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Agenda and minutes

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Contact: Julie Dean, Tel: 07393 001089  Email: julie.dean@oxfordshire.gov.uk

Items
No. Item

1/17

Welcome by Chairman, Councillor Ian Hudspeth

Minutes:

The Chairman welcomed all to the meeting, in particular to new members Cllr Steve Harrod in his absence, Professor George Smith, Cllr Lawrie Stratford and Cllr Marie Tidball.

 

Cllr Hudspeth thanked Val Johnson for her invaluable work over the years in her role as partnership development manager, and wished her well in her retirement. He also thanked District Cllr Ed Turner, on behalf of the Board, for his hard work as Chairman and Deputy Chairman of the Health Improvement Partnership Board.

 

He announced an item of urgent business ‘Update on DTOC and Better Care Fund Planning’, to be included after Agenda Item 5. Cllr Hudspeth stated that the reason for urgency was because sign off was required before the next meeting of this Board in November.

2/17

Apologies for Absence and Temporary Appointments

Minutes:

An apology had been received from Cllr Steve Harrod and Cllr Hilary Hibbert-Biles and Hannah Farncombe attended for Lucy Butler.

3/17

Declarations of Interest - see guidance note opposite

Minutes:

There were no declarations of interest submitted.

4/17

Petitions and Public Address

Minutes:

No requests to present a petition or address the meeting had been received.

5/17

Note of Decisions of Last Meeting pdf icon PDF 265 KB

To approve the Note of Decisions of the meeting held on 23 March 2017                     (HBW5) and to receive information arising from them.

Minutes:

The note of the last meeting, which took place on 23 March 2017, was approved and signed as a correct record.

 

There were no matters arising.

6/17

Urgent Business - Update on Delayed Transfers of Care and Better Care Fund Planning pdf icon PDF 1 MB

Under the provisions set out in Section 100B(4) of the Local Government Act 1972 (as amended) the Chairman of the meeting is of the opinion that the above report can be taken after Agenda Item 5 as urgent business for the reason that the Guidance for improved Better Care Funds has only just become available.

The attached report aims to update Health and Wellbeing Board on recent developments with Reducing Transfers of Care, the improved Better Care Fund Planning Guidance and a recent statement by the Secretary of State and for the Board.

 

The Board is asked to discuss the implications of these changes for Oxfordshire.

 

 

Additional documents:

Minutes:

David Smith gave a brief introduction stating that the OCCG had worked together with Adult Social Care on the previous allocation of £350m, which was already in place. He pointed out that the theme of the additional provision was to assist with the reduction of the county’s Delayed Transfers of Care (DTOC) statistics which remained high, with the problems sitting with the Oxford University Hospitals NHS Foundation Trust (OUP) and OCC’s Adult Social Care. He stressed the importance of reducing the DTOC figures as a joint venture.

 

Kate Terroni proposed the recommendations contained in the report citing the Secretary of State for Health’s statement on 3 July 2017 that urged both Health and Local Authorities to be well prepared for the coming winter, asking that they renew efforts in respect of DTOC and to refocus on priorities. She also made reference to his intention to undertake twelve Care Quality Commission (CQC) reviews, of which Oxfordshire would be one. She welcomed the external challenge that this would bring, along with a focus on learning from good practice elsewhere.

 

Professor Smith, Chair of Healthwatch Oxfordshire, conveyed a message to the Board from Dr Bruno Holthof, Chief Executive of the OUH who had been invited along for this item alongside Stewart Bell, Chief Executive of Oxford Health (OH), both of whom were unable to attend due to a previous engagement. Dr Holthof had agreed with HWO that joint teams comprising OUH care workers and ASC teams for home care delivery was a good idea and he looked forward to an invitation from the County Council to discuss this. Professor Smith suggested that a joint objective could be the upskilling of care workers via ‘on the job’ training with the support of mentors. It was his view that a high level approach was required within a climate of increasingly complex health problems. He also raised the need for more support to be given to carers in order that they may be supported in giving acute care to patients in their own home. He also stressed the requirement for good respite care.

 

Kate Terroni highlighted the proposals contained in the report relating to how the additional Better Care Fund monies would be spent. She cited the following provision:

 

·         Raising the hourly rate again for care workers;

·         Exit interviews to be given to people leaving their post, thus ensuring that workforce issues were cited on a constant, ongoing basis;

·         The use of shared care practitioners employed by Oxford Health to upskill domiciliary care workers; and

·         The use of locality-based providers – to which Dr Holthof’s views would be welcomed.

 

Members of the Board commended the positive attitude conveyed in the report and endorsed the validity of Professor Smith’s comments recognising the need for more support for carers and the importance of respite care for carers, in particular for those caring for dementia patients.

 

Dr McManners stated that this was a good opportunity for the integration of Health and Social Care workers on a locality basis,  ...  view the full minutes text for item 6/17

7/17

Performance Report - Final Outcomes for 2016-2017 year end pdf icon PDF 433 KB

2:05

20 minutes

 

Persons responsible:          Strategic Director for People & Director of Public Health, Director for Adult Services, Director for Children’s Services, OCC; Chief Executive, Oxfordshire Clinical Commissioning Group

 

Person giving report:           Strategic Director for People & Director of Public Health

 

To receive an update on performance against the outcomes in the Joint Health & Wellbeing Strategy set for 2016-17 (HWB6).

