Council and councillors

The Chair welcomed everyone to the meeting.  Apologies were received from Karen Kibblewhite and David Williams.  Alison Gilmour, Director of Strategy & Partnerships at Leicestershire NHS Partnership attended the meeting as David’s representative.  

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 16^th January 2024.

The minutes of the Rutland Health and Wellbeing Board meeting held on the 16th January 2024 were approved as an accurate record.

There were no actions arising from the previous meeting.

There were no actions arising from the previous meeting.

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.

There were no questions with notice from members.

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

There were no questions with notice from members.

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

There were no notices of motion from members.

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Chief Inspector Audrey Danvers joined the meeting at 2.03 p.m.

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10 MIN

To receive an update from Chief Inspector Audrey Danvers, Leicestershire Police.

A verbal briefing was received from Chief Inspector Audrey Danvers on the Right Care, Right Person (RCRP) approach.  During the discussion, the following points were noted:

It had been recognised that many people in mental health crisis would often see a police officer, who could not provide the specialist care or support that was needed.

This was a national partnership approach led by police services alongside ambulance services, hospitals, mental health services and social services which aimed to ensure that vulnerable people with health and social care needs were responded to by the most appropriate specialist service.

RCRP gave an overview of when police would get involved in relation to certain matters i.e. people who were absent without leave (AWOL) from mental health establishments or who had walked out from health care services.

Guidance had been produced called ‘Considerations before you call’ for partner agencies to use before they called the police regarding a person who had gone AWOL or was missing – copy attached.

Chief Inspector Danvers confirmed that the police would always be involved to support and safeguard any person who was at risk of harm.

The Strategic Director of Adults and Health confirmed that agreed strategies and processes were already in place locally to ensure that the right services  were in place to support the public.

The Strategic Director of Children and Families confirmed that work was ongoing locally with regard to the RCRP approach and the safeguarding of children and young people.

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Chief Inspector Audrey Danvers left the meeting and Fiona Grant and Anuj Patel joined the meeting at 2.20 p.m.

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10 MIN

To receive Report No. 59/2024 from Fiona Grant, Consultant in Public Health, Leicestershire County Council and Anuj Patel, Strategic Lead – Health Protection, Leicestershire County Council.

Report No. 59/2024 was received from Fiona Grant, Consultant in Public Health, Leicestershire County Council and Anuj Patel, Strategic Lead – Health Protection, Leicestershire County Council.  During the discussion, the following points were noted:

Public Health continued to work closely with all partners to improve vaccination rates.

The Consultant in Public Health noted that a women’s health hub would help to promote the uptake in cervical and breast screening services, which had seen a downward trend following the COVID pandemic.

Antibiotic resistant pseudomonas infection rates were covered by the Integrated Care Board (ICB) and not Public Health.

The bowel screening programme was gradually being expanded to make it available to everyone aged 50 to 59 years.

RESOLVED

That the Board:

a)    NOTED the Rutland Health Protection Annual Report 2023.

b)    RECOGNISED the specific health protection issues that have arisen locally, the steps taken to deal with them and the particular areas of focus for the coming year.

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Fiona Grant and Anuj Patel left the meeting at 2.42 p.m.

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The Chair proposed to take Agenda Item 11 (Leicester, Leicestershire & Rutland (LLR) Integrated Care System: Update) before Agenda Item 10  and this was agreed by the Health and Wellbeing Board.

10 MIN

To receive Report No. 62/2024 from Sarah Prema, Chief Strategy Officer, Leicester, Leicestershire and Rutland Integrated Care Board.

Report No. 62/2024 was received from Sarah Prema, Chief Strategy Officer, Leicester, Leicestershire and Rutland Integrated Care Board (LLR ICB).  During the discussion, the following points were noted:

Caroline Trevithick had been appointed as the new Chief Executive Officer for the LLR ICB following the retirement of Andy Williams in November 2023.

David Sissling had also left the role of Chair of the LLR ICB and the recruitment process for a new chair was ongoing.

