A meeting of the Health Wellbeing Committee will be held on the above date at 10.00 am at County Hall, Exeter to consider the following matters.

P NORREY

Chief Executive

A G E N D A

PART ONE - OPEN COMMITTEE

1. Apologies for Absence

2. Minutes

Minutes of the meeting held on 17 November 2014 (previously circulated).

3. Items Requiring Urgent Attention

Items which in the opinion of the Chairman should be considered at the meeting as a matter of urgency.

MATTERS FOR DECISION

4. 2015/16 Budget

(10.05)

Overall Approach

In line with previous practice, the 2015/16 budget proposals will again be scrutinised collectively, with a joint session of Scrutiny Committees to be held on 29 January 2015, following preliminary consideration by individual Scrutiny Committees.

The joint session will, as before, enable all Scrutiny Members to critique, question and challenge the budget proposals across services, to better understand the implications of the budget proposals across the Council and to make more effective recommendations to Cabinet and the Council. Additionally there will be an opportunity for members of the public to address that meeting and make oral representations/presentations on any matter relating to the proposed budget.

A strategic briefing has been circulated previously to all Members outlining the target budgets for all areas/services, how those compare to the previous year s targets for 2014/15, likely implications for areas/services and any indications as to how those might be prioritised.

The Council must have full regard to and consider the impact of any proposals in relation to equalities prior to making any decisions, as set out in equality impact assessments, and any identified significant risks and mitigation action required.

This Meeting

At this and other Scrutiny Committees in the current cycle, Members are asked, in advance of the Joint Scrutiny meeting, to identify salient issues within each Committee s areas of responsibility, to examine the general thrust of the budget and take an overview of priorities and prospects as a means of informing discussion at the joint scrutiny meeting.

At these meetings Strategic Directors will report, inter alia, on:

the Cabinet s Target Budget for services/suite of services;

how that compares to the target figure for 2014/15;

the likely implications of the 2015/16 target for individual areas of service (e.g. in percentage terms compared to current levels) and how those areas have been prioritised;

any comparisons between the current year and next year s proposals for the major service areas, to illustrate the scale of change within those activities and how the budget has been allocated across services in those years (to illustrate changes of emphasis or priority);

any alternative delivery models or other initiatives contemplated for given services and how it is thought that these may reduce costs

impact assessments undertaken in relation to the draft budget

Questions

As in previous years, a dedicated electronic mailbox facility is available to Members to ask questions of fact or on the interpretation of budget papers, in advance of the Joint Scrutiny meeting until 23 January 2015, details of which have been circulated previously.

Joint Report of the County Treasurer and the Director of Public Health (CT/15/11 - supplementary information CT/15/11) on the proposed budget for 2015/16 attached (Page 1).

An overview of the impact assessments for all service areas entitled Budget 2015/16 Impact Assessment has also been made available to all Members of the Council in order that Scrutiny Committees may have access to all necessary equality impact assessments undertaken as part of the budget s preparation. The document is also available at

https://new.devon.gov.uk/impact/published/

Members are requested to retain their copy and bring it to future meetings accepting that this is a dynamic process and individual assessments may necessarily be updated with time. Members of the Council must have full regard to and consider the impact of any proposals in relation to equalities prior to making any decisions and any identified significant risks and mitigating action required. Scrutiny Committees will no doubt wish to be assured that risk assessments and projections are adequate and that the evidence supports the assumptions made in the formulation of the budget.

Other relevant links:

https://www.toughchoices.co.uk/

https://new.devon.gov.uk/impact/

https://new.devon.gov.uk/haveyoursay/

5. Potential Interim Disinvestments

(11.00am)

Report of the NEW Devon Clinical Commissioning Group (PH/15/5 - text only | pdf PH/15/5) (Page 10)

6. Transforming Community Services

(11. 20 am)

Report of the NEW Devon Clinical Commissioning Group (PH/15/4 - text only | pdf PH/15/4) (Page 24)

LUNCH

(1 pm)

7. Axminster Consultation: Community Services

(2.00 pm)

Report of the Northern Devon Health Care Trust (PH/15/7 - text only | pdf PH/15/7) (Page 29)

