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Agenda and minutes

Venue: This will be a virtual meeting, for the joining instructions please contact the Clerk for further details on attendance and / or public participation.

Contact: Stephanie Lewis 01392 382486  Email: stephanie.lewis@devon.gov.uk

Note: To be conducted in line with The Local Authorities and Police and Crime Panels (Coronavirus) (Flexibility of Local Authority and Police and Crime Panel Meetings) (England and Wales) Regulations 2020 

Media

Items
Note No. Item

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156.

Election of the Chair

Additional documents:

Minutes:

RESOLVEDthat Councillor Leadbetter be elected Chair of the Board for the ensuing year.

 

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157.

Appointment of Vice Chair

Additional documents:

Minutes:

RESOLVED that Dr P Johnson be elected Vice Chair of the Board for the ensuing year.

 

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158.

Welcome from the Chair

Additional documents:

Minutes:

The Chair welcomed all Members to the meeting, including new Member Nick Pennell from Health Watch Devon.

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159.

One Minute's Silence

Additional documents:

Minutes:

The Board observed a minute’s reflection for those people who had lost their lives or had been affected by the Coronavirus.

 

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160.

Message of thanks from the Chair

Additional documents:

Minutes:

The Chair and Board thanked all the frontline workers, NHS colleagues, healthcare workers and council staff for their continued efforts and hard work during the pandemic.

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161.

Minutes pdf icon PDF 118 KB

Minutes of the meeting held on 16 January 2020.

Additional documents:

Minutes:

RESOLVED that the minutes of the meeting held on 16 January 2020 be signed as a correct record.

           

 

162.

Items Requiring Urgent Attention

Items which in the opinion of the Chair should be considered at the meeting as matters of urgency.

Additional documents:

Minutes:

There were no items requiring urgent attention.

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163.

Responding to the COVID-19 Pandemic pdf icon PDF 222 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity outlining the local impact of Covid-19, (attached).

Additional documents:

Minutes:

The Committee considered the Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on an overview of the COVID-19 Pandemic and context for the impact on the Health and Care system and the responses.

 

The Report covered national preparation for pandemics through modelling, the impact of social distancing measures including data on the population and international comparisons, deaths in Devon and the future including identified risks and implications, financial, legal and equality considerations.

 

The Government recently asked Upper Tier and Unitary Local Authorities to establish COVID19 Health Protection Boards (chaired by their Directors of Public Health) and Local Outbreak Engagement Boards (Chaired by Leaders) to ensure outbreaks of COVID-19 could be managed at local level.  The Local Outbreak Management Plan had now been published and Devon County Council had been selected as a ‘Beacon Council’ in the South West to develop and share best practice, one of eleven nationally.

 

The Board, in discussion, highlighted and asked questions on:

 

  • People in Devon had generally been complying with social distancing and hygiene measures to manage the spread of infection;
  • Low number of deaths in Devon – there had been a greater proportion of deaths in care homes, however Devon was still one of the lowest rates recorded in the country;
  • A massive increase in demand on health protection services during April, pressures on NHS and social care colleagues and pressure on intensive care and hospitals;
  • Good preparation and work by the wider community and colleagues to act quickly in managing infection rates;
  • The current picture very positive – last week in Devon there was 11 positive cases, no deaths – 149 out of 150 local authorities for rate of Covid-19;
  • More detailed analysis was being carried out by public health on the number of excess deaths in Devon;
  • that social care and NHS staff had risen to challenge during the pandemic – but also the people of Devon who listened to advice around isolation and lockdown; and,
  • End point of analysis – bring report back to future HWBB meeting to show figures and statistics.

 

It was MOVED by Councillor Leadbetter, SECONDED by Dr Johnson, and

 

RESOLVED that the Report be noted and a future item on the end point of analysis be added to the work programme.

 

164.

Priorities for Recovery pdf icon PDF 435 KB

A discussion to be led by the Chief Officer for Communities, Public Health, Environment and Prosperity to include:

 

·       Intelligence from the Joint Strategic Needs Assessment – a brief overview of the impact

·       Review of the Joint Health and Wellbeing Strategy – areas include Wellbeing, Mental health, physical activity and Local health inequalities.

·       Learning from Response – from all Board Members

·       What positives have come out of the emergency – Partnership working, Agile use of the BCF, Hospital discharge arrangements, Community response and wider social capital,     Co-production and New approaches to governance through online platforms

·       Public Protection Priorities.

