Agenda and minutes

Venue: Committee Suite - County Hall

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

Webcast: View the webcast

Items
Note No. Item

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53.

Election of Chair

Additional documents:

Minutes:

RESOLVED that Councillor Leadbetter be elected Chair for the ensuing year.

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54.

Appointment of Vice-Chair

Additional documents:

Minutes:

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

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55.

Minutes pdf icon PDF 103 KB

Minutes of the meeting held on 8 March 2018, attached.

Additional documents:

Minutes:

RESOLVED that the minutes of the meeting held on 8 March 2018 be signed as a correct record.

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56.

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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57.

Devon Joint Health and Wellbeing Strategy: Priorities and Outcomes Monitoring pdf icon PDF 366 KB

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/

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 2016-2019.

 

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.

 

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;

 

·         GCSE Attainment, 2016-17 – 65.0% of year 11 pupils in Devon achieved five or more GCSEs at grades equivalent to A* to C, including English and Maths.  Within Devon, rates were highest in the South Hams and West Devon, with the lowest rates in Teignbridge and East Devon.

·         Teenage Conception Rate, 2016 – Conceptions to under 18s continued to fall in Devon and were broadly similar to South West and comparator group rates. There were no statistically significant differences between Devon’s districts.

·         Alcohol-specific admissions in under 18s, 2016-17 – Approximately 65 admissions occured each year in Devon related to alcohol-specific causes in under 18s. The rate per 100,000 in Devon is 45.5 which was broadly in line with the South West (44.4). However, the rate was significantly above the local authority comparator group (36.9 per 100,000) and England (34.2) rates.

·         Excess Weight in Adults, 2016-17 – 57.4% of the adult population in Devon had a BMI in excess of 25 (Overweight or obese) in 2016-17. This was significantly below the South West (60.3%), the local authority comparator group (61.4%) and England (61.3%) rates.  Within Devon the lowest rates of excess weight were seen in Exeter (54.0%).

·         Proportion of Physically Active Adults, 2016-17 – 73.9% of adults in Devon were physically active for at least 150 minutes per week.  This was above the South West (70.4%) and comparator group (67.6%) and significantly above the national (66.0%) rates.

·         Alcohol-Related Admissions (narrow definition), 2017-18 – There were around 4,900 alcohol-related admissions to hospital for Devon residents between July 2016 and June 2017. The age-standardised admissions rate (606.0 per 100,00) was below the South West, local authority comparator group and England rates.

·         Diet – Fruit and Veg ‘5-a-day’, 2016-17 – In Devon 66.4% of the adult population consumed five or more portions of fruit and vegetables per day.  This was significantly above the South West (63.1%), local authority comparator group (60.6%) and England (57.4%) rates.  Within Devon the highest rates were seen in East Devon (70.9%) and the South Hams (70.4%) and the lowest in Mid Devon (61.4%).

·         Domestic Violence, 2016-17 – Devon had a rate of 14.8 per 1,000, below the South West (18.5), comparator group (19.4) and England  ...  view the full minutes text for item 57.

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58.

Board Membership pdf icon PDF 86 KB

A Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on changes to the Membership of the Board, attached.

Additional documents:

Minutes:

The Board received a Report from the Chief Officer for Communities, Public Health, Environment and Prosperity on recommendations to changes in the Board’s Membership to include further representation from relevant organisations and providers, and to strengthen the Health and Care and police presence in order to help support work on public health issues in Devon. 

 

The full updated membership list for the Devon Health and Wellbeing Board was as follows:

 

Table 1, Devon Health and Wellbeing Board Membership, 2018

 

HEALTH AND WELLBEING BOARD

County Councillors (Cabinet Members):

Con

LD

Lab

Non-Aligned

R Croad

A Leadbetter (Chair)

J R McInnes

B Parsons

H Ackland

 

 * To be reviewed annually between LD/Lab)

 

Other Members:

 

David Rogers

Healthwatch Devon

Diana Crump

Joint Engagement Forum

 

Cllr Phillip Sanders

District Council Representative (West Devon Borough Council)

Dr Tim Burke

 

