Meeting documents
Venue: Mezzanine Rooms 1 & 2, County Hall, Aylesbury. View directions
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Welcome & Apologies Additional documents: Minutes: Apologies were received from Mr N Macdonald, DrG Jackson, Ms A Macpherson, Ms I Darby, Mr N Naylor, Ms J Baker, Mr S Bell and Lin Hazell.
Mr D Williams attended in place of Mr N Macdonald, Mr M Winn attended in place of Ms A Macpherson, Ms L Walsh attended in place of Ms I Darby, Mr J Read attended in place of Mr N Naylor, Ms T Jervis attended in place of Ms J Baker and Ms P Scully attended in place of Mr S Bell. |
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Announcements from the Chairman Additional documents: Minutes: The Chairman announced that there had been a Health and Adult Social Care Select Committee Inquiry on childhood obesity. The Committee had requested the Chairman of the Health and Wellbeing Board write a letter to Dr J O’Grady, Director of Public Health, advising the Committee’s recommendations to help reduce childhood obesity. Dr O’Grady stated that a meeting would take place in the new year with key partners to review the recommendations |
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Declarations of Interest Additional documents: Minutes: There were no declarations of interest. |
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Minutes of the Meeting held on 27 September 2018 PDF 145 KB To confirm the minutes of the meeting held on 27 September 2018. Additional documents: Minutes: The minutes and actions of the meeting held on 27 September 2018 were reviewed and the following amendments were noted:
The following actions were reviewed:
Item 7 – Director of Public Health Annual Report – the action for all to provide suggestions for what could be carried out to improve the environment and health and wellbeing of the population had been completed.
Item 9 – Update on Health and Care System Planning; Mrs Khan had circulated the presentation to the members of Board.
Item 10 – NHS Health checks; it was confirmed that a meeting had been arranged between Public Health and the CCGs to discuss the health check data.
Item 13 – Child and Adolescent Mental Health Services (CAMHS) Transformation Plan; Dr S Roberts, Clinical Director for Mental Health, Buckinghamshire CCG stated that further clarification on the data had been provided to the Children’s Partnership Board. Dr Roberts also clarified that the planning for transition started at age 14 but the actual transition took place at age 17.5. Both of these points had been reflected in the transformation plan which had now been published.
RESOLVED: The minutes of the meeting held on 27 September 2018 were AGREED, subject to the amendments, as an accurate record and were signed by the Chairman. |
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Public Questions Additional documents: Minutes: There were no public questions. |
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To be presented by Dr T Burch, Public Health Consultant. Additional documents: Minutes: Dr T Burch, Public Health Consultant, Buckinghamshire County Council, referred to the appendix in the agenda pack which provided more detail and stated that it had not been possible to rate some of the indicators as red, amber or green (RAG). Dr Burch highlighted the red or amber indicators and highlighted the opportunities to further improve Buckinghamshire’s health and wellbeing. The indicators were solely for the use of the Health and Wellbeing Board:
· Indicator 51 - Children who were the subject of a child protection plan (per 10,000) – unable to be RAG rated. · Indicator 56 - Adults with learning disability who lived in stable and appropriate accommodation – Red. · Indicator 58 -Total delayed transfers of care – this was an old indicator and had been proposed to be removed in future as no longer relevant. · Indicator 59 - Proportion of older people (65 and over) still living at home 91 days after discharge from hospital (%) – unable to be RAG rated. · Indicator 60 - Proportion of people who used services who said they made them feel safe and secure (%) – unable to be RAG rated.
The following key points were raised by members of the Board:
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To be presented by Dr J O’Grady, Director of Public Health. Additional documents: Minutes: Dr J O’Grady, Director of Public Health, Buckinghamshire County Council, advised that the original dashboard contained 73 indicators and, due to the high number of indicators, the dashboard had been split into five themed priority areas which had all been reviewed/road tested by the Health and Wellbeing Board. The indicators needed to be benchmarked in order to compare with peers but some of the data was out of date and some of the more recent data was unable to be benchmarked. The appendix contained in the agenda pack showed the proposed indicators based on outcomes; it was also proposed that the list of indicators be reviewed annually.
During discussion, the following key points were raised by members of the Board:
ACTION: Dr Burch
ACTION: Dr Burch
ACTION: Dr Burch
ACTION: Dr Burch
The Chairman summarised that the Board agreed to rationalise the number of indicators to 26 but there was a need to keep a focus on those indicators which had previously raised concern; these should be reported on in a separate paper occasionally.