 

 

Additional documents:

Minutes:

The Board received a presentation from the Chief Officer for Communities, Public Health, Environment and Prosperity on the priorities for recovery, including: (a copy of the presentation is attached to these minutes)

 

Impact of Covid-19 in Devon

 

·       health and care impact: 1,208 confirmed cases and 211 deaths; impact of lockdown on mental health, loneliness and general wellbeing;

·       Confirmed cases and deaths per 100,000 population by each district area;

·       UK health services impact: access to services, delivery of secondary care, hospital admissions, mental health services, adult social care, and early help services;

·       UK Health Behaviours impact on drinking, smoking, physical activity and diet;

·       Economic impact – number of people furloughed, increase in job seekers allowance, decline in spending, household debt, affecting certain communities more, educational attainment, job security, household income and work environment;

·       Rates of unemployment – increase in claimant count rate above national average and small tourist towns most affected;

·       UK social impact – loneliness and isolation, social cohesion increased, domestic violence and abuse, social disorder and safeguarding issues;

·       Devon Environmental Impact – fall in road transport, drop in fuel consumption, drop in carbon emissions by 23%; and,

·       The vast increase in use of cycling during lockdown.

 

Joint Health and Wellbeing Strategy - Vision and Priorities

 

·       Is the JHWS still fit for purpose?

·       Wider determinants of health and mental health – lack of employment and loneliness effects;

·       Impact on young people, education and wider benefits of school, social interaction etc (priority 2c)

·       Infectious diseases are very real and important – priority 4, talking about maximising/encouraging immunisation programmes and promoting benefits of vaccinations (flu/pneumonia and child vaccines) – add – promoting public health interventions to prevent the spread of infectious disease

 

Learning from Covid-19 response

 

·       Healthwatch report – this would contribute to discussions on learnings from Covid-19 – NP will pass on to Members once produced;

·       Physical health and weight a factor for Covid-19 – it was important to increase the levels of exercise amongst the population;

·       Public services had pulled together through the pandemic and there had been more joined up and partnership working – it was important to ensure this continued beyond the pandemic;

·       Clear national messaging required – there had been some confusion;

·       Speed and efficiency of local authorities, communities and voluntary groups that came together and set up local community support, to help coordinate support for local residents;

·       the national approach made action in localities difficult at times - further work was needed to look at care homes and vulnerable groups;

·       at times there was a conflict in dynamics between the national directive and local work e.g. volunteering approach;

·       how technology had been used throughout Covid-19 – including online virtual meetings; but also health, local government, police and voluntary work had continued during the pandemic through the virtual world – this must continue moving forward; and,

·       Devon County Council had improved digital capabilities a lot in the last few years which had helped immensely moving through the pandemic.

 

Discussion points with Members included:

 

·       a lack of consistency  ...  view the full minutes text for item 164.

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165.

Local Outbreak Management Plan pdf icon PDF 71 KB

Report of the Director of Public Health (Chief Officer for Communities, Public Health, Environment and Prosperity) (PH/20/02) giving an update on the Local Outbreak Management Plan and the associated (non-statutory) governance arrangements, attached.

Additional documents:

Minutes:

(Councillor Brazil attended remotely in accordance with Standing Order 25(2) and the Local Authorities and Police and Crime Panels (Coronavirus) (Flexibility of Local Authority and Police and Crime Panel Meetings) (England and Wales) Regulations 2020 and spoke to this item).

 

The Board considered the Report of the Director of Public Health (Chief Officer for Communities, Public Health, Environment and Prosperity) giving an update on the Local Outbreak Management Plan (LOMP) and the associated (non-statutory) governance arrangements.

 

The Board noted that on 22nd May 2020, Government announced new arrangements for Local Authorities to take a lead role in the management of COVID-19 as lockdown was released. This required Upper Tier Local Authority (County Councils and Unitary Authorities) to publish a Local Outbreak Management Plan by 30th June 2020.

 

As part of this process, upper tier Local Authorities had to establish COVID-19 Health Protection Boards, which were multi-agency strategic partnerships, non-statutory, working to detect, manage and contain outbreaks of COVID-19, working under the existing statutory duties of the Director of Public Health.  This Board would be chaired by the Director of Public Health and its role was to oversee the Local Outbreak Management Plan and resource deployment via tactical and operational management, data and intelligence (with Joint Biosecurity Centre), leading the local Public Health response with Public Health England (and NHS Test and Trace) and assurance and reporting to other groups as required.

 

Councils were also required to establish Local Outbreak Engagement Boards which were also non-statutory and designed to provide political oversight of the local delivery of the Local Outbreak Management Plan and the local response as well as communicating and engaging with residents, businesses and communities. This Engagement Board would be chaired by the Leader of the Council.

 

It was noted that Local Outbreak Management Plans were dynamic and would be updated according to local need and any change in national requirements.

 

The Government had allocated £300 million to Upper Tier Local Authorities in the form of a ring-fenced Local Authority Test and Trace grant to support this work and the Council’s allocation was £2,618,508.

 

It was MOVED by Councillor Leadbetter, SECONDED by Dr Johnson, and

 

RESOLVED that the Local Outbreak Management Plan and the associated (non-statutory) governance arrangements be noted.

 

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166.

Devon Joint Health and Wellbeing Strategy: Priorities and Outcomes Monitoring pdf icon PDF 143 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity, which reviews progress against the overarching priorities identified in the Joint Health and Wellbeing Strategy for Devon 2020 – 2025.

