Agenda and minutes

Venue: Committee Suite - County Hall

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

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Items
Note No. Item

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113.

Election of Chair

Additional documents:

Minutes:

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

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114.

Appointment of Vice-Chair

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Minutes:

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

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115.

Minutes pdf icon PDF 122 KB

Minutes of the meeting held on 11 April 2019, attached.

Additional documents:

Minutes:

RESOLVED that the minutes of the meeting held on 11 April 2019 be signed as a correct record.

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116.

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:

(An item taken under Section 100B (4) of the Local Government Act 1972)

 

The Chair agreed that the Committee should consider as a matter of urgency the Better Care Fund (BCF) Plan for 2019/20.  Members were informed that Government had indicated that the Board would be required to approve the BCF Plan for 2019/20 but had yet to publish their requirements or timescales. It was therefore likely that the Chair would have to approve the Plan on behalf of the Board as timescales indicated this would need to happen before the Board next meets in October.

 

It was MOVED by Dr Pearson, SECONDED by Mr Rogers and

 

RESOLVED that the Better Care Fund Plan 2019/20 be circulated to Members for feedback once available and that the Chair be given delegated powers to sign the Plan on behalf of the Board.

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117.

Devon Joint Health and Wellbeing Strategy: Priorities and Outcomes Monitoring pdf icon PDF 65 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 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 local authority, district and trends over time. The 13 indicators below had all been updated since the last report to the Board;

 

·         Early Years Foundation Score – in 2017/18, 71.7% of children in Devon achieved a good level of development at school entry, compared to 71.3% for the South West, 72.0% for the local authority comparator group and 71.5% for England;

·         GCSE Attainment, 2017/18 – 64.2% of year 11 pupils in Devon achieved five or more GCSEs at grades 9-4, equivalent to A* to C, including English and Maths.  The Devon rate was lower but not significantly different to the South West and local authority comparator group. It was higher than the England rate. There was variability across the districts with rates highest in East and Mid Devon and the lowest in Torridge.

·         Teenage Conception Rate, 2017 – Conceptions to under 18s continued to fall in Devon and were lower than the South West, comparator group and England rates.

·         Alcohol-specific admissions in under 18s, 2015-16 to 2017-18 – Approximately 63 admissions occurred each year in Devon related to alcohol-specific causes in under 18s. The rate per 100,000 in Devon was 43.6. This was broadly in line with the South West (43.6). However, the rate was significantly above the local authority comparator group (37.2 per 100,000) and England (32.9) rates. Rates had fallen slightly since 2015-16 levels.

·         Excess Weight in Adults, 2017/18 – 60.1% of the adult population in Devon had a BMI in excess of 25 (overweight or obese) in 2017-18. This was below the South West (61.0%), the local authority comparator group (62.9%) and England (62.0%) rates.  There was variability across the districts with the lowest rates of excess weight seen in East Devon and Exeter and highest in Teignbridge.

·         Proportion of Physically Active Adults, 2017-18 – 72.8% of adults in Devon were physically active for at least 150 minutes per week.  This was significantly above the South West (70.7%), comparator group (67.4%) and national (66.3%) rates.

·         Diet – Fruit and Veg ‘5-a-day’, 2017/18 – In Devon in 2017-18, 62.3% of the adult population consumed five or more portions of fruit and vegetables per day.  This was above the South West (61.2%) and significantly above the local authority comparator group (58.5%) and England (54.8%) rates.  Within Devon the highest rates were seen in the South Hams (67.9%) and the lowest in East Devon (58.3%).

·         Domestic Violence, 2017-18 – Devon had a rate of  ...  view the full minutes text for item 117.

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118.

Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategy 2020-25 Update pdf icon PDF 104 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on the Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategy 2020-25, attached.

Additional documents:

Minutes:

The Board considered a Report from the Chief Officer for Communities, Public Health, Environment and Prosperity which gave an update on the Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategy for 2020-25.

 

Health and Wellbeing Boards had a statutory responsibility to produce a Joint Strategic Needs Assessment (JSNA), which was an assessment of current and future health and care needs in the local population, and a Joint Health and Wellbeing Strategy (JHWS), addressing the needs identified in the JSNA.

 

A new JHWS for Devon to cover the period 2020 to 2025 was currently being produced in accordance with the timeline and principles agreed by the Health and Wellbeing Board in April 2019 and the Report described the current status of both the JSNA and JHWS.

