Related Documents:
agenda for these minutes
Present:-
Devon County Council
Councillors Barker, Davis (Chairman) and McInnes (attended for items 6 21)
Dr V Pearson (Director of Public Health) and Ms J Stephens
Environmental Health
Mr R Norley
Northern, Eastern Western (NEW) Devon Clinical Commissioning Group (CCG)
Dr T Burke
South Devon and Torbay Devon Clinical Commissioning Group (CCG)
Dr D Greatorex
NHS England
Ms L Scott
Joint Engagement Board
Carol McCormack Hole representing Mrs C Brown
Health Watch Devon
Mr D Rogers
Probation Service
Ms A Proctor representing Mr J Wiseman
Apologies:
Councillor Sanders (District Council Representative)
Mr T Hogg (Police and Crime Commissioner)
Ms C Brown (Joint Engagement Board)
Mr J Wiseman (Probation Service)
Cllr Clatworthy (Devon County Council)
*195 Minutes
It was MOVED by Councillor Davis, SECONDED by Mr Norley, and
RESOLVED that the minutes of the meeting held on 10 September 2015 be signed as a correct record.
*196 Announcements
The Chairman welcomed Mrs Mayes who was attending the meeting in her capacity as a Co-opted Member of the Council's Standards Committee to observe and monitor compliance with the Council s ethical governance framework.
PERFORMANCE AND THEME MONITORING
*197 Devon Joint Health and Wellbeing Strategy: Priorities and Outcomes Monitoring
The Board considered a report from the Director of Public Health on the performance for the Board, which monitored the priorities identified in the Joint Health and Wellbeing Strategy for Devon 2013-2016.
The indicator list and performance summary within the full report set out the priorities, indicators and indicator types, and included a trend line, highlighting change over time, and a Devon, South West and England comparison chart for benchmarking purposes. In terms of benchmarking, the local authority comparator group had been updated to reflect the latest designations, with Cambridgeshire and Hampshire being removed and Staffordshire and Suffolk added.
The Board received an updates only version of the Health and Wellbeing Outcomes Report. The report was themed around the four Joint Health and Wellbeing Strategy 2013-16 priorities and included breakdowns by local authority, district, clinical commissioning group, inequalities characteristics and trends over time. The indicators relating to Children in Poverty 2013, Alcohol-Related Admissions 2015-16 Q1 (narrow and broad definitions), Re-ablement Services (Effectiveness) 2014-15, Re-ablement Services (Coverage) 2014-15, Self-Reported Wellbeing (Low Happiness Score) 2014-15, Social Contentedness 2014-15, Carer Reported Quality of Life 2014-15, Stable and Appropriate Accommodation( Learning Disabilities) 2014-15 and Stable and Appropriate Accommodation (Mental Health) 2014-15 had all been updated since the last report to the Board.
Following approval at a previous meeting, a Red, Amber, Green (RAG) rating was included in the indicator list and a performance summary on page 2 of the full report. Areas with a red rating included hospital admissions for self-harm, aged 10-24.
The report also highlighted that, in due course, it would contain a summary of emerging themes from the Devon Child Sexual Exploitation (CSE) scorecard. The scorecard was being developed by the CSE sub-group of the Devon Safeguarding Children Board (DSCB), with input from relevant partners. A senior information analyst from the Public Health Intelligence Team had been seconded to act as lead analyst for CSE data. The first version of the scorecard had just been drafted and would be available early in the new year and produced thereafter on a quarterly basis.
The outcomes report was also available on the Devon Health and Wellbeing website www.devonhealthandwellbeing.org.uk/jsna/health-and-wellbeing-outcomes-report
The Board, in discussion, highlighted the good news with re-ablement indicators, but also there was a need to monitor the situation with alcohol related admissions and also the number of people with mental health related conditions. The wider health implications of both these issues was discussed as well as whether there were any age / gender related factors.
It was MOVED by Councillor Davis, SECONDED by Mr Norley, and
RESOLVED that the performance report be noted and accepted.
