Agenda and minutes

Health and Wellbeing Board - Wednesday, 20th June, 2018 2.30 pm

Venue: First Floor Committee Room 1P09 - City Hall, College Green, Bristol, BS1 5TR. View directions

Contact: Claudette Campbell 

No. Item


Welcome, introductions and safety information

Please note: if the alarm sounds during the meeting, everyone should

please exit the building via the way they came in, via the main entrance

lobby area, and then the front ramp. Please then assemble on the paved

area between the side entrance of the cathedral and the roundabout at

the Deanery Road end of the building.


If the front entrance cannot be used, alternative exits are available via

staircases 2 and 3 to the left and right of the Council Chamber. These exit

to the rear of the building. The lifts are not to be used. Then please make

your way to the assembly point at the front of the building. Please do

not return to the building until instructed to do so by the fire warden(s).


Alison Bolam took the Chair, welcomed all present and led introductions.



Apologies for absence


The following apologies were given:


·       Mayor Marvin Rees

·       Keith Sinclair

·       Hayley Richards

·       Julia Clarke (subst by Aileen Fraser)

·       Julia Ross

·       Andrea Young


Declarations of interest

To note any declarations of interest from the Mayor / councillors.  They are asked to indicate the relevant agenda item, the nature of the interest and in particular whether it is a disclosable pecuniary interest.


Any declaration of interest made at the meeting which is not on the register of interests should be notified to the Monitoring Officer for inclusion.






Minutes of meeting held on 21 February 2018 pdf icon PDF 222 KB


The Board were asked to agree the minutes of the previous meeting.




That the Minutes of the meeting held on the 21st February 2018 be confirmed as a correct record.



Health and Wellbeing Board - Terms of Reference and Ways of Working pdf icon PDF 165 KB

For final approval.

Presenter – Dr S Milner, Interim Director of City Wellbeing, Resilience and Strategic Partnerships


Sue Milner advised members that following the informal meeting of the Board in April there had been no changes made to the Terms of Reference but new ways of working had been agreed, this had included the number of members on the Board and reducing  ‘demand’ from sub groups seeking the Boards input on a wide range of topics. A list had been compiled for Board Members regarding which topics should be prioritised for the Board’s consideration.


Key points made during discussion -


  1. Governance structure around ‘better Care Fund’ to be given urgent priority – Action Sue Milner and Sally Hogg;
  2. The wording in point 13 of the ToR to be amended to say ‘contribute’ or endorse’ instead of ‘involved’ regarding the process of developing and signing-off Clinical Commissioning Group plans;
  3. Alison Bolam should be referred to as Commissioning representative not ‘provider’;


Board Members were asked to consider the document and inform Sue/Sally if they felt any further changes were necessary.


Subject to the above, the Board noted the Terms of Reference and Ways of Working paper.



JSNA Annual Report 2017-18 and Proposed Work Programme 2018-19 pdf icon PDF 124 KB

For noting and approval of the work programme.

Presenter: Dr S Milner, Interim Director of City Wellbeing, Resilience and Strategic Partnerships


Sue Milner emphasised the need to reduce the number of topics being included on the Work Programme and the importance of pursuing a more specific approach to the work of the Board. It was considered that there was a ‘yawning gap’ between what the Board would like to do and what was feasible. For the future the focus would be on ‘Core Products’ and fewer in depth assessments, the next JSNA would do further work with a focus on just three or four topics. It was essential that nominated members attend the Steering Group meetings for this to work well.


With regard to data protection, specifically in relation to General Data Protection Regulation(GDPR), it was essential that there was ‘one source’ for all partners to be able to access at an early stage to achieve improved cost effectiveness.



  1. To note the JSNA programme and the progress made too date;
  2. To agree the revised approach to delivering the JSNA;
  3. To make further suggestions, amendments, additions as appropriate.



Healthier Together - update pdf icon PDF 39 KB

Presenter – Julia Ross and Robert Woolley

Additional documents:



Healthier Together – update


Robert Wooley introduced the paper which set out the progress being made regarding the Healthier Together product emphasising that work on the ‘Prevention Strategy’ had seen continued progress and strengthening of collaborative working arrangements and that these had already helped to deliver meaningful improvements in the care and services provided including increased mental health services.


