Agenda and minutes

To approve as a correct record the Minutes of the meeting of the Board held on 25 May 2017.

The Minutes of the meeting held on 25 May 2017 were approved as a true and correct record and signed by the Leader.

An opportunity for Board Members to suggest items to go on to the Forward Plan.

The Forward Plan was noted.

To consider outstanding actions from previous meeting(s).

The actions arising from previous meetings were noted.

Councillor Lynne Doherty advised that she would confirm that the action for the Children’s Delivery Group had been completed.

To remind Members of the need to record the existence and nature of any personal, disclosable pecuniary or other registrable interests in items on the agenda, in accordance with the Members’ Code of Conduct.

Dr Bal Bahia declared an interest in all matters pertaining to Primary Care, by virtue of the fact that he was a General Practitioner, but reported that as his interest was personal and not a disclosable pecuniary or other registrable interest, they determined to remain to take part in the debate and vote on the matters where appropriate.

Andrew Sharp declared an interest in any items that might refer to South Central Ambulance Service due to the fact that he was the Chair of Trustees of the West Berks Rapid Response Cars (WBRRC), a local charity that supplied blue light cars for ambulance drivers to use in their spare time to help SCAS respond with 999 calls in West Berkshire, and reported that, as his interest was personal and not a disclosable pecuniary or other registrable interest, he determined to remain to take part in the debate and vote on the matters where appropriate.

There were no public questions submitted.

There were no petitions presented to the Board.

For the Community Anchor in Hungerford to share with the Board their progress regarding the community conversations which have been held.

This item will also include an update from the Building Communities Together Partnership on progress against the Board's strategic focus to 'increase the number of communities where community conversations have successfully run and local action plans have been jointly developed'.

The Board considered a report and presentation (Agenda Item 8) regarding an update on community conversations.

Suzanne Taylor, the community anchor in Hungerford, provided an overview of the story and outcomes of the multi-professional lens, a group of professionals and parents which had built networks and relationships and brought about changes in their community as a result. There was a broad membership of approximately 30 members from a range of organisations with average attendance at a meeting being 15 people. Suzanne explained that her role was to facilitate the meetings to ensure they made progress and had focus.

In her capacity as the Headteacher of Hungerford Nursery and Family Wellbeing Hub, she saw the role of the group as providing a bridge between the community and professional agencies to enable access to other services and build on strengths. She highlighted the need for effective communication to have a response and not just information sharing in order to stop silo working.

The meetings used the Scanning, Analyse, Response, Action (SARA) model used by the police which gathered information, considered existing solutions, other potential solutions and shared actions. A communal language was developing and the members of the group had been reflecting on the language they had been using with the community, particularly around mental health.

The outcomes for professionals had been that new connections were established and there was concise information sharing in a non-judgemental forum. The Education Welfare Officer had questioned why there were not similar models of working in other areas and professionals had begun to shadow each other to gain a better understanding of their roles. For organisations there had been the outcome to introduce new ways of working and building capacity, for example it had been identified that fire fighters could operate as SAFE workers in schools. The community outcomes had been better integrated services which worked consistently and built trust. The SAFE programme was now running a pilot in feeder schools of John O’Gaunt, Theale Green and Trinity for Years 5/6.

Shelly Hambrecht, Co-ordinator Family Centre Hungerford, discussed the role of the family centre, outlining that the domestic abuse theme had begun to be discussed in March 2017 and had inspired women who had experienced domestic abuse to become involved in Peer Volunteering. A natural pathway had emerged to support people move from support for low mood, to parenting support, to getting to a position where they could support other families.

Suzanne Taylor concluded the presentation with some quotes from group members which demonstrated the impact of their work.

Councillor Fredrickson enquired how the balance between focussing the conversations but not leading them was struck. Suzanne Taylor advised that the group had chosen the themes and the SARA model was a useful way to enable the conversation to develop.

Councillor Fredrickson noted that he had attended the Thatcham community conversation the previous evening and noted the absences of young people. He enquired whether attracting a wide range of people had been a problem in Hungerford. Suzanne  ...  view the full minutes text for item 69.

For the Alcohol Harm Reduction Partnership to provide an update on progress against the Board's priority to 'reduce alcohol related harm across the district for all age groups'.

The Board considered a report (Agenda Item 9) concerning an update from the Alcohol Harm Reduction Partnership. Denise Sayles introduced herself as the new Public Health Senior Programme Officer with responsibility for substance misuse, homelessness and smoking.

Alcohol Concern had been appointed to deliver the Blue Light Project and were to hold a stakeholder workshop on 17 October 2017. The target group for the project would be people drinking at dependent levels who were not engaging in treatment services who were costing emergency services a disproportionate amount. The approach was a different way of working with this group as usually the person was expected to ask for help. The project would train staff in partner organisations how to engage with treatment resistant drinkers. Following the stakeholder workshop training would be held for staff on motivational interviewing.

