Agenda and minutes

The Chairman, Roger Gough, Cabinet Member for Business Strategy, Performance and Health Reform (KCC), welcomed everyone to the meeting of the Shadow Health and Wellbeing Board.

The following apologies were received and noted:

Dr Fiona Armstrong, Joint Clinical Lead, Swale CCG – substituted by Dr F M Cantor

Dr Roger Pinnock, Chair, Ashford CCG

Mrs Michelle Farrow, Leadership Support Manager, Dover District Council

Councillor John Cunningham, Tunbridge Wells Borough Council

Councillor Leslie Ingam, Member, Housing, Health and Wellbeing, Swale BCI

Councillor Paul Watkins, Leader, Dover District Council – substituted by Councillor Kit Smith

Dr B Bowes declared an interest as his wife works in a Children’s Centre which was the subject of discussion at Item 9 on the Board’s agenda.

The Board agreed that Minutes of the meeting held on 18 January 2012 were a correct record and that they be signed by the Chairman.

(1)       The Chairman informed the Board that at the current time there were many unknowns in the development of the Health and Wellbeing Board.  These included:-

·         Money

·         Supply Side

·         Patient experience and engagement

·         Integration

·         Our existing plans, strategies and frameworks

(2)               To take the work of the Board forward the Chairman suggested that the Board might wish to consider holding a workshop to look at the following important issues:-

(a)   NHS Operating Plan;

(b)   Children’s Services Improvement Plan; and

(c)   Social Care Transformation Plan

(3)               The purpose of the proposed workshop would be to look at the interrelationship between these three Plans which would help to inform the Health and Wellbeing Strategy which is being developed.

(4)               The suggested timelines were as follows:

Spring-Summer

·         A range of meetings to share the understanding of key issues

Summer

·         Clinical Commissioning Group authorisation

·         Building engagement capacity for Health and Wellbeing Strategy

·         Shadow benchmarking of Plans against Health and Wellbeing Strategy

Autumn

Cycle of:-

·         Strengthened Joint Strategic Needs Assessment, Health and Wellbeing Strategy

·          Public engagement

·         New commissioning plans

·         Working as a team

(5)               Mr Ireland suggested that in addition to the three Plans referred to in sub-paragraph (2) above the Board may wish to consider expanding the issues to include the Children’s Centres.

(6)               RESOLVED: that the report be noted.

(a)               Update on Progress (Oral report)

(b)               Community/citizen’s engagement plan (Oral report)

(1)                Further to Minute 27 the Shadow Health and Wellbeing Board had before them the latest version of the Joint Strategic Needs Assessment (JSNA).

(2)               Mr Gibbens informed the Board that the consultation would be concluded at the end of March 2012.  During the debate the following comments were made:

·         GP Representatives said that the JSNA has implications for the way in which GPs work.  The JSNA needs to reflect more appropriately what is happening on the ground and related to GP practices.  Specific reference was made to public health and moving this more to the GP suite.  This was acknowledged by the Board as a real challenge between the strategic requirements of a JSNA and what happens at a practice level.

·         With regard to Community Engagement the JSNA is a process which should be used as a working tool for dialogue and engagement.

·         Citizen and service user engagement is key to ensuring what the NHS and the County Council is putting in place to inform their decisions on service delivery.

·         An audit of all the citizen and service user engagements would be completed by early April for inclusion in the JSNA,

·         The establishment of a local Healthwatch and the emerging Locality Boards will have key roles moving forward.

(1)       Further to Minute 25 the Chairman informed the Board of the ongoing work in developing the Health and Wellbeing Strategy.  It was important to build on the priorities identified by the Board.    Consultation with other key partners was key moving forward, it was important to recognise and understand all the opportunities.  The Shadow Board acknowledged that it was important that the Strategy had ‘real people issues’ – not expressed in an operational way but as a ‘service user’/’patient’.

(2)               The Board acknowledged that the Strategy needed to reflect both the strategic and District needs in what the Strategy was seeking to achieve.

(3)               The Strategy would be important in terms of a two way dialogue, e.g. Clinical Commissioning Groups and the Commissioning Plans.

(1)               The Shadow Health and Wellbeing Board received a presentation by Mr R Smith, Director of Financial Planning and Strategy NHS Kent and Medway PCT, giving an overview of NHS and Social Care Finance.  A copy of the presentation is attached as an appendix to these Minutes.

(2)               RESOLVED: that Mr Smith be thanked for an excellent, detailed presentation.

(Helen Jones, Head of Commissioning, Families and Social Care, Kent County Council and Linda Denne, Service Commissioning Manager, Consulting Service, NHS Kent and Medway were in attendance for this item)

(1)               The Shadow Health and Wellbeing Board had a very comprehensive report which set out for the Board how Children’s Centres across Kent had developed and how health services were currently being delivered in these Centres.

(2)               The Board acknowledged that there is a variance in current links between Children’s Centres and health professionals across Kent, and, in particular, the links between General Practice and Children’s Centres.

(3)               The Kent Children’s Centres outcomes Framework for commissioned services provides an overview of strategic outcomes to guide and support commissioners in developing services within Children’s Centres in Kent. This Framework aims to deliver the revised core purpose for Children’s Centres which enables and guides services to be targeted at those most in need whilst maintaining availability to all.

(4)               The Board noted that Children’s Centres contribute significantly to the Public Health Outcomes Framework.

(5)               The Health Visitor Implementation Plan 2011-2015 – A Call to Action published in February 2011 sets out the coalition Governments vision to increase the number of Health visitors nationally by 4,200. The Board noted that Kent and Medway have the highest target, 420 new Health Visitors.

(6)               The Shadow Health and Wellbeing Board were invited to discuss how the review of the delivery of Children’s Centres may further develop joint working and improve outcomes including:

·        Should the age range be extended to have a more family focus whilst not diluting the core purpose for 0-5 year olds?

·        Could some Children’s Centres have specialisms?

·        Could more targeted and specialist services be delivered in those areas with the most vulnerable families?

(7)               The Shadow Health and Wellbeing Board acknowledged the central role Children’s Centres can play in multi agency working to achieve the National Implementation Plan.

(8)               Reference was made to the way good work is already taking place in parts of the County to align some health services to Children’s Centres.

(9)               There was a real opportunity to drive this agenda forward together working collaboratively across the agencies.  The opportunity to maximise the use of Children’s Centres and align some services provided by GPs to provide a more equitable service across the County.  The Leader of the Council sought the views of Health colleagues, GPs and Clinical Commissioning Groups on the value of Children’s Centres.

(10)          The Shadow Health and Wellbeing Board recognised that the Children’s Centres could play a significant role for expectant new parents, public health, children’s mental health and those mental health services for children in the community.

(11)          The Board asked for a map of where the 97 Children’s Centres are located across the County and a description of what each Children’s Centre provides in the way of services so gaps can be identified.

(12)          The Board acknowledged that the Team were confident that they would be able to achieve the target  ...  view the full minutes text for item 38.

(1)               The Shadow Health and Wellbeing Board received a short report seeking approval to the Draft Terms of Reference for the Dover District Shadow Health and Wellbeing Board which was to be established as a Sub-Committee of this Board.

(2)               RESOLVED that:

(a)   the Terms of Reference for the Dover Shadow Health and Wellbeing Board be approved; and

(b)   the development of the Board noted.