*198 Theme Based Report Strong and Supportive Communities
The Board considered a report from the Director of Public Health on the Strong and Supportive Communities priority, as detailed in the Joint Health and Wellbeing Strategy, which highlighted that the capacity of communities, both geographical and of people with shared interests, to support themselves had become an increasing focus of national policy. At a collective level, confident and connected communities provided the social fabric necessary to help people flourish.
Analysis of the Joint Strategic Needs Assessment identified the following priorities for the overarching objective and provided examples of local developments for each one, including mental health and emotional wellbeing, improving living environments, housing and homelessness, social isolation, offender health. The report also stated that the Devon Joint Strategic Needs Assessment Overview (2015) had detailed consideration of the health needs of the protected characteristic groups to inform commissioning plans and decision making.
The report also provided a detailed commentary on progress against outcomes which included suicide rate, life expectancy gap, self-reported wellbeing, social contentedness, carer reported quality of life, stable and appropriate accommodation (for both learning disability and mental health).
As part of the update on this item, members received two presentations outlining the relationships and correlations between health inequalities and housing and health.
The first of these was from Mr M White (Public Health Specialist) on inequalities and public health. The presentation outlined what the definitions of inequality, why they were important and what the evidence showed about health inequalities. Health inequalities could be defined as differences in health status or in the distribution of health determinants between different population groups. They were avoidable and arose from inequalities within and between societies. The presentation stressed the importance of considering inequalities as they were costly. There was a strong business case for investing in people s health to avoid resources being directed towards preventable losses such as days of work lost, premature death, increased life years in disability, demand on healthcare services etc.
The presentation further highlighted a number of thinking points for the Board to consider which included the social gradient, poverty and social status, personal responsibility and how to respond. It concluded with an outline of local leadership roles including raising awareness of the importance of social determinants of health amongst all stakeholders and partners in the local system, applying the principles of proportionate universalism and health equity audit to commissioning and restructuring activities and being advocates for the local and national implementation of effective interventions.
Members were also referred to additional reading material closing the gap in a generation (http://www.who.int/social_determinants/final_report/csdh_finalreport_2008.pdf) fair society healthy lives (http://www.instituteofhealthequity.org/projects/fair-society-healthy-lives-the-marmot-review) and a review of social determinants and the health divide in the WHO European region (http://www.euro.who.int/en/health-topics/health-policy/health-2020-the-european-policy-for-health-and-well-being/publications/2013/review-of-social-determinants-and-the-health-divide-in-the-who-european-region.-final-report).
Ms A Pujol (Chair of Devon Strategic Housing Group and Business Manager for Housing and Health at Teignbridge District Council ) and Ms A Dolley (Team Leader for the Private Sector Housing Team at Teignbridge District Council) gave a presentation outlining the current position with housing in Devon including house prices, rents, rural / urban mix etc, why the home was important, for example keeping older people at home reduced social care costs, a safe warm home enabled timely discharge from hospital and housing was a foundation block for any effective prevention strategy. The presentation outlined the risks associated with poor housing and the links to poor health and also the cost to the NHS from conditions caused by excess cold, falls and hazards and how this compared to other common health hazards.
The presentation concluded with information on action being taken including central heating funding (and how this operated), pioneer places - North Devon, Teignbridge and Torridge and general enforcement powers to tackle poor housing. In using preventative measures, tackling housing issues upstream would reduce NHS costs and the LGA was also supporting the establishment of a Prevention Pot to assist such initiatives. There was training for staff and a drive to target initiatives at those with health conditions.
A supporting paper to the presentation Housing and Health Background Paper had been circulated to Board Members with the agenda which highlighted standards of accommodation was a major contributory factor in attaining and maintaining good health. Conversely, poor housing could precipitate a range of physical and mental health conditions. The report stated the importance of safe, decent housing for human health, provided an overview of housing needs in Devon and summarised how health outcomes could be improved through initiatives which could improve the quality and safety of housing.