 

The appendix is available at https://www.devonhealthandwellbeing.org.uk/strategies/

Additional documents:

Minutes:

The Board considered a Report from the Chief Officer for Communities, Public Health, Environment and Prosperity on the performance for the Board, which monitored the priorities identified in the Joint Health and Wellbeing Strategy for Devon 2020-25. The Report was themed around the four Joint Health and Wellbeing Strategy 2020-25 priorities and included breakdowns by South West benchmarking, local authority district and local authority comparator group. 

 

These priority areas included:

Create opportunities for all;

Healthy, safe, strong and sustainable communities;

Focus on mental health; and

Maintain good health for all.

 

The following indicators below had all been updated since the last report: (the presentation was attached to these minutes)

 

·       Adult excess weight – 60.7% across Devon

·       Proportion of physically active adults – 74.8% across Devon

·       Fruit and veg consumption – 63.4% across Devon

 

The outcomes report was also available on the Devon Health and Wellbeing website www.devonhealthandwellbeing.org.uk/jsna/health-and-wellbeing-outcomes-report

 

It was MOVED by Councillor Leadbetter, SECONDED by Dr Pearson, and

 

RESOLVED that the performance report be noted and accepted.

 

 

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167.

Joint Commissioning in Devon, the Better Care Fund and Governance Arrangements pdf icon PDF 165 KB

Joint Report of the Associate Director of Commissioning (Care and Health) Devon County Council and NHS Devon CCG on the Better Care Fund (BCF), Quarter Return, Performance Report and Performance Summary on the BCF.

Additional documents:

Minutes:

The Board considered a joint Report from the Associate Director of Commissioning (Care and Health) and NHS Devon Clinical Commissioning Group (CCG) on the Better Care Fund (BCF), Quarter Return, Performance Report and Performance Summary. 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.

 

It was MOVED by Councillor Leadbetter, SECONDED by Dr Johnson, and

 

RESOLVED that the Quarter 4 Better Care Fund return be approved by the Board and submitted to NHS England in accordance with its timescales.

 

168.

Scrutiny Work Programme

In order to prevent duplication, the Board will review the Council’s Scrutiny Committee’s Work Programmes. The latest round of Scrutiny Committees confirmed their work programmes and the plan can be accessed at; http://new.devon.gov.uk/democracy/committee-meetings/scrutiny-committees/scrutiny-work-programme/

Additional documents:

Minutes:

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.

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169.

Forward Plan pdf icon PDF 52 KB

To review and agree the Boards Forward Plan.

Additional documents:

Minutes:

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 8 October 2020 @ 2.15pm

Morning Session

Dementia Friends Training

JSNA Tool Training session

 

Performance / Themed Items

Health & Wellbeing Strategy Priorities and Outcomes Monitoring

Theme Based Item (TBC)

 

Business / Matters for Decision

Better Care Fund

Adults Safeguarding annual report

Gap in employment rate for those with mental health

Strategic Approach to Housing

Safer Devon Partnership update

Homelessness Reduction Act Report - 12 month update

Health Protection Committee Update

Strategic Economic Assessment & Development Strategy (Presentation)

Mental Health Prevention Concordat Action Plan - update

CCG Updates

 

Other Matters

Scrutiny Work Programme / References, Board Forward Plan, Briefing Papers, Updates & Matters for Information

 

Thursday 21 January 2021 @ 2.15pm

Performance / Themed Items

Health & Wellbeing Strategy Priorities and Outcomes Monitoring

Theme Based Item (TBC)

 

Business / Matters for Decision

Better Care Fund - frequency of reporting TBC

JSNA / Strategy Refresh

Children’s Social Care Services OFSTED update (look at report)

Population Health Management & and Integrated Care Management (Presentation)

CCG Updates

 

Other Matters

Scrutiny Work Programme / References, Board Forward Plan, Briefing Papers, Updates & Matters for Information

 

Annual Reporting

Adults Safeguarding annual report (September / December)

Joint Commissioning Strategies – Actions Plans (Annual Report – December)

JSNA / Strategy Refresh – (June)

 

Other Issues

Equality & protected characteristics outcomes framework

 

 

RESOLVED that the Forward Plan be approved, including the items approved at the meeting.

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170.

Dates of Future Meetings

Please note that dates of future meetings and conferences will be included in the Devon County Council meetings calendar. All future meetings will take virtually, unless otherwise stated.

 

Meetings

Thursday 8 Oct 2020 @ 2.15 pm

Thursday 21 Jan 2021 @ 2.15 pm

Thursday 8 Apr 2021 @ 2.15 pm

 

Additional documents:

Minutes:

RESOLVED that future meetings and conferences of the Board will be held on:

 

Meetings

Thursday 8 Oct 2020 @ 2.15 pm

Thursday 21 Jan 2021 @ 2.15 pm

Thursday 8 Apr 2021 @ 2.15 pm

 

Please note that dates of future meetings and conferences will be included in the Devon County Council meetings calendar. All future meetings will take place virtually, unless otherwise stated.

 


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