Clinical Chair of NEW Devon CCG

Dr Paul Johnson

Clinical Chair of SD&T CCG

Jeremy Mann

Chief Environmental Health Officer, North Devon District Council

Dr Virginia Pearson

Chief Officer for Communities, Public Health, Environment and Prosperity, Devon County Council

Jennie Stephens

Chief Officer for Adult Care and Health, Devon County Council

Jo Olsson

Chief Officer for Children’s Services, Devon County Council

John Wiseman

Probation Service

Sophia Christie

NEW Devon and South Devon and Torbay CCGs

TBC

Royal Devon and Exeter NHS Foundation Trust

TBC

Northern Devon Healthcare NHS Trust

TBC

South Devon NHS Foundation Trust

TBC

Devon Partnership NHS Trust

TBC

Devon and Cornwall Police Representative

 

 

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

 

RESOLVED

 

(a)   that the changes to the Board’s Membership, previously agreed by the County Council be noted as outlined in Table 1 above; and

 

(b)   that a Working Group be set up to look at the Governance arrangements of the Board and Report back to the September 2018 Committee.

 

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59.

Joint Commissioning in Devon, the Better Care Fund and Governance Arrangements pdf icon PDF 134 KB

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, attached.

 

Additional documents:

Minutes:

The Board considered the Report of the Head of Adult Commissioning and Health on the Better Care Fund (BCF), Quarter 4 Return, Performance Report and Performance Summary. The Report informed Members that the BCF was on track to meet two of the four metrics which included the rate of permanent admissions to residential care per 100,000 and the proportion of older people still at home 91 days after discharge from hospital into reablement/rehabilitation services.  However, targets had not been met for non-elective admissions and delayed transfers of care.

 

Daily monitoring of delays had been established to identify prevailing issues, alongside an implementation of the system wide plan to tackle delayed transfers of care, which was overseen by the A&E Delivery Boards.

 

Members discussion points included:

 

·         the democratic accountability and governance of the BCF to the Health and Wellbeing Board; and

·         the Public Health report on the Acuity Audit to be bought to a future meeting of the Board.

 

RESOLVED that the Report on the Better Care Fund Q4 be noted.

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60.

Joint Strategic Needs Assessment Update 2018 pdf icon PDF 63 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity providing an update of the Joint Strategic Needs Assessment, attached.

 

The draft 2018 JSNA Devon Overview can be found here: http://www.devonhealthandwellbeing.org.uk/jsna/overview/draft-2018/

 

The Board are being asked to note that the note the introduction of interactive JSNA Community Profiles and agree that no changes are required to the Joint Health and Wellbeing Strategy 2016-19, pending a full refresh to the strategy for 2019-22

Additional documents:

Minutes:

The Board considered the Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on the refresh of the Joint Strategic Needs Assessment and Health and Wellbeing Joint Strategy.

 

The draft 2018 JSNA Devon Overview could be found here: http://www.devonhealthandwellbeing.org.uk/jsna/overview/draft-2018/

 

The document provided a summary of the main health and wellbeing challenges in Devon which built upon the challenges identified in previous years, including inequalities gap, an ageing and growing population, a skilled workforce with low earnings, poor mental health, behavioural risk factors, long-term conditions, multi-morbidity and frailty.

 

JSNA Community Profiles 2018 had been updated from stand-alone documents to a new interactive web-based tool. The profiles contained information on population, deprivation, health outcomes and needs, health and care service usage and wider determinants of health such as employment, housing and education. Standard profiles by different area types were available here: http://www.devonhealthandwellbeing.org.uk/jsna/profiles/

 

It was felt that based on the updated JSNA, the priorities in the Strategy remained valid and it was recommended that no update to the Strategy was currently required, pending a full refresh of the Joint Health and Wellbeing Strategy for the period 2019 to 2022.

 

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

 

RESOLVED that the Board approve the proposed Joint Strategic Needs Assessment (JSNA) Devon Overview 2018, noting the introduction of interactive JSNA Community Profiles, and agree that no changes were required to the Joint Health and Wellbeing Strategy 2016-19, pending a full refresh to the Strategy for 2019-22.

