Agenda and minutes

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Items
No. Item

31.

Apologies and Changes in Membership (if any)

To note any changes in membership of the Board made in accordance with Council Procedure Rule 4.3.

 

 

Minutes:

 

The Board noted the apologies of Dr Ward, Councillors Jeffery and McEwing and Alison Elliott and that Stephanie Ramsey was in attendance and representing Alison Elliott for the purpose of this meeting.

 

The Board also noted that Councillor Jeffery had replaced Councillor Bogle as a Board Member in accordance with Procedure Rule 4.3.

32.

Disclosure of Personal and Prejudicial Interests

In accordance with the Localism Act 2011, and the Council’s Code of Conduct, Members to disclose any personal or pecuniary interests in any matter included on the agenda for this meeting.

 

NOTE:  Members are reminded that, where applicable, they must complete the appropriate form recording details of any such interests and hand it to the Democratic Support Officer.

 

Minutes:

 

Councillor Shields declared a personal interest in that he was a member of Healthwatch England and a Council appointed representative of Solent NHS Trust and remained in the meeting and took part in the consideration and determination of items on the agenda.

 

Councillor Lewzey declared that he was a Council appointed representative of Southern Health NHS Foundation Trust and remained in the meeting and took part in the consideration and determination of the items on the agenda.

 

33.

Statement from the Chair

Minutes:

 

LSCB 2012/13 Annual Report – to be distributed electronically to all Board members for their perusal prior to the 26th March Board Meeting.

 

Draft – First Issue of Health and Wellbeing Board Newsletter – to be distributed electronically to all Board Members for their comments on the suggested text and design.

 

Healthwatch – Rob Kurn provided a brief update on new members of the strategy group.

 

Keep our NHS Public were concerned about the privatisation of the NHS and wished to be kept up to date on any contracts.  This update would be provided to the Health Overview Scrutiny Panel who would inform the Health and Wellbeing Board of the outcome.

34.

Minutes of the Previous Meeting (including matters arising) pdf icon PDF 46 KB

To approve and sign as a correct record the minutes of the meeting held on 27th November 2013 and to deal with any matters arising, attached.

 

Minutes:

 

RESOLVED that the Minutes of the Meeting held on 27th November 2013 be approved and signed as a correct record.

 

 

35.

Better Care Fund - Southampton Submission pdf icon PDF 52 KB

 

To consider the joint report of the Director of People, Southampton City Council and the Chief Executive, Southampton City Clinical Commissioning Group, providing details of the Better Care Fund proposals for Southampton for sign off for approval by the Cabinet and the CCG governing body, attached.

Additional documents:

Minutes:

 

The Board considered the report of the Director of People, Southampton City Council and Chief Executive, Southampton City Clinical Commissioning Group, providing details of the Better Care Fund proposals for Southampton for sign off and approval by the Cabinet and the CCG Governing Body.

 

The Board also received a presentation from the Director of Quality and Integration, providing further information on the delivery of “Better Care” in Southampton.

 

The Board particularly noted the following points:-

 

  • the Better Care Fund had previously been known as the Integration Transformation Fund;
  • that the first cut of the Better Care Plan template had to be submitted by 14th February and the final revised submission, as an integral part of the CCG’s Strategic and Operational Plan by 4th April 2014;
  • that 25% of the pooled fund was performance related with 50% to be paid on 1 April 2015 based on national conditions and 2014/15 performance against targets and 50% paid on 1 October 2015 based on national conditions and 2014/15 performance against targets;  if targets were not achieved, monies would not be withheld but a recovery plan would be required which would be strictly monitored;
  • the local target was to reduce injuries due to falls in people aged 65 and over as it was felt that this data was quantifiable and would impact on other targets;
  • Southampton’s case for change was an increasing older population, more people living with two or more long term conditions, loneliness, changing expectations, legislation and reduced resources with our aims being personalisation of care, prevention and early intervention, broadening community capacity and helping people retain and regain their independence;
  • this was a 2 year plan with a 5 year strategy and involved integrated locality teams made up of professionals;
  • implementation of the plan would be definition the plan during the 2014 2015 shadow year, establishment of a pooled fund and single point of access for integrated care during 2015-2016 and 2016 onwards rolling  out to other client groups, establishing management structures and continue to embed and develop the model;

 

Mr S Hayes, Police and Crime Commissioner for Hampshire was present and with the consent of the Chair addressed the meeting.  The Board noted his comments and request that the Health and Wellbeing Board engage with the Police in the implementation of the plan as the new model of the policing plan involved more emphasis on neighbourhood policing to prevent crime and offending and protection of vulnerable people and they had commissioning funding to meet these requirements.

 

 

 

RESOLVED:

 

(i)  that the Better Care Fund proposals for Southampton be signed off for approval by the Cabinet and the CCG governing body;

(ii)  that Cabinet and the CCG governing body approve the arrangements for the bid under Section 75 of the NHS Act 2006;  and

(iii)  that authority be delegated to the Director of People and the CCG Chief Executive, in consultation with the Chair and Vice-Chair, to make any drafting or other changes required prior to final submission of  ...  view the full minutes text for item 35.

36.

Integrated Person-Centred Care Programme - "Making it Real" pdf icon PDF 60 KB

 

To consider the report of the Director of Quality and Integration, Integrated Commissioning Southampton City CCG/Southampton City Council requesting the Board’s commitment to the Making it Real initiative, attached.

 

Additional documents:

Minutes:

 

The Board considered the report of the Director of Quality and Integration Integrated Commissioning Southampton City CCG/Southampton City Council providing details and requesting commitment to the Making it Real initiative.

