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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127.

Announcements

Additional documents:

Minutes:

The Chair welcomed Sir Simon Day who was attending the meeting in his capacity as a Co-opted Member of the Council's Standards Committee to observe and monitor compliance with the Council’s ethical governance framework.

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128.

Minutes pdf icon PDF 119 KB

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

Additional documents:

Minutes:

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

           

 

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129.

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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130.

Devon Joint Health and Wellbeing Strategy: Priorities and Outcomes Monitoring pdf icon PDF 70 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 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;

 

·         Adult Smoking Prevalence, 2017 – The latest figures from the Annual Population Survey (APS) indicated that 13.4% of the Adult population in Devon smoked. Rates remained lower than the South West, local authority comparator group and England. Differences between local authority district in Devon were not statistically significant.

·         Feel Supported to Manage Own Condition, 2018-19 – In Devon, 84.2% of people with a long-term condition in the GP survey, felt they had enough support to manage their own condition. This was significantly higher than South West (81.8%), local authority comparator group (83.6%) and England (78.4%) rates. Rates had increased from 2017-18 and were highest in West Devon (88.4%).

·         Deaths in usual place of residence, 2017 – 53.2% of Devon residents who died during 2017 did so in their usual place of residence (home, care home or religious establishment).  This was the same as the South West rate (53.2%), and above local authority comparator group (50.5%) and England (46.6%) rates.  Within Devon the highest rates were in the South Hams (57.3%) and West Devon (56.7%), and the lowest were in Exeter (47.8%).  Rates had generally increased over time.

·         Fuel Poverty, 2017 – Just over one in ten households in Devon were in fuel poverty (11.6%). Levels of fuel poverty increased from last year (10.9%) but remained lower than 2015 (12.2%) and 2014 in Devon but fell or remained stable in many other areas of the country. Despite this, rates continued to remain above the South West and local authority comparator group rates.

·         Estimated Dementia Diagnosis Rate (65+), 2019 – In 2019, it was estimated that 7,764 people in Devon aged 65 and over were on a GP register for dementia. Recent data showed that Devon (59.8%) was lower than the South West (62.4%), local authority comparator group (64.9%) and significantly lower than England (68.7%) rates.  Within the county, the highest rates were seen in Exeter (71.9%) and lowest in the South Hams (41.4%). Devon did not meet the dementia diagnosis target set at 67% by NHS England.

 

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

 

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

 

·         whether the rates of Death in usual  ...  view the full minutes text for item 130.

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131.

Devon's Safeguarding Adults Board Annual Report pdf icon PDF 1 MB

Report of the Chair of the Devon Safeguarding Adults Board (DSAB), attached.

Additional documents:

Minutes:

The Committee received a presentation from the Chair of the Devon Safeguarding Adults Board on its Annual Report 2018/19 and covered:

 

·         What is Safeguarding Adults?

·         The six safeguarding principles

·         What is meant by Abuse and Personal stories

·         How to report abuse

·         Safeguarding activity in Devon

·         Deprivation of Liberty Safeguards (DoLS)

·         The Board and its Sub-Groups and their work

·         What had been done: last year actions and priorities?

·         Learning Events and lessons from Safeguarding Adults Reviews (SARs); and

·         Plans moving forward.

 

The Annual Report included the work of the DSAB sub groups such as the Mental Capacity Act, the Safeguarding Adults Review Core Group, the Learning and Improvement Group, Operational Delivery and Community Reference Group.  Furthermore, the Report outlined the 2018-19 Priorities which included ensuring that people in Devon felt safer, protecting people from harm by proactively identifying people at risk, whilst promoting independence and increasing the legal literacy of practitioners in respect of the MCA.

 

The Report concluded with the key achievements that had been made with partner agencies including the Police, the Council, Healthwatch Devon, the Dorset and Cornwall Community Rehabilitation Company, HM Prison Exeter, Probation Service, Public Health Devon, Clinical Commissioning Groups, NHS and Ambulance etc.

 

[NB: The Safeguarding Board Annual Report will also be available, alongside other documentation, such as Safeguarding reviews at: https://new.devon.gov.uk/devonsafeguardingadultsboard/]

 

Members’ discussion points/comments with the Chair of the Board included:

 

·         the value of the personal stories as a tool for learning and development and context;

·         the increased number of referrals from the public which was a positive sign of improved awareness;

·         a deep dive audit that took place on the reporting of safeguarding concerns;

·         liaison and representation on the Safer Devon Partnership to aid communication and help avoid duplication;

·         an important theme of the Board included improving the experience of children transitioning into adult care services; and

·         staff understanding of the Mental Capacity Act and the new Creative Solutions programme.

 

RESOLVED that the Report be welcomed and the Committee place on record its thanks to the Chair and those involved in the production of the Report.

