Agenda and minutes

To approve as a correct record the Minutes of the Shadow Health and Wellbeing Board held on 28^th March 2013.

To receive any Declarations of Interest from Members.

Members of the Health and Wellbeing Board to answer questions submitted by members of the public in accordance with the Executive Procedure Rules contained in the Council’s Constitution. (Note: There were no questions submitted relating to items not included on this Agenda.)

Councillors or Members of the public may present any petition which they have received. These will normally be referred to the appropriate Committee without discussion.

Each Board Member to give a 10 minute overview of their area.

• The Local Authority (Councillor Gordon Lundie)
• Clinical Commissioning Groups (Dr Alex Anderson)
• Health Watch (TBC)
• Public Health (Dr Lise Llewellyn )
• Empowering West Berkshire (Leila Ferguson)
• Health and Wellbeing Task Groups (Andy Day and Lesley Wyman)

Councillor Graham Jones in introducing this item noted that the Health and Wellbeing Board provided a great opportunity for integration for both the Local Authority and Health. The transfer of Public Health into the authority as of the 01 April 2013 also provided a great opportunity for additional democratic involvement in this area.

The Clinical Commissioning Groups (CCGs) had already been integrated into the Board and opportunities were being sought to engage more broadly with other professionals that would have an impact on the health and wellbeing of the District. This would offer and opportunity to address some of the broader determinants of wellbeing. Workshops would be run in the future to look at ways that broader engagement could be enacted.

Dr Alex Anderson noted that as of the 01 April 2013 the CCGs had become statutory bodies and were responsible for a number of aspects of health care including secondary care and commissioning services although they were not responsible for general practices or tertiary care.

There were two CCGs in West Berkshire namely:

·        Newbury and District CCG

·        North and West Reading CCG

The Newbury and District CCG comprised 11 practices all of whom fell within the West Berkshire District boundary. Three of the ten North and West Reading practices fell within West Berkshire boundaries.

Both CCGs had already submitted their Clinical Commissioning Plans which set out their priorities for the forthcoming year.

Newbury and District CCG had identified the following priorities in their Commissioning Plan:

1.      Delivery of 9 care processes for people with diabetes, to achieve best practice care for everyone;

2.      Better identification of carers by GP practices, to enable targeted support;

3.      Offer Cardiovascular Health Checks to eligible patients in the 40-74 year age range.

North and west Reading CCG had identified the following priorities in their Commissioning Plan:

1.      Delivery of 9 care processes for people with diabetes – to achieve best practice care for everyone;

2.      Better identification of people with Cancers;

3.      Reducing Non Elective admissions for people with Chronic Obstructive Pulmonary Disease (COPD).

Natausha Van Vliet from Family Resource Centre UK explained that this independent charity organisation had been awarded the Healthwatch contract in West Berkshire. Their aim was to give a stronger voice to communities and the people within West Berkshire, helping to influence and shape how health and social care service in West Berkshire were provided. The local board had now been set up and had been fully recruited to. Their first meeting would take place in May.

Lise Llewellyn explained that Public Health had transferred from the NHS to the Local Authority as of the 01 April 2013. One of the key functions would be to undertake a Joint Strategic Needs Assessment (JSNA) of the district which would be used as the basis for the Health and wellbeing Strategy and would assist the CCGs when they produced their Commissioning Plans in future years and would also be used to hold the organisations to account. This small  ...  view the full minutes text for item 5.

The role of the new 111 service in West Berkshire

Lesley Wyman updated Board on the progress with implementing the new 111 Service. Ms Wyman explained that typically, faced with an often confusing array of services, patients tended to visit their GP unless they were directed elsewhere by a health professional. Directing out of hours enquiries by triaging could also help to reduce waiting times by ensuring that callers were directed to the most appropriate services.

This had led to the planned implementation of this new IT system that provided a directory of services, linked to the providers that could be accessed by patients. It was essential that the transition to the new system was as smooth as possible.  It was noted that calls from mobile phones and landlines would be free of charge. Questions on the system had been structured so where callers required an ambulance they would only be required to answer three or four questions at which time the existing 999 protocols would come into operation. 

Callers not requiring an ambulance would be asked a few additional questions in order to direct them to the appropriate service. Calls would be managed by trained call handlers supported by clinicians who could take over the call if necessary.

The benefit of this service was that it would take cognisance of local strategies and services and would notify the service that the patient would be attending.

Ms Wyman explained that the national start date for the service was the 01 April 2013. It had however been decided to postpone implementation locally to reduce any risks associated with a large number of sites going live at the same time. Berkshire East would go live on the 24 April and here in West Berkshire the service would go live on the 15 May 2013. NHS Direct would cease to function on the 18 June 2013. An official launch would be held after the implementation date to prevent the system potentially being overloaded.

The Board discussed the possibility of using information generated by the system to inform services locally. Lise Llewellyn suggested that it would be best to get the system embedded before looking at ways the information garnered could be used.

The Chairman thanked Officers for the update.

Jan Evans explained that the group had originally been set up as a task and finish group to look into the high levels of Delayed Transfer of Care in the District. The task group had been tasked with finding potential solutions despite demand increasing and their being fewer resources available. The group had identified a few key issues and had helped to significantly reduce the levels across all the hospitals. However it was also recognised that it was important to continue to progress integrated working (between the NHS, the local authority and other parties) in both commissioning and service provision to improve outcomes for the authorities and also the users.

The report therefore sought permission to continue to take the agenda forward to engender closer working in the future. The document therefore set out proposed terms of reference for the West Berkshire Locality Integrated Care Steering group which the Board was asked to approve.

Councillor Graham Jones noted the importance to understand cause and effect and therefore supported the need for continuing to adopt an integrated approach to this area of work in order to develop shared pathways.

RESOLVED that:

1.      the terms of reference be agreed;

2.      the Steering Group to report back to the Health and wellbeing Board every second meeting.

To be formulated and agreed.

The work programme was noted and it was proposed that consideration be given to including the following items at future meetings:

·        Children and Young People Health Commissioning (Rachael Wardell)

·        Demand and Capacity Management (Rachael Wardell)

·        Frail Elderly Pathway (Rachael Wardell)

·        Health Behaviour and Lifestyles in Schools (Rachael Wardell)

·        Update on the MMR Programme (Lise Llewellyn) (Post meeting note: will be covered under LAA update on 23^rd May)

·        JSNA Outline (Lise Llewellyn)

·        Alcohol Intervention (Councillor Graham Jones)

·        Introduction by the Area Teams (Councillor Graham Jones)

·        Joint Strategy for Carers (Dr Alex Anderson)

Members of the Health and Wellbeing Board to answer questions submitted by Councillors in accordance with the Executive Procedure Rules contained in the Council’s Constitution.

Please note that from May onwards, the Health and Wellbeing Board will meet on a two month cycle.

23^rd May 2013 – Council Chamber

25^th July 2013 – Committee Room 2

26^th September 2013 – Committee Room 2

28^th November 2013 – Committee Room 1

23^rd January 2014 – Committee Room 1

27^th March 2014 – Committee Room 1

22^nd May 2014 – Committee Room 1