Agenda and draft minutes
Venue: The Paralympic Room, Buckinghamshire Council, Gatehouse Road, Aylesbury HP19 8FF. View directions
Contact: Rebecca Binstead
Media
Webcast: View the webcast
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Welcome Additional documents: Minutes: The Chairman, Councillor Angela Macpherson, welcomed everyone to the meeting. |
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Apologies Additional documents: Minutes: Apologies had been received from Councillor Anita Cranmer, Councillor Arif Hussain, John Macilwraith, and Dr Craig McDonald. Mark Green attended in place of John Macilwraith. |
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Announcements from the Chairman Additional documents: Minutes: The Chairman highlighted that the Board would receive more detail on the emerging Primary Care Strategy being developed by the Integrated Care Board in a future meeting. |
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Declarations of Interest Additional documents: Minutes: There were no declarations of interest. |
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Minutes of the previous meeting PDF 288 KB To agree the minutes of the meeting held on 21 September 2023 and review any outstanding actions from the previous meetings Additional documents: Minutes: It was noted that all actions had been completed that had been raised at the previous meeting. Following the meeting Dr. Sian Roberts had enquired about Board Member’s voting rights. Clare Capjon reported that the Board’s Terms of Reference were under review and advised that there was a governance process involved with amending the Terms of Reference. Any proposed changes would be reported back to the Board.
Dr. Roberts highlighted that under item 9 of the previous minutes, Winter Plan, it should read that 25% of unplanned admissions over the age of 65 had dementia, rather than 25% of patients.
Resolved: The minutes of the meeting held on 21 September 2023 were agreed as an accurate record subject to the above amendment and were signed by the Chairman. |
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Public Questions In order for a response to be provided at the December Health and Wellbeing Board, questions must be received by 9.00 am on Monday 11 December 2023. Any questions received after this deadline will be responded to at the following Health and Wellbeing Board meeting. Additional documents: Minutes: No public questions had been received for this meeting. |
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Director of Public Health Annual Report PDF 177 KB The Director of Public Health is required to produce an annual report on the health of Buckinghamshire’s population. This year’s report is on mental health.
Dr Jane O’Grady, Service Director Public Health, Early Help & Prevention, Buckinghamshire Council. Additional documents:
Minutes: Jane O’Grady, Director of Public Health, Buckinghamshire Council had a statutory duty to produce an annual report on the health of Buckinghamshire’s population. This year’s report was on mental health and made recommendations for partners to support children, young people and their families, encourage healthy behaviours and explore how opportunities could be provided for social networking and learning.
Dr O’Grady was joined by Stephen Robinson from Buckinghamshire Mind who had contributed to the report.
During discussion, points raised included:
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Joint Local Health & Wellbeing Strategy Additional documents: |
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Action plan for detection and formal diagnosis of dementia.
Dr Sian Roberts, Clinical Director, Mental Health, Learning Disabilities and Dementia, BOB Integrated Care Board.
Chris Ramsay, Associate Medical Director for Older Adult Services (Bucks) and Consultant in Old Age Psychiatry, Oxford Health NHS Foundation Trust.
Theresa McLarty, Mental Health Nurse, Oxford Health NHS Foundation Trust. Additional documents: Minutes: The Board received a report which related to the Health and Wellbeing Strategy ambition of ageing well, part of which was to increase the proportion of people over 65 being formally diagnosed with dementia. In attendance for this item were Nicole Palmer, Alzheimers Society, Dr Sian Roberts, Clinical Director from the ICB, Dr Chris Ramsay, Associate Medical Director for Older Adult Services (Bucks) and Consultant in Old Age Psychiatry, Oxford Health Foundation Trust and Theresa McLarty, Mental Health Nurse, Oxford Health Foundation Trust.
Dr Sian Roberts introduced the report and emphasized the importance of timely diagnosis and support for people with dementia both pre- and post-diagnosis. Dr Chris Ramsey presented the multi-agency action plan developed with various partners, including the Council, voluntary partners, and Integrated Care Board to address the deficit in the dementia diagnosis rate.
During discussion, points raised included:
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James Robinson, Business Intelligence Business Partner - Adults & Health, Buckinghamshire Council. Additional documents: Minutes: James Robinson, Business Intelligence Business Partner, Buckinghamshire Council demonstrated the Health and Wellbeing dashboard which was a visual tool to help the Board, partners and residents monitor the impact and outcomes of the Health and Wellbeing Strategy. The dashboard, which would be publicly available on the Health and Wellbeing Board website, displayed key indicators such as targets and benchmarking data related to the strategic priorities. Thanks were given to all partners for providing the data. The dashboard would be updated quarterly and was intended to help inform decision making. The Board discussed the potential for linking targets to strategies and using the dashboard to monitor indicators and inform discussions. It was suggested that in the future it could be beneficial to provide further context behind data such as explanations behind decreases in numbers within a certain indicator. It was also suggested that to bring the dashboard to life, the relevant indicator(s) could also be linked to discussion at future meetings to understand what was known about each one, what the ambition was and what the current levels were. The Board thanked James for the significant amount of work that had gone in to producing the dashboard and the Chairman suggested it was a piece of work which could be showcased to the Integrated Care Partnership at an upcoming meeting.