 

Action Required:    to note the report.

Minutes:

The Board received an update on performance against the outcomes in the Joint Health & Wellbeing Strategy set for 2016/17 and also considered the new outcomes for quarters 2 to 3 (HWB6).

 

Dr McWilliam highlighted the good work undertaken by the Health Improvement Partnership Board (HIB) who typically used a workshop format together with a usual stance of ‘critical friend’ when a problem had been identified. This method had realised some good solutions.

 

The Board AGREED to note the report.

8/17

Revised Joint Health & Wellbeing Board Strategy for 2017-18 pdf icon PDF 147 KB

2:25

20 minutes

 

Persons responsible:                      All Partners

Person co-ordinating report:          Strategic Director for People & Director of Public Health

 

Attached at HWB7 is the draft, revised Joint Health & Wellbeing Strategy (JHWBS) for 2017/18. The cover report to this document sets out the process for revision and also contains the views of the Oxfordshire Joint Health Overview & Scrutiny Committee put forward at its meeting on 22 June 2017.

 

Action Required: the Health & Wellbeing Board is asked to:

 

(a)  comment on the content of the draft Strategy, taking comments from the Oxfordshire Joint Health Overview & Scrutiny Committee into consideration; and

 

(b)approve the outcome measures proposed in the draft Strategy and monitor performance against those outcomes at each meeting in 2017-18.

 

 

 

 

Additional documents:

Minutes:

The Board considered the draft, revised Joint Health & Wellbeing Strategy (JHWBS) for 2017/18. The cover report to this document set out the process for revision and also contained the views of the Oxfordshire Joint Health Overview & Scrutiny Committee (OHOSC) put forward at its meeting on 22 June 2017.

 

The Chairman stated that the comments of OHOSC had been noted and would be considered at the time when the Plan was implemented. He added that it had benefited greatly by the report of the Health Inequalities Commission which was an impressive testament to identifying problems and going forward.

 

The Board AGREED to approve the outcome measures proposed in the draft Strategy and to monitor performance against those outcomes at each meeting in 2o17 – 18.

9/17

Local Digital Roadmap pdf icon PDF 175 KB

2:50

15 minutes

 

Persons responsible:          Oxfordshire Clinical Commissioning Group (OCCG) & Oxford Health NHS Foundation Trust (OH)

 

Persons giving report:         Stuart Bell CBE (OH); Gareth Kenworthy and Lucasz Bohman (OCCG)

 

A presentation will be given by Stuart Bell CBE, Gareth Kenworthy and Lucasz Bohdan on action planning for digital platforms within the NHS. A cover paper is attached at HWB8, together with a copy of the presentation slides.

Additional documents:

Minutes:

Stuart Bell CBE, Oxford Health and Gareth Kenworthy and Lucasz Bohman, OCCG, gave a slide presentation on action planning for digital platforms within the NHS.  A cover paper was attached at HWB8, together with a copy of the presentation slides.

 

Comments, suggestions and views were sought from the Board. These were as follows:

 

·         Should consideration be given to its use, for example, to monitor a person’s weight, at home in order to reduce the need for medication?  95% of homes had broadband, and a very high number had a smart phone (although not all), could the governance be sufficiently relaxed to allow this to happen? Stuart Bell responded that a big challenge would be in how to keep pace with the range of equipment, if ipads were given. However, Skype could be used to the benefit of the patient;

 

·         Government advice regarding the planning process for designing data protection had yet to be given and there was a danger that systems would become obsolete before it was rolled out. A high level of protocol was required for the exchange of information. Oxfordshire had the potential to become a world class system, but it was being held back with the current ‘siloed’ system. Different organisations had different priorities and Government leadership  was required to break down the siloes;

 

·         There was a need for ‘hospital at home’ technology ie for data to be collected and transmitted from the home environment virtually, to be rolled out. Stuart Bell responded that there were basic national expectations and requirements, and much work still needed to be done as an extension to requirements. The potential for it to be used for research purposes was high;

 

·         Whilst the principle was good, to be effective and glean results simplicity of use would be the key. There was now more IT literature for older people in existence. Furthermore, there were ‘do-it-yourself advocacy organisations to assist with people if they require it;

 

·         With regard to the slide on universal capability, it would be essential to include provision for people with conditions such as autism, to ensure that the patient voice was captured. Stuart Bell responded that people would be able to generate their own health data and would ultimately have a fundamental impact on people’s ability to change their health care. He added that a significant amount of monitoring took place in relation to Diabetes and Bipolar with more to be done on Autism and ADHD. The aim was to develop it via the citizen’s interface; and

 

·         Thames Valley Police, particularly the Domestic Homicide Police, could be brought on board, together with the social workers.  In addition, the Hampshire Orthopaedic Society had developed an app to ensure access for autistic patients.