The Board discussed the following in terms of the reports and presentations.
whether any work had been undertaken on gradients between highest and lowest earners and also any comparable societies;
the report undertaken by the BRE a cost of poor housing to the NHS (https://www.bre.co.uk/filelibrary/pdf/87741-Cost-of-Poor-Housing-Briefing-Paper-v3.pdf);
whether there were any categories of hazards that needed to be tackled first in order to obtain the best benefit;
that it was also important to consider the costs to social care as well as to the NHS; and
the role of planning authorities and local development plans in providing suitable housing for all sectors of the community, especially the elderly, vulnerable and / or disabled.
It was MOVED by Councillor Davis, SECONDED by Dr Pearson, and
RESOLVED that the reports and presentations be welcomed and the themes considered by all Board Members be taken back and promulgated within their respective organisations.
*199 Cranbrook Health Wellbeing Strategy
The Chairman had exercised her discretion to vary the order of business to enable this item to be considered at this point in the meeting.
The Board received a presentation from Ms J McNeil (NEW Devon CCG) which outlined the ongoing work in developing a health, care and wellbeing Strategy for the new community of Cranbrook. The Strategy was focussed on maintaining and improving health and used a systematic approach that placed individuals and the population at the centre of imaginative 21st century planning.
The presentation looked at the population structure of Cranbrook, as compared to England, based on the local consensus estimate. It also gave a health overview of the community, including secondary healthcare activity, as compared to Exeter.
The Strategy was about early thinking (shared with partners) to enable planning, alignment with health and wellbeing priorities, connected planning of the various elements of healthcare and involvement and engagement. The Strategy development work was underway and included a task and finish group. It was further suggested another report be brought back to the Board in the new year.
The Board discussed the age profile of the new community and the lack of older people, as demonstrated by the profile. It also raised the issue of smaller (but considerable sized) developments and the lack of opportunity to consider health infrastructures, such as medical centres, in those areas, as was being done in Cranbrook.
It was MOVED by Councillor Davis, SECONDED by Dr Pearson, and
RESOLVED
(a) that the direction of travel of the Strategy be endorsed and the Board give delegated authority to the Chairman to approve the outline plan, in order to meet master planning timescales; and
(b) that a further report be brought to the Board on the Strategy and developments for its January meeting.
BOARD BUSINESS - MATTERS FOR DECISION
*200 Children Safeguarding Annual Report 2014/2015
The Board considered the annual report from the Chair of the Devon Childrens Safeguarding Board which detailed the activities designed to improve and strengthen multi-agency working to protect children and young people in Devon.
It outlined what the priorities had been for 2014/2015;
a better understanding of children, young people and families views;
more effective working at a multi-agency level;
delivery of effective training; and
commitment from all agencies to ensure quality supervision.
Much of the report was informed by the outcome of the OFSTED inspection (which took place in February March 2015), which found the Devon Safeguarding Children Board (DSCB) to be inadequate. It also incorporated findings from a variety of reviews, audits and inspections that had taken place throughout 2014/15 across the partnership.
The report commented throughout on the progress made against the Board s priorities and business plan for 2014/15 and concluded that whilst there was evidence of progress, the Board still had a way to go to have impact across the partnership and ensure effective multi-agency working to safeguard children and young people.
During discussion, the Board asked for clarification on the progression of the Neglect Strategy
It was MOVED by Councillor David, SECONDED by Dr Pearson, and
RESOLVED that the Devon Childrens Safeguarding Board annual report be welcomed.
*201 Child Sexual Exploitation and Multi-Agency Work
The Board considered a report from the Chair of the Devon Childrens Safeguarding Board, presented by the Chair (Mr D Taylor) on the ongoing multi-agency work in relation to preventing child sexual exploitation.
The report highlighted that in March 2015, the Devon Safeguarding Children s Board (DSCB) set up a new Missing and Child Sexual Exploitation sub group. This sub group was accountable for the delivery of the Devon Child Sexual Exploitation Strategy and Action Plan 2015-16 . Furthermore, the sub group agreed a detailed Missing and Child Sexual Exploitation Action Plan which laid out a substantial programme of work across the Prevent, Protect and Disrupt strands of the Strategy. This action plan also included actions to address all the recommendations that were made in the People s Scrutiny Committee Child Sexual Exploitation Task Group s report of 8th January 2015.
