’s social interaction skills and development.  Higher numbers of children in Rutland were being diagnosed with autism and social, emotional and mental health needs. 

·       Neonatal and still birth figures and oral health figures were also suggested for deep-dive exercises.

·       A timeframe for the JSNA was requested for October and that an annual workshop should be arranged (date to be confirmed) to monitor the progress of the Place Led Plan and to ensure that the JSNA linked to the JHWS, as previously discussed at the Board meeting on the 22^nd February 2022.

---oOo---

Hannah Blackledge joined the meeting at 4.25 p.m.

---oOo---

RESOLVED

That the Board:

·       NOTED and commented on the suggested approach to the JSNA development.

·       SUGGESTED priority areas for the JSNA.

·       NOTED the latest Census 2021 timescale update and that data releases would be useful for elements of the chapters.

·       NOTED the supporting analytical work which had been progressed on the Pharmaceutical Needs Assessment, Health Inequalities and End of Life.

---oOo---

Viv Robbins left the meeting at 4.37 p.m.

---oOo---

To receive Report No. 135/2022 from Mike Sandys, Director of Public Health and presented by Andy Brown, Public Health Business Intelligence Team Leader.

Report No. 135/2022 was presented by Andy Brown, Business Intelligence Team Leader.  During the discussion, the following points were noted:

·       The Rutland Pharmaceutical Needs Assessment was out for consultation until the 21^st August 2022:

o   LEICESTERSHIRE COUNTY & RUTLAND NHS PRIMARY CARE TRUST (lsr-online.org)

o   PNA Consultation 2022 (leics.gov.uk)

·       The final document would be produced after the consultation and would be presented to the Board at the next meeting on the 11^th October 2022.

·       There was a national shortage of pharmacists.

·       A programme was in progress to train pharmacists to diagnose and prescribe.

·       Pharmacies had successfully extended their offer over recent years and were meeting the needs of the Rutland population.

·       All feedback and comments were welcome.

·       All members of the Board were requested to complete the consultation.

ACTION: All

RESOLVED

That the Board:

a)    NOTED the work undertaken to produce the draft Pharmaceutical Needs Assessment (PNA) 2022, which had been developed in line with the findings of the public and pharmacy surveys.

b)    COMMENTED on the draft PNA which was out for consultation, to inform the final document.

c)    NOTED that a further draft would be circulated to the Board prior to 1 October 2022 detailing the outcome of the consultation and seeking approval of the final PNA.

---oOo---

Andy Brown and Hannah Blackledge left the meeting at 4.49 p.m.

---oOo---

To receive a presentation from Sarah Prema, Executive Director of Strategy and Planning, LLR CCGs

A presentation was received from Sarah Prema, Executive Director of Strategy and Planning, ICS.  During the discussion, the following points were noted:

·       Work was well underway for the next steps for local healthcare in Rutland.

---oOo---

Angie Culleton joined the meeting at 4.51 p.m.

---oOo---

·       It was noted that a report on primary care access, diagnostics and outpatients and elective care services was requested to be presented at the next meeting.

AGENDA

·       A strategic assessment of Rutland Memorial Hospital would be undertaken but it would continue to be part of the healthcare plan.

To receive Report No. 127/2022 from the Leader of the Council and presented by Angie Culleton, Interim Head of Safe and Active Public Realm, RCC.

Report No. 127/2022 was presented by Angie Culleton, Interim Head of Safe and Active Public Realm.   During the discussion, the following points were noted:

·       The report outlined the proposed joint bid for funding with Melton Borough Council.

·       The joint funding bid was for £15 million and this was approved by Cabinet on the 14^th June 2022.

·       It was proposed that part of the funding would create a Health Innovation Centre.  This would be a DigiTech/MediTech and clinical innovation centre operating as a managed workspace facility (c£6 million).

·       Development options of the DigiTech Centre were being scoped at The Kings Centre and at Rutland Memorial Hospital (RMH).

·       Deadline for the submission bid was the 6^th July 2022.

RESOLVED

That the Board:

a)    NOTED the submission of a joint application by Rutland County Council and Melton Borough Council for Round 2 of Levelling Up Funding, in line with the Councils Constitution Financial Procedure Rules.

b)    NOTED that the joint application was submitted on the basis that a detailed discussion regarding funding including any ongoing financial implications would be required should the Council be successful in securing the bid. Any discussions would result in a Full Council decision to accept or reject funding offered.

To receive Report No. 133/2022 from Sarah Prema, Executive Director of Strategy and Planning, LLR CCGs

Report No. 133/2022 was presented by Sarah Prema, Executive Director of Strategy and Planning, ICS.  During the discussion, the following points were noted:

·       Funding would be available for the plus population to support the reduction of health inequalities.

·       The Board would need to agree which Rutland population cohort, who experienced health inequalities, would require the initial focus to be on.

RESOLVED

That the Board:

a)    NOTED the report.

b)    DELEGATED the further work to agree an initial focus on a Rutland population cohort(s) who already experience health inequities – a plus cohort of the Core20Plus5 approach - to the Chair of the Health and Wellbeing Board, the Director of Public Health and the Clinical Director for Rutland Primary Care Network.

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 work plan was discussed an updated accordingly.

The Chair informed attendees that this would be Sandra Taylor’s last meeting as she would be going on secondment to the ICS.  Members thanked Sandra for all her hard work and support and wished her well in her new seconded role.

The next meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 11^th October 2022 at 2.00 p.m. and will be held in the Council Chamber, Rutland County Council, Catmose, Oakham, Rutland LE15 6HP

Proposed Agenda Items:

Tuesday, 11^th October 2022 at 2.00 p.m.