The Birmingham and Solihull ICB, on behalf of the 10 ICB’s located across the Midland’s region, would manage the 59 ‘low volume, high cost’ specialised services delegated from NHS England to the ICB’s on the 1^st April 2024.

RESOLVED

That the Board:

a)    NOTED the update from the LLR Integrated Care System (ICS).

10 MIN

To receive Report No. 57/2024 from Adrian Allen, Assistant Director - Delivery, Public Health and Mitch Harper, Strategic Lead – Rutland, Public Health.

Report No. 57/2024 was received from Adrian Allen, Assistant Director - Delivery, Public Health and Mitch Harper, Strategic Lead – Rutland, Public Health.  During the discussion, the following points were noted:

A presentation was received from Mitch Harper, Strategic Lead for Rutland – copy attached.

The next step would be to engage with the community to get their involvement to inform the priorities and identify any possible ‘quick wins’.

RESOLVED

That the Board:

a)    APPROVED for a long-term Whole Systems Approach to Healthy Weight be developed for Rutland.

b)    APPROVED the approach to be delivered by the Rutland Staying Healthy Partnership subgroup.

15 MIN

To receive Report No. 60/2024 from Hanna Blackledge, Lead Public Health Analyst, Leicestershire County Council and Amy Chamberlain, Senior Public Health Analyst, Leicestershire County Council.

Report No. 60/2024 was received from Hanna Blackledge, Lead Public Health Analyst, Leicestershire County Council and Amy Chamberlain, Senior Public Health Analyst, Leicestershire County Council.   During the discussion, the following points were noted:

A presentation was received from Amy Chamberlain – copy attached.

Ian Crowe, the Armed Forces Representative requested that the data from the ONS report (Suicides in UK armed forces veterans, England and Wales: 2021) be included in the finalised JSNA chapter and that the focus be on the veterans population within Rutland.

The treatment of mental health was not purely a health services issue but rather a whole partnership issue i.e. Public Health, social care, housing etc.

The Strategic Director of Children and Families noted that there was no specific chapter regarding mental health issues for children and young people, or ‘at risk’ groups i.e. care leavers and unaccompanied asylum seekers.

The Strategic Director of Adults and Health commented that the Leicester, Leicestershire and Rutland (LLR) dementia strategy had been approved and was no longer ‘draft’ as stated in the report; that the dementia diagnosis rate was now higher due to significant on-going project work and that references to data should be recorded as being from ‘Leicester, Leicestershire and Rutland (LLR)’ and not ‘Leicestershire and Rutland’.

The Director of Public Health for Leicestershire & Rutland informed the Board that the data stated within the report was accurate at the time it was collated/published i.e. 2021 so would be different to current data.

The Chair of Healthwatch Rutland requested that data regarding young onset dementia should also be included in the report.

RESOLVED

That the Board:

a)    APPROVED the Mental Health and Dementia JSNA for publication with the following changes:

• That the report should be amended so that the focus was on ‘armed forces veterans’ and not on ‘armed forces personnel’.
• That there should be a specific chapter on mental health issues for children and young people, specifically the ‘at risk’ groups i.e. care leavers and unaccompanied asylum seekers.
• That references to data should be recorded as being from Leicester, Leicestershire and Rutland (LLR).
• That the report should clearly state that the figures detailed in the report reflected the data at the time of its collation/publication.

b)    SUPPORTED the findings and recommendations of the JSNA.

c)    NOTED the contents of the JSNA.

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Sarah Prema left the meeting at 4.03 p.m.

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15 MIN

To receive Report No. 58/2024 from Katherine Willison, Health and Integration Lead, Rutland County Council.

Report No. 58/2024 was received from Katherine Willison, Health and Integration Lead at Rutland County Council .  During the discussion, the following points were noted:

The Chair informed attendees that Katherine Willison was now the new Interim Head of Adult Social Care.

The report gave the Board an update on the progress of the Joint Health and Wellbeing Strategy Delivery Plan and highlighted elements of the Public Health Outcomes Framework.

