To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on the 1^st September 2015 (previously circulated).

The minutes of the meeting of the Rutland Health and Wellbeing Board held on the 1^st September 2015, copies of which had been previously circulated, were confirmed and signed by the Chair.

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 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.

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

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Mike Sandys and Rachel Dewar joined the meeting at 2.02 p.m.

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To receive a verbal update.

Mr Begy informed attendees that the document had been delayed and would not be completed before Christmas 2015 as planned but it was important that the document was correct before it was distributed to the public.

To receive Report No. 214/2015 from Jennifer Fenelon, Healthwatch Rutland and Report No. 215/2015 from Leon Charikar, CAMHS Commissioning Manager.

Report No. 214/2015 was introduced by Mrs Fenelon, Dr Williams and Mr Foster. Dr Williams briefed attendees on the progress made with the Rutland Young People’s Mental Health Project.

During discussion the following points were noted:

a)    The project was a ‘good news’ story for Rutland as it was being talked about nationally.

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Mrs Fenelon left the meeting at 2.10 p.m.

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b)    The Transformational Plan was being developed using the Better Care Together framework and the three CCGs in the region would receive and control funding totalling £1.87 million over five years to support children and young people with mental health issues.

c)    Mr Foster was supporting the project in his role as Portfolio Holder for Safeguarding Children and Young People and chaired the Monitoring Group.  This group would monitor the pilot’s progress; oversee the funding received by Rutland and decide how that funding was separated to support the relevant projects. 

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Jennifer Fenelon re-joined the meeting at 2.13 p.m.

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d)    An Implementation Board had been established to oversee the implementation of the plan and Dr O’Neill attended as the Rutland County Council representative.

e)    A pilot scheme to test the development of a co-ordinated early intervention and support system had been established at Rutland County College and began on the 7^th October 2015.

f)     There were currently no individual delivery plans for Leicester, Leicestershire or Rutland.

g)    Schools were currently working independently but would need to work together in the future in order to share information/resources and be included in the decision making process.

h)   The University of Leicester was looking for mental health projects to be involved in.  This was still being developed and further details should be available in early 2016.

AGREED:

1.    The Board noted the considerable progress made to implement a trial early intervention model in Rutland and the intention to extend the pilot to primary and secondary settings if successful.

2.    The Board noted that, if successful, it was planned that the evaluation was made available across Leicester, Leicestershire and Rutland.

3.    That Ms Kibblewhite would attend future Monitoring Group meetings (chaired by Mr Foster) as the Council’s representative.

4.    That the Council, the CCG and Healthwatch should establish a briefing event for all schools in order to establish joint working.

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Dr Williams left the meeting at 2.40 p.m.

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To receive a report from Helen Stubbs, Senior Contracts and Provider Performance Manager, ELRCCG

Mr Begy informed attendees that no report had been received from Helen Stubbs, Senior Contracts and Provider Performance Manager at ELRCCG and no representative had attended the meeting to brief the Board.

During discussion the following points were noted:

a)    Non-emergency Patient Transport within Leicester, Leicestershire and Rutland was provided by Arriva Transport Solutions and an update on their service ‘improvements’ would be given to the ELRCCG in the near future.

b)    The review of the National Transport Policy was ongoing but other forms of transport besides ambulances should be considered e.g. transporting chemotherapy patients to hospital for treatment by taxi rather than by ambulance.

AGREED:

1.    Mr Begy would contact the ELRCCG for an explanation as to why no report/representative had been sent.

To receive Report No. 216/2015 from Karen Kibblewhite

Report No. 216/2015 was received from Ms Kibblewhite.

During discussion the following points were noted:

a)    The overview document for the JSNA had been updated to include the needs assessment for HMP Stocken and the two military bases within Rutland: St. George’s Barracks North Luffenham and Kendrew Barracks Cottesmore. 

b)    HMP Stocken had steadily increased in size since opening in 1985 and now held approximately 844 prisoners, 98% of its operational capacity. There were concerns regarding the increasing workload for the GPs and the Mental Health Team.

c)    The data for the military bases was out of date.  Previous data was based on RAF bases and personnel.  The bases were now larger and the Army personnel were from a different demographic.

d)    An NHS survey had found poor dental health in children with Leicester children having the ‘worst teeth in the UK’.

e)    A Sexual Health Assessment was currently being drafted.

f)     The Board needs to identify priorities to focus on whilst the JSNA is being developed.  Are the existing priorities currently sufficient?  Should the Board focus on integration? 

AGREED:

1.    Ms Kibblewhite would produce a suggested programme of what the priority items were and a timetable of when each priority needed to be addressed.

2.    The Board would, at the next meeting of the Rutland Health and Wellbeing Board, discuss the potential priorities and identify where they wish to focus over the next three to six months.

a)    Mr Begy informed attendees that the Local Government Association had offered to brief the Board on the role of a Health and Wellbeing Board and what actions/decisions a Board should be undertaking.

b)    Mr Andrews reported that the Better Care Fund (BCF) Review was underway.  Workshops were being organised and invitations to representatives would be sent presently.

The next meeting of the Rutland Health and Wellbeing Board will be on Tuesday, 26^th January 2016 at 2.00 p.m. in the Council Chamber, Catmose.

The next meeting of the Rutland Health and Wellbeing Board would be on Tuesday, 26^th January 2016 at 2.00 p.m. in the Council Chamber, Catmose.

AGREED:

The following items would be included on the next agenda:

1.    BCF Review (Sandra Taylor)

2.    Development Session (Local Government Association to brief the board on the role & purpose of a Health and Wellbeing Board)

3.    JSNA: Identification of Priorities (Karen Kibblewhite)

4.    Public Health: Sexual Health Strategy (Mike Sandys)

5.    Local Safeguarding Children and Adults Boards Business Plans (Paul Burnett)

6.    East Midlands Ambulance Service (EMAS) Inspection – update following Care Quality Commission (CQC) inspection on the 17^th November 2015 (TBC)

7.    Children’s Public Health: Transfer of Responsibility (item requested by Jennifer Fenelon for Mike Sandys to update the Board on plans and strategy for the new service)

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The Chairman declared the meeting closed at 3.11 p.m.

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