Agenda and minutes

Councillor Val Smith gave her apologies. Anita Higham OBE attended for Sue Butterworth, Dr Matthew Gaw for Dr Mary Keenan and Dr Joe Santos for Dr Joe McManners.

There were no declarations of interest.

Mr Michael Hugh –Jones, Item 11, on behalf of the Oxfordshire Pensioners Action Group.

To approve the Note of Decisions of the meeting held on  22 March 2012                (HWB5) and to receive information arising from it.

The decision note was approved and signed as a correct record.

2:05

5 minutes

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

Report presented by:            Peter Clark, Monitoring Officer and Head of Law & Culture

Action required: To amend the Shadow Health & Wellbeing Board’s Terms of Reference as agreed at the 24 November 2011 meeting, to include a proposal that a senior officer of the Oxfordshire Clinical Commissioning Group be added to the list of officers in attendance at Health & Wellbeing meetings.                                                                                                                                                                                                                                                

It was AGREED that the Shadow Oxfordshire Health & Wellbeing Board’s Terms of Reference, as agreed at the 24 November 2011 meeting be amended to include a proposal that a senior officer of the Oxfordshire Clinical Commissioning Group be added to the list of officers in attendance at Health & Wellbeing meetings.

Alan Webb, Director of Commissioning, NHS Oxfordshire, was invited up to the table to take up this role for this meeting.

2:10

10 minutes

Person(s) responsible:         Members of the respective Partnership Boards

Reports presented by:          Director of Public Health

(a)               Joint Strategic Needs Assessment (JSNA) – Briefing on the process for revision of JSNA Dr McWilliam will present detailed plans for a thorough revision of the JSNA during 2012 – 13 (HWB7(a)). For discussion.

(b)               Highlight Report on 2010 – 11 Data Refresh – JSNA. Dr McWilliam will present a report, for the Board’s information, on the information used to set the context for Health & Wellbeing priority setting (HWB7(b)).

Action required: members of the Board are asked to consider the following questions:

(a)  are you content with the vision and governance of the JSNA?

(b)  are there any amendments or changes in emphasis that you would like to see? 

The Board noted the following as background to the ensuing discussion:

(a)               the detailed plans for a thorough revision of the JSNA during 2012 – 13 (HWB7(a)); and

(b)               a highlight report on the 2010 – 11 JSNA data refresh (HWB7(b)).

Members of the Board were asked to consider the following questions:

(a)               whether they were content with the vision and governance of the  JSNA?

(b)               were there any amendments or changes in emphasis that they would like to see?

Whilst the Board declared themselves content with the vision and governance of the JSNA, they were keen to see evidence (where possible) of loneliness and isolation amongst the young and the elderly placed higher on the agenda and built into the thinking which drives all areas of work. This kind of emphasis would ensure that the Strategy becomes a fluid and living document.

2:20

30 minutes

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

Reports presented by:          Director of Public Health

(a)   Report on the consultation and summary of recommended changes

Dr McWilliam will present an overview of the consultation undertaken and a summary of the responses received (HWB8(a))

Action Required: to discuss the public consultation results and to debate, decide on and agree on the specific issues raised in this paper.

(b)   Approval of final draft Joint Health & Wellbeing Strategy

The post-consultation draft Strategy is attached for consideration (HWB8(b)(i)).

As part of the discussion, the Board will need to be mindful of the potential impact on individuals, communities and organisations, including those that share protected characteristics under the Equality Act 2010. To this end, the Service and Community Impact Assessment is attached at HWB(b)(ii) for information.

Action Required: to approve the finalised draft Strategy as set out at HWB8(b)(i)).

The Board considered a report which gave an overview of the findings of the consultation undertaken, the implications for the Health & Wellbeing Board, and how these would be taken forward. A summary of recommended changes to the targets had also been incorporated for the Board to debate and decide upon (HWB8(a)).

Following debate, it was AGREED:

(a)               to approve the detailed changes to the targets, as set out in paragraph 9 of the report;

(b)               with regard to paragraphs 9.5 and 9.7, to confirm that ‘50% of people with learning disabilities will have an annual physical health check by their GP (currently 45%)’ and ‘50% of the expected population with dementia will have a recorded diagnosis (currently 37.8%)’ in year 1, with a preparation for the target to be stretched in year 2;

(c)               to support the expectation that issues such as disadvantage, helping communities help themselves and encouraging locality working should be found in all the Board’s plans where appropriate;

(d)               subject to the above, to approve the final draft of the Health & Wellbeing Strategy 2012 – 2016 and to request the Steering Group to arrange for its publication into the wider environment.

