Agenda and minutes

The following apologies and substitutes were received and noted:-

Mr Graham Gibbens, Councillor John Cunningham, Councillor Lesley Ingham and Dr Navin Kumta for Dr Roger Pinnock.

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

2.         Copies of the Joint Kent Health and Wellbeing Strategy were available at the meeting. The Chairman informed the Shadow Board that the County Council would be asked to endorse and approve the Joint Kent Health and Wellbeing Strategy at its meeting on 28 March 2013.

3.         Reference was also made to a recently published report of the Parliamentary Communities and Local Government Select Committee, which had commended the Kent Shadow Health and Wellbeing Board for its innovative approach and partnership working in developing the Heath and Wellbeing Board which becomes operational on 1 April 2013.

There were no declarations of interest by Members on any items on the agenda for the meetings.

RESOLVED that the minutes of the meeting held on 30 January 2013 are correctly recorded and that they be signed by the Chairman.

1.                  Following the publication of secondary regulations, the Shadow Health and Wellbeing Board noted the impact of these regulations on the Health and Wellbeing Board, which will be statutorily operational from 1 April 2013.

2.                  The legislation and recently-published secondary regulations had been drafted with the deliberate intention of allowing considerable flexibility for local authorities and their partners to establish Health and Wellbeing Boards which suit local circumstances. It is the intention behind the legislation that all members of the Health and Wellbeing Board should be seen as equals and as shared decision makers. Health and Wellbeing Boards are Boards of commissioners, they are not commissioning Boards.

3.                  The report set out for the Shadow Board;

·        the partnerships with whom the Health and Wellbeing Board would have a key relationship;

·        its relationship with the Health Overview and Scrutiny Committee; and

·        its proposed membership and terms of reference.

4.         RESOLVED that the report be noted.

1.         The Shadow Health and Wellbeing Board received a draft report commissioned by the Kent Children and Young People’s Joint Commissioning Board  introducing the draft “Every Day Matters: Kent County Council’s Children and Young People’s Strategic Plan 2013 – 2016”.

2.         The Shadow Board agreed that the report should be circulated to them again and comments were invited from Shadow Board Members by not later than 15 May 2013.

3.         It was noted that the focus of the Shadow Board meeting on 29 May 2013 would be on Children’s Services.

1.         Colleagues from the Clinical Commissioning Groups presented to the Shadow Health and Wellbeing Board their Operating Plans for 2013- 14.

2.         The Shadow Board was very enthusiastic about the Plans, which it considered were powerful and had a number of common synergies.

3.         One of the issues which the Clinical Commissioning Groups acknowledged would need to be addressed was the establishment of a scheme of Joint Performance Measures.

4.         Paul Carter laid down a challenge for the Clinical Commissioning Groups to consider how they were going to procure services effectively. He said that Local Government’s record of procurement was good, compared to the Primary Care Trusts’.   He proposed that the Kent Health and Wellbeing Board should put together a group to look at good procurement practice.

5.         The Chairman summarised the key points for the Shadow Health and Wellbeing Board arising from the presentations of the Operating Plans. They were:

(a)   Closer look at what we need to do;

(b)   Establishment of a Performance Management System for the District Health and Wellbeing Boards and the Kent Health and Wellbeing Board, with a shared understanding of what will be looked at on a local basis and what will be considered countywide;

(c)   Where can we and should we invest in new capacity?

(d)   Procurement and value for money;

(e)   Systems, procurement eg assisted technology – telehealth;

(f)     How do we take forward the huge coherence between access to service locally, countywide and regionally?

6.         With the multitude of priorities for GPs, there was a challenge around how the intelligence would be pooled, from the extremes of something very small in scale to something which is huge.

7.         The challenge in all the issues identified was how, as a Health and Wellbeing Board, can we collectively make it happen?

8.         Preparation of appropriate contracting models was important, moving forward.

9.         The CCGs face a huge issue of change management.

10.       RESOLVED that the Operation Plans for 2013- 2014, as presented to the Shadow Health and Wellbeing Board, be agreed.

1.         Hazel Carpenter presented to the Shadow Health and Wellbeing Board, on behalf of the South Kent Coast Health and Wellbeing Board, its Integrated Commissioning Strategy.

2.         RESOLVED that the South Kent Cast Integrated Commissioning Strategy be noted.

Michael Ridgwell, Director of Commissioning, NHS England, informed the Shadow Health and Wellbeing Board of the terms of reference and proposed operation of the newly-established NHS England.

1.         The Director of Public Health submitted a report setting out the 23 Public Health programmes for which the County Council would have statutory responsibility from 1 April 2013.

2.         The Shadow Health and Wellbeing Board noted that, in delivering these services, existing contracts were being rolled forward.

3.         Decisions had already been made for sexual health services in the north of the county, and NHS Health checks, which the Shadow Health and Wellbeing Board noted.

4.         RESOLVED that the report be noted.