Agenda and minutes

Councillor Arash Fatemian and Matthew Tait extended their apologies.

There were no Declarations of Interest.

There were no petitions or requests to speak submitted.

9.30

5 Minutes

To approve the Note of Decisions of the meeting held on  24 November 2011                 (HWB5) and to receive information arising from them.

The Decision Note was approved and signed as a correct record.

9:35

5 mins

Person Responsible:        Members of the respective Partnership Boards

Reports presented by:     Peter Clark, Head of Law & Governance

Action required: To approve the draft Terms of Reference for the following Partnership Boards:

• Adult Health & Social Care Partnership Board
• Children & Young People’s Partnership Board
• Health Improvement Partnership Board

It was AGREED to approve the draft Terms of Reference for the:

• Adult Health & Social Care Partnership Board
• Oxfordshire Children & Young People’s Partnership Board
• Health Improvement Partnership Board

subject Mr Clark looking further  into a possible revision to the Terms of Reference relating to the Children & Young People’s Partnership Board, with a view to encompassing a link with the Terms of Reference for the Oxfordshire Children Safeguarding Board.

9:40

5 mins

Person(s)  Responsible:   Members of the Health & Wellbeing Board

Person giving report:        Director of Public Health

Dr McWilliam will give an overview (HWB7) of  new and emerging powers and duties in so far as they relate to member organisations and of the Board itself.

Action Required: To note the new powers and duties.

It was AGREED to note the new powers and duties.

9:45

10 mins

Person(s) responsible:     All Members of the Board

Person giving report:        Director of Public Health

Dr McWilliam will give an overview from the fifth Director of Public Health Annual Report (attached at HWB8) which reviewed the Joint Strategic Needs Assessment (JSNA) data from the last four years; with a view to reviewing County priorities for health and wellbeing and to make recommendations for the Health & Wellbeing Board.

Action Required: to note the overview.

It was AGREED to note the overview and to thank Dr McWilliam for his presentation.

9:45

25 mins

Person(s) responsible:        Members of the Adult Health & Social Care Board

Persons giving the report: Chairman and Vice Chairman of the Adult Health & Social Care Board

Councillor Arash Fatemian and Dr Joe McManners will present proposals for tackling the highest  priorities for Adult Health and Social Care as set out in HWB9.

Action required: To approve proposals for tackling the highest priorities for Adult Health and Social Care.

The Vice-Chairman of the Adult Health & Social Care Partnership Board, Dr. Joe McManners, presented proposals for tackling the highest priorities and outcomes for Adult Health and Social Care as set out in the report HWB9.

During the course of the discussion, members of the Board suggested the following for inclusion into the draft Health & Wellbeing Strategy:

• The addition of an indicator relating to satisfaction with hospital based care;
• A more ambitious target in relation to the identification of dementia;
• The inclusion of an outcome on the availability of extra care housing;
• When making final decisions on outcomes to be included within the Strategy, to conduct further discussions, as part of the public consultation, on whether outcomes on care home places and re-ablement are too ambitious;
• Also in relation to the above, to consider whether the timescales for the Section 75 agreement are realistic; and
• The need for signposting across the whole of Adult & Social Care services.

It was AGREED to APPROVE proposals for tackling the highest priorities for Adult & Social Care contained within the report HWB9 and to request the officers to investigate the above suggestions for possible inclusion within the consultation paper for the Strategy.

10:20

25 mins

Person(s) responsible:              Members of the Children & Young People’s Partnership Board

Person(s) giving the report:     Chairman and Vice-Chairman of the Children & Young People’s Partnership Board

Councillor Louise Chapman and Dr Mary Keenan will present proposals for tackling the highest priorities for the Children & Young People’s Partnership Board as set out in HWB10.

Action Required: To approve the highest priorities and outcomes for the Children & Young People’s Partnership Board.

The Chairman and Vice - Chairman of the Children & Young People’s Partnership Board, Councillor Louise Chapman and Dr Mary Keenan, presented proposals for tackling the highest priorities and outcomes for children and young people, as set out in report HWB10.

During the course of the discussion, members of the Board suggested the following for inclusion into the draft Health & Wellbeing Strategy:

• The need to benchmark safeguarding outcomes with national comparators;
• Geographical focus required for work on attainment, to raise horizons, not simply by deprivation;
• The need to continue the County Council’s success with regard to Teenage Pregnancy targets; and
• The need to ensure that we focus on the gap between conception rates and educational attainment.

It was AGREED to APPROVE proposals for tackling the highest priorities for Adult & Social Care contained within the report HWB10 and to request the officers to investigate the above suggestions for possible inclusion within the consultation paper for the Strategy.

10:45

25 mins

Person(s) responsible:           The Health Improvement Partnership Board

Person(s) giving the report:  Chairman and Vice-Chairman of the Health Improvement Partnership Board

Councillors Mark Booty and Val Smith will present proposals for tackling the highest priorities for Health Improvement as set out in HWB11.

Action Required: To approve the proposals for tackling the highest priorities for Health Improvement.

The Chairman and Vice-Chairman of the Health Improvement Board, Councillors Mark Booty and Val Smith, presented proposals for tackling the highest priorities and outcomes for health improvement, as set out in report HWB11.