The report gave an update on the progress made against each area of the plan and also in addressing the recommendations made in the Scrutiny report. This included;
Work to raise awareness (inter-alia, conferences, work with schools, information leaflets, safeguarding newsletter, CSE guidance for schools, Chelsea s Choice, Police CSE training programme, Member training, work through District Community Safety Partnerships (CSPs) to deliver training and awareness to local businesses including hoteliers and taxi drivers etc),
Multi agency data sharing and identification of children at risk of CSE (multi-agency scorecard, improved forms and processes, new chairs appointed to the MACSEs, work to agree data collection and data gathering processes, missing from education data collated weekly, police plan to implement a process for flagging children who might be at risk of sexual exploitation)
Prevent and Protect - assessment and management of risk (expansion of the REACH team, development of a single risk assessment tool, implementation of Devon and Cornwall Police Central Safeguarding Teams (CST) to cover the force area and a consultation line for professionals); and
Disrupt (analysis of data from across IT systems to identify possible CSE offenders, development of CSE/CSA local profiles for Torbay, Devon, Plymouth, and Cornwall the Isles of Scilly and a plan relating to the disruption of perpetrators, including improving interventions and therapeutic services).
The Chair of the Safeguarding Board made reference to the recent HMIC inspection and its comments regarding early identification. He confirmed that the Police had taken this issue on board. The Board also discussed the advent of the new CSE scorecard and that the on-line element of the crime meant there were no geographical boundaries.
It was MOVED by Councillor Davis, SECONDED by Dr Pearson, and
RESOLVED that the Board place on record their thanks and appreciation to the Chair of the Safeguarding Children Board and also the staff for the hard work, effort and progress that had been made in this area.
*202 Adults Safeguarding Annual Report 2014/2015
The Chairman had exercised her discretion to vary the order of business to enable this item to be considered at this point in the meeting.
The Board considered the annual report of the Adults Safeguarding Board, presented by the Chairman (Mr B Spencer). The Care Act required Safeguarding Adults Boards to publish an Annual Report which had to include its achievements during the previous financial year to meet its objectives, its achievements during that year to implement its strategy, what each member had done to implement that strategy and information on any completed and on-going Safeguarding Adult Reviews.
The report commenced the Vision for Safeguarding Adults in Devon, which had been updated in line with the Care Act 2014, and a summary of the legal requirements for safeguarding adults.
The reports itself outlined the national context and associated developments (including the Care Act), the Mental Capacity Act 2005, achievements, progress and performance (including progress with DSAB Business plan, police pilot new response to vulnerable adults, quality assurance and care quality culture in adult care, new performance indicators and remodelling of Devon County Council safeguarding adults service), Board members self-assessment of progress and plans, learning from SA Reviews and complaints investigations and the structure and governance of the Board and relevant sub groups.
The report concluded with the annual activity report and the business plan progress report.
Mr Spencer added that the mental health review which had been undertaken had been accepted in full by the concordat.
The Board reiterated their earlier discussions on the worsening outcomes for those with mental health conditions, so welcomed the update. Furthermore, there were strengthened links with the local criminal justice board.
It was MOVED by Councillor Davis, SECONDED by Dr Greatorex, and
RESOLVED that the Adults Safeguarding Board annual report be welcomed.
*203 Joint Commissioning in Devon, the Better Care Fund (BCF) and Governance Arrangements)
The Board considered a joint report from Mr T Golby (Head of Social Care Commissioning, Devon County Council), Mr P O Sullivan (Director of Partnerships, NEW Devon CCG) and Mr S Tapley (Director of Commissioning, South Devon Torbay CCG) on current progress with the Better Care Fund.
Regular reports were provided on the progress of the Devon Better Care Fund Plan to enable monitoring by the Health and Wellbeing Board. Performance and progress was reviewed monthly by the Joint Coordinating Commissioning Group through the high level metrics reports and progress overview. The BCF 2015 /16 Second Quarter Return was due for submission on 27th November 2015 and there was an action plan for its completion. The JCCG was monitoring progress, which was currently on track.
