Agenda and minutes
Venue: Via MS Teams - the meeting will be available to the public at https://buckinghamshire.public-i.tv/core/portal/home
Contact: Sally Taylor
Media
Webcast: View the webcast
No. | Item |
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Welcome Additional documents: Minutes: The Chairman, Councillor Gareth Williams, Cabinet Member for Communities and Public Health, welcomed everyone to the meeting. |
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Apologies Additional documents: Minutes: Apologies had been received from Dr Nick Broughton, Chief Executive, Oxford Health NHS Foundation Trust, Dr Vivek Kholsa attended in place of Dr Broughton; Katie Higginson, CEO, Community Impact Bucks and Tolis Vouyioukas, Corporate Director, Children’s Services, Gareth Drawmer, Head of Achievement and Learning attended in place of Tolis Vouyioukas. |
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Announcements from the Chairman Additional documents: Minutes: There were no formal announcements from the Chairman. |
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Declarations of Interest Additional documents: Minutes: The Chairman declared an interest during item 11, Community Boards Update and Engagement, as he was Cabinet Member for Communities and Public Health which included the Community Boards. |
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Minutes of the previous meeting PDF 575 KB To agree the minutes of the meeting held on 18 February 2021. Additional documents: Minutes: The Chairman advised that the actions from the previous meeting had been carried out.
RESOLVED: The minutes of the meeting held on 18 February 2021 were agreed as an accurate record. |
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Public Questions Additional documents: Minutes: No public questions had been received. |
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COVID-19 - Cases in Buckinghamshire Update PDF 946 KB To be presented by Dr Jane O’Grady, Director of Public Health. Additional documents: Minutes: Dr Jane O’Grady, Director of Public Health, provided a presentation, appended to the minutes. It was now one year on and the cumulative number of Covid-19 cases in Buckinghamshire (up to 29 March 2021) exceeded 31,000 since the start of the pandemic. This was an under representation as national testing was not carried out at the start of the pandemic. There had been 1,189 Covid-19 related deaths in Buckinghamshire up to 19 March 2021. The Aylesbury Vale and Wycombe areas were similar to the South East England average; the Chiltern area was below the national and South East England average and South Bucks was above the South East England average. The Buckinghamshire rates overall were lower than the England average. Maps were provided of the Covid-19 cumulative cases in the South East and Buckinghamshire and highlighted the hot spots. Research had been carried out and the following factors were contributors to enduring transmission:
The number of deaths was now falling from the peak in January/February due to the highly effective lockdown and work was being undertaken to achieve 100% vaccine uptake. Dr O’Grady stressed the need for everyone to continue to follow the rules after being vaccinated; to get tested and, if positive, self-isolate. Rapid testing was now available at four sites in Buckinghamshire and information was available on the Covid dashboard on the Buckinghamshire Council website.
The following key points were raised during discussion:
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Joint Health and Wellbeing Strategy - Start Well PDF 369 KB Joint Health and Wellbeing Strategy - Start Well Priority Area Start Well cover report and Action Plan – to be presented by Si Khan, Business Manager, Health and Wellbeing.
The Joint Health and Wellbeing Strategy 2021-2024, Happier, Healthier Lives - a shared plan for Buckinghamshire was approved by the Board at the 18th February 2021 meeting.
The Board approved the approach of future meetings being themed against the 3 key priorities identified and agreed in the Strategy – Start Well, Live Well and Age Well. It was also agreed to have a deep dive on Mental Health, for each of the priority areas (Start Well, Live Well, Age Well) as this was a cross cutting theme identified in the strategy and one of the areas known to have been hugely impacted by the pandemic.
The April meeting theme is Start Well and to provide assurance on progress being made against the high-level actions included in table 2 of the strategy, a detailed action plan has been co-developed with partners.
The action plan demonstrates how all partners of the Board are committed to delivering against the Joint Health and Wellbeing Strategy.
Recommendations: • The Board to note and approve the action plan • The Board to agree to receive a further update at the October Board meeting
Mental Health School Age Children – Deep dive CAMHS and Buckinghamshire Educational Service -Service Update – to be presented by Sue Hadwin, Head of Service Buckinghamshire CAMHS and Joe Clacey, Medical Lead, CAMHS, Buckinghamshire.
Oxford Health NHS Foundation Trust in partnership with Children’s Services at Buckinghamshire Council have provided a written report which summarises the current issues CAMHS and the Education Service is seeing in demands in the service and identifies challenges that the Health and Wellbeing Board (HWB) need to be aware of.
Recommendation: It is recommended that HWB note the report.
Additional documents:
Minutes: Start Well Action Plan – Si Khan, Business Manager, Health and Wellbeing, advised that it had previously been agreed that future meetings would be themed around the three key priorities; Start Well, Live Well, Age Well, as identified in the HWB Strategy. It was also agreed that action plans would be used as a framework to provide the Board assurance that actions were identified and progressed by all partners and resulted in better outcomes being achieved for residents. The action plans would be live documents and would be presented to the Board every six months. S Khan proposed using infographics at the end of year one for each of the priorities to show the progress and highlight the outcomes achieved.