Life expectancy figures fell nationally during the COVID pandemic.

The next report with updated figures was expected in Spring 2025.

RESOLVED

That the Board:

a)    NOTED the further development of the JHWS Delivery Plan.

b)    NOTED the Public Health Outcomes Framework: Update for Rutland Report.

10 MIN

To receive Report No. 61/2024 from Katherine Willison, Health and Integration Lead, Rutland County Council.

Report No. 61/2024 was received from Katherine Willison, Health and Integration Lead at Rutland County Council.  During the discussion, the following points were noted:

The report briefed the Board on the 2023-25 Quarter 3 BCF Report.

The metric for the ‘discharge to usual place of residence’ had improved and was now on track to meet its target.

‘Avoidable admissions’ was not on track to meet its target but a new Health and Care Collaboration project was due to start to help improve these figures.

RESOLVED

That the Board:

a)    NOTED the content of the report.

b)    NOTED that the Rutland 2023-25 Quarter 3 Report of the Better Care Fund gained approval from the Chair of the Health and Wellbeing Board and from the ICB Executive Team and was submitted to the National BCF Team on 31 January 2024.

20 MIN

To receive an update from Dawn Godfrey, Strategic Director for Children and Families, Rutland County Council.

A verbal update was received from Dawn Godfrey, Strategic Director for Children and Families, Rutland County Council.  During the discussion, the following points were noted:

The partnership’s priorities for 2023/24 had been reviewed and were now being undertaken as ‘business as usual.’

The current Rutland Children and Young People’s Strategy would run until 2025 and planning had already started on identifying the partnership’s next 3 year plan and priorities. 

Once finalised, the new Rutland Children and Young People’s Strategy for 2025-2028 would be presented to the Health and Wellbeing Board for formal approval.

To receive an update from Debra Mitchell, Deputy Chief Operating Officer, Leicester, Leicestershire and Rutland Integrated Care Board.

A verbal update was received from Debra Mitchell, Deputy Chief Operating Officer, Leicester, Leicestershire and Rutland Integrated Care Board.  During the discussion, the following points were noted:

A dementia sub-group had been established.

The Lived Experience Partnership Group was reviewing services including forming better links with the voluntary sector.

Same-Day Access Services were being reviewed to improve the model of care.

The Group’s Terms of Reference had been updated and now included a ‘deep dive’ into each priority area.

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At 4.30 p.m. the Chair proposed that the meeting be extended for 15 minutes for the agenda to be completed. This was unanimously agreed.

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An update on dentistry services had been received including details of the national action plan and the Oral Health Needs Assessment, which was due at the end of May 2024.

To receive an update from Emma Jane Hollands, Head of Community Care Services, Rutland County Council.

A verbal update was received from Emma Jane Hollands, Head of Community Care Services, Rutland County Council regarding the ongoing work of the group – details attached.

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At 4.43 p.m. the Chair proposed that the meeting be extended for a further period of 15 minutes for the agenda to be completed. This was unanimously agreed.

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To receive an update from Adrian Allen, Assistant Director – Delivery, Public Health.

A verbal update was received from Adrian Allen, Assistant Director – Delivery, Public Health.  During the discussion, the following points were noted:

An Armed Forces Workshop had been held from which an action plan had been identified for 2024-2025.

The High 5 project was currently being evaluated and the sustainability of the project was being investigated.

5 MIN

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 and the Board’s work plan for 2024-2025 were reviewed.  During the discussion, the following points were noted:

An update regarding dental services in Rutland would be added to the work plan for the September/October meeting.

The Rutland Children and Young People’s Strategy for 2025-2028  would be added to the work plan for the Board to approve at its October or January meeting.

Councillor Ellison requested that Board members notify her of any other items for inclusion on to the Board’s work plan for 2024-2025 for discussion at the next meeting.

5 MIN

To receive any items of urgent business, which have been previously notified to the person presiding.

There was no urgent business.

Date/time to be confirmed

The date/time of the next meeting would be confirmed at Annual Council on the 20^th May 2024.