Agenda item

Petitions and statements (must be about matters 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. A

maximum of one minute shall be allowed to present each petition and

statement. The deadline for receipt of petitions and statements for the 19 October

Health and Wellbeing Board is 12.00 noon on Tuesday 18 October. These should be e-mailed to democratic.services@bristol.gov.uk or sent to Democratic Services, City Hall, P.O. Box 3176, Bristol, BS3 9FS, to be received by the above deadline.

Questions (must be about matters 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 asked. At the meeting, a

maximum of 2 supplementary questions may be asked. A supplementary

question must arise directly out of the original question or reply. Replies to

questions will be given verbally at the meeting. If a reply cannot be given at the

meeting (including due to lack of time) or if written confirmation of the verbal

reply is requested by the questioner, a written reply will be provided within 10

working days of the meeting. The deadline for receipt of questions for the 19

October Health and Wellbeing Board is 5.00 pm on Thursday 13 October. These

should be emailed to democratic.services@bristol.gov.uk or sent to Democratic

Services, City Hall, P.O. Box 3176, Bristol, BS3 9FS by the above deadline.

The following public forum items were received:

Question 1 - re: Agenda item 6 – Developing a Sustainability and Transformation Plan

Question from Andy Burkitt

In those areas that have seen their published STPs, councils have refused to endorse them because of the implied cuts and effects on their services. When the area STP is eventually put out for consultation, will the HWB have a special meeting to discuss it?  If the implications of the plan means a worsening of services and no progress on social care or reducing inequalities have the Council ruled in the possibility of refusing their support publicly even if NHS (England) can over-rule them?  By what method will the Council assess the STP and will this be made public? How will the Plan be judged against the manifesto commitments of the Mayor?

The Mayor/Co Chair Dr Martin Jones responded verbally to this question, as follows:

a.       Managing the health and social care system better was key including managing resources more effectively to ensure fair access to good services and to meet the challenges of addressing inequalities.

b.      There had been close collaboration between Council and NHS colleagues.

c.       There would be joint scrutiny meetings within the BNSSG area to consider the submission.

d.      It was acknowledged that an engagement plan and more information to the public would be helpful.

Question 2 – re: Agenda Item 9 – Joint Health and Wellbeing Strategy refresh 2016

Question from Andy Burkitt

Does the HWB and Mayor consider that this report will fulfil the manifesto commitments on public health and attacking the city’s health inequalities voted on in May 2016? If anything, what will additionally need to be delivered? Are all stakeholders in the greater Bristol area fully on-board to help deliver those manifesto commitments?

The Mayor responded verbally to this question, as follows:

a.      The Joint Health and Wellbeing Strategy was not the only vehicle to deliver the manifesto commitments on public health and tacking health inequalities.

b.      Suggestions on any omissions in the Strategy were welcomed from all stakeholders to assist in ensuring the Strategy is fully focussed.

Question 3 – Late Statement – Dr Charlotte Paterson

As a member of the public, I am concerned about the involvement of the public and communities in the implementation of the Sustainability and Transformation Plan (STP).I am aware that there will be some public consultation about the written draft plan after it has been published and that this may feed into the final written plan. However, I would like to alert members of the Health and Wellbeing Board to the possibility that details and decisions on how the plan will be implemented in practice will not necessarily be open to the public to comment on and influence. It is the implementation that is key – ‘the devil is in the detail’ as they say. I would like to urge the HWB Board to monitor the emerging situation and to ensure:

a. that decisions about implementing the STP will be discussed and ratified at meetings that are open to the public

b. that the papers relating to these discussions and decisions will be published 7 days beforehand and made available on the CCG website.

The Mayor responded that STP would be considered at meetings open to the public and papers would be available on the relevant websites prior to those meetings.