 

Stuart Bell, Gareth Kenworthy and Lucasz Bohman thanked the Board for all the views and suggestions given. They were thanked by the Board for their presentation.

 

 

 

10/17

Safeguarding Boards - Impact Assessments pdf icon PDF 515 KB

3:05

20 minutes

 

Persons responsible:                      Seona Douglas, Deputy Director, Adult Social Care and Tan Lea, Strategic Safeguarding Partnerships Manager, Oxfordshire County Council

 

Persons giving reports:                   As above

 

To consider and comment on the Safeguard Boards Impact Assessment reports (HWB9).

Minutes:

Seona Douglas, Deputy Director, Adult Social care, and Tan Lea, Strategic Safeguarding Partnerships Manager, Oxfordshire County Council, attended for this item in place of the Chairs of the Safeguarding Boards who were unable to attend.

 

They presented the report HWB9.

 

The Board thanked Seona Douglas and Tan Lea for the report and AGREED to note the report.

11/17

Health Inequalities Commission - update pdf icon PDF 116 KB

3:25

15 minutes

 

Person responsible:            Dr Jonathan McWilliam, Strategic Director for People & Director of Public Health

 

Persons giving report:         Chair of OCCG, Dr Joe McManners and Dr. Jonathan McWilliam, Strategic Director for People, OCC

 

 

To report on the process for implementing the recommendations from the Commission report, published in November 2016 (HWB10).

 

 

Minutes:

Dr Joe McManners, Chair, CCG and Jackie Wilderspin, Public Health Specialist, OCC presented a report on the process for implementing the recommendations from the Commission report, published in November 2016

(HWB10).

 

The Board heard that the Commission report had been used by specific organisations, particularly in the voluntary sector, as evidence to support bids for work. It had also been used by the CCG for work planning and transformation purposes. The Public Health Team was working to develop an overview of indicators showing variation for different inequalities, which would be picked up as part of future planning.

 

A further, more detailed update would be given at the Board’s November meeting.

 

The Board AGREED to note the report and to thank Dr McManners and Jackie Wilderspin for the update.

12/17

Healthwatch Oxfordshire (HWO) - Update

3:40

15 minutes

 

Persons responsible:          Chief Executive and Chairman of Healthwatch Oxfordshire

Persons giving report:         Chairman of Healthwatch Oxfordshire

 

There will be an oral update on HWO activities given by the new Chairman Professor George Smith (HWO11).

Minutes:

Professor Smith, Chairman of Healthwatch Oxfordshire (HWO), gave an oral update on activities. He made reference to the annual report which had been circulated to all Board members. He raised the following issues:

 

·         A cut in budget allocation had led to a number of challenges. The organisation had moved to smaller premises, staff reductions had taken place and some projects had been abandoned;

·         Three new directors had been appointed onto the HWO Board;

·         Further to the Witney project, a number of other county towns had requested HWO to undertake a similar project in their town.

 

He updated the Board on three activities in hand;

 

·         HWO had provided secretarial and administrative support to one of the locality forums. A CCG contract had now been awarded to HWO to provide the same to all six forums. An additional member of staff was to be appointed to undertake this;

·         Discussions were underway with the Council of Governors of two Trusts for HWO to act as a source of information to them;

·         HWO was also looking into the possibility of using the more advanced students at local universities as an information resource, via the generation of projects which would in turn assist with their studies and qualification;

·         HWO was to challenge Health and Social Care authorities asking where they wanted to get to in 10 years’ time – and how much long-term planning was taking place. He made a plea for plenty of engagement and consultation to take place. Professor Smith was assured by Dr McManners that HWO would have a role in looking to the future in terms of services.

 

The Board AGREED to note the report.

13/17

Reports from Children's Trust, Joint Management Groups and Health Improvement Board pdf icon PDF 156 KB

3:50

10 minutes

 

Attached are the written reports on activities since the last Health & Wellbeing Board in March (HWB12) from:

 

·         Children’s Trust Board

·         Joint Management Group for Adults

·         Health Improvement Partnership Board

 

Action Required:    to receive the reports.

 

 

Additional documents:

Minutes:

The reports from the Children’s Trust, the Joint Management Group for Adults and the Health Improvement Partnership Board were before the Board at HWB13.

 

Hannah Farncombe highlighted the work with partnership agencies to share findings on how to work together, how to involve everybody with the ultimate aim of effective support for children & families in Oxfordshire.

 

Cllr Lawrie Stratford commended his report to the Board.

 

Cllr Anna Badcock highlighted the recent workshop on planning and health which had proved to be very informative.

14/17

DATES OF FUTURE MEETINGS

Dates of future meetings for 2017-18 are as follows (all take place on a Thursday at 2pm in County Hall:

 

·         9 November 2017

·         22 March 2018

 

The following meeting dates for 2018 -19 are subject to agreement by County Council on 11 July. Confirmation of these dates or otherwise will be given at the meeting:

 

·         19 July 2018

·         15 November 2018

·         21 March 2019

 

 

Minutes:

The Board noted the following dates of future meetings:

 

9 November 2017

22 March 2018

19 July 2018

15 November 2018

21 March 2019.