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Physical Activity Strategy PDF 187 KB Jane O’Grady, Service Director Public Health, Early Help & Prevention, Buckinghamshire Council.
Sally Hone, Public Health Principal, Buckinghamshire Council. Additional documents:
Minutes: The Board received the refreshed multiagency Physical Activity Strategy for 2024-2029 which included the key areas for action. Jane O’Grady, Director of Public Health and Sally Hone, Public Health Principal, Buckinghamshire Council presented the Strategy. They were joined by Mark Ormerod, Chief Executive Officer, LEAP. During discussion, points raised included:
Action: Jane O’Grady / Sally Hone
The Board noted the report and endorsed the strategy.
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VCS Health and Social Care Workforce PDF 1 MB Initial findings.
Katie Higginson, Chief Executive Officer, Community Impact Bucks. Additional documents: Minutes: Katie Higginson, Chief Executive Officer, Community Impact Bucks provided an overview of the initial findings of the research undertaken by the BOB VCSE Health Alliance. The research was commissioned to allow the alliance to talk more confidently to the system about the size, shape, and workforce of the VCSE sector within the BOB region. The VCSE sector had an important role as healthcare providers, tackling health inequalities, and undertaking prevention work to help people live independently for longer. During discussion, points raised included:
Action: Katie Higginson
The Board noted the report and looked forward to receiving the full report in March.
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Zoe McIntosh, Chief Executive, Healthwatch Bucks. Additional documents: Minutes: Zoe McIntosh, Chief Executive, Healthwatch Bucks presented the Healthwatch update. The report focused on a recent project which centred on the hospital discharge support service in Buckinghamshire. The service was commissioned by Buckinghamshire Council and provided by Age UK, with volunteers doing much of the delivery. It consisted of two parts: transport home from hospital and up to six weeks of community support at home, including low-level, light-touch support such as helping with shopping and connecting people to their communities.
The report was based on feedback from 27 people who generally had positive experiences with the service, although through conversations with these individuals several other issues arose that resulted in recommendations for Buckinghamshire Healthcare Trust, the Integrated Care Board, Buckinghamshire Council, and Age UK. The report also found that 5 out of 27 people who were discharged were then re-admitted to hospital, two of whom were carers for someone living with dementia which indicated how caring responsibilities can impact people and how supported they feel at home.
The recommendations were well received, with a positive response from BHT who were using some of the information to help inform their discharge improvement plan.
The Board noted the report and appreciated the work done by Healthwatch Buckinghamshire. |
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Buckinghamshire Executive Partnership PDF 295 KB Update from the Buckinghamshire Executive Partnership, including the Health & Care Integration programme.
Neil Macdonald, Chief Executive Officer, Buckinghamshire Healthcare NHS Trust. Additional documents: Minutes: Neil Macdonald, Chief Executive Officer, Buckinghamshire Healthcare NHS Trust presented an update from the Buckinghamshire Executive Partnership.
The Board noted the update and appreciated the work done by the Buckinghamshire Executive partnership.
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Integrated Care Board Update Additional documents: |
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Buckinghamshire Oxfordshire Berkshire West Integrated Care Board PDF 214 KB Philippa Baker, Buckinghamshire Place Director, Buckinghamshire, Oxfordshire and Berkshire West Integrated Care Board. Additional documents: Minutes: Philippa Baker, Buckinghamshire Place Director, BOB ICB presented an update on the work of the BOB ICB and its shared system goals. Points raised during discussion included:
The Board noted the updates and appreciated the work done by the BOB system and its partners.
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Bedfordshire, Luton and Milton Keynes (BLMK) Integrated Care Board PDF 162 KB Michelle Evans-Riches, Programme Manager, Bedfordshire, Luton and Milton Keynes (BLMK) Integrated Care Board. Additional documents: Minutes: Michelle Evans-Riches, Programme Manager, Bedfordshire, Luton and Milton Keynes (BLMK) Integrated Care Board provided an update on the ICB emphasising the importance of sharing good practice, as what worked well in one area could often work elsewhere. Points raised during discussion included:
Action: Michelle Evans-Riches
The Board noted the updates and appreciated the work done by BLMK ICB and its partners.
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Additional documents: Minutes: The forward plan was noted. |
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Any Other Business Additional documents: Minutes: John Meech, Healthwatch Bucks queried the Pharmacy First initiative which was due to start in early 2024 and how this would work in Buckinghamshire. Nicola Newstone would seek to obtain and share information on this. Action: Nicola Newstone |
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Date of next meeting Thursday 21 March 2024 at 2.00pm. Additional documents: Minutes: 21st March 2024 |