Dr Jonathan McWilliam presented details of the Health and
Well-being Board and its supporting boards. Through the
presentation and the ensuing discussion the following points were
noted;
- There is a requirement that a shadow
board was set up in December 2011 which will become live in April
2013.
- District representatives were
nominated by the Leaders group and is handled on a rotating
basis.
- Thames Valley Police are involved in
the Community Safety Partnership and the Chief Fire Officer who
chairs the community safety officer group sits on the Health
Improvement Board to provide the link between these agendas.
- The requirement to manage and fund
the board rests with the county council. The running costs of the
supporting boards are met from existing resources.
- Commissioning support services for
the Clinical Commissioning Group are being worked out and will
likely be on a regional level. The CCG will have the funding to
commission this so it should reflect our needs.
- Most people involved in
commissioning services (including in public health) have a clinical
background.
- There is scope to do more to pool
budgets which are currently more aligned than truly pooled.
- The Health and Well-being board will
consult on the strategy which will include scrutiny in late
spring
- There will be NHS, social care and
public health targets which will be based on local priorities.
- The Health and Well-being board will
take the strategic overview with the supporting boards/ partner
organisations responsible for commissioning of services.
- Improvement in outcomes is critical,
local priorities will be set and reported on publicly.
- The ambulance service and other
service providers cannot be members of the boards but are involved
in the workshops which will be used to focus on detailed
issues.
- HOSC members and other councillors
should be invited to participate in workshops.
- Prevention will be key to the local
authority role but there is always a tension with length of time
for the return on investment.
- Scrutiny will continue to have an
important role in scrutinising the new arrangements
Jonathan McWilliam
and Angela Baker undertook to update the committee on matters
arising at the last meeting,
- Teenage conceptions
– rates of teenage conceptions reduced in 2010 to 22 per
1000. The wards with highest rates are Grimsbury and Castle (Banbury), Northfield Brook,
St Mary’s, Iffley Fields,
Blackbird Leys (Oxford). Other areas of concern include parts of
Witney, Didcot, Bicester. The need to reduce rates more in these
areas was noted.
- Healthchecks for people with learning
disabilities – this is an NHS Cluster responsibility.
Approximately 2000 are eligble for
annual healthchecks and 40% took these
up last year although it is not known how many were offered.
- Tuberculosis and
immigration – at airports the need for port of entry
healthchecks are identified. It is not
easy to be sure exactly whether all those identified can be
followed up for screenings once they move on to their destination.
In September 2011 561 people were offered screenings of which 138
were done. One case of latent TB was identified. The increased
virulence of the disease and the impact of global travel and
immigration was registered as a barrier. Jonathan McWilliam undertook to provide the committee more
information about the issue on a national level.