Agenda and minutes

(1)       Mr Gough welcomed Caroline Selkirk (Medway CCG), Michael Ridgwell (NHS England) and Peter Lacey (Whole System Partnership) to the meeting.

(2)       Mr Gough said that Dr Phillips was stepping down as clinical chair of the Canterbury and Coastal Clinical Commissioning Group and would no longer attend the Health and Wellbeing Board.  He thanked her for her contribution to the Board and wished her every success in her new role with the Kent Community Health NHS Foundation Trust.

(3)       He also thanked Mark Lemon (Strategic Business Adviser) for his contribution to the work of the Board over many years. 

(4)       Mr Gough said that, in the future, NHS England would attend meetings of the Board as required rather than attending every meeting.

To receive apologies for absence and notification of any substitutes

(1)       Apologies for absence were received from Dr Armstrong, Mr Ayres, Ms Carpenter, Dr Chaudhuri, Mr Ireland, Dr Martin, Dr Phillips, Cllr Weatherly and Cllr Watkins.

(2)       Mr Lobban attended as substitute for Mr Ireland.

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 last meeting are correctly recorded and that they be signed by the Chairman.

To receive an outline draft of the Kent Joint Health and Wellbeing Strategy 2018-23 for discussion and comment

(1)       Mark Lemon (Strategic Business Adviser) and Abraham George (Consultant in Public Health) introduced the report which contained an outline draft of the Kent Health and Wellbeing Strategy 2018-23.  Mark Lemon also gave a presentation which is available online as Appendix A to these minutes. 

(2)       Mr Lemon said the format of the Joint Strategic Needs Assessment and the Joint Health and Wellbeing Strategy had been revised following feedback from health and social care commissioners that the current documents did not provide sufficient detailed direction to inform commissioning decisions. 

(3)       The revised approach to the Joint Health and Wellbeing Strategy aimed to: set out high level health priorities for the population from the Joint Strategic Needs Assessment in areas where improvement was required; support commissioners in making commissioning decisions; and set out the Board’s position within the current health and social care planning context.

(4)       Peter Lacey (Whole Systems Partnership) gave a presentation and a short demonstration of a new dynamic modelling tool using the Kent Integrated Dataset. (A copy of the presentation is available online at Appendix B to these minutes)

(5)       The Members of the Board were generally supportive of the approach being proposed.  They also made comments about: the need to ensure the model was robust and authoritative in order to influence commissioning decisions; the need to focus on the preventative or pro-active health agenda; the value of the model in mitigating the risk that health inequalities might increase; the desirability of integrating data relating to patient experience into the model; as well as the use of the model across all agendas and, in particular, for commissioning local care.

(6)       Resolved that:

(a)          The approach adopted in the first draft of the strategy be approved for further development;

(b)          The next steps to developing modelling, as a tool for commissioners, as set out in paragraph 4.1 of the report be agreed.

To agree that the plans and activities of the commissioners represented on the Health and Wellbeing Board reflect the Joint Health and Wellbeing Strategy and to note and comment on the presentations covering key aspects of the STP

(1)       Mr Gough introduced the report and the proposed approach to the consideration of commissioning plans.  He outlined the need for commissioning plans to be aligned with the Sustainability and Transformation Plans (STP) and referred to the established practice of the Board in taking reports on specific outcomes of the Joint Health and Wellbeing Strategy.  He then invited Caroline Selkirk (Medway CCG) to give a presentation on the Local Care work-stream within the STP.  (A copy of the presentation was included as Appendix B to the report).

(2)       Members of the Board were supportive of the approach being taken and comments were made about the need to involve district councils and disaggregate information and data to CCG – level.  It was also confirmed that the Kent Integrated Dataset did not yet include all data from children’s social care.

(3)       Mr Perks, Ms Davies, Dr Lunt, Dr Bowes and Mr Lobban gave short presentations outlining the key challenges and the links between their commissioning plans and the delivery of the STP.  (Copies of the presentations are available online as Appendices C, D, E and F of these minutes).

(4)       Comments were made about the need for all partners to be fully engaged with piloting and implementing new models of service provision.  It was suggested that the Board receive an update on the Your Life Your Wellbeing Pilots in East Kent and an update on social care, following a report, on additional government money for social care, to the County Council on 25 May.

(5)       Resolved that:

(a)          The plans and activities of the commissioners represented on the Board reflect the Joint Health and Wellbeing Strategy;

(b)          The presentations covering the key aspects of the STP be noted.

To receive a paper providing a list of key population highlights arising from the 2016/17 refresh of the Kent JSNA to enable the Board to be aware of relevant issues and trends which need to be addressed

(1)       Abraham George (Consultant in Public Health) introduced the report which provided a list of key population highlights arising from the refresh of the Kent Joint Strategic Needs Assessment (JSNA). He referred to: the forecast that the population of Kent would increase by 6.1% over the next five years; the rate of increase in the number of people aged 65 and over compared with the growth in the number of people under 65; the indications, from the Kent Integrated Dataset (KID), that more than one third of the Kent population had at least one long term condition; and to the fact that, while health outcomes continued to improve for Kent as a whole, the gap between the most affluent and most deprived areas had not changed over the last 10 years.

(2)       Mr Scott-Clark said that the JSNA Exception Report should be read alongside reports relating to the Case for Change.  He also said that the health inequalities gap arising from increased lung cancer rates would be addressed through the Kent and Medway Cancer Alliance being established under the NHS Clinical Networks work programme. 

(3)       Resolved that:

(a)             A system wide focus on prevention for the Kent and Medway STP be endorsed;

(b)             A continued focus on the local populations with the highest health inequalities be endorsed;

(c)             The ongoing development of the KID programme be supported.

To agree a Forward Work Programme

Resolved that the work programme be endorsed subject to the inclusion of the items relating to Your Life Your Wellbeing Pilot projects and social care, which had been identified earlier in the meeting.

To note the minutes of the 0-25 Health and Wellbeing Board held on 21 November 2016

Resolved that the minutes of the 0-25 Health and Wellbeing Board held on 21 November 2016 be noted.

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

Ashford -  18 January 2017

South Kent Coast – 20 September 2016 and 22 November 2016

Swale –  21 September 2016 and 23 January 2017

Thanet – 12 January 2017

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

Ashford -  18 January 2017;

South Kent Coast – 20 September 2016 and 22 November 2016;

Swale –  21 September 2016 and 23 January 2017;

Thanet – 12 January 2017.

POST MEETING NOTE

Following the announcement that a General Election would take place on 8 June, a decision was made to postpone the meeting of the Board scheduled for 7 June to 14 June 2017.