Councillor Fredrickson enquired how partner organisations would know who was best to engage with this group. Denise Sayles responded that a Focus Group would meet to identify which service should take the lead with each individual. She noted that she had met with the Liaison Team at Royal Berkshire Hospital’s Accident and Emergency department who had committed to attend the training but noted that they might not always be the right service to lead on service user engagement.

Rachael Wardell noted that motivational interviewing was a technique used in the family safeguarding model. Denise Sayles highlighted another link to the Making Every Adult Matter work and commented that the two workstreams would need to work together to identify which approach would be most effective for a particular person.

Shairoz Claridge commented that the Clinical Commissioning Groups had conducted some research to identify the ‘frequent flyers’ and asked how Blue Light clients would be identified. Denise Sayles noted that West Berkshire residents did not always make the hospitals’ ‘frequent flyers’ lists so identification would rely on good communication with Thames Valley Police, South Central Ambulance Service (SCAS) and GPs. Shairoz Claridge expressed the view that it was a good project and she would raise the matter at the Sustainability and Transformation Programme (STP) Prevention Board as it linked to the Making Every Contact Count model.

Dr Bal Bahia noted that GPs received information from SCAS and noted that if a person was regularly attending their GP they were somewhat engaged with a treatment process. He noted that people were multi-faceted and alcohol misuse was usually a symptom of a problem. Dr Bahia noted that although the aim of the project was to reduce costs, ultimately the benefit of the project would be that lives were saved.

Councillor Quentin Webb noted that it would be helpful to engage with employers. Denise Sayles agreed that missed work due to alcohol was an issue.

Councillor Graham Jones expressed the view that a plurality of Primary Care outlets should be involved.

Andrew Sharp argued that it would not matter which service identified the client and if the system worked they would not be bounced between services. All agencies would  ...  view the full minutes text for item 70.

To provide a summary of performance to deliver the Health and Wellbeing Strategy, present the new performance dashboard, highlight any emerging issues and initiate discussion regarding priorities for 2018.

The Board considered a report (Agenda Item 10) concerning delivery of the Health and Wellbeing Strategy – update at quarter one.

Jo Reeves advised that progress was on track in most areas although the sub-groups had some further work to do to define the outcomes they were seeking to achieve. One indicator (% of Looked After Children who had completed a Strengths and Difficulties Assessment) was showing as red. The Board were asked to permit a 2% tolerance in reporting as performance was at 98.8% against a target of 100%. Performance in 2016 had been at 20%. Councillor Doherty commended the excellent performance that had been achieved and confirmed the Corporate Parenting Panel was also interested in ensuring performance against this target was at 100%.

Jo Reeves continued that there was still no action plan under the aim to support mental health, although a Mental Health Action Group had been established and were aiming to present their action plan at a Special meeting of the Health and Wellbeing Board on 24 November 2017. Jo Reeves suggested that the Board consider making mental health one of their priorities in 2018/19.

Finally, there had also been concerns raised regarding delivery of good quality housing and rural access to services. A Problem Solving Session would be held on 19^th October 2017 with the aim to produce some actions to be owned by the Steering Group.

Councillor Fredrickson supported the view to make mental health a priority for 2018/19 as it had been an area of weakness throughout 2017/18. He expressed the view that there was an interesting opportunity to achieve some quick wins by making better connections between the health and wellbeing strategy and the planning and transport strategies. For example the planning Team might receive an application to construct an annex for an elderly relative but there were opportunities to consider the health and wellbeing needs of the resident.

Garry Poulson raised a question of how the Suicide Action Group fit in with the Health and Wellbeing Board’s governance and delivery of the strategy. Councillor Fredrickson suggested the co-chairs of the Mental Health Action Group consider how to link together.

RESOLVED that

·         The progress made a quarter one 2017/18 to deliver the Health and Wellbeing Strategy be noted.

·         A 2% tolerance in the RAG rating for performance achieved against targets be permitted.

For the Board to recieve the final submission of the Better Care Fund 2017-19 following approval of the draft version on 4 May 2017.

This item was not discussed.

For the Board to receive a review of the Berkshire-wide Flu Plan and agreed the actions recommended in the report.

Dr Bal Bahia asked that Board members be supportive in spreading messages about ‘Flu vaccines and that the Board write to all care homes to encourage their staff to be vaccinated. The figure from Australia suggested that the UK should get ready for a difficult ‘Flu season.

RESOLVED that a letter from the Health and Wellbeing Board would be sent to all care homes to encourage them to take up ‘Flu vaccinations.

Members of the Executive to answer questions submitted by Councillors 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.)

There were no Members’ questions.

19 October 2017 – Problem Solving Sesison

23 November 2017 – Development Session

24 November 2017 – Special Health and Wellbeing Board

The Board noted the following dates for future meetings:

Problem Solving Session – 19^th October 2017

Development Session – 23^rd November 2017

Special Health and Wellbeing Board – 24^th November 2017