8. Torrington Community Hospital: Test of Change

(2.20)

(a) Report of the NEW Devon CCG (PH/15/6 - text onlyPH/15/6) (Page 67)

(b) Member Investigation Chairman of the Group to report

9. Community Services Proposals: Progress of the Coastal Locality Consultation

(2.40 pm)

Report of the South Devon and Torbay CCG (PH/15/3 - text only | pdf | supplementary information PH/15/3) (Page 99)

10. Health Wellbeing Scrutiny Committee Work Programme

In accordance with the previous practice, Scrutiny Committees are requested to review the list of forthcoming business (previously circulated) and to determine which items are to be included in the Work Programme. The Work Programme is also available on the Council's website at http://www.devon.gov.uk/scrutiny_programme.htm

The Committee may also wish to review the content of the Cabinet Forward Plan (available at http://new.devon.gov.uk/democracy/how-the-council-works/forward-plan/) to see if there are any specific items therein it might wish to explore further.

MATTERS FOR INFORMATION

PART II - ITEMS WHICH MAY BE TAKEN IN THE ABSENCE OF THE PUBLIC AND PRESS

Nil.

Members are reminded that Part II Reports contain exempt information and should therefore be treated accordingly. They should not be disclosed or passed on to any other person(s). Members are also reminded of the need to dispose of such reports carefully and are therefore invited to return them to the Democratic Services Officer at the conclusion of the meeting for disposal

MEMBERS ARE REQUESTED TO SIGN THE ATTENDANCE REGISTER

Membership

Councillors Westlake (Chairman), Boyd, Brook, Chugg, Clarance, Colthorpe, Dezart, Diviani, Gilbert, Greenslade, Morse, Sellis, Wragg, Wright and Yabsley Representing District Councils Councillor Christophers

Declaration of Interests

Members are reminded that they must declare any interest they may have in any item to be considered at this meeting, prior to any discussion taking place on that item.

Access to Information

Any person wishing to inspect the Scrutiny Work Programme or any Reports or Background Papers relating to any item on this agenda should contact Gerry Rufolo on 01392 382299. The Work Programme is published on the County Council's website at http://www.devon.gov.uk/scrutiny_programme.htm Agenda, Reports and Minutes of the Committee are published on the Council s Website at http://www.devon.gov.uk/index/councildemocracy/decision_making/cma/index_see.htm

Webcasting and Reporting of Meetings and Proceedings

The proceedings of this meeting may be recorded for broadcasting live on the internet via the Democracy Centre on the County Council s website. The whole of the meeting may be broadcast apart from any confidential items which may need to be considered in the absence of the press and public. For more information go to:http://www.devoncc.public-i.tv/core/ In addition, anyone wishing to film part or all of the proceedings may do so unless the press and public are excluded for that part of the meeting or there is good reason not to do so, as directed by the Chairman. Any filming must be done as unobtrusively as possible from a single fixed position without the use of any additional lighting; focusing only on those actively participating in the meeting and having regard also to the wishes of any member of the public present who may not wish to be filmed. As a matter of courtesy, anyone wishing to film proceedings is asked to advise the Chairman or the Democratic Services Officer in attendance so that all those present may be made aware that is happening. Members of the public may also use Facebook and Twitter or other forms of social media to report on proceedings at this meeting. An open, publicly available Wi-Fi network (i.e. DCC) is normally available for meetings held in the Committee Suite at County Hall. For information on Wi-Fi availability at other locations, please contact the Officer identified above.

In the event of the fire alarm sounding, leave the building immediately by the nearest available exit, following the fire exit signs. If doors fail to unlock press the Green breakglass next to the door. Do not stop to collect personal belongings, do not use the lifts, do not re-enter the building until told to do so.

Mobile Phones

Please switch off all mobile phones before entering the Committee Room or Council Chamber

If you need a copy of this Agenda and/or a Report in another format (e.g. large print, audio tape, Braille or other languages), please contact the Information Centre on 01392 380101 or email to: centre@devon.gov.uk or write to the Democratic and Scrutiny Secretariat at County Hall, Exeter, EX2 4QD.

Induction loop system available