Meeting documents

Apologies were received from Patricia Birchley, Sue Imbriano and Robert Shaw.

Karen West chaired the meeting.

The Minutes of the meeting held on 11 August 2011 were agreed and signed as a correct record, with the following amendments:

·         Page 2, agenda item 3, 4^th paragraph, be amended to read, "The SHA had also asked if the Board would be willing to share the Minutes of Board meetings. The Board agreed to share a case study."

·         Page 3, agenda item 5, 1^st paragraph, be amended to read, "...Each organisation on the Board was requested to submit information about how they promoted physical activity among their employees and the population they served, and this was included within the background paper."

Matters arising

Page 2, agenda item 3, 1^st paragraph – Jane O’Grady said that she would find out further information about local priorities for extending the choice of provider.

This session is an opportunity for members to update each other on key national and organisational developments since the previous meeting.

Background paper:

Update Report

GLL Nexus - Activity for Health Exercise Referral Scheme

A member suggested that this could be on the agenda at a future meeting for information. This was discussed but no conclusion was reached.

Meeting with Tim Loughton, Parliamentary Under Secretary for Children and Families

The Cabinet member for Children and Young People and the Strategic Director for Children and Young People had met with Tim Loughton in London. Tim Loughton had stated his support for a focus from health and wellbeing boards on children and young people.

Members noted that the Health and Social Care Bill 2011 proposed a split in commissioning responsibilities for children and young people between local authorities and the NHS.

Health and Social Care Bill 2011

The Bill had been approved by the House of Commons and would now go to the House of Lords.

Accountable Care Workshop

This had been held that morning to look at how provider networks and the public could be aligned and involved in health and social care debates.

Andrew Walker had attended a meeting about the importance of early diagnosis.

Members noted that it was not yet clear where responsibility for health screenings and awareness campaigns would sit under the Health and Social Care Bill 2011.

As part of the process of developing the Joint Health and Wellbeing Strategy, the board has agreed to develop a priority setting framework. This framework will be the challenge process by which the board decides the strategic priorities for Buckinghamshire.

The purpose of the workshop session is:

·         To finalise a model for the board’s priority setting framework;

·         To consider the plans/strategies/data sources that will feed into the priority setting framework; and

·         To test out the framework using inputs from the Joint Strategic Needs Assessment (JSNA) and identify any gaps that exist.

Background papers:

Testing the Priority Setting Framework- background paper and proposed model

Members split into two groups and tested the draft priority setting framework (pages 9-10), using dementia as an example theme.

The draft priority setting framework had been put together following discussions at the previous meeting.

The Board’s Health and Wellbeing Strategy would be an over-arching document, containing agreed priorities. The Board would use a priority setting framework to set its work plan (to prioritise areas for focus).

Members fed back their comments on the draft framework. The comments would be applied to the draft framework and resubmitted to the next meeting.

Members reflected on the process of developing a Joint Health and Wellbeing Strategy.  Whilst there was agreement that this will be a high level strategy, which will be communicated in a short, public-friendly format, the Board agreed that further discussion was needed to:

·         Reach consensus on the common purpose of the strategy

·         Agree overall outcomes the strategy should achieve (Where we are now/where we want to get to)

·         Consider the underlying priorities (and how the priority setting framework the Board has discussed could be used in this context)

·         Agree the format and design of the strategy,

Members would pick up this discussion at the next meeting, informed by contributions from all members on the outcomes the Board would expect the strategy to achieve.

Action:

All members to submit proposals for 3-5 outcomes for the draft Health and Wellbeing Strategy (a template would be circulated).

Physical activity is recognised by the board as one of the key ways to improve the physical and mental wellbeing of Buckinghamshire’s residents.

The paper for this item proposes a draft statement of intent from the board and outlines the main benefits of increasing levels of physical activity in the county.

The purpose of this item is to:

·         To finalise the statement of intent

·         To consider the facts/figures presented and whether there is further detail members wish to publicise to partners

Background papers:

Physical Activity Statement of Intent

Members discussed the draft statement of intent.

Members made some comments and suggested that each organisation could tailor the Statement to suit its recipients.

It was agreed that the statement, updated in the light of the Board’s comments, would be circulated the next day to inform an imminent partnership meeting.  Additionally, the statement wording would be revised and issued in a template form so that partners could add tailored messages for particular audiences.

This is an opportunity for members to discuss any items that they feel should be included on a future agenda of the board.

Background paper:

Forward Plan

The Board discussed future agenda items and agreed the following topics for future meetings:

October meeting

Draft Health and Wellbeing Strategy

Board Assurance Prompt Matrix (Good Governance Institute / NHS London)

November meeting

Governance review (the Board agreed to invite Robin Douglas to the November and December meetings)

Role of Scrutiny

Healthwatch developments

These had been discussed under earlier agenda items.

There was none.

13 October 2011, 2pm, Mezzanine Room 1, County Hall, Aylesbury

13 October 2011, 2pm, Mezzanine Room 1, County Hall, Aylesbury