 

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132.

Joint Commissioning in Devon, the Better Care Fund and Governance Arrangements pdf icon PDF 142 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 a joint Report of the Joint Associate Director of Commissioning, Devon County Council and NHS Devon CCG on the 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 recent return to NHS England on 27 September 2019 had met each of the national conditions required of the submission.   As part of the return, the submission outlined the 2019/20 targets and plan around four key metrics:

 

·         total number of specific acute non-elective spells per 100,000 population;

·         delayed transfers of care per day (daily delays) from hospital;

·         long term support needs of older people met by admission to residential and nursing care homes older 100,000 population; and

·         proportion of older people who were still at home 91 days after the discharge from hospital into reablement / rehabilitation services.

 

Members discussion points included:

 

·         Delayed Transfers of Care had improved across the County, apart from Exeter where this was above the 3.5% target;

·         Winter monies – social care received £3.5m to cope with additional demand over the winter period to enhance capacity and invest in Primary Care and hospitals;

·         Funding from the BCF to help support districts to provide appropriate housing;

·         The Proud to Care campaign and the aim to integrate workforces under the banner of the NHS; 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 Report be endorsed.

 

 

 

 

 

 

 

 

 

 

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133.

Healthy and Happy Communities: Devon's Joint Health and Wellbeing Strategy 2020-25 pdf icon PDF 141 KB

Report of the Chief Officer for Communities, Public Health, Environment and Prosperity on Healthy and Happy Communities: Devon’s 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 on the Joint Health and Wellbeing Strategy to cover the period 2020 to 2025.

 

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

 

During 2019, Devon’s Health and Wellbeing Board had been developing its new Joint Health and Wellbeing Strategy to cover the period 2020 to 2025. Following the publication of the draft for consultation in July 2019, the Report summarised the consultation, changes made to the Strategy, and set out the next steps.  The consultation consisted of an online consultation survey, yielding 135 responses; focus groups with various people coordinated by Living Options Devon involving 173 people which included those with learning disabilities, LGBTQ communities, young people, disabled and deaf people, and BME communities; and table discussions at the annual stakeholder conference.

 

The vision and priorities from the draft JHWS were summarised in the table below:

 

Table 1, Draft Joint Health and Wellbeing Strategy 2020-25: Vision, Principles and Priorities

 

Vision:            Health outcomes and health equality in Devon will be amongst the best in the world and will be achieved by Devon’s communities, businesses and organisations working in partnership.

 

Principle 1.      Prioritise prevention and early intervention across the health, care and wellbeing system

 

Principle 2.      Recognise and support the growing contribution and needs of voluntary, community and social enterprise organisations to improving health and wellbeing, and the role of the public in the continuing development of services

 

Principle 3.      Recognise the diversity that exists across Devon, and respond to inequalities: those differences in health which are avoidable

 

Principle 4.      Seek to ensure that Devon’s citizens have access to the information and support they need to stay well, and receive health and care services tailored to their needs when required

 

Principle 5.      Adapt for the future by developing relationships and supporting partnerships across the community to support individuals and families with more complex needs

 

Principle 6.      Develop the wider health and wellbeing workforce and embrace digital solutions

 

Priority 1. Create 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 live, work and learn

Priority 3. Focus on mental health

Building good emotional health and wellbeing, happiness and resilience

Priority 4. Maintain good health for all

Supporting people to stay as healthy as possible for as long as possible

a. Narrow gaps in educational attainment and adult skills

b. Reduce levels of child poverty

c. Support economic growth in more disadvantaged areas

d. Increase social mobility

a. Improve housing conditions, reduce homelessness, and increase supply of appropriate housing

b. Create conditions for good health, physical activity and social interaction

c. Support healthy workplaces and schools

d.  ...  view the full minutes text for item 133.

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134.

Children and Families Plan pdf icon PDF 72 KB

Report of the Chief Officer for Children’s Services, attached.

Additional documents:

Minutes:

The Board received the Report of the Chief Officer for Children’s Services (CS/19/26) on the Devon Children and Families Partnership Children and Young People’s Plan and the connections to the Health and Wellbeing Strategy.

 

The Devon Children and Families Partnership (DCFP) was established in 2018 in response to the Wood Review reforms and subsequently set out in statutory guidance ‘Working Together 2018’.  The DCFP strategic plan set out the vision and priorities for children and families in Devon for the next three years.  It was led by three local safeguarding partners, being the Council, the Clinical Commissioning Group (CCG) and Devon and Cornwall Police, although membership spanned education, schools, social care, public health, health providers, District Councils, voluntary sector, police and children and families. The partnership had a responsibility to safeguard and promote the welfare of children and young people in Devon.