Particular emphasis was placed on the need to invest more resources into early discharge from hospital and into community care and it was envisaged that improved coordination could be achieved through increased working with local GP boards and the wider community including the voluntary sector, the public and citizen panels.


The Board was asked to consider how it would support the work of the partnership in the next phase.


It was considered important that the ‘Prevention Strategy’ be shared with the wider community and that more emphasis be put on mental health issues. The Board was advised that a timescale for this had not been devised at the current time but this would be checked and reported back. The Board noted that initiatives had been taken regarding the greater use of Apps to access services, this was seen as increasingly important amongst children and young people. Also noted that membership of the Institute of Mental Health was free and was a useful resource to access. 


Resolved: that the report be noted and that the ‘direction of travel’ currently being pursued be supported.



One City Approach - Health Theme

Development discussion item (no papers)

Presenter: Dr S Milner, Interim Director of City Wellbeing, Resilience and Strategic Partnerships


The Board was advised that work on the ‘One City Approach’ was completed two weeks ago and that it was now important for the H&WB to play a pivotal role to drive this forward to enable resolution to long term problems. The ‘One City Plan’ would by default be a public health plan and would be include important issues affecting the City ie, economic growth , jobs, transportation, climate change.


Many issues had been discussed at the ‘City Gathering’ however it was apparent that attitudes and cultures would need to change, it was acknowledged that this could take a long time. The approach chosen to accommodate this was to look forward to 2050 and work back on what needed to be done or changed. It was proposed that the H&WB would be the core driving force behind a ‘Governance Structure’ that would aim to give children and young people the best start in life and this would involve the cooperation of key stakeholders working together.


All inputs for the H&WB would go into the ‘One City Plan’ and shape the City’s priorities in respect of issues such as air quality, healthcare and clinical issues. The 2050 concept was essentially a synopsis outlining the city’s aspirations and vision for the future.


Members considered the 2050 concept and emphasised strongly that with particular regard for children’s services the pace of change of new technology was increasing exponentially and needed to be built into any plan for the future. It was agreed that a specific ‘task and finish working group’ needed be set up to deal with this.


It was considered important to ensure accurate measurement of data including outcomes and what was being done and by whom. An assurance was given that the Plan would be brief and fully signposted and that a mechanism would also need to be devised to translate concepts to outcomes. The Board noted information about the ‘One City Plan for New York’ and the possibility of plagiarising positive practices from that.


Resolved: that the update be noted and that a ‘Task and Finish’ Working Group be set up as soon as possible in relation to the above discussion.



Health and Wellbeing Board forward plan pdf icon PDF 54 KB

For discussion and confirmation


The Board was advised that about six formal meetings would be required, possibly more, and that the forward plan would need to include groups who looked toward the H&WB for governance. Routine business would comprise half the Board’s work with the other half looking at specific or themed products eg, children, mental health. Development sessions would be set up to enable more focus to be given.


It was agreed that all potential forward plan items be channelled through Sue Milner to avoid too many items being included on the Plan and slowing overall progress.



Director of Public Health annual report pdf icon PDF 2 MB

For information only


Resolved: that the report be noted.



Public forum - about items included on the agenda

Public forum business must be about items on the agenda for this meeting.


Any member of the public or councillor may participate in public forum. Public forum items should be emailed to


Please note that the following deadlines will apply in relation to this meeting:


Questions about agenda items - Written questions must be received at least 3 clear working days prior to the meeting.  For this meeting, this means that questions must be submitted by 5.00 pm on Thursday 14 June 2018 at the latest.  A maximum of 2 questions per individual is permitted.


Petitions and written statements about agenda items - Petitions and written statements must be received by 12 noon on the working day prior to the meeting. For this meeting, this means they must be submitted by 12.00 noon on Tuesday 19 June 2018 at latest.


A public forum statement from Councillor Donald Alexander (and on behalf of Councillors Massey, Kirk, Godwin and Phipps) in respect of agenda item 7 was read out to the Board concerning Looked after Children. The statement was noted.


A statement/question from Councillor Kirk regarding Bristol’s health and social care workforce: recruitment and retention, mental health and wellbeing was also received and noted.


The Chair said that a response would be given to both submissions in due course.



Meeting ended at 4 pm


CHAIR  __________________