 

The Board noted that Making it Real was an initiative from the Think Local Act Personal (TLAP), a national, cross sector leadership partnership focused on driving forward work with personalisation, community-based social and more recently healthcare.

 

RESOLVED:

 

(i)  that the Health and Wellbeing Board declared their commitment to the Making it Real initiative; and

(ii)  that stakeholder mapping be undertaken against the Progress Markers for both Making it Real and NHS England at the same time for the roll out of personal health budgets.

 

 

37.

Learning Disabilities 2013/14 Joint Heath and Social Care Self Assessment Framework pdf icon PDF 69 KB

 

To consider the report of the Director of Quality and Integration, Southampton City CCG/Head of Integrated Strategic Commissioning Southampton City Council, providing information on the introduction of the Learning Disability Joint Health and Social Care Self Assessment Framework (JHSCSAF) and to note that a further report on progress of the actions set out in the self assessment would be brought back to the Board in 12 months, attached.

 

Additional documents:

Minutes:

 

The Board received the report of the Director of Quality and Integration , Southampton City CCG/Head of Integrated Strategic Commissioning Southampton City Council, providing information on the introduction of the Learning Disability Joint Health and Social Care Self Assessment Framework (JHSCSAF) and to note that a further progress report would be brought back to the Board.

 

The Board also received a presentation from the Director of Quality and Integration, providing further information on the Learning Disability Joint Health and Social Care Self Assessment Framework.

 

The Board noted the following points:-

 

  • that this was the first time that the assessment had been completed in a joined up manner and that the framework would ensure a targeted approach to improving health inequalities and achieving equal and fulfilling citizenship helping commissioners and local people assess how well people with a learning disability were supported ;
  • that people with learning disabilities were 58 times more likely to die before the age of 50 than the general population as they were at greater risk to social determinants of poorer health, health problems associated with specific genetic and biological causes, communication difficulties, personal health risks and behaviours and deficiencies relating to access to healthcare provision;
  • the Staying Healthy, Being Safe and Living Well Priorities detailed in the action plan were monitored on an ongoing basis;  and
  • LD health group and the Vulnerable People and Learning Disability Partnership Boards would provide oversight on the progress made.

 

RESOLVED:

 

(i)  that the progress achieved to date on a number of key targets be welcomed and to note that there were still areas that required improvement;  and

(ii)  that a further report on progress of the actions set out in the self assessment be brought back to the Health and Wellbeing Board in 12 months.

 

 

38.

Joint Commissioning Policy Statement for Working with Children and Adults with Learning Disabilities whose Carers/Services are Challenged by their Behaviour pdf icon PDF 53 KB

 

To consider the report of the Director of Quality and Integration Southampton City CCG/Head of Integrated Strategic Commissioning Southampton City Council, requesting support for consultation on the draft policy statement and the implementation of the initial action plan, attached.

Additional documents:

Minutes:

 

The Board considered the report of the Director of Quality and Integration Commissioning Southampton City CCG/Southampton City Council, requesting support for consultation on the draft policy statement and the implementation of the initial plan.

 

The Board noted the following issues:-

 

  • young people with learning difficulties up to the age of 16 years were well provided for but when they reached 18 years this support appeared to fall away;
  • the implementation of the  Children and Young People Development Service (0-25 years) would ensure that individuals and families had access to specialist knowledge and skills to assess and manage challenging behaviour;
  • there was not always a consistent point of contact for people with learning disabilities in care plans and this needed to be focussed on;
  • many people with learning disabilities resided in residential accommodation and moved around which created problems with the point of contact and this needed to be worked into the system with people being supported into appropriate accommodation; and
  • safeguarding systems were reactive and should be more proactive.

 

RESOLVED:

 

(i)  that the Southampton Health and Wellbeing Board supported consultation on the draft policy statement;  and

(ii)  that the Southampton Health and Wellbeing Board supported implementation of the initial action plan, recognising that this might change following consultation and to note that the submission to Improving Health and Lives would be  reflected in the Autism Self Assessment Framework and key areas of progress made.

 

39.

Southampton HeadStart Programme pdf icon PDF 37 KB

To consider the report of the Director of Public Health, requesting the Health and Wellbeing Board’s support of Southampton’s potential interest in developing a proposal to be part of the HeadStart Programme and to note that Cabinet approval would be required prior to the 17 April deadline, to submit an application for the Year One Programme, attached.

 

Additional documents:

Minutes:

 

The Board considered the report of the Director of Public Health, providing an overview and requesting support of an application by Southampton City Council in respect of a National Big Lottery Fund programme called HeadStart.

 

 

The following was noted:-

 

  • that Southampton was one of 12 areas selected by the Big Lottery Fund to manage a local HeadStart programme, which aimed to help young people between the ages of 10 and 14 years within the identified area, particularly those most at risk of poor mental health outcomes with a view to increasing their long term resilience in relation to mental and emotional health;
  • that Cabinet approval would be required to submit an application for the Year one programme in advance of the 17 April 2014 deadline;
  • that if the Year one application was successful, Southampton would be invited to submit a further application for consideration for a further five years funding, in an expanded programme worth up to £10m total investment from Big Lottery;
  • mental health required more attention and it was important that there was earlier intervention and support for young people with problems; and
  • it was important that the programme was sustainable.

 

RESOLVED

 

(i)  that the Health and Wellbeing Board welcomed the HeadStart Programme and requested that officers ensure that the programme was sustainable;  and

(ii)  that Cabinet approval to submit an application for the Year one programme was required prior to the 17 April deadline.