Venue: Meeting Room 1 & 2, County Hall, Oxford OX1 1ND
Contact: Julie Dean Tel: (01865) 815322 Email: julie.dean@oxfordshire.gov.uk
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Welcome by Chairman, Councillor Ian Hudspeth |
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Apologies for Absence and Temporary Appointments Minutes: Councillor Arash Fatemian and Matthew Tait sent their apologies. Councillor Melinda Tilley attended in place of Councillor Louise Chapman. |
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Declarations of Interest - see guidance note opposite Minutes: There were no declarations of interest submitted. |
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Petitions and Public Address Minutes: There were no requests to petition or to address members of the Board. |
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Note of Decisions of Last Meeting PDF 159 KB To approve the Note of Decisions of the meeting held on 26 July 2012 (HBO3) and to receive information arising from them. Minutes: The decision note (HWB5) of the meeting held on 26 July 2012 was approved and signed as a correct record. |
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Amendment to Terms of Reference 2:10 5 mins
Person(s) Responsible: Members of the Health & Wellbeing Board Oral report presented by: Peter Clark, Head of Law & Culture
Action Required: to appoint the Local Area Team Director for Thames Valley, as the representative of the NHS Commissioning Board, to the membership of the Health & Wellbeing Board and to amend the Terms of Reference accordingly. Minutes: It was AGREED that the Terms of Reference, as agreed on 24 November 2011, be amended to include the post of National Commissioning Board Local Area Team Director for Thames Valley within the membership of the Health & Wellbeing Board. |
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2:15 25 mins
Person(s) Responsible: Members of the Health & Wellbeing Board Person giving report: Director of Public Health
To: (a) review current performance against all the outcomes set out in the Health & Wellbeing Strategy (HWB7(a)); (b) consider an in depth report on the Bowel Screening indicator which is not meeting target (HWB7(b)).
Action Required: Members of the Board are asked to note the reports and to consider any action required.
Additional documents: Minutes: The Board had before them a performance report reviewing current performance against all the outcomes set out in the Health & Wellbeing Strategy (HWB7(a)).
A table showing the agreed measures under each priority in the Strategy, expected performance and current performance was attached at HWB 7(a) Appendix A.
It was noted that:
With regard to:
Priority 1.2 - ‘Reduce emergency admissions to hospital with infections by 10% year on year – it was agreed that the data should be investigated to see whether causes of infection could be identified, in order that current trends could be explained.
Priority 6.2 - ‘No more than 400 older people per year to be permanently admitted to a care home from October 2012’ - Sue Butterworth directed the Board’s attention to a recent report produced by the Oxfordshire LINk on Dignity & Quality of Care in Homes, particularly in Dementia care.
Val Messenger, Deputy Director of Public Health, presented an in-depth report on the Bowel Screening indicator which was not meeting its target (HWB7(b)) asking why the target of 60% over the last 2 years had not been reached; what initiatives and actions were currently in place to improve the position; and what further initiatives and planned actions had been identified for the future.
Members of the Board suggested the following actions which might be built into the campaign:
It was AGREED to note the reports and to note also that further information would be available as part of regular performance reports to the Board. |
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Public Involvement Network (PIN) 2:40 15 mins
Person(s) Responsible: The Oxfordshire Health & Wellbeing Board Person giving report: Chair of Oxfordshire Local Involvement Network (LINk)
Sue Butterworth, The Chair of LINk will update the Board on the range of communication methods the Public Involvement Network is using to ensure that the genuine opinions and experiences of people in Oxfordshire underpin the work of the Health and Wellbeing Board. Examples include the new PIN website, proposals for PIN briefing sessions, and a short film that reproduces the draft Older People’s Commissioning Strategy in visual form and has helped people engage in its development.
Action Required: to note the work of the Public Involvement Network.
Minutes: Sue Butterworth, Chair of Oxfordshire LINk gave an update on the activities undertaken by the Public Involvement Network to ensure that public engagement was embedded and to ensure that the genuine opinions and experiences of people in Oxfordshire underpin the work of the Health & Wellbeing Board. Examples included a new PIN website to allow two way engagement and proposals for PIN briefing sessions prior to future Board meetings.
She welcomed a number of young people who were in the audience and who were contributing to public engagement. These were part of a dynamic, diverse group being formed which included faith groups, disability groups and the military, to name a few.
The Board viewed a short film that had been produced by the PIN, which reproduced the draft Older People’s Commissioning Strategy in visual form, helping people to engage in its development.