The covering report included a performance summary which summarised the BCF activity in terms of the work towards the National Conditions. The Board were asked to note that JCCG and the BCF Delivery Group had open actions in place intended to address those Amber areas which were whether 7 day services were place and agreement upon the impact of changes to the acute sector.
The report gave an update on Dementia Diagnosis (selected as the local metric for the Devon BCF plan), permanent admissions to residential and nursing care (ASCOF 2A part 2) and 91 days Reablement effectiveness (ASCOF 2B part 1). Lastly the Board were asked to note that the BCF Delivery Group had open actions in place intended to address issues related to Delayed transfers of care and Non Elective admissions, both of which were supported by the current operational plans of both CCG s.
A performance report also accompanied the update which monitored the Better Care Fund Indicators for the Devon County Council area and included an overview and indicator summary. The updates on the report related to permanent admissions to care homes, re-ablement services (effectiveness), non-elective admissions, avoidable emergency admissions and delayed transfers of care (August 2015).
The Board discussed and asked questions on the following;
clarification of the integration between health and social care, in light of some hospital beds closures;
confirmation of the penalties / money reallocations should targets not be met;
that there would always be some element delay in care transfers, given the requirements for assessments of individuals, equipment requirements, homes etc;
the current project where people had been assessed at home by hospital staff, was drawing dividends; and
concern in the care sector generally over skills shortages and attracting people to the profession.
It was MOVED by Councillor Davis, SECONDED by Mr Rogers, and
RESOLVED that the update be noted and delegated authority be given to the Chairman to sign off the Q2 return by the required deadlines.
*204 Care Act
The Board considered the report of the Head of Social Care Commissioning on the Care Act which outlined the progress to date with the Care Act 2014 programme and the readiness of Devon County Council for the new Care Act duties.
Devon s Care Act Programme 2014 was established in September 2014. Guidance for phase 1 had been published in October 2014 and the programme team focused its efforts on meeting the requirements of the Act for April 2015.
Devon was compliant in the new Care Act duties (1 April 2015) which included duties on prevention, wellbeing, information and advice (including advice on paying for care) and market shaping. Other duties included national minimum threshold for eligibility, assessments (including carers assessments), personal budgets and care and support plans, new charging framework, safeguarding, universal deferred payment agreements and advocacy.
In July 2015, the Department of Health notified the LGA of plans to defer the Care Cap and other Phase 2 Care Act 2014 changes until 2020, which included the duty for local authorities to arrange residential care for self-funders when requested. In light of the announcement, plans were reviewed and adjusted accordingly.
The report gave an overview of Prevention which had been challenging and was subject to a separate report on the agenda. The key principles of the information and advice strategy were, being digital by design, a strong partnership approach and empowering others. The work to date was outlined within the report as well as the planned future work.
In relation to market shaping, the Council had developed plans, strategies and tools in relation to the Market Position Statement (MPS), Market Facilitation Strategy (MFS), Market Sufficiency Plan (MSP), Addressing Provider Failure, Business Support for Providers, Action Learning pilots to test the potential for Collaborative working in the sector and Employment and Skills support.
The Care Act programme had enabled considerable change over the past year and partnership and council wide engagement had been a key focus, along with a strong emphasis on user, carer, staff and provider engagement. The report confirmed that the Council and its partners were compliant with the legal requirements of the Act and a full Care Act Equalities Impact Assessment had been undertaken and was available on the Councils website. https://new.devon.gov.uk/impact/care-act-implementation-impact-assessment-updated-september-2015/
The Board discussed and asked questions on the following;
that new care contracts had been carefully worded to ensure matters such as travel time were included;
the new campaign on caring as a career ;
the upcoming validation for registered nurses and the potential impact on the sector; and
the training and support available for residential homes.
It was MOVED by Councillor Davis, SECONDED by Councillor McInnes, and
RESOLVED that the progress with the Care Act programme 2014 be noted and the hard work of officers to ensure the readiness of the Council and other partners be welcomed.
