To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on <DATE> (previously circulated).

The minutes of the meeting of the Rutland Health and Wellbeing Board held on the 24 March 2015, copies of which had been previously circulated, were confirmed and signed by the Chair.

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Tim Sacks joined the meeting at 2.04 p.m.

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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.  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.

No petitions, deputations or questions were received from members of the public.

Review of Terms of Reference for the Health and Wellbeing Board

The Terms of Reference were presented by Mr Begy.  During discussion the following points were noted:

a)    The attendance of ‘minimum membership’ was not always possible especially the attendance of the Portfolio Holder for Health and Wellbeing and the Leader of Rutland County Council.

AGREED:

1.    Each member of the Board would have a named representative to attend in their place if they were unable to attend a meeting of the Board.

2.    Mr Alastair Mann would be the named representative for the Leader of Rutland County Council and the Portfolio Holder for Health and Wellbeing.

3.    Dr Hilary Fox would be the named representative for Dr Andy Ker.

To receive an update from Sarah Smith, Better Care Together, Leicester, Leicestershire & Rutland Health and Social Care.

A presentation on Better Care Together was received from Sarah Smith and Kaye Burnett from Better Care Together at the East Leicestershire and Rutland Clinical Commissioning Group.

During discussion the following points were noted:

a)    The Better Care Together plan required greater detail even though it was a 5 year plan.

b)    Change has already happened and has shown tangible results.

c)    Partners must work together towards common goals using limited resources.

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Sarah Smith and Kaye Burnett left the meeting at 2.32 p.m.

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To receive Report No. 139/2015 from Jennifer Fenelon, Chair, Healthwatch Rutland

Report No. 139/2015 was received from Jennifer Fenelon, Chair of Healthwatch Rutland.

During discussion the following points were noted:

a)    The pilot project at Rutland County College has been established and has already met three times.

b)    More schools are now involved.

c)    Teachers require specialist training as part of the programme.

d)    Rutland County Council would offer strong support to identify current and future provision.

AGREED:

1.    The Board noted the considerable progress made to date and endorsed the next steps identified within the report.

2.    Jennifer Fenelon to present a progress report the Health and Wellbeing Board on the 17 November 2015.

3.    Leicestershire Partnership Trust to be invited to the meeting on the 17 November to join discussion regarding Young People’s Mental Health.

To receive Report No.133/2015 from the Director for People

Report No. 133/2015 was received from the Director for People and was presented by Karen Kibblewhite, Head of Commissioning.

During discussion the following points were noted:

a)    The report has been updated since its distribution to the Health and Wellbeing Board.

b)    Data in the report had been quality assured and was correct.

c)    The HMP Stocken Health Needs Assessment had been received and would be incorporated into the JSNA.

d)    Section 8.4 – Carers (page 55) would be extended as more data was received.

e)    The previous JSNA had not changed since its publication in 2012.  The new JSNA would be updated on an on-going basis so that the data within the document was up-to-date.

f)     Needs must be identified before re-commissioning and data must drive the  identified needs.

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Julia Eames joined the meeting at 3.00 p.m.

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Proposed JSNA Chapters (page 36)

g)    Frequent Attendees to Primary Care: has increased by 75%.  Better communication was needed regarding the availability of other services and the utilisation of these services.  

h)   Children’s Oral Health: data shows that the county has a large number of children under the age of 5 who have tooth decay.  The numbers involved are small but show a large percentage in comparable numbers.  Officers need to identify if this was the true picture or an anomaly in the data.

i)     The proposed JSNA chapters would be reviewed as data was received to ensure they met emerging issues.

AGREED:

1.    Tim O’Neill would send Karen Kibblewhite the recent health assessment report on the armed forces, which included data regarding local barracks.

2.    Proposed JSNA Chapters should include ‘Dementia’ and ‘Obesity’.

3.    The Board agreed the detailed chapter subjects and timescales to complete them.

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Karen Kibblewhite left the meeting at 3.20 p.m.

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To receive Report No. 140/2015 from Dr Samantha Brown, NHS Arden & Greater East Midlands Commissioning Support Unit and Jane Chapman, Chief Strategy and Planning Officer (ELRCCG)

Report No. 140/2015 was received from Dr Samantha Brown, NHS Arden & Greater East Midlands Commissioning Support Unit and Jane Chapman, Chief Strategy and Planning Officer, East Leicestershire and Rutland Clinical Commissioning Group (ELRCCG).

During discussion the following points were noted:

a)    Five options were chosen by the CCG to be part of the Quality Premium including two local priorities (iv & v):

(i)        Potential Years of Lives Lost

(ii)       Urgent and Emergency Care

(iii)      Mental Health

(iv)      Primary Care Plans

(v)       Deaths in Usual Place of Residence

AGREED:

1.    The Board approved the five options recommended by the ELRCCG

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Helen Briggs and Dr Samantha Brown left the meeting at 3.32 p.m.

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To receive Report No. 138/2015 from Yasmin Sidyot, Strategy and Planning Manager, ELRCCG

Report No. 138/2015 was received from the Director for People and presented by Julia Eames, Team Manager, Health & Social Care Integration.

During discussion the following points were noted:

a)    There would be underspends within the contract but these would not be consistent.

b)    Long term planning was not an option as it was not known if the funding would continue after March 2016.

AGREED:

1.    The Board noted the contents of the report.

2.    The Board supported the recruitment of the proposed new posts.

3.    The Board approved the business case for Integrated Health and Social Care Pathways (IRU2).

4.    Mr Roger Begy to speak with the LGA Chair to ask the Government if BCF funding would continue after March 2016.

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Sergeant Kevin Pulley left the meeting at 3.44 p.m.

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To receive Report No. 141/2015 from the Deputy Director for People

Report No. 141/2015 was received from the Deputy Director for People.

During discussion the following points were noted:

a)    The new reporting template would be used to provide quarterly updates to the Health and Wellbeing Board.

b)    We had met all our Better Care Together performance targets.

c)    Awaiting decision regarding BCF validation but if successful we would receive funding of £23 k

d)    Performance was on track for the next quarter but we were still waiting for June’s data and the data could change a lot due to the small numbers dealt with in Rutland.

AGREED:

1.    The Board noted the contents of the report.

Mr Roger Begy queried if the meetings of the Health and Wellbeing Board were in the correct format.  Was the Board dealing with the correct agenda items?  Should the Board invite outside organisations to attend meetings or would this be a duplication of what other committees, boards, panels etc. were already doing?

AGREED:

1.    Mr Begy would discuss the format of the Health and Wellbeing Board with Dr Tim O’Neill and Mark Andrews.