The Board thanked Sue Butterworth for her report. |
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Frail Older People - Draft Action Plan PDF 9 KB 2:55 50 mins
Person(s) Responsible: The Oxfordshire Health & Wellbeing Board Reports presented by: The Director of Social and Community Services, Chief Clinical Officer, OCCG, Locality Clinical Director, OCCG
At the last meeting there was a themed discussion on the subject of Frail Old People. This joint paper, submitted by the John Jackson, Director for Social & Community Services, Dr Stephen Richards, Chief Clinical Officer, OCCG and Dr. Joe McManners, Locality Clinical Director, OCCG, identifies proposed actions to be taken in response to the discussion and continuing performance issues.
A background paper submitted by the Director for Social & Community Services is attached at HWB9.
Action Required: The Board is asked to endorse the draft action plan and agree to wider discussion with NHS providers, GP localities and representatives of older people and carers.
Additional documents: Minutes: The Board were asked to endorse a covering report and draft Action Plan (HWB9) which related closely to several of the adults’ indicators in the joint Health & Wellbeing Strategy, in particular around delayed transfers of care, reablement services and admission to care homes (indicators 6.1, 6.2 and 6.4). The Action Plan was prepared in response to the Themed Discussion on Frail Older People item of business at the last meeting, and also in response to continuing performance issues. The Plan focused on immediate priorities (by March 2013) as well as longer term actions that would link closely to action plans for the joint Health & Social Care older people’s commissioning strategy, due for completion by April 2013.
Dr Richards commented that much work was in progress to deliver a discharge pathway, covering a broad spectrum of activity. Some of this work had been escalated in order to deliver a reduction in delayed transfers of care. John Jackson endorsed this pointing out that an agreement with the Oxfordshire Clinical Commissioning Group had been reached on a Discharge Policy. Feedback on the Plan had been given by Age UK and the Older People’s Panel and all that was required was a discussion with Oxfordshire Health and Oxford University Radcliffe NHS Trust.
The Board gave the following responses:
· It was a good Plan with a multiplicity of initiatives, giving greater accountability and more of a sense of what the priorities were. It was hoped that it would initiate proactive activity which would, in turn, lead to greater efficiency; · It was imperative that all organisations work together in a coordinated and integrated manner ie. a single multi-disciplinary team to be in place to make the discharge and following this, a single point of access team to plan and co-ordinate services. Assessments to be undertaken at home following discharge. A monitoring group to be formed to ensure that the outcomes are good, together with a number of indicators to be recognised by commissioners within the public domain; · It is necessary for information to be in the system as a whole for GP’s to access; · The reality was that the numbers of older people would increase, but the public purse would be tighter. However, locally progress had already been made to implement the recommendations in the Director of Public Health’s Annual Report for more Plans to be joint and commissioners more united; · The three areas to be focussed on were firstly, the integration of clinical and social care teams; secondly, the prevention agenda; and thirdly, the need to give constructive help to villages and communities in order for them to help themselves. There is a requirement for more supporting volunteers and, in turn, for volunteers and carers to be supported in a more co-ordinated way; · There was still a need to keep the agreed shared finances in an uncomplicated, formalised pooled budget as part of the approach to outcomes based commissioning;
· More liaison between the GP Locality Leads and the District Councils was required, in light ... view the full minutes text for item 9/12 |
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Reports from Partnership Boards 3:45 15 mins
Person(s) Responsible: The Oxfordshire Health & Wellbeing Board Oral reports presented by: The Chairmen of the Children & Young People and Adult Health & Social Care Partnership Boards and the Health Improvement Board.
Action Required: To receive updates from each Partnership Board
Minutes: Councillor Mark Booty, Dr Joe McManners and Dr Mary Keenan gave oral progress reports on the recent activity of each of the three Partnership Boards:
Health Improvement Board – Councillor Mark Booty reported that the Board was pleased with progress to date but recognised that there was a great deal of work to be done. Activity included:
All acknowledged that Government changes to the Welfare Benefits system would be of crucial importance to service delivery. This will be a feature of the work of the Health Improvement Board in their priority of preventing homelessness. However, before issues could be tackled, the manner in which the Supporting People programme would move forward had to be dealt with.
Sue Butterworth pointed out positive signs of collaboration across agencies. Furthermore, the Oxfordshire Rural Community Council, the Oxfordshire Community & Voluntary Action and the Oxfordshire Wheel were encouraging organisations to work together and to look for different solutions.
Adult Health & Social Care Partnership Board – Dr Joe McManners gave a brief presentation on the work of the Board as follows:
Children & Young People Partnership Board – Dr Mary Keenan reported that the Board had been busy with the following activities:
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