*205 Joint Commissioning Strategies (Dementia / Carers / Mental Health / Learning Disability) Action Plans / Annual Report
The Board considered a joint report of the Head of Social Care Commissioning and Managing Director Partnerships (NEW Devon CCG) Director of Commissioning (South Devon Torbay CCG) giving an update on the four joint commissioning strategies that had been presented to the Board in March 2015.
It had been requested that progress be reported annually to the Board and this was the first update report on the implementation of the strategies.
Each strategy had key areas for achievement and each implementation plan set out what actions were to be taken. The report detailed the major achievements and areas for further action.
It was MOVED by Councillor Davis, SECONDED by Dr Pearson, and
RESOLVED that the Board notes the progress of each strategy and associated implementation plans.
*206 Joint Commissioning Strategy - Prevention (Minute 169)
The Board considered the joint report of the Head of Social Care Commissioning and Managing Director Partnerships (NEW Devon CCG) Director of Commissioning (South Devon Torbay CCG), on the progress taken to develop the implementation of the Joint Commissioning for Prevention Strategy.
The Joint Commissioning for Prevention Strategy had been endorsed by the Health and Wellbeing Board in June 2015 and the Board requested a progress report for the November meeting.
The report outlined that the Devon Prevention Strategy 2011-13 focused on adults, with particular focus on interventions for older people. The Prevention Strategy sought to shift the focus to earlier prevention and intervention to reduce premature mortality and morbidity; prevent, reduce and delay demand on (statutory) and prevent high and unmanageable costs.
The Prevention workstream reported to the Care Act Programme Board and had developed an action plan for implementation of the strategy for 2015/16. The work linked with information and advice and carers workstreams to address the wider Care Act responsibilities. The current prevention offer included a wide range of services and support including interventions to support lifestyle change such as stop smoking support and healthy weight services though to crisis response to support individuals in need of short-term support to return to independence or avoid an emergency hospital admission and extra care housing to maintain supported but more independent living.
In terms of the next steps, the report highlighted that Prevention needed to be an integral part of the new model of care to manage future demand and match need with the right support. This required a system wide change and a commitment to making every resource deployed and every contact count.
The Board discussed the issue of rurality and the associated increase of reliance of self-assessment. The mylifedevon website helped people access health advice and support, help with staying at home, getting out and about , carers, housing issues, assessments and keeping safe. Lastly, an update was given on the FILO project which offered high quality day care in an intimate home setting in the community for small groups of older people.
It was MOVED by Councillor Davis, SECONDED by Councillor McInnes, and
RESOLVED that the Board note the progress to date in the implementation of the Joint Commissioning for Prevention Strategy and endorses the Strategy action plan proposed for 2015/16.
*207 CAMHS Transformation Plans
The Board received a final version of the CAMHS Transformation Plans from both NEW Devon CCG and South Devon Torbay CCG.
All the CCGs, local authorities and service providers were adopting a system wide approach to transformation and, in doing so, were recognising current services and needs would be different in different parts of the geography, whilst also looking to achieve a consistent system vision and outcomes over the course of the plans.
The Board, at its September 2015 meeting, received a joint presentation from NEW Devon CCG and South Devon Torbay CCG which had outlined the key messages received (from children and young people) which, in turn, raised consistent themes around spanning information, preventing crisis, help in a crises, easy access services and a workforce that listened and treated people with respect.
The CAMHS agenda was an important local agenda and there was much good practice to build upon. The plans outlined the aspirations for the future which included evidence based models designed around children, a whole systems approach, the wider workforce as a focal point for transformation, clear outcomes and the use of interventions that were both effective and evidence based.
The main priorities of the plans were early intervention (working with partners and peers, early intervention with support at Tier 1 and 2 and working with adult providers for all age pathways), crisis response (implement the requirement of MH Crisis Concordat, timely front door response in acute crisis 24/7 and assertive outreach over extended hours), children in care (remodelling the CiC (Children in Care) pathway, enhanced evidence based therapeutic interventions and multi-agency support for children on the edge of care); and specific services (for example embedding the self-harm evidence pathway and extending eating disorders model across Devon and Plymouth in line with the evidence base).