 

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61.

Suicide Prevention Strategic Statement pdf icon PDF 68 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on the Suicide Prevention Strategic Statement, attached.

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Additional documents:

Minutes:

The Board received a Report from the Chief Officer for Communities, Public Health, Environment and Prosperity on local suicide prevention planning.  The Report noted that suicide prevention required work across a range of settings targeting a wide variety or audiences and as such, the combined knowledge, expertise and resources of organisations across the public, private and voluntary sectors was essential.  No single agency was able to deliver effective suicide prevention alone.

 

The Implementation plan was based upon the seven priority areas laid out in the 2017 update of the national strategy ‘Preventing Suicide in England: Third progress report of the cross-government outcomes strategy to save lives’. These were:

 

·         Reducing the risk of suicide in high risk groups;

·         Tailoring approaches to improve mental health in specific groups;

·         Reducing access to the means of suicide;

·         Providing better information and support to those bereaved or affected by suicide;

·         Supporting the media in delivering sensitive approaches to suicide and suicidal behaviour;

·         Supporting research, data collection and monitoring; and

·         Reducing rates of self-harm as a key indicator of suicide risk.

 

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

 

RESOLVED that the Devon Suicide Prevention Strategic Statement be endorsed.

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62.

Homelessness and rough sleeping

Mr Mann to lead a discussion on Homeless and Rough Sleeping with the Committee.

Additional documents:

Minutes:

The Committee received a presentation from representatives of North Devon District Council on the Homelessness Reduction Act 2018 and the implications for local councils.  The presentation highlighted a number of key points including:

 

·         the number of people in temporary accommodation;

·         the number of rough sleepers;

·         funding allocations from the MHCLG of £280,000 for North Devon District Council to help combat homelessness;

·         establishing the need and providing support to rough sleepers, especially those with a priority need such as children and young people;

·         the scale of demand in North Devon for accommodation not being a unique situation, with poor standards of privately rented accommodation; and

·         North Devon District Council having a target to half the number of street homeless in the area.

 

It was MOVED by Councillor Leadbetter, SECONDED by David Rogers, and

 

RESOLVED that the Health and Wellbeing Board write to all Devon District Councils regarding the work being undertaken in their areas with respect to the Homelessness Reduction Act, to be reported at a future Committee meeting.

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63.

CCG Updates pdf icon PDF 75 KB

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

Additional documents:

Minutes:

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 the ‘mutual support agreement’ as part of joint-working across all four Trusts that provided acute hospital services in Devon, the implementation of the ‘In Shape for Surgery’ initiative, the establishment of memory cafes, Primary Care in Devon GP practices rated ‘good’ or ‘outstanding’ by the CQC, public engagement and increased partnership working across the service.

 

The Report also gave an update on the finances of the NHS system in Devon, an update on the 2018/19 operational plan and the North Devon Healthcare Trust and Royal Devon and Exeter Trust Collaborative Agreement.

 

RESOLVED that the CCG update Report be noted and accepted.

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64.

References from Committees

Nil

Additional documents:

Minutes:

There were no references from Committees.

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65.

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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66.

Forward Plan pdf icon PDF 45 KB

To review and agree the Boards Forward Plan, attached.

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 13 September 2018 @ 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

Task Group Report on Governance of HWB

Homelessness – Report on local council’s feedback

Acuity Audit Presentation

CCG Updates

 

Other Matters

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

 

Thursday 13 December 2018 @ 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

CCG Updates

 

Other Matters

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

 

Annual Reporting

Delivering Integrated Care Exeter (ICE) Project – Annual Update (March)

Children’s Safeguarding annual report (September / November)

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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67.

Briefing Papers, Updates & Matters for Information

No items circulated since the last meeting.

Additional documents:

Minutes:

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.

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68.

Dates of Future Meetings

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 13th September 2018 @ 2.15pm

Thursday 13th December 2018 @ 2.15pm

Additional documents:

Minutes:

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

 

Meetings

Thursday 13 September 2018 @ 2.15pm

Thursday 13 December 2018 @ 2.15pm