Agenda and minutes

Minutes of the meeting held on 14 December 2017, attached.

RESOLVED that the minutes of the meeting held on 14 December 2017 be signed as a correct record.    

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

There were no items requiring urgent attention.

Report of the Chief Officer for Community, Public Health, Environment and Prosperity on the theme of ‘Ending Domestic and Sexual Violence and Abuse’, as outlined as a priority in the Joint Health and Wellbeing Strategy.

A presentation will be given at the meeting.

The Board received a presentation on ‘Ending Domestic and Sexual Violence and Abuse’, as detailed in the Joint Health and Wellbeing Strategy, which focussed on the Devon Domestic and Sexual Violence and Abuse (DSVA) Strategy and the effectiveness of Devon’s response to DSVA, using experiences of victims and perpetrators as well as professional interviews and data.

The presentation gave an overview of the Strategy, the recommissioned service and the opportunities and challenges in moving forward. The new Strategy focussed on 4 key areas: prevention, early help and intervention, support and protection and recovery and resilience.  It also shifted the focus onto the way the Service worked with people, such as challenging the behaviour of the perpetrator and supporting the whole family into recovery, addressing any underlying causes of the problem and the way organisations worked in partnership. 

The successful bid had been awarded to the LEESAR partnership (Listen, Engage, Empower, Support, Advocate, Recover), which included the Splitz Support Service, North Devon Against Domestic Abuse, Stop Abuse for Everyone and Devon Rape Crisis & Sexual Abuse Service.

[The presentation is attached to these minutes]

Report of the Chief Officer for Community, Public Health, Environment and Prosperity, which reviews progress against the overarching priorities identified in the Joint Health and Wellbeing Strategy for Devon 2016-2019.

The appendix is available at http://www.devonhealthandwellbeing.org.uk/jsna/health-and-wellbeing-outcomes-report/

The Board considered a report from the Chief Officer for Community, 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 2016-2019.

The Board received an ‘updates only’ version of the Health and Wellbeing Outcomes Report.  The report was themed around the five Joint Health and Wellbeing Strategy 2016-19 priorities and included breakdowns by South West benchmarking, local authority district and local authority comparator group, clinical commissioning group, and locality comparison, trend and future trajectories and inequalities characteristics. The indicators below had all been updated since the last report to the Board in December 2017;

·         Children in Poverty, 2015 – 11.9% of children in Devon lived in households dependent on benefits or tax credits. This figure had fallen from 2014, and Devon was statistically significantly lower than the South West, comparator group and national rates.

·         Early Years Foundation Score – In 2017, 71.0% of children in Devon achieved a good level of development at school entry, compared to 70.5% for the South West, 71.1% for the local authority comparator group and 70.7% for England.

·         Teenage Conception Rate– Conceptions to under 18s had fallen in Devon and were broadly similar to South West and comparator group rates; locally rates were highest in Teignbridge.

·         Alcohol-Related Admissions – there were around 4,900 alcohol related admissions to hospital for Devon residents in 2016/17.

·         Male Life Expectancy Gap, 2014-16 – Comparing life expectancy in the most and least deprived communities in Devon, the Slope Index of inequality revealed the gap in life expectancy for males was 5.8 years, significantly lower than South West and England.

·         Female Life Expectancy Gap, 2014-16 – for females, the gap was 4.0 years; significantly lower than the South West, local authority comparator group and England.

·         Healthy Life Expectancy Male, 2014-16 – Males in Devon could expect to live for 66.7 years in good health, compared with 63.3 years in England, 64.5 years in the South West, and 65.0 years in the local authority comparator group.

·         Healthy Life Expectancy Female, 2014-16 – Females in Devon could expect to live for 65.9 years in good health, compared with 63.9 years in England, 65.1 years in the South West, and 66.5 years in the local authority comparator group.

·         Injuries Due to Falls, 2016-17 – the age standardised rate per 100,000 for injuries due to falls in Devon was 1731.2, which was below the South West, local authority comparator group and England rates.

·         Rough sleeping rate per 1,000 households, 2017 – it was estimated that 78 people were sleeping rough in Devon, in Autumn 2017. Within Devon rates were highest in Exeter, based on an estimate of 35, and North Devon, based on a count of 20.

·         Self-Reported Wellbeing (low happiness score %), 2016/17 – 7.24% of the Devon population had a low happiness score on the index compared with 8.56% for the South West, 8.11% in the local authority comparator group and 8.54% in England overall.

The outcomes  ...  view the full minutes text for item 43.