It was MOVED by Councillor Davis, SECONDED by Councillor McInnes, and
RESOLVED that the final versions of the CAMHS Transformation Plans be endorsed.
*208 NEW Devon CCG Personal Medical Services (PMS)
(Dr T Burke declared a personal interest in the item by virtue of being a partner in a practice undertaking this process)
The Board considered a report from NEW Devon CCG and received a presentation from Mr J Short, which outlined the progress with the NHS England requirement for a review of Personal Medical Services contracts. The purpose of this was to ensure fairer funding across primary care for the provision of core services.
The report highlighted that the process for PMS contract reviews was running parallel to the movement to equity, and the removal of the Minimum Price Income Guarantee (MPIG) for General Medical Services (GMS) contracts. The movement to equity across GMS practices had been the catalyst for the movement to equity across PMS practices.
Discussion had taken place within the CCG about whether PMS Premium monies should be ring fenced at locality level (otherwise monies would move across localities) and the proposed way forward was that the process would be undertaken across the whole CCG. Through commissioning intentions, the CCG would look to invest across all practices in relation to services that all patients should be able to access.
The report then highlighted the risks for the CCG in relation to the PMS review as it took place at a time when the CCG required sign up for activities included in the turnaround plans . There was also significant risk in relation to services that were currently provided in general practice. The review process had led to GP practices examining their current services in relation to whether they were currently remunerated for those services. Additionally, if practices were remunerated, they were reviewing whether the remuneration covered the costs of providing the service. Finally, the report outlined the Governance arrangements for the PMS premium (in the region of 4.2m) which included the establishment of PMS Review group.
During discussion, the Board questioned whether there would be any impact on patient experiences or health inequalities.
It was MOVED by Councillor Davis, SECONDED by Councillor McInnes, and
RESOLVED that the update be noted.
*209 South Devon Torbay CCG Progress Update
The Board received a report from South Devon Torbay CCG which gave a progress update on various initiatives within the CCG.
In October 2015, a number of senior team members attended the official launch of the new ICO, Torbay and South Devon NHS Foundation Trust (TSDFT). This was the first single organisation in the country responsible for acute and community health and social care.
In relation to Vanguard (urgent and emergency care), following the successful bid for additional support, work was on-going to increase access and choice of urgent and emergency services, with a focus on five high impact workstreams (111, mental health, self-care, shared records and urgent care centres).
The report outlined that, in relation to the Pioneer project, funding had been secured for a dedicated individual to manage the final parts of the Pioneer project as it transitioned into ICO workstreams. A further bid was in the pipeline to fund work to enhance patient support packs and engagement with patients about the new care model.
The report updated the Board on the work with Primary Care Co-Commissioning, including engagement with GP s and the Primary Care Co-Commissioning Committee.
Lastly, the report stated that further engagement was planned for the new year on future models of care.
RESOLVED that the progress update be noted.
OTHER MATTERS
*210 References from Committees
Nil
*211 Scrutiny Work Programme
The Board received a copy of Council s Scrutiny Committee work programme in order that it could review the items being considered and avoid any potential duplications.
*212 Forward Plan
The Board considered the contents of the Forward Plan, as outlined below (which included the additional items agreed at the meeting).