 

A summary of the main challenges for Devon from the JSNA was included in Appendix 1 to the Report. It outlined how the changing population of Devon, with wider social and economic factors, contributed to health outcomes and health inequalities. It further highlighted specific local challenges that existed in relation to child poverty, the impact of lower incomes on fuel and food affordability, access to services, mental health, health-related behaviours, long-term conditions and housing.

 

Work was also underway to further develop the JSNA and ensure its content met the requirements of different users, for example explanatory users (those seeking a quick summary), exploratory users (those wanting to explore / interrogate in more detail and analytical users who might extract JSNA data and undertake further analytical work.

 

In relation to the Strategy 2020-25, this was being developed with a number of key principles including being a short document (up to 10 sides in length) with web interface, written from a community lens, in plain English, a focus on poorer outcomes and challenges, an emphasis on the wider determinants of health, strategic alignment with the Sustainability and Transformation Partnership and other partnerships, including common priorities, collaboration and reporting arrangements, a life course approach and a five-year strategy from 2020 to 2025

 

Consultation on the new Strategy would be launched at the Devon Health and Wellbeing Board Stakeholders Conference on the 11th of July 2019. The details of the consultation could be found at http://devon.cc/jhws

 

The Report also outlined a table of the vision and priorities which were;

 

·         Priority 1. Creating opportunities for all (inclusive economic growth, education and social mobility);

·         Priority 2. Healthy, safe and strong communities (creating conditions for good health and wellbeing where we lived, worked and learned);

·         Priority 3. Focus on mental health (building good emotional health and wellbeing, happiness and resilience) and

·         Priority 4. Maintain good health for all (supporting people to stay as healthy as possible for as long as possible)

 

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

 

·         rural loneliness and the steps being taken by the Council and partners to address these issues – the Board noted that Healthwatch Devon did a deep dive review into loneliness;

·         the ability of partners to contact hard to reach populations;  ...  view the full minutes text for item 118.

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119.

Learning Disability Partnership Board - Update pdf icon PDF 2 MB

Update from the Chair of the Learning Disability Partnership Board.

Additional documents:

Minutes:

The Board received a presentation from the Chair of the Learning Disability Partnership Board, providing an update on the work being undertaken to empower people with learning disabilities to become active citizens in their communities.

 

The key areas of the Presentation included:

 

·         The Learning Disability Devon website was now live and people were finding it extremely helpful;

·         Friendship Groups continue to be set up, which are important for people to make new friends and be able to go out in their community;

·         Citizenship Project -   Devon People First were working with people with learning disabilities in their communities to empower them to enact their rights and become active citizens.  This included co-producing an easy read Citizenship pack that would support people with learning disabilities to become active citizens;

·         ensuring that people’s voices are heard by the Partnership Board and sharing that information with partner agencies;

·         tackling employment and health inequalities by working with the Quality Checking Team, hosted by Devon Link-Up; and

·         a focus on housing and making sure that people with learning disabilities had the same rights and opportunities to access social housing as everyone else.

 

 

Members’ discussion points included:

 

·         understanding the difficulties in navigating the Devon Home Choice website and the need to ensure this is as clear as possible for people with learning disabilities to enable them to access vital services;

·         connections with the police to share information – it was noted that members of the Partnership Board sit on the Safer Devon Partnership;

·         Devon Digital Lives scheme and making accessibility of websites for people with learning disabilities a focus for champions to work with the Partnership Board.

 

The Committee thanked the Chair of the Learning Disability Partnership Board for his attendance and speaking to Members.

 

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120.

NHS Long Term Plan pdf icon PDF 129 KB

Report of the Deputy Director of Strategy (NHS Devon CCG), attached.

Additional documents:

Minutes:

The Board considered a report from the Joint Associate Director of Commissioning (DCC) on the approach to developing a wider Devon system plan in response to the NHS long-term plan. It was noted that Health and Wellbeing Boards and individual partners had a key role in shaping and delivering Devon’s system plan and the broadened scope of the NHS Long Term Plan (LTP), particularly in seeking to strengthen action on prevention and inequalities, provided an opportunity for contributing and working in collaboration to address challenges at both local and system level. 

 

The Board noted that national planning guidance has now been published and the Report provided an update on the process and timescale for developing the Devon system response to the LTP including the process for engagement and an update on population need and shared priorities for wellbeing that would inform the plan.

