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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98.

Minutes pdf icon PDF 111 KB

Minutes of the meeting held on 13 December 2018, attached.

Additional documents:

Minutes:

RESOLVED that the minutes of the meeting held on 13 December 2018 be signed as a correct record.

           

 

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99.

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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100.

Devon Joint Health and Wellbeing Strategy: Priorities and Outcomes Monitoring pdf icon PDF 62 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 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.

 

·         Children in Poverty – Rates of child poverty in Devon (12.5%) were significantly lower compared to England (17.0%) and had been slowly decreasing over the last decade. Local authority districts had not been published for 2016, however previous data had shown that there were higher levels of child poverty across many small areas in Devon.

·         Excess weight in 4 and 5-year olds – More than 1 in 5 children aged between 4 and 5 years old were either overweight or obese. Rates for Devon (21.3%) remained significantly lower compared to England (22.4%).

·         Excess weight in 10 and 11-year olds – More than 1 in 4 children aged between 10 and 11 years old were either overweight or obese. Rates for Devon (27.7%) remain significantly lower compared to England (34.3%).

·         Alcohol related admissions – Admissions for alcohol in Devon (604.1 DASR per 100,000) were significantly lower compared to England (632.8 DASR per 100,000). Variability across the districts in Devon was observed with higher rates across areas with increased levels of deprivation.

·         Male Life Expectancy Gap – Overall Devon had a male life expectancy gap of 5.6 years which was significantly lower compared to England (9.4 years). Variability across the districts in Devon was observed with higher gaps in districts with higher rates of mortality from preventable causes.

·         Female Life Expectancy Gap – Overall Devon had a female life expectancy gap of 4.5 years which was significantly lower compared to England (7.4 years). Variability across the districts in Devon was observed with higher gaps in districts with higher rates of mortality from preventable causes.

·         Healthy Life Expectancy (Male) – In Devon, Healthy Life Expectancy for Males was around 66.7 years. This suggested that males in Devon, on average, were living almost 14 years of their life in ill health (Life expectancy at birth for males 80.4 years).

·         Healthy Life Expectancy (Female) – In Devon, Healthy Life Expectancy for Females was around 66.3 years. This suggested that females in Devon, on average were living almost 18 years of their life in ill health (Life expectancy at birth for females 84.2 years).

·         Self-Reported Wellbeing (Low Happiness Score) – Rates for low happiness in Devon (6.9%) were below England (8.2%) but not statistically different.

 

The outcomes report was also available on the Devon Health and  ...  view the full minutes text for item 100.

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101.

Joint Health and Wellbeing Strategy Timeline pdf icon PDF 62 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on the timeline and principles for the update of the Joint Health and Wellbeing Strategy, attached.

Additional documents:

Minutes:

The Board considered a Report from the Chief Officer for Communities, Public Health, Environment and Prosperity on the timeline and principles for updating the current Joint Health and Wellbeing Strategy, covering the period 2016 to 2019, due to be updated during 2019, and how the Board would contribute to this process.

 

The timeline for the completion of the Joint Health and Wellbeing Strategy was set out below and included the establishment of a draft for consultation by the end of June to be launched at the annual stakeholder conference in July 2019, followed by sign-off of the strategy by the Board in October 2019. This aligned with the timetable for producing the NHS Long-Term Plan for Devon, which was due to be published in October 2019 with detailed engagement planned during the summer.

 

Date

Activity

May 2019

First draft of strategy circulated to Board Members for comment at the end of May 2019

June 2019

Incorporating feedback from Board Members, a draft for consultation would be produced by the end of June 2019

11 July 2019

Launch of consultation draft at annual stakeholder conference with eight-week consultation period, including Devon County Council ‘Have your say’ website and direct engagement with relevant groups, bodies and partnerships during July and August.

