Agenda and minutes

Mr Oakford welcomed everyone to the meeting.

To receive apologies for absence and notification of any substitutes

Apologies for absence were received from  Caroline Selkirk and Dr Robert Stewart.

Mr Oakford moved, and Cllr Mrs Gooch seconded, a proposal to elect Mrs Bell as chairman of the Kent Health and Wellbeing Board.  This was agreed unanimously.

Mrs Bell moved, and Cllr Mrs Gooch seconded, a proposal that Dr Bowes continue as vice-chairman of the Kent Health and Wellbeing Board.  This was agreed unanimously.

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.

Emma Hanson (Senior Commissioner), Rachel Jones (Director of Acute Strategy and Partnerships and Senior Responsible Officer for Children for NHS Kent and Medway) and Sue Mullin (Interim Senior Commissioning Manager) were in attendance for this item

(1)          Rachel Jones, Emma Hanson and Sue Mullin gave a presentation on the recent deep dive into neuro-development disorders. A copy of the presentation is at Appendix A of these minutes. 

(2)          During the presentation they answered questions from members of the board relating to the links between autism and other conditions; the need to address the drivers for a diagnosis by providing support without a formal diagnosis; actions that might be taken to reduce the waiting time for a diagnosis; and the involvement of parents and carers and the voluntary sector.

(3)          Resolved that the presentation be noted.

Karen Cook (Policy and Relationships Adviser-Health) was in attendance for this item

(1)          Karen Cook introduced the report which reviewed the achievements of the Kent and Medway Joint Health and Wellbeing Board since its establishment in 2018; provided feedback on the development session held on 17 September 2019 and asked the Kent Health and Wellbeing Board to approve the continuation of the Joint Board.

(2)          The Board welcomed the report and members said the Joint Board had a role in strategic commissioning across the integrated care system and suggested that the Board would have a strategic impact when the Health and Wellbeing Strategy became the commissioning strategy for those involved in the integrated care system. 

(3)          Resolved that the Board agreed:

(i)        to the continuation of the Kent and Medway Joint Health and Wellbeing Board constituted as an Advisory Sub Committee, with Terms of Reference and procedure rules as set out in Appendix 1 to the report

(ii)       that the role and continuation of the Joint Board be reviewed after four years unless triggered earlier at the request of either Kent’s or Medway’s Health and Wellbeing Board and that this decision be delegated in Kent to the Director of Public Health in consultation with the Chairman of the Health and Wellbeing Board; and

(iii)      subject to the agreement of the Joint Board on 17 March 2020 and as summarised in Appendix 2 to the report:

·         to appoint the Clinical Chair of single Kent and Medway CCG as a voting member of the Joint Board

·         to appoint the Senior Responsible Officer of each of the four Integrated Care Partnerships as non-voting members of the Joint Board noting that this will be reviewed when the ICPs are fully mobilised

·         to re-appoint the Chairman of the System Commissioner Steering Group for a further year.

Abraham George (Consultant in Public Health Medicine) was in attendance for this item

(1)          Andrew Scott-Clark introduced the report which provided a short update on the current position of analytics for the emerging Kent and Medway Integrated Care System. The report also described the latest position of linked datasets development, the Analytics Strategy and the work that was being done in relation to critical enablers by the Kent and Medway Shared Health and Care Analytics Board.  Abraham George provided further detail about the Kent Integrated Data sets, the Analytics Strategy and the work of the Kent and Medway Shared Health and Care Analytics Board (SHcAB).  He also answered members’ questions about the continuation of some data sets. Members of the Board commented on the importance of modelling to understand the impact of any actions on the health of the population and to understand the drivers of demand.

(2)          Resolved to:

(i)            endorse the Kent and Medway Health and Care Analytics Strategy

(ii)          work with local partner organisations, where appropriate, in moving towards a consistent approach in the production and use of applied analytics for population health management

(iii)         invite relevant member organisations, including KCC, to sign up to Joint Controller arrangements via the SHcAB at their earliest possible convenience.

Dr Allison Duggal (Deputy Director of Public Health) was in attendance for this item

(1)          Andrew Scott-Clark introduced the report which asked the Board to agree the proposed timeline for the delivery of the next Pharmaceutical Needs Assessment (PNA) for Kent covering the period 2021 to 2024.  Allison Duggal provided information about the timeline and process for developing a new PNA.

(2)          In response to members’ questions, it was confirmed that district and parish councils would be invited to comment on the draft PNA during the consultation period which was planned for November 2020-January 2021.

(3)          Resolved to agree the proposed timelines for the delivery of the next Pharmaceutical Needs Assessment for Kent covering the period 2021-2024.  

(1)          The Board was asked to consider a change to its terms of reference to enable the Leader of Kent County Council to nominate the member representatives of Kent County Council to the Board and update the officer representation in line with the current structure.

(2)          Resolved to agree an amendment to the terms of reference of the Kent Health and Wellbeing Board to:

(i)         enable the Leader of Kent County Council to nominate the Council’s elected Member representatives; and

            (ii)        update the statutory Kent County Council Officer representation in line with the Council’s current structure.

Resolved to note that the next meeting of the Kent Health and Wellbeing Board would take place on 2 February 2021.