It was agreed that Dr O’Grady would add two more indicators, provided they could be benchmarked on:
The Chairman agreed that Dr O’Grady and Dr Burch carry out some research and provide advice at the next board meeting. ACTION: Dr O’Grady/Dr Burch
RESOLVED: The Board NOTED the proposed Health and Wellbeing Dashboard Indicators included in Appendix 1, AGREED the proposed HWB Performance Dashboard Indicators and AGREED the proposed plan for the review of the Performance Dashboard annually. |
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Children and Young People Update PDF 95 KB To be presented by Mr T Vouyioukas, Executive Director, Children’s Services. Additional documents: Minutes: Mr T Vouyioukas, Executive Director, Children’s Services, Buckinghamshire County Council, provided the following overview of the report contained in the agenda pack:
· A Special Educational Needs and Disability (SEND) inspection was anticipated shortly and preparation was underway.
The following points were raised by members of the Board:
RESOLVED: The Board NOTED the Children and Young People Update |
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Update on Health and Care System Planning PDF 2 MB · Briefing on whole system winter planning – to be presented by Ms D Richards, Director, Commissioning and Delivery.
· Update on cancer alliance work – to be presented by Ms J Ricketts, Divisional Director, Division of Surgery and Critical Care.
· Update on the Better Care Fund – to be presented by Ms J Bowie, Service Director, Integrated Commissioning and Ms D Richards, Director, Commissioning and Delivery. Additional documents:
Minutes: Whole System Winter Planning Briefing
Ms D Richards, Director of Commissioning and Delivery (CCGs)provided a presentation on system winter planning and highlighted the following points:
The following key points were raised by members of the Board:
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Time to Change Mental Health Stigma Organic Hub PDF 112 KB To be presented by Ms R Hitch, Public Health Principal. Additional documents: Minutes: Ms R Page, Culture and Leisure Development Manager, Buckinghamshire County Council leading on Time to Change provided the following update:
· Click here to view the Employer Pledge (national site).
The following points were raised by members of the Board.
RESOLVED: The Board NOTED the report. |
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To be presented by Dr J O’Grady, Director of Public Health. Additional documents:
Minutes: Dr O’Grady, Director of Public Health, stated that she had presented the Director of Public Health Annual Report entitled "Healthy Places, Healthy Futures – Growing Great Communities" at the last Health and Wellbeing Board meeting. As all partners on the Board had a key role to play in shaping the places in which we lived, it was requested that partners provided an update on what they were doing in relation to the six key areas identified in the report.
Dr O’Grady thanked the partners for their plans and reported that discussions had already taken place with the CCGs and at the ICS Partnership Board; meetings were being arranged with other organisations such as BHT and the Ambulance Trust.
RESOLVED: The Board NOTED the report. |
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Quality in Care Team Annual Report PDF 1001 KB To be presented by Ms J Bowie, Service Director, Integrated Commissioning. Additional documents: Minutes: Ms J Bowie, Service Director, Integrated Commissioning, Buckinghamshire County Council provided a presentation and highlighted the following:
RESOLVED: The Board NOTED the report. |
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Bucks Safeguarding Adults Board Annual Report PDF 99 KB To be presented by Ms M Seaton, Independent Chair, Buckinghamshire Safeguarding Adults Board.
Additional documents: Minutes: Ms M Seaton, Independent Chair, Buckinghamshire Safeguarding Adults Board provided the following update:
Ms Seaton thanked the partners for making a difference to keeping people safe in Buckinghamshire.
In response to a question from the Chairman on how much data was available on the prevalence of modern slavery, Ms Seaton stated that she had been working with the Bucks Safer Communities Board and Thames Valley Police but said modern slavery was difficult to detect and determine the scale of the issue as people were unwilling to come forward.
RESOLVED: The Board NOTED the report. |
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Health and Wellbeing Work Programme PDF 92 KB To be presented by Mrs S Khan, Business Manager Public Health & Communities , Health & Adult Social Care.
Additional documents: Minutes: It was agreed the following should be added/removed to the Health and Wellbeing Work Programme:
The Chairman reported that Ms K McDonald, Health and Wellbeing Lead Officer, would be returning in January 2019 and thanked Mrs S Khan for her excellent contribution over the last few months. |
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Date of next meeting Thursday 28 March 2019 in Mezzanine Rooms 1 and 2, County Hall, Aylesbury. Additional documents: Minutes: Thursday 28 March 2019 in Mezzanine Room 1 and 2, County Hall, Aylesbury. |