September 2019

Consultation period ends on 5th of September. Task group of Board Members convenes to consider consultation feedback and update strategy accordingly

10 October 2019

Joint Health and Wellbeing Strategy goes to board for approval

16 January 2020

First board meeting under new strategy and format

 

At the June 2018 stakeholder conference, table discussions on the strategy provided an opportunity for Board Members, scrutiny members, local authority officers, local NHS representatives, community and voluntary sector representatives and other partners to inform the refresh. Whilst it was felt that the existing strategy’s vision and priorities were broadly appropriate, there was a call to shift to plain English and for the document to be written from a community rather than a ‘service-led’ perspective.  Mental health, housing, physical activity, disability, inequalities, rurality, workforce, economic development, and health literacy featured prominently in priority discussions.

 

Following the Conference, a joint workshop for board and scrutiny members was held in December 2018 to share and discuss the findings, and to refine and agree the principles for the update. The agreed principles were:

 

·         Short document (up to 10 sides in length) with web interface

·         Written from community lens in plain English

·         A focus on poorer outcomes and challenges

·         An emphasis on the wider determinants of health

·         Strategic alignment with the STP and other partnerships, including joint priorities, collaboration and reporting arrangements with other partnership boards

·         Life course approach

·         A five-year strategy from 2020 to 2025

 

The Board welcomed the agreed principles, in particular the aim to use plain English and make the Strategy more accessible to the public in order to effectively engage with local communities on the Joint Health and Wellbeing Strategy, alongside the consultation around the NHS Long Term Plan.

 

It was MOVED by Councillor  ...  view the full minutes text for item 101.

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102.

Joint Commissioning in Devon, the Better Care Fund and Governance Arrangements pdf icon PDF 181 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

Additional documents:

Minutes:

The Board considered a joint Report from the Joint Associate Director of Commissioning, NEW Devon CCG and South Devon and Torbay 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.

 

The Report informed Members that the BCF had met each of the four national conditions, as well as confirmation of a s75 pooled budget.  It was on track to meet two of the four metrics which included a reduction in the number of non-elective admissions 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 the rate of permanent admissions to residential care per 100,000 (65yrs+); and delayed transfers of care.

 

Members discussion points included:

 

·         in the last 6 weeks, the figures for the Delayed Transfers of Care had significantly improved and were back on target - this should be seen in the next quarter’s performance;

·         the need to ensure Carers receive respite and how this may impact on residential care homes - the Board noted the Council had a contract with Westbank that offered Carers an assessment and range of support services;

·         how to ensure that those individuals in supported living arrangements are not forgotten and are also engaged with to receive the appropriate level of support and care; and,

·         the difficulty in being able to recruit the staff needed to carry out the work, to manage demand better and enable communities to do more for themselves.  

 

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

 

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103.

Devon's Loneliness Campaign Update Report (including risk profiling and heat maps) (Minute *71 refers) pdf icon PDF 890 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on the effectiveness of the local health and care systems response to loneliness, attached.

Additional documents:

Minutes:

The Board considered a Report from the Chief Officer for Communities, Public Health, Environment and Prosperity providing an update on the ’12 days, 12 ways to combat loneliness’ campaign which ran in December 2018, aimed at raising awareness and supporting community members to identify and address the signs of loneliness.

 

The campaign featured short films which were promoted through social media to raise awareness of the issue of loneliness over the festive period, reflected in the campaign title ’12 days, 12 ways to combat loneliness’.  The films were themed around the five ways to wellbeing to highlight ways in which loneliness could be combated through social connection, being active, taking notice, lifelong learning and giving to others.  The overall reach of the messages was 791,000, with 178 shares of all videos and 146 likes. 

 

In other developments, Living Options Devon (LOD) launched the ‘Time To Talk’ project (www.livingoptions.org/supporthelp/time-talk), which aimed to tackle isolation and loneliness amongst disabled people and deaf people.  The project tackled the problem of isolation and loneliness in Devon, Plymouth and Torbay by providing a variety of services which were funded by the National Lottery Community Fund.