2:50

15 minutes

There will be oral updates from the Chairmen of each Partnership Board in order to provide information on recent progress.

• Children & Young People
• Health Improvement
• Adult Health & Social Care

The Director of Children’s Services and Councillors Mark Booty and Arash Fatemian, respectively, gave briefings on the recent activity of each of the three Partnership Boards.

Each had agreed their priorities, for which action plans would be drawn up in the near future, to give detail on how the outcomes will be delivered. Arrangements for performance monitoring were in the process of being set up for each Board.

Children & Young People

• Working arrangements around the priorities had been set up, with the aim of avoiding duplication of effort amongst the stakeholders;
• Two workshops were being organised, the first exploring proposals to bring about joint arrangements with Mental Health and Adult Services and the second on child sexual exploitation.

Health Improvement Board

• The Board were pleased to welcome Anita Higham OBE as their Public Involvement Network  representative;
• A meeting in public had been held in May to discuss a range of health and housing issues and it had been agreed to focus on

-                      Housing quality and fuel poverty;

-                      Preventing homelessness;  and

-                      Supporting vulnerable groups.

Specific outcomes for these were under consideration.

• The May meeting also heard an overview of current work to reduce alcohol related harm which is overseen by the Oxfordshire Safer Communities Partnership, with a view to influencing work from a health awareness point of view;
• A stakeholder workshop was held in July to discuss the HIB priorities.

Adult Health & Social Care

• An Action Planning Board has been set up to receive regular monitoring reports and to agree standards;
• OCCG and OCC will agree joint opportunities, to include stakeholders, as required;
• Workforce development was the next subject to address; and
• An Older People’s Joint Steering Group had been set up involving representatives from OCCG, the County and District Councils, Carer’s associations, users and from the voluntary sector.

3:05

15 minutes

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

Person giving report:            Director of Public Health

The following reports will be submitted:

(a)               Summary performance report (HWB10(a))

(b)               Reports on performance issues in relation to:

(1)   NHS Health Checks (HWB10(b)(i))

(2)   Young People not in Education, Employment or Training (HWB10(b)(ii)

Action required: Members of the Health & Wellbeing Board are asked to note this information and agree the proposed approach to performance reporting.

The Board had before them a summary performance report (HWB 10(a)).

The Board also discussed two reports on performance issues in relation to:

(a)               NHS Health Checks (HWB 10 (b)(i)) – presented by Val Messenger, Deputy Director of Public Health; and

(b)               Young People  not in Education, Employment and Training (NEETs) (HWB (b)(ii)).

The Health & Wellbeing Board noted all reports and congratulated the Deputy Director of Public Health and her colleagues for the considerable progress made with health checks in the county.

3:20

25 minutes

There will be a discussion on a range of issues identified in Oxfordshire in relation to frail, older people and how they are being addressed. A background paper, submitted by the Director for Social & Community Services (OCC) and the Interim Director of Planning & Development (OCCG) is attached at HWB11.

Prior to debate, the Board were addressed by Mr Michael Hugh-Jones, Honorary Secretary of the Oxfordshire Pensioners Action Group. He raised a number of points and questions which related to the report HWB 11 which concerned:

• The accuracy of the statistical estimates of the numbers of older people in the county and their condition;
• Questioning the term ‘pooled budget’;
• The approach taken by Health and Adult Services  in relation to financial resources.

The Director for Social & Community Services responded to the questions and points raised, commenting that the statistical information was correct and explaining that the budgets were not ‘pooled’, but ‘aligned. He added that the Strategy was based on an analysis of the facts. Further, that both Health and Social Care were endeavouring to respond to the challenges of demographic pressures and limited financial resource by taking measures which improved outcomes for older people and thus limit the demand for health and social care.

Members of the Board discussed a number of points raised in the report HWB11. Issues debated centred around:

·        the relatively high number of people going into care homes in Oxfordshire; and

·        the merits of Extra Care Housing and the need to encourage more individual schemes/planning applications.

Members of the Board concluded that although it was useful to hear the views/standpoints from all the representatives around the table, they felt that resulting action was required.

3:45

20 minutes

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

Person giving the report:      Director of Social & Community Services

John Jackson will give a presentation on the recently published White Paper on Adult Social Care, highlighting the implications for the work of the Board.

Members of the Board thanked the Director for Social & Community Services for his presentation on the recently published White Paper on Adult Social Care, highlighting its implications for the work of the Board.