Agenda and minutes

There were no declarations of interest.

There were no urgent items of business.

To approve as a correct record the minutes of the meeting of the Board held on 15 September 2016.

RESOLVED that the minutes of the meeting of the Board held on 15 September 2016 be approved as a correct record and signed by the Chairman, subject to minute 20 being amended as follows:

-       It was clear that some  GP practices were unlikely to remain on their current sites

-       The Director of Public Health reported that Wokingham BC had progressed their work around primary care mapping as they considered it to be a priority as 30,000 new residents were expected over the next few years.

·         The Public Health Consultant reported that the Board’s first workshop following the peer review would be held on 20 January 2017. A facilitator for the session had now been secured for this session from the Local Government Association – Andrew Cozens.

·         The Chairman reported that he had met with the minister for Planning & Housing to discuss the lack of attention to health and care facilities within Planning policy. The Chairman had requested that more specific consultation around this area be undertaken. The Chairman hoped to see planning policies that were more geared towards health and care facilities in the future as a result. In addition, Planning officers would be looking through the Council’s Local Plan to ensure that the progress of health & care facilities were not being impeded.

-       The Chairman reported that there was expected to be a 20% rise in births in the upcoming years whilst hospitals were already at capacity at current levels. This rise would need to be funded and resource would need to be identified. He reported that the Council’s Executive would not encourage the use of the Community Infrastructure Levy to fund this, but that resource would need to be found from other sources and from working jointly to develop health and care facilities.

-       The Chairman stated that consideration be given to how developers worked with partners and whether developers should contribute to social care. In order to do this, there would need to be evidence of an impact from a development on health and social care.

-       The Public Health Consultant reported that she was currently developing spreadsheets to assess the impact of the level of housing on health and social care.

No submissions had been received under the terms of the Health & Wellbeing Board’s public participation scheme.

·         The Vice Chairman reported that the Chairman of the Transferring Children Board had submitted a transformation plan for children in October 2015. This plan needed to be resubmitted and would be sent to Board members over the next week for consideration. The Vice Chairman reported that he hoped to submit the Plan by 14 December.

-       In response to Members queries, the Vice Chairman reported that the Plan had been formatted in line with the requirements set out be NHS England. A more user friendly version would be provided once the Plan had been signed off.   

Presentation from the federated Director of Strategy & Operations Plans, Fiona Slevin-Brown.

A presentation was delivered to the Board from Viki Wadd, Associate Director Strategy, Planning and Organisational Development. Ms Wadd reported that due to tight timescales it was not possible to put the final Operating Plan before the Board before it was signed off.

In response to Members queries, Ms Wadd made the following comments:

·         In terms of links to the Sustainability and Transformation Plans (STP), the operational plan included all of the work streams in the STP and the two plans were interwoven. It was confirmed that the assumptions made in the STP had also been aligned. If there was a specific local problem, the STP was silent on this, the STP would only look at the benefit of things that could be done at scale across an area.

·         The STP and commissioning intentions would be mapped against one another.

The Public Health Consultant reported that with regard to raising awareness amongst men accessing bowel screening, that in self care week officers would be working with Men United to target men and raise awareness, as well as using a number of other male orientated media.

Ms Wadd reported that in terms of next steps, the operating plan would now be submitted to NHS England for sign off and then used as a template for the next two years. The Plan would also then be shared publicly through a variety of ways. Some work would need to be undertaken to ensure that the plan was communicated in a user friendly way.

The Vice Chairman stated that it would be hugely effective to have all the major players talking from one page.

The Public Health Consultant reported that the Public Health team had created a lot of the data that had fed into this plan and that the basic acknowledgment of need was very well aligned.

The Board supported the Bracknell & Ascot Clinical Commissioning Groups, commissioning intentions and operating plan.      

Presentation from Frimley Health NHS Foundation Trust.

A presentation was jointly delivered by the Director of Adult Social Care, Health & Housing and the Director of Integration and Transformation, Frimley Health Foundation Trust.

The Board made the following points:

·         The Director of Children, Young People & Learning expressed concern that the Sustainability & Transformation Plan (STP) contained nothing pertinent to children. Clearly the benefits of educating children and early intervention was well documented. The benefits of work with children could be very wide ranging and preventative. The language of the STP felt very adult orientated.

·         The Director of Integration and Transformation reported that the STP was intended to cover the whole population and not specifically adults. She stated that there would be an opportunity for a greater focus on children when more detailed delivery plans were developed.

·         The Chairman agreed that references to children could be better articulated in the STP.

·         The Involve representative stated that it was important to include the voluntary sector in the STP as this sector had much to offer and this opportunity of joint working should not be missed.

·         The Director of Integration & Transformation reported that the STP had been put before this Board in the interests of transparency and to demonstrate progress with this work. The Board was also asked to give a view as to whether alignment across different areas had been achieved. A lot of work had gone into developing this STP and it had been developed from the ground up based on local priorities.

·         The Chairman stated that he was pleased to see the joined up approach and terminology being used with this work. He asked that all partners be engaged in the process of communicating this message to the public.

·         The Director of Integration & Transformation reported that the STP was now on all partner websites alongside a short summary and why the plans would benefit local residents. The Director encouraged all Board Members to visit these documents to see the messages being communicated. She confirmed that the same information appeared on all partner websites, demonstrating a joined up approach.

The Board supported and endorsed the Frimley Health & Care STP.

The Board is asked to receive the annual report of the LSCB and to note the key messages and recommendations made.

The Chairman of the Local Safeguarding Children Board made the following points:

·         Ms Walters stated that the core function of the LSCB Board was to scrutinise and hold partners to account. Section 2 of the annual report set out how the LSCB had delivered against this function. Section 4 of the annual report set out the progress made against the LSCB’s priorities for 2015/16. The Challenge log at Appendix C demonstrated the work of the Board over the year and showed how partners were continually held to account.

·         Ms Walters stated that as a statutory partnership the LSCB knew itself well and worked via constructive challenge and recognised the collective ownership and responsibility for safeguarding children amongst partners.

The Chairman stated that the Board had done some work around reducing waiting times in the Child & Adolescent Mental Health Service but that there still remained disappointing waiting times. Ms Walters reported that the LSCB had been keeping a watching brief of this work and would continue to do so. Further the LSCB could collectively with other partners encourage and support CAMHS to improve their waiting times.

The Vice Chairman reported that GPs hadn’t got to grips fully with the issues surrounding young carers and it would be useful to share the work of the LSCB on this. Ms Walters stated that she would look into this further.

The Board noted the LSCB Annual Report 2015-16.   

There were no additions or amendments to the forward plan.