 

Members discussion points and questions included:

 

·         the excellent campaign carried out by Devon County Council’s communication and marketing Team around loneliness in Devon;

·         the effectiveness of the short films that were created to reach a large target audience;

·         the Campaign signposting people to an adult social care webpage, where different services could be accessed such as Time to Talk, Men in Sheds, MINDS, DCC Show you Care and the Campaign to End Loneliness;

·         the risk of loneliness in children and young people, highlighted by a recent Office of National Statistics report which identified 1 in 8 children as being lonely;

·         Spare Chair Sunday – a website which allowed families to invite individuals to join them for Sunday lunch to help combat loneliness; and

·         intergeneration aspects and the importance of community projects which brought together children and old people.

 

RESOLVED that Devon’s Loneliness Campaign update Report be noted and that the Health and Adult Care Scrutiny Committee be invited to assess the effectiveness of the local health and care systems response to loneliness.

 

 

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104.

Working Together Protocol for Strategic Partnerships in Devon pdf icon PDF 173 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity, attached.

Additional documents:

Minutes:

The Board considered a Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on a draft ‘working together’ protocol, which had been developed by officers supporting strategic partnership boards in Devon to describe working relationships and support collaboration between Boards including the Health and Wellbeing Board, Children and Families Partnership, Safeguarding Adults Board, Safer Devon Partnership and Sustainability and Transformation Partnership.  The establishment of a protocol between partnership boards would also support the refresh of the Joint Health and Wellbeing Strategy, which would seek to align Board priorities with other partnerships.

 

The Partnerships aimed to achieve:

 

·         a reduction in inequalities by targeting and supporting people, groups and areas of greatest need

·         an integrated approach to tackling key issues and commissioning services by sharing information and intelligence; for example, contributing to and learning from the Joint Strategic Needs Assessment, the Strategic Assessment of Crime and Disorder in Devon and Organised Crime Local Profiles

·         Partnerships working together to develop effective joint approaches and to understand the impact of services on outcomes.

·         alignment of annual plans with shared strategic priorities, including safeguarding children, young people and adults

·         a co-ordinated approach to sharing information/intelligence between partnerships to inform effective responses to specific threats or risks to reduce harm

·         complementary approaches to performance and risk management, quality assurance and transformational change

·         collaboration in relation to workforce planning and development

·         a co-ordinated approach to multi-agency learning reviews which included Domestic Homicide Reviews, Serious Case Reviews and Safeguarding Adults Reviews

·         an integrated approach to developing a broader awareness and understanding of trauma (including Adverse Childhood Experiences) and the impact it had on individuals, families and communities and exploring system-wide solutions to addressing this across the wider Devon area.

 

RESOLVED that the Working Together Protocol for Strategic Partnerships in Devon Report be noted and an update be brought to a future Board meeting.

 

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105.

STP Update and feedback of involvement of Devon HWBBs pdf icon PDF 67 KB

Report of the Joint Associate Director of Commissioning (Devon County Council and NHS Devon CCG), attached.

Additional documents:

Minutes:

Report of the Joint Associate Director of Commissioning (Devon County Council and NHS Devon CCG) providing an update on the Sustainability and Transformation Plan (STP) and feedback of the involvement of Devon HWBBs.

 

On the 7 January 2019 the NHS long term plan was launched which set out how the NHS would move to a new service model in which patients would receive more options, better support, and properly joined-up care at the right time in the optimal care setting.  It also expressed the action the NHS would take to:

 

·         strengthen its contribution to prevention and health inequalities;

·         improve care quality and outcomes;

·         tackle current workforce pressures and support staff; 

·         upgrade technology and digitally enabled care across the NHS; and

·         put the NHS back onto a sustainable financial path.

 

Members noted it was an opportunity to produce a collaborative response to the NHS Long Term Plan which ensured that local communities engaged with the health system.  There needed to be a focus on prevention, self-care and working with local communities. It was also an opportunity for collaborative working with other Health and Wellbeing Boards in Devon. Moving forward, it was important to consider how health organisations dealt with Democratic Accountability, Engaging Partners and Leadership in Communities.

 

RESOLVED that the STP Update Report be noted.

 

 

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106.

Dementia Update pdf icon PDF 101 KB

Report of the Clinical Chair of NHS Devon CCG, and the Joint Associate Director of Commissioning, DCC and NHS Devon CCG, attached.

