Agenda and minutes

Attendees were welcomed to the meeting.

Apologies were received from Keith Sinclair, Linda Prosser and Becky Pollard.

Petitions and statements (must be about reports on the agenda):

Members of the public and members of the Council may present a petition or submit a statement to the Health and Wellbeing Board. One statement per member of the public and one statement per member of Council is permitted.   The deadline for receipt of petitions and statements for the 14 December Health and Wellbeing Board is 12.00 noon on Tuesday 13 December.

These should be e-mailed to democratic.services@bristol.gov.uk

Questions (must be about reports on the agenda):

Questions may be asked by a member of the public or a member of Council. A maximum of 2 written questions per person can be submitted.  The deadline for receipt of questions for the 13 December Health and Wellbeing Board is 5.00 pm on Thursday 8 December.

These should be emailed to democratic.services@bristol.gov.uk

The following public forum item was received and noted:

Public forum statement from Cllr Clare Campion-Smith

The Board received a statement from Cllr Clare Campion-Smith about the subject of workforce training and the need to ensure joint training as part of continuing to build understanding between the Council and the NHS, particularly in relation to the integration of health and social care.

It was noted that one of the aims of the Board continued to be to encourage joint work, integration and synergies between the two organisations.  Whilst recognising there was more to do in this area, there had been good examples of this approach, e.g. through the commissioning of children’s community health services. 

Ellen Devine declared an interest in agenda item no. 5 – Key decision: Local HealthWatch and Independent Complaints Advocacy Service arrangements for 2017-18 in light of her employment by HealthWatch.  It was noted that she would not participate in the discussion of this item, other than to respond as necessary to any specific questions that might be asked in connection with the item.

To agree the minutes of the previous meeting as a correct record.

RESOLVED:

That the minutes of the meeting of the Board held on 19 October 2016 be confirmed as a correct record and signed by the Chair.

To be presented by Simon Dicker, Commissioning Manager, BCC.

The Board considered a report seeking approval of a key decision on arrangements for local HealthWatch and Independent Complaints Advocacy Services arrangements for 2017-18.

Simon Dicker, Commissioning Manager presented the report.

 The following issues were noted:

a.      There was general acknowledgement from the Board about the reasons why this proposal had come forward for decision, recognising the financial position and challenges faced by the Council.

b.      It was noted that the taking of this decision would inevitable result in a reduction of resource for HealthWatch, and that future expectations of the service would need to be viewed in the light of this reduction.

c.       In response to a question from the Mayor, Ellen Devine commented that a main impact from the budget reduction would be a consequent reduction in the level of engagement and consultation work carried out by HealthWatch.   The Mayor advised that it would be important to log and be fully aware of the consequences of this difficult decision. 

Having noted and taken account of the above, the Mayor then took the following key decision:

1.      That approval be given to the option of a final years extension to this contract.

2.      That approval be given to this being at a reduced rate of £320,000 creating a total saving of 20% whilst maintaining the service capacity of ICAS.

3.      That approval be given to sending notification to the provider during December 2016, to ensure that savings of £80,000 are achieved in 2017-18.

To be presented by Dr Jo Copping, Consultant in Public Health Medicine, BCC and Nick Smith, Strategic Intelligence and JSNA Manager, BCC.

The Board considered a report setting out the final draft of the Bristol JSNA data profile 2016-17 and an update on the progress of priority JSNA chapters.

Nick Smith, Strategic Intelligence and JSNA Manager and Dr Jo Copping, Consultant in Public Health Medicine presented the report.

Main points raised/noted in discussion:

a.      The JSNA data profile would be launched and made available on-line at the end of December.

b.      The Mayor drew attention to the importance of ensuring robust systems were in place to collect data so that race inequalities in health could be tracked reliably.  Following discussion, it was agreed that action on this must be taken forward to enable all providers (e.g. GP practices) to collect ethnicity data in a consistent way.

c.       The 2016-17 data continued to identify the 3 priority areas as per the refreshed Health and Wellbeing Strategy (mental health and wellbeing, alcohol misuse and healthy weight) as key issues.  Whilst noting that JSNA priority chapters were being developed, it would be important for the Board to retain a focus on the 3 priority areas, holding partners to account for delivering key outcomes.

d.      In developing the priority chapters, consideration should be given to challenging key partners to make “leap of faith” changes to achieve greater impacts, e.g. by using resources in different ways if this would achieve improved outcomes.  The priority chapters should also look to provide assurance to the Board about action that is being taken in respect of the key areas of health data.

e.      The Mayor suggested that links should be made between the JSNA and the recently published city resilience strategy.

At the conclusion of the discussion, the Board

RESOLVED:

-          That the report/presentation and the above information/comments be noted.

To be presented by Sally Hogg, Public Health Consultant, BCC.

The Board considered reports setting out information on the development of the Healthy Weight Strategy and Sugar Smart City initiative.

Sally Hogg, Public Health Consultant and Beth Bennett-Britton, Speciality Registrar presented the reports.

The Board generally welcomed the progress of these initiatives.  However, whilst recognising the need for accountability, given the resource constraints faced by the Council and partners, governance should be through existing structures rather than creating a new / additional governance structure.  For example, the Joint Health Outcomes sub-group might be an appropriate governance vehicle for monitoring progress on the Healthy Weight strategy and action plan, once these were approved by this Board.

RESOLVED:

-          That the reports and the above information/comments be noted.

To be presented by Rebecca Cross, Strategic Commissioning Manager, NHS BCCG / BCC.

The Board considered a report setting out details of the refreshed Children and Young People’s Emotional Health Transformation Plan for 2016-17

Rebecca Cross, Strategic Commissioning Manager presented the report.

Main points raised / noted included:

a.      This transformation programme was being led by a joint NHS and City Council team, working with providers, the voluntary sector, children, families and young people including the Youth Council and the Freedom of Mind team.  This integrated partnership approach would continue to shape and deliver the plan.

b.      It was noted that emotional health and wellbeing was an important factor for all children.  It was also important to identify risk factors for children of primary school age.

c.       It was suggested that it would be useful to produce an “easy to read” digest of the plan that could be shared with children and young people.

RESOLVED –

-          That the report and the above information/comments be noted.

Update from the Mayor:

The Mayor updated the Board on the development of the new City Office, the key aim of which was to play a crucial role in both getting things done and uniting Bristol’s key institutions around shared goals.

Two projects were already underway:

a.      A project to tackle street homelessness and rough sleepers through the current winter months.

b.      A project to ensure that all young people in Bristol schools gain a meaningful work experience opportunity.

In addition, building on the recently published city resilience strategy, work was to begin on developing a single city plan for the next 50 years.

All partners were asked to be appropriately involved / represented in these initiatives.

Sexual health services contract award: 

It was noted that University Hospitals Bristol NHS Foundation Trust had been appointed to manage sexual health services across Bristol and the surrounding region.  The new service, commissioned by Bristol City, South Gloucestershire and North Somerset councils, and the accompanying CCGs would begin on 1 April 2017. 

Kathy Eastwood, BCC Service Manager - Health Strategy: 

The Board noted that Kathy Eastwood would shortly be leaving her role with BCC.  On behalf of the Board, the Chair thanked Kathy for her work, contribution and highly professional support over many years and extended very best wishes for the future.