Joint report of the Head of Adult Commissioning and Health, NEW Devon CCG and South Devon and Torbay CCG on the BCF, Quarter Return, Performance Report and Performance Summary on the BCF, Quarter Return, Performance Report and Performance Summary

The Board considered the Report of the Head of Adult Commissioning and Health on the Better Care Fund (BCF), Quarter 3 Return, Performance Report and Performance Summary. The Report updated Members on areas including managing transfers of care, non-elective admissions, admissions to residential and care homes, effectiveness of reablement and delayed transfers of care.  The Report highlighted that the performance of the Delayed Transfers of Care in November was better than forecast and met the Q3 target.

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.

RESOLVED that the Report on the Better Care Fund Q3 be noted.

Report of the Chief Officer for Community, Public Health, Environment and Prosperity concerning the Devon Pharmaceutical Needs Assessment, 2018-21, which can be found on the Council’s website at:

http://www.devonhealthandwellbeing.org.uk/board/pharmaceutical-need-assessment/2018-21/

The Board considered a report from the Chief Officer for Communities, Public Health, Environment and Prosperity on the production of the Pharmaceutical Needs Assessment (PNA) which was a comprehensive assessment of the current and future pharmaceutical needs of the local population. 

Public Health teams in Devon, Torbay and Plymouth had worked closely with NHS England and the Local Pharmaceutical Committee to produce the PNA in a consistent and relevant format and to meet the Board’s statutory duty to publish the PNA 2018-21 by 1 April 2018.

In line with statutory requirements, a 60 day consultation period took place between 4 December 2017 and 2 February 2018, which received 10 formal responses, and were reviewed by the Pharmaceutical Needs Assessment Steering Group.  The main themes of the Report were around the planned increase in housing in Devon, opening hours over weekends and holidays and to support extended primary care opening and availability of specialised medicines.

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

RESOLVED that the Devon Pharmaceutical Needs Assessment 2018-2021 be endorsed.

[The presentation is attached to these minutes]

Report of the Chief Officer for Community, Public Health, Environment and Prosperity concerning the role of the Devon Health and Wellbeing Board in relation to health and care integration.

The Board considered the Report of the Chief Officer for Communities, Public Health, Environment and Prosperity following a workshop held in December 2017, on Health and Care Integration and the role of the Board.  The Workshop involved a self-assessment of local readiness and progress towards health and care integration and set out an action plan to consider how the Board could influence progress towards integration locally.  This included three main action points:

·         Governance – and the need to clarify roles and responsibilities for the Board and to explore opportunities for cross working arrangements with the NHS;

·         Assurance Framework – the Board to oversee the local application of an assurance framework for integration;

·         Place based intelligence – the Board to use and develop intelligence relating to the diverse communities across Devon in relation to community needs, integration and system outcomes.

It was noted that the outcomes of these actions could have implications for the Board in relation to its membership, terms of reference and the format and content of future meetings.  These would be considered in due course as the role of the Board in relation to integration was redefined.

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

RESOLVED that the action plan, as set out in section two of the Report, be adopted.

Report of the Chairs of NEW Devon and South Devon & Torbay Clinical Commissioning Groups, attached.

The Board received an update report from the Chairs of the NEW Devon and South Devon & Torbay Clinical Commissioning Groups (CCG) on the progress within the Devon health and care system and the planning for delivery of integrated care.  The Report provided an update on Devon System Development Plans, developing an Integrated Care System in Devon and the next steps toward achieving this outcome. 

Key points highlighted within the Report included independent ratings showing good progress, with Devon now having moved from being one of three most challenged areas of the country to one of 14 health and care systems making “real progress”, according to NHS England.  Devon had also submitted an expression of interest in being part of the national integrated system pathway. 

The Chair of South Devon and Torbay CCG expressed his thanks to NHS staff across Devon who provided additional care and support to patients during the recent snowy weather, by working longer hours, sleeping at surgeries overnight and walking several miles to get to work. 

Nil

There were no references from Committees.

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/

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.

To review and agree the Boards Forward Plan, attached.

The Board considered the contents of the Forward Plan, as outlined below (which included the additional items agreed at the meeting).

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

Below is a list of information previously circulated to Members, since the last meeting, relating to topical developments including those which have been or are currently being considered by this Board.

(a)   Independent Inquiry into Child Sexual Abuse - Inquiry Work Programme 2018

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/

The Board had received the following information/briefing since the last meeting:

·         Independent Inquiry into Child Sexual Abuse – Inquiry Work Programme 2018

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

Meetings

Thursday 14^th June 2018 @ 2.15pm

Thursday 13^th September 2018 @ 2.15pm

Thursday 13^th December 2018 @ 2.15pm

Annual Conference

Thursday 14^th June 2018 @ 9.30am

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

Meetings

Thursday 14 June 2018 @ 2.15pm

Thursday 13 September 2018 @ 2.15pm

Thursday 13 December 2018 @ 2.15pm

Annual Conference

Thursday 14 June 2018 @ 9.30am