 

The Report also gave a description of the overall process and timescale although each system (Sustainability and Transformation Partnership area) was expected to develop its plan by autumn 2019. The process was designed to ensure that the local system plan was developed through involving local communities and delivery partners, using evidence of population need to inform priorities, building upon the existing agreed system plans and strategies, defining how outcomes would be delivered and how local and national good practice initiatives would be adopted consistently and how financial stability and sustainability would be achieved.

 

The Board noted the Reports description of the plans for engagement at Locality, District, County and STP wide levels, including tier 1 – strategic engagement (Devon-wide), Devon virtual voices, focus groups and hard to reach groups.

 

In Devon, the Long-Term Plan development was being led through the Devon Sustainability and Transformation Partnership chaired by Dame Suzi Leather, with Phil Norrey in the role of interim Chief Executive.  Each constituent NHS and Local Authority organisation would be key partners in both the development and delivery of the Long-Term Plan. Health and Wellbeing Boards, in their role of ensuring the delivery of improved health and wellbeing outcomes for the population, reducing inequalities, and promoting integration would play a key role.

 

The Board also noted that in relation to the Health and Wellbeing Board’s in Devon, Plymouth and Torbay, it was proposed that a joint working arrangement was implemented to develop a common set of Health and Wellbeing priorities.

 

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

 

·         the provision of staffing, GPs and Nurses, across the Plan, with workforce supply being the single biggest restraint; and

·         the need to develop a different model that treated people outside the A&E model currently used.

 

 

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

 

RESOLVED

 

(a) that the Board acknowledge the progress to date and the proposed process, timescales, materials and levels of engagement for the development of Devon’s Long-Term Plan and endorses the robustness of the process before the engagement starts; and

 

(b) that the Board develops a joint working arrangement to agree a common  ...  view the full minutes text for item 120.

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121.

CCG updates pdf icon PDF 66 KB

An update by the Chair of NHS Devon Clinical Commissioning Group, attached.

Additional documents:

Minutes:

The Board received the Report of the Chair of the NHS Devon Clinical Commissioning Group which provided an update on CCG business, Devon-wide and national developments within the NHS. It was intended to provide the Board with summary information to ensure Members were kept abreast of important developments affecting the NHS.

 

The Board noted the updates in relation to CCG business, Devon wide issues and NHS updates including;

 

·         the Primary Care Networks and that the CCG had approved 31 applications for Primary Care Networks (PCNs), all of which were under development;

·         the CCG’s inaugural Celebrating You Awards took place on 18 June, which had been set up in response to feedback from staff and recognised excellent achievement;

·         the Annual Reports 2018/19 of Northern, Eastern and Western Devon CCG and South Devon and Torbay CCG were submitted to NHS England at the end of May and had now been published;

·         embedding new values and behaviours in the CCG – the ‘Working Together’ group had met and discussed ways of embedding behaviours that supported the CCG’s new values (One Team, Respect for All, Quality in everything we do and Everyone is a leader);

·         NHS Long Term Plan update (see minute *120);

·         Mental Health and that a garden co-designed by HRH The Duchess of Cambridge would be making its way to the Dewnans Centre at Langdon, Dawlish (the Devon Partnership NHS Trust had successfully bid for the garden, which had been displayed at the RHS Chelsea Flower Show); and

·         an update on NHS 111 which had prevented more than 12 million unnecessary A&E visits.

 

RESOLVED that the Report be noted.

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122.

References from Committees

NIL

Additional documents:

Minutes:

Nil

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123.

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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124.

Forward Plan pdf icon PDF 45 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 10 October 2019 @2.15pm

Performance / Themed Items

Health & Wellbeing Strategy Priorities and Outcomes Monitoring

Theme Based Item (TBC)

Dementia Friends Training (TBC)

 

Business / Matters for Decision

Better Care Fund Q2 Report

Homelessness Report - 12 month update

Child Poverty in Devon

Safer Devon Partnership update

Working Together Protocol for Strategic Partnerships in Devon - Update

Devon’s Safeguarding Adults Board annual report

Children and Families Plan

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

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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125.

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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126.

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 10 October 2019 @ 2.15pm

Thursday 16 January 2020 @ 2.15pm

Thursday 9 April 2020 @ 2.15pm

 

Additional documents:

Minutes:

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

 

Thursday 10 October 2019 @ 2.15pm

Thursday 16 January 2020 @ 2.15pm

Thursday 9 April 2020 @ 2.15pm