The following points were raised in discussion:
§ Start Well – David Williams § Live Well – Martin Gallagher, Chief Executive Officer, The Clare Foundation § Age Well – Buckinghamshire Council.
RESOLVED: The Health and Wellbeing Board noted and approved the action plan and agreed to receive a further update at the October Board meeting
Mental Health School Age Children – Deep Dive Children and Adults Mental Health Services (CAMHS) and Buckinghamshire Educational Service - Service Update The Chairman welcomed Sue Hadwin, Head of Service, Buckinghamshire CAMHS, and Joe Clacey, Medical Lead, CAMHS, Buckinghamshire, to the meeting. J Clacey advised that the Service was under significant pressure due to an increase in the number and complexity of the referrals, particularly in the areas of eating disorders and young people presenting acutely in crisis. This had then linked to further difficulties in the availability of inpatient psychiatric beds or specialist residential provisions for children and young people. Also, long waiting times continued for the diagnosis of Neuro developmental conditions; however, work was ongoing with the commissioners and colleagues in the Buckinghamshire NHS Healthcare Trust (BHT) to resolve the issue. The Service was trying to increase the number of staff in the crisis and eating disorder teams. The Service had also increased the reach of its mental health support teams in schools to allow greater coverage. A member of staff was working with the BHT and was based on the paediatric ward to help assess young people who presented. The Service was also working closely with acute hospital and Children’s Services’ colleagues to improve the assessment and safeguarding process as many of the young people presenting had a combination of mental health conditions and social concerns that required collaborative care planning. There had always been an acute problem with funding and the recent increase in demand had exacerbated the issue; however, funding had been received to trial key workers for the most complex young people with autism and learning disabilities and was a ... view the full minutes text for item 8. |
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Integrated Care Partnership Update PDF 297 KB Elective Surgery Backlogs and Recovery– a verbal update to be presented by Isobel Day from Buckinghamshire Healthcare NHS Trust and Neil Flint from Buckinghamshire Clinical Commissioning Group.
Better Care Fund Bi-Annual update – to be presented by Tracey Ironmonger, Service Director, Integrated Commissioning. Recommendations: • To note the Better Care Fund update for 2020-21 and 2021-22. • To note the current position in relation to Better Care Fund and performance. • To note the plans to review the Better Care Fund.
Integration and Innovation: Working together to improve health and social care for all - DHSC White Paper, Feb 2021 – to be presented by Gillian Quinton, Corporate Director, Adults and Health.
The White Paper: · Sets out proposals for a Health and Care Bill · Builds on the NHS Long Term Plan, on the collaborations seen during Covid, and on a recent consultation on the future of ICSs. Also ties in with the current consultation from CQC on the way it works · Focuses on improving integration in two ways: Ø Within the NHS to remove barriers to collaboration; and Ø Between partners in the health and care system to improve health & wellbeing outcomes for local people.
Recommendation: Members of the Health and Wellbeing Board are asked to note the content of the Government’s White Paper, particularly in relation to the Health and Wellbeing Board.
Additional documents: Minutes: Elective Surgery Backlogs and Recovery The Chairman welcomed Isobel Day, Director of Business Recovery, BHT and Neil Flint, Head of Commissioning for Planned Care, Buckinghamshire CCG. I Day advised that urgent and emergency surgery P1 had continued throughout the pandemic. Cancer surgery had also continued and the number of referrals and treatment of people within two weeks of referral had been maintained. The overall waiting list had increased by approximately 1,000 since March 2020 with those people waiting for routine elective surgery or outpatient appointments had had a longer wait. Patients waiting for diagnostic services, MRI scans or CT scans had been maintained and there was no backlog. A number of actions were being taken to address those waiting for outpatient and follow up appointments to allow patients to manage their condition. Remote monitoring in changes in conditions was being carried out and it was possible that this would be extended to virtual outpatients. Virtual appointments had worked well in the first wave of the pandemic with an increase of virtual outpatients to 60%; it had now decreased to 30-40% as more patients were being seen overall. A lot of activity was suspended during the first wave; whereas it had continued throughout the second wave. 65-70% of day cases and inpatient activity had been delivered along with approximately 85% of outpatients.
The following key points were raised in discussion:
The Chairman thanked Isobel and Neil for attending the meeting.
Better Care Fund Bi-Annual update Tracey Ironmonger, Service Director, Integrated Commissioning, provided a presentation, appended to the minutes and highlighted the following key points:
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Joint Strategic Needs Assessment (JSNA) - Update on Priorities PDF 666 KB To be presented by Tiffany Burch, Public Health Consultant.
The Buckinghamshire Health and Wellbeing Board oversees the statutory requirement for local authorities and clinical commissioning groups to prepare a Joint Strategic Needs Assessment (JSNA). Following the publication of the new Health and Wellbeing Strategy (the Strategy) for Buckinghamshire, the JSNA needs to be refreshed. The JSNA is a core part of the intelligence system capability.
