Agenda and minutes

The Chairman said that Dr M Jones and Dr D Cocker were stepping down as clinical chairmen of the Canterbury and Coastal CCG and the South Kent Coast CCG respectively.  He thanked them for their contribution to the work of the Kent Health and Wellbeing Board.  He also said Dr Jones would be replaced by Dr S Phillips and that a decision on Dr Cocker’s successor was awaited.

To receive apologies for absence and notification of any substitutes

Apologies for absence were received from Dr F Armstrong, Dr B Bowes, Dr M Jones, Dr N Kumta, Dr T Martin, Mr P Oakford, Dr R Stewart, Cllr P Watkins and Cllr Mrs L Weatherly.

To receive any declarations of Interest by Members in items on the agenda for the meeting

There were no declarations of interest.

To receive and agree the minutes of the last meeting

Resolved that the minutes of the meeting held on 27 January 2016 are correctly recorded and that they be signed by the Chairman.

To receive presentations on a health economy basis outlining the extent to which plans for 2016/17 and beyond reflect the Joint Health and Wellbeing Strategy, their contribution to the wider transformation agenda and the extent to which they assist integration and the “nine must-do’s”

(1)       Mr Ayres gave a presentation about West Kent plans for 2016/17 and beyond.  A copy of the presentation is available online as Appendix I to these minutes.

(2)       In response to a question about repatriation of services from London, he said there was a need to take a Kent and Medway level view and to work with partner organisations to develop a shared agenda that would make a meaningful contribution to minimising any deficit.

(3)       Ms Carpenter and Mr Perks gave a presentation about the East Kent plans for 2016/17 and beyond.  A copy of the presentation is available online as Appendix 2 to these minutes.

(4)       In response to questions, Mr Perks said that financial challenges for 2016/17 were similar to those of 2015/16 and that the allocation was sufficient to enable the required services to be delivered.  Ms Carpenter said that the financial challenges facing East Kent were not easy and it was essential to avoid agreeing any contracts that could not be afforded.  Ms Carpenter also said that issues relating to commissioning maternity services were about quality and meeting the expectations of patients rather than the re-design of service delivery.   

(5)       Ms Davies gave presentations about Swale and Dartford, Gravesham and Swanley plans for 2016/17 and beyond which are available on-line as Appendix 3 and Appendix 4 of these minutes.

(6)       In response to a question, she said that the gap in funding for the QIPP in Dartford, Gravesham and Swanley had widened.  She also said that there some efficiencies that could be made but the challenge of closing the gap should not be under-estimated. 

(7)       In response to a suggestion that the gap in funding in Dartford, Gravesham and Swanley was the largest in the country it was confirmed that Guildford and Waverley CCG had the biggest gap.

(8)       The emphasis on children, learning disability and mental health in all the plans was welcomed. 

(9)       During the discussion it was generally accepted there would be less money going forward however it was too early to quantify the precise impact on primary care.  In the short term work was underway to realise efficiencies including: acting on the findings of an audit conducted by the Canterbury Vanguard carried out in conjunction with the community trust that had identified potential efficiencies; reducing some of the pressures in primary care to increase its attractiveness as a place to work and thereby retain staff who had the option of retiring; and trialling different ways of working.

(10)     In the longer term, in order to deliver the STP's, it was necessary to bring together learning from new ways working being trialled such as paramedic practitioners working in the community, pharmacists working in general practice and various approaches to apprenticeships as well as identifying the appropriate skills mix and working with universities and other education providers to produce people with the right skills.

(11)     It was also suggested that similar issues applied to social care services, particularly, in relation to the redesign  ...  view the full minutes text for item 206.

To receive a paper that presents an update on the Better Care Fund 2016/17 in relation to the Policy and Planning Requirements; Financial Allocations; Assurance and Approval process

(1)       Anne Tidmarsh (Director, Older People and Physical Disability) introduced the report which provided an update on the Better Care Fund 2016/17 in relation to policy and planning requirements, financial allocations, and the assurance and approval process.

(2)       In response to a question, she said the reasons for the increase in the Social Care Capital Grant from £7.2 million to £14 million were not known, however, there was opportunity in conjunction with district and borough councils to re-consider how services were delivered. 

(3)       It was also suggested that it would be worth looking at the totality of spending on care and to move to full integration especially in relation to adult care.

(4)       Resolved that:

(a)       Progress on developing the Kent Better Care Fund Plan 2016/17 be noted;

(b)       The sign off process would include Mr Gough (Chairman of the Health and Wellbeing Board), the Social Care and Wellbeing Directorate Management team and the CCG Accountable Officers’ Group and that partners would ensure that their elements of the plan went through the respective internal sign off process.

To receive a report presenting the outcomes from the Kent JSNA workshop in September 2015

(1)       Mr Scott-Clark introduced the report which presented the outcomes from the Kent JSNA workshop held in September 2016 which had been used to assist with the development of a range of actions and a vision for the future.

(2)       Resolved that:

(a)          The report be noted;

(b)          The actions set out in Section 3 of the report, designed to improve the JSNA development process, be approved;

(c)        The future direction of the Kent JSNA, as set out in Section 4 of the report, be agreed.

To agree a Forward Work Programme

Resolved that the Forward Work Programme be approved subject to confirmation of the date for the Obesity Review.

To note the minutes of local health and wellbeing boards as follows:

Ashford – 20 January 2016

Canterbury and Coastal – 19 January 2016

Dartford, Gravesham and Swanley – 24 February 2016

South Kent Coast – 24 November 2015

Thanet – 21 January 2016

West Kent – 16 February 2016

Resolved that the minutes of the local health and wellbeing boards be notes as follows:

Ashford – 20 January 2016

Canterbury and Coastal – 19 January 2016

Dartford, Gravesham and Swanley – 24 February 2016

South Kent Coast – 24 November 2015

Thanet – 21 January 2016

West Kent – 16 February 2016.