| Date | Matter for Consideration |
| Thursday 14 January 2016 @ 2.00pm | Performance / Themed Reporting Health Wellbeing Strategy Priorities and Outcomes Monitoring Theme Based Report (Children, Young People and Families) Business / Matters for Decision Better Care Fund CYPF Alliance Plan Cranbrook Health and Wellbeing Strategy Delivering Integrated Care Exeter (ICE) Project Annual Update CCG Updates Other Matters Scrutiny Work Programme / References Board Forward Plan Briefing Papers, Updates Matters for Information |
| Thursday 10 March 2016 @ 2.00pm | Performance / Themed Reporting Health Wellbeing Strategy Priorities and Outcomes Monitoring Theme Based Report (Healthy Lifestyle Choices)
Business / Matters for Decision Better Care Fund CCG Updates
Other Matters Scrutiny Work Programme / References Board Forward Plan Briefing Papers, Updates Matters for Information
|
| Thursday 9 June 2016 @ 2.00pm | Performance / Themed Reporting Health Wellbeing Strategy Priorities and Outcomes Monitoring Theme Based Report (Review / Refresh of Joint Health and Wellbeing Strategy / JSNA) Business / Matters for Decision Better Care Fund CCG Updates Other Matters Scrutiny Work Programme / References Board Forward Plan Briefing Papers, Updates Matters for Information
|
| Thursday 8 September 2016 @ 2.00pm | Performance / Themed Reporting Health Wellbeing Strategy Priorities and Outcomes Monitoring Theme Based Report (TBC) Business / Matters for Decision Better Care Fund CCG Updates Other Matters Scrutiny Work Programme / References Board Forward Plan Briefing Papers, Updates Matters for Information
|
| Thursday 10 November 2016 @ 2.00pm | Performance / Themed Reporting Health Wellbeing Strategy Priorities and Outcomes Monitoring Theme Based Report (TBC) Business / Matters for Decision Better Care Fund CCG Updates Other Matters Scrutiny Work Programme / References Board Forward Plan Briefing Papers, Updates Matters for Information
|
| Thursday 12 January 2017 @ 2.00pm | Performance / Themed Reporting Health Wellbeing Strategy Priorities and Outcomes Monitoring Theme Based Report (TBC) Business / Matters for Decision Better Care Fund CCG Updates Other Matters Scrutiny Work Programme / References Board Forward Plan Briefing Papers, Updates Matters for Information
|
| Thursday 9 March 2017 @ 2.00pm | Performance / Themed Reporting Health Wellbeing Strategy Priorities and Outcomes Monitoring Theme Based Report (TBC) Business / Matters for Decision Better Care Fund CCG Updates Other Matters Scrutiny Work Programme / References Board Forward Plan Briefing Papers, Updates Matters for Information
|
| Annual Reporting | Integrated Care Exeter (ICE) Project Annual Update (January) Children s Safeguarding annual report (September / November) Adults Safeguarding annual report (September / November) Joint Commissioning Strategies Actions Plans (November)
|
|
Other Issues | Equality protected characteristics outcomes framework Winterbourne View (Exception reporting) |
RESOLVED that the Forward Plan be approved, including the items approved at the meeting.
*213 Briefing Papers, Updates and Matters for Information
Members of the Board received regular email bulletins directing them to items of interest, including research reports, policy documents, details of national / regional meetings, events, consultations, campaigns and other correspondence. Details were available at;
http://www.devonhealthandwellbeing.org.uk/
No items of correspondence had been received since the last meeting.
*214 Dates of Future Meetings
RESOLVED that future meetings of the Board will be held on
Thursday 14th January 2016 @ 2.00pm
Thursday 10th March 2016 @ 2.00pm
Thursday 9th June 2016 @ 2.00pm
Thursday 8th September 2016 @ 2.00pm
Thursday 10th November 2016 @ 2.00pm
Thursday 12th January 2017 @ 2.00pm
Thursday 9th March 2017 @ 2.00pm
*215 Dates of Future Seminars
Thursday 11th February 2016 @ 10.30am 4.00pm
Thursday 13th October 2016 @ 10.30am 4.00pm
Thursday 9th February 2017 @ 10.30am 4.00pm
*DENOTES DELEGATED MATTER WITH POWER TO ACT
The meeting started at 2.00pm and finished at 4.50pm.
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NOTES: 1. Minutes should be read in association with any Reports or documents referred to therein, for a complete record. 2.The Minutes of the Board are published on the County Council s website at http://www.devon.gov.uk/index/councildemocracy/decision_making/cma/index_hwb.htm 3. A recording of the webcast of this meeting will also available to view for up to six months from the date of the meeting, at http://www.devoncc.public-i.tv/core/portal/home |