Recommendations: The Health and Wellbeing Board is asked to: · Note the content that was delivered for the 2016-2020 JSNA. · Agree the core principles to underpin the JSNA. · Agree to the relaunch of the Development Group. · Agree the actions for 2021/22 to be overseen by the Development Group.
Additional documents: Minutes: Tiffany Burch, Public Health Consultant, referred to the paper contained in the agenda pack and advised that the Joint Strategic Needs Assessment (JSNA) was a statutory requirement for the Local Authority and the CCG to assess the current and future healthcare needs in order to improve the health and wellbeing of residents. The core principles were that it be current, embedded in the Council and NHS processes, was relevant to the Buckinghamshire population, was partner driven and informed by residents to develop a local evidence base. The JSNA would be available to the public via the online portal. A development group had carried out work over the last five years and approximately 50 chapters were on the Health and Wellbeing website along with other resources. The JSNA needed to be refreshed and would link to the three priority areas in the Health and Wellbeing Board Strategy and align to the Covid-19 Recovery Plan. The next steps would be to reconvene and update the membership of the JSNA Development Group to reflect the new organisational landscape.
The Chairman added that the Voluntary and Community Social Enterprise (VCSE) should be embedded in all the relevant groups across the Council but had noted that it was not listed in the membership for JSNA Development Group. T Burch advised that Healthwatch Bucks was part of the key group and, based on topics in the HWB action plan, the relevant partners and voluntary sector would be invited to develop chapters. The role of the Development Group was primarily a sign off group, but all suggestions were welcome. It was agreed that this would be discussed outside of the meeting. ACTION: Tiffany Burch Dr Roberts advised that the Primary Care Networks (PCNs) were carrying out population health engagement which should be fed into the new JSNA.
RESOLVED: The Health and Wellbeing Board noted the content that was delivered for the 2016- 2020 JSNA, agreed the core principles to underpin the JSNA, agreed to the relaunch of the Development Group and agreed the actions for 2021/22 to be overseen by the Development Group. |
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Community Boards Update and Engagement PDF 495 KB To be presented by Katie McDonald, Head of Service Localities.
The 16 community boards are a brand-new way of bringing the council, partners, groups, organisations and local people together to look at local issues and find ways of improving them together.
Recommendation:
Board members are asked to note and comment on the report.
Additional documents: Minutes: Katie McDonald, Head of Service, Localities, advised that the report in the agenda pack provided a flavour of the work of the Community Boards (CBs) and how they had used the public health profiles and the allocated £500k of public health fund contributions and the potential for summer workshops. K McDonald emphasised that the CBs were new and there would be an opportunity to influence their work following the elections. The CBs had a delayed start due to the pandemic, but fantastic work had taken place to support residents during the pandemic via the Councillor Crisis Fund. Support had also been provided to the LGBT community and in suicide prevention. The Service was undergoing a re-set and review and discussions had taken place with the VCSE Recovery Board and partners regarding their interaction with the CBs. The CBs should be seen as an asset and discussions had also been undertaken with CCG colleagues on how support could be provided to the maternity service. Focus would centre on higher population and deprivation areas. K McDonald requested volunteers from the HWB, the VCSE and PCNs to be involved in the project team for the summer workshop sessions. Input and reflection on how her Service should regularly engage with the HWB to report on how the CBs were delivering the Joint Health and Wellbeing Strategy action plan was also requested.
The following key points were raised in discussion:
RESOLVED: The Health and Wellbeing Board members noted and commented on the report. |
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Health and Wellbeing Board Engagement Plan PDF 528 KB To be presented by Si Khan, Business Manager, Health and Wellbeing.
The forward plan outlines consultation and/or engagement activity currently planned or live for health and social care across Buckinghamshire. This is provided for information for the Board, with a view to providing regular updates.
Additional documents:
Minutes: Si Khan, Business Manager, Health and Wellbeing, stated that the HWB Engagement Plan showed the live and planned activity. It was a working document and could be added to by partners in order to provide transparency and minimise the level of survey fatigue. It was proposed that the Engagement Plan should be a standing item on future HWB agendas.
The following points were raised in discussion:
ACTION: Si Khan
ACTION: Si Khan
ACTION: Si Khan |
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Health and Wellbeing Board Work Programme PDF 400 KB To be presented by Si Khan, Business Manager, Health and Wellbeing. Additional documents: Minutes: Si Khan, Business Manager, Health and Wellbeing, asked the HWB members to note what was planned for future meetings and to contact her if there were any other items to be included. |
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Health Care Survey - Final Report PDF 449 KB The final report on the Health Care Survey is included for information. Additional documents: Minutes: The report was included for information. |
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Healthwatch Bucks Update Paper PDF 131 KB The paper is included for information. Additional documents: Minutes: The paper was included for information. Zoe McIntosh added that there had been a good response to vaccine survey with over 3,300 received to date and the feedback was overwhelmingly positive. A report was being sent to the CCG on a weekly basis.
The Chairman thanked everyone for their attendance and contributions. |
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Date of next meeting Thursday 8th July 2021. Additional documents: Minutes: 24 June 2021. |