 

The development of the Plan had been coordinated through a range of multi-agency events and refreshed the commitments made and direction that had been set in 2017. The voice of children and families had been a critical foundation to the priorities.

 

The vision and priorities identified in the Children and Young People’s Plan included all children / young people having the right to:

 

1.  Life Chances – including a good education for all, better support for children in care and care leavers and improving the Special Educational Needs and Disabilities (SEND) offer.

2.  Be Healthy and Happy – including emotional wellbeing, mental health and self-harm, early support for autism and improving speech and language services.

3.  Feel Safe – including better identification and prevention of neglect, support for vulnerable young people at risk and helping more people stay out of care.

4.  Be Protected from Harm – including protecting and supporting children where there was domestic or sexual violence and abuse, helping children in crisis and reducing the impact of self-harm and preventing exploitation.

 

The Partnership would continue to engage with children and to refine interventions and demonstrate impact. It had also reviewed population data taken from the Joint Strategic Needs Assessment and Devon Children and Young People’s Sustainability and Transformation Plan Data Pack which informed the priorities.

 

The Plan broke with tradition and moved towards total digital communication, putting the purpose and priorities in the hands of staff and children, accessible through mobile devices and accessible in language and design. The Report further highlighted how the plan had been shared and the positive feedback received.

 

The Plan would be supported by more detailed documents such as an Outcomes Framework a Workforce Development Strategy and a Joint Commissioning Plan and there were multiple sub-strategies and plans.  The priorities were focused on areas of increased demand or high spend and the preventative and early intervention support required to prevent increased demand in the future, which was challenging in current financial conditions.

 

Members discussion points with officers included:

 

·         ongoing work with young people to include climate change actions within the Plan;

·         an emphasis on children living in poverty and deprivation  ...  view the full minutes text for item 134.

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135.

CCG Updates pdf icon PDF 104 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 NHS Long Term Plan – called ‘Better for you, Better for Devon’ to ensure the County was fit for the future, providing high quality care and better health outcomes for people and their families;

·         the quality of health and care services in Devon;

·         the Devon Sustainability and Transformation Partnership had been shortlisted for the Public Sector Campaign of the Year;

·         the CCG had earned a prestigious Green Star for engagement;

·         the NHS and Local Government were working together in Dartmouth to build a new health and wellbeing centre;

·         Devon Doctors would provide 111 and out of hours from 1 October 2019;

·         the Peninsula Clinical Services Strategy update; and

·         the results of the Better Births engagement which consisted of NHS and health care organisations undertaking 8 weeks of engagement to gather the thoughts, experiences and views of parents and families about births in Devon.

 

RESOLVED

 

(a) that the CCG Updates Report be noted, including the current position with the NHS Long term Plan and the required submission dates; and

 

(b) that the Health and Wellbeing Board note that the final approval of the NHS Long term Plan will be undertaken in line with the Council’s Constitution and Budget and Policy Framework, although the documentation will be considered by the Director of Public Health, in consultation with the Chair, on behalf of the Board.

 

(Post Meeting Note – The NHS Long Term Plan is due to be considered by the Council’s Cabinet on 13 November 2019).

 

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136.

References from Committees

NIL

Additional documents:

Minutes:

Nil

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137.

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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138.

Forward Plan pdf icon PDF 44 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 16 January 2020 @ 2.15pm

Performance / Themed Items

Health & Wellbeing Strategy Priorities and Outcomes Monitoring

Theme Based Item - Child Poverty in Devon

 

Business / Matters for Decision

Better Care Fund - frequency of reporting TBC

Inter-Board Collaboration

Homelessness Reduction Act Report - 12 month update

Safer Devon Partnership update

Strategic Approach to Housing

Working Together Protocol for Strategic Partnerships in Devon - Update

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

Gap in employment rate for those with mental health

CCG Updates

 

Other Matters

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

 

Thursday 16 July 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

JSNA / Strategy Refresh

CCG Updates

 

Other Matters

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

 

Thursday 8 October 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 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

CCG Updates

 

Other Matters

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

 

Thursday 8 April 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

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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139.

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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140.

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 16 January 2020 @ 2.15pm

Thursday 9 April 2020 @ 2.15pm

Thursday 16 Jul 2020 @ 2.15 pm

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 will take place at County Hall, unless otherwise stated.

 

 

Additional documents:

Minutes:

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

 

Meetings

Thursday 16 January 2020 @ 2.15pm

Thursday 9 April 2020 @ 2.15pm

Thursday 16 Jul 2020 @ 2.15 pm

Thursday 8 Oct 2020 @ 2.15 pm

Thursday 21 Jan 2021 @ 2.15 pm

Thursday 8 Apr 2021 @ 2.15 pm

 

Annual Conference

Thursday 16 Jul 2020 @ 10.00am