Additional documents:

Minutes:

Report of the Clinical Chair of NHS Devon CCG, and the Joint Associate Director of Commissioning, DCC and NHS Devon CCG outlining the ambition to: increase the dementia diagnosis rate; provide appropriate support post-diagnosis; further raise awareness of dementia across Devon and reduce the potential stigma of diagnosis.

 

Around 17,935 people in Devon were estimated to have dementia, nearly 2 per cent of the population.   This figure was expected to rise to around 25,000 in the next ten years, affecting nearly 3 per cent of the population, and around 6.5% of the over 65’s. 

 

The Council worked in partnership with the CCGs to commission dementia support services, with shared priorities and funding through the Better Care Fund. Ensuring that individuals received a timely and appropriate dementia diagnosis and received the right services for individuals and their families post-diagnosis, were key aims.

 

The national target for dementia diagnosis was to diagnose 66.7% of the people who had dementia in each area. In Devon, performance towards this target had been flat and remained approximately 8% below the target. 

 

Services to support people living with dementia and their families included:

 

·         Dementia Support Workers – through the Alzheimer’s Society, a Dementia Support Worker enabled people with dementia and their carers to navigate the system and find the right information and support at the right time;

·         Memory Cafes - supported people living with dementia and their carers through the Memory Cafe movement, making sure they had access to peer support, information, advice and meaningful activities. There were over 60 memory cafes in Devon;

·         Care home education and support - to support care homes so they were able to look after people with more complex conditions in appropriate care home settings.

·         Grants to the voluntary sector – to support those with dementia and their families.

 

It was MOVED by J Stephens, SECONDED by Councillor McInnes and

 

RESOLVED that the approaches outlined within the Report be supported and a training session on Dementia Friends be arranged for Members of the Board.

 

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107.

CCG Updates

An update by the Chairs of NEW Devon and South Devon & Torbay Clinical Commissioning Groups.

Additional documents:

Minutes:

The Board noted that South Devon and Torbay CCG and NEW Devon CCG had now merged into NHS Devon CCG and was the fifth largest CCG (based on number of patients) in the Country.  It was still early days, having merged on 1 April, however things were progressing well, and the CCG was keen to work with Local Authorities to progress various work streams.

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108.

References from Committees

NIL

Additional documents:

Minutes:

Nil

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109.

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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110.

Forward Plan pdf icon PDF 46 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 11 July 2019 @2.15pm

Performance / Themed Items

Health & Wellbeing Strategy Priorities and Outcomes Monitoring

Theme Based Item (TBC)

 

Business / Matters for Decision

Better Care Fund

JSNA / Strategy Refresh

Child Poverty in Devon

Learning Disability Partnership Board – Update from Chair

CCG Updates

 

Other Matters

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

 

Thursday 10 October 2019 @2.15pm

Performance / Themed Items

Health & Wellbeing Strategy Priorities and Outcomes Monitoring

Theme Based Item (TBC)

Dementia Friends Training

 

Business / Matters for Decision

Better Care Fund

Homelessness Report -12 month update

Working Together Protocol for Strategic Partnerships in Devon - Update

Children’s Safeguarding annual report

CCG Updates

 

Other Matters

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

 

Thursday 16 January 2020 @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

Adults Safeguarding annual report

CCG Updates

 

Other Matters

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

 

Thursday 9 April 2020 @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

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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111.

Briefing Papers, Updates & Matters for Information

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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112.

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 11 July 2019 @ 2.15pm

Thursday 10 October 2019 @ 2.15pm

Thursday 16 January 2020 @ 2.15pm

Thursday 9 April 2020 @ 2.15pm

 

Annual Conference

 

Thursday 11 July 2019 @ 9.30am

Additional documents:

Minutes:

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

 

Meetings

 

Thursday 11 July 2019 @ 2.15pm

Thursday 10 October 2019 @ 2.15pm

Thursday 16 January 2020 @ 2.15pm

Thursday 9 April 2020 @ 2.15pm

 

Annual Conference

Thursday 11 July 2019 @ 9.30am