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.