Agenda and draft minutes

Members are asked to declare any disclosable pecuniary or affected interests in respect of any matter to be considered at this meeting.

Any Member with a Disclosable Pecuniary Interest in a matter should withdraw from the meeting when the matter is under consideration and should notify the Democratic Services Officer in attendance that they are withdrawing as they have such an interest. If the Disclosable Pecuniary Interest is not entered on the register of Members interests the Monitoring Officer must be notified of the interest within 28 days.

Any Member with an affected Interest in a matter must disclose the interest to the meeting.  There is no requirement to withdraw from the meeting when the interest is only an affected interest, but the Monitoring Officer should be notified of the interest, if not previously notified of it, within 28 days of the meeting.

There were no declarations of interest.

There were no urgent items of business.

The minutes of the meeting held on 7 September 2022 were approved as a correct record.

There were no matters arising.

QUESTIONS: If you would like to ask a question you must arrive 15 minutes before the start of the meeting to provide the clerk with your name, address and the question you would like to ask. Alternatively, you can provide this information by email to the clerk at committee@bracknell-forest.gov.uk at least two hours ahead of a meeting. The subject matter of questions must relate to an item on the Board’s agenda for that particular meeting. The clerk can provide advice on this where requested.

PETITIONS: A petition must be submitted a minimum of seven working days before a Board meeting and must be given to the clerk by this deadline. There must be a minimum of ten signatures for a petition to be submitted to the Board. The subject matter of a petition must be about something that is within the Board’s responsibilities. This includes matters of interest to the Board as a key stakeholder in improving the health and wellbeing of communities.

There were no items submitted for public participation.

To provide an Update on the Frimley ICS Strategy Update.

The Board received an update on the current Frimley Integrated Care System (ICS) “Creating Healthier Communities” strategy.  It was noted that the two objectives of the strategy were improving healthy life expectancy and reducing health inequalities.  The strategy included six ambitions.

The Frimley ICP (Integrated Care Partnership) was overseeing a refresh of the ICS Strategy in line with national timescales.  As part of the engagement process for the strategy refresh a portal (Insight and Involvement) had been established with downloadable resources as well as links to provide feedback on each ambition.  Members were invited to use the portal to comment on whether the ambitions still reflected the desired aims, what had changed since 2019, and what focus areas should be reflected in the strategy refresh. 

The Board was briefed on the “Starting Well” ambition as an example of the content of the Insight and Involvement Portal.  The current strategy described the purpose of Starting Well ambition to improve outcomes for children and families.  Stakeholder events had highlighted pre-conception and early years as particular areas to focus on.  The agreed priorities were vulnerable children and families and childhood obesity, promoting the habits of a healthy family and building on existing resources that children and families had access to.  A number of achievements were noted, including the development of the Frimley Healthier Together website which had created a single digital front door for families and professionals.  Additionally, 17 projects had been funded via the Innovation Fund’s bespoke Children and Young People funding stream.  The briefing also highlighted the emerging ideas for the strategy refresh for people to provide comments on.

To ensure the Health & Wellbeing Strategy Delivery Plans align with the ICS strategy and approve them accordingly.

The Board considered a report on the delivery plans for Bracknell Forest which had been co-produced with partners.  The Board had overall statutory responsibility for the strategy, but it was noted that each priority had oversight by various boards and forums, as well as a dedicated working group for each priority.  Each priority had a number of key tasks (inputs), outputs, process milestones and outcome indicators. 

In response to questions, the following was noted:

·       A lot of milestones had already been achieved during the first year and would be reported on at Health and Wellbeing Board meetings.  The first progress reports were expected by April 2023. 

·       A dashboard had been planned to track outcomes on all the indicators.  The dashboard would take six months to pull together all the information as there was a need to understand what the baselines were.  The final dashboard would be completed by the end of 2023, but draft dashboards would be produced during the year.

RESOLVED to AGREE:

1.     to approve the delivery plans (appendix 2 of the report); and

2.     to publish the delivery plans subject to any minor amendments to be agreed with the Chair of the Health and Wellbeing Board. 

To review winter planning arrangements.

The Board was briefed on the Bracknell Forest Winter Resilience & Preparedness Plan 2022/23.  There were a number of considerations and challenges, including a finite workforce and increased pressure on community resources. 

The winter framework approach included three key domains: admission avoidance, community resilience, and discharge & flow.  Winter plans had been integrated across Health and Social Care and there would be leads within the organisation for each scheme, initiative, or pathway.  The winter plan would be monitored by regular internal meetings and by reporting to various boards (including the Health and Wellbeing Board).

The winter plan included several initiatives focussing on care homes, diabetes support, supporting adults, supporting children and young people, and supporting mental health patients.  It was noted that a lot of the initiatives for children and young people had been implemented already and become business as usual. 

The Bracknell Forest Public Health team had developed the warm, safe and well programme, community winter hubs, and the 5 ways to winter wellness campaign.

In response to questions and comments, the following was noted:

·      There was a need to ensure that residents had quick access to the information about what was available.  Members were urged to exchange information about any initiatives they were involved in so that social prescribers and volunteers could share that information.

·      Care homes in Bracknell Forest had been provided access to a physiotherapist who would prioritise working with people who were at risk of frailty or falls.  The care homes had already been informed about this.

·      A Trusted Assessor was being scoped for Heathlands to manage discharge referrals into the community.  It was clarified that this was for adults accessing the intermediate care facility.

·      The Board queried who would be the best contact regarding the warm hub health clinic.  Action: Grainne Siggins to find out.

To receive the latest update on the SEND Programme.

The Board considered a report which sought to provide an update on the Special Educational Needs and Disabilities (SEND) programme.  This comprehensive programme has been built to support delivery of the Written Statement of Action (WSOA).  All WSOA actions would be encompassed in the strategy.  There were four main project workstreams: strategy and communications, health and wellbeing, data monitoring and oversight, and process and systems. 

Significant progress had been noted by the Department for Education (DfE) and they were pleased with the information that the health colleagues were able to share at the recent meeting with the DfE.  Work was ongoing to look at how to commission services more effectively within the broader East Berkshire area.  A dashboard was being produced and would be in the public domain once finalised.

The service was four months into delivery of the WSOA and a second quarterly report would be due in February, so the department was in the process of preparing the submission for that. 

To receive an update on the Better Care Fund Plan.

This was reported on as part of the winter plan discussion under Item 9.

Suicide Prevention Strategy

It was noted that a report would be presented at the next meeting of the Health and Wellbeing Board.  A summit was due to be held on 12 December 2022 to unpack the distinct qualities of suicide prevention and partners were invited to join the summit.  The up-to-date suicide surveillance summaries and the draft refresh strategy would be presented at the summit.  Following the summit, a consultation would be launched with the public and professionals to finalise the strategy and ensure it was as inclusive as possible. 

East Berkshire Public Health

The following updates were noted:

·      The meetings between Stuart Lines and the Chair of the Integrated Care Board (ICB) had continued with Susan Halliwell as the new Chief Executive of Bracknell Forest Council.

·      Capacity in the health protection hub had been reduced due to a seconded member of staff going back to AXA.  The team was looking to recruit another person or extend the secondment.

·      Diphtheria in asylum seekers in Slough had been an ongoing problem but was being managed between all agencies.  Work was continuing to promote vaccination uptake.

·      The multi-agency Combatting Drugs Partnership had been set up.

·      The team had been looking at the different websites and was planning to set up one website to access all the public health information.

·      The team had been exploring the possibility of 0-19 joint commissioning across East Berkshire.