During the course of the discussion, members of the Board suggested the following for inclusion into the draft Health & Wellbeing Strategy:

• A communication programme with groups not accessing services is key;
• A need to map key service providers, including large and small voluntary organisations, with a view to ascertain if there is a common approach to support systems;
• To report to the Health Improvement Board and subsequently this body, on the work in progress to reduce alcohol related harm;
• To make the forthcoming workshop on housing issues inclusive of all issues including extra care housing, sheltered housing, housing for the Military and to link it to Supporting People;
• To devise a form of reporting on support for homeless people, together with support for their families; and
• To increase the target to reflect uptake of bowel screening.

It was AGREED to APPROVE proposals for tackling the highest priorities and outcomes for health improvement contained within the report HWB11 and to request the officers to investigate the above suggestions for possible inclusion within the consultation paper for the Strategy..

11:10

15 mins

Person(s) responsible:     Members of the Public Involvement Board

Person giving the report: Chairman of Public Involvement Board

Sue Butterworth will give an oral update on progress in relation to the establishment of the Public Involvement Board and on the principles of operation.

This item is for information.

Sue Butterworth briefed members of the Board on the recent national developments with regard to HealthWatch, together with the arrangements for taking it forward locally. The local HealthWatch was to be commissioned from April 2013 and it was hoped that the contract would be awarded by Autumn 2012 to enable arrangements to be put in place. These would be supported by a transition  grant to be made available by the Department of Health to all authorities.

She also reported orally on progress in relation to the establishment of the Public Involvement Board (PIB). The findings from the local HealthWatch consultation and the consultation undertaken by Oxfordshire Clinical Commissioning Group with regard to engagement in the new Health structures had informed the development of the PIB model. The Steering Group had developed this thinking in a workshop setting which took place on 2 March 2012 at which a wide plethora of organisations, carers and service users were represented.

She added that whilst the aims of the PIB had been welcomed by people attending the workshop, there had been considerable confusion about the use of the term ‘Board’, it being regarded as ‘misleading’ in terms of its function and powers  and its overlapping functions with HealthWatch in relation to public engagement. Accordingly, the Steering Group had met to review the model and now recommended to the Health & Wellbeing Board the following transitional model which included the following features:

• To rename the PIB to the Public Involvement Network (PIN);
• To establish the PIN for 1 year to April2013 initially, pending the establishment of the local HealthWatch and a review of its effectiveness. The PIN would ensure that the opinions and experiences of people in Oxfordshire would underpin the work of this Board and its Partnership Boards; and develop new engagement routes where gaps are identified via active and effective public engagement;
• To develop joint Quality Standards for engagement activity across the network as part of the Oxfordshire HealthWatch Kitemark plans;
• A small PIN Advisory Group, to include representatives from the County, City and District Councils, OCCG, the voluntary sector, users and carers and the Oxfordshire LINk would manage the transitional year; and
• Two expert witnesses, to be identified via the PIN, to attend the Partnerships and workshops.

Accountability for the PIN, and indeed the whole of the Health & Wellbeing structure remained with the Oxfordshire Joint Health Overview & Scrutiny Committee.

The Vice-Chair brought to the Board’s attention the need for clarity of linkage of particular groups based on the six GP Commissioning locations.

Members of the Health & Wellbeing Board AGREED to:

(a)               thank Sue Butterworth for her report;

(b)               approve the above transitional model for the PIN; and

(c)               to request the officers to bring a report to the next meeting on 26 July on the linkage of particular groups based on the GP Commissioning locations.

11:25

5 mins

Person(s) Responsible:    Members of the Health & Wellbeing Board

Person giving the report:Director for Social & Community Services

John Jackson, Director for Social & Community Services will lead a discussion on the process and timing for the production of the draft Joint Health & Wellbeing Strategy (HWB13).

Action Required: To agree the process and timing for the production of the draft Joint Health & Wellbeing Strategy.

The Director for Social & Community Services led a discussion on the process and timing for the production of the draft Joint Health & Wellbeing Strategy (HWB13).

Members of the Board were reassured that work was underway to ensure that consultation would take place with all interested Groups within Oxfordshire.

Members of the Board AGREED to note the process and timing for the production of the Strategy, as set out in the report HWB13.

11.30

10 mins

Person(s) responsible:     Members of the Health & Wellbeing Board

Person giving the report:Chairman and Vice - Chairman of the Health & Wellbeing Board and Chairman of the Health Improvement Board

Dr Stephen Richards and Councillors Keith Mitchell and Mark Booty will lead some reflections on today’s Board discussions in relation to the day to day work of the Clinical Commissioning Group and the County and District Councils.

Dr. Stephen Richards and Councillors Keith Mitchell and Mark Booty led some reflections on discussion during the meeting insofar as it related to the day to day work of the Clinical Commissioning Group and the County and District Councils. Points raised included the following:

Members of the Board commented that the promotion of the cross cutting nature and integration of  different organisations was an exciting concept, albeit challenging; and it was felt that a strong starting point had been made towards the overall goal of improving health and social care outcomes for the population of Oxfordshire. This was a valuable opportunity to set a working model to deliver for the next decade. It was also an opportunity to begin to get upstream towards a prevention agenda – to this end a housing link was of particular importance.

Further, it was felt that this was an ideal opportunity to communicate with hard to reach groups and thus, a Communication Strategy was of the utmost importance to realise this. A practical endeavour to ensure that the language used in reports was meaningful to all interested people was therefore also crucial.

The meeting ended at 11.30 am.