Agenda and minutes

Minutes of the meeting held on 15 July 2021, attached.

RESOLVED that the minutes of the meeting held on 15 July 2021  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.

The Deputy Director of Public Health updated the Board on the current position relating to the Coronavirus.

The Deputy Director stated that a new Covid-19 Response: Autumn and Winter Plan 2021 had now been published, where the priority response was around vaccination supported by test and trace interventions.

During Devon’s enhanced response status, extra support had been provided for hard to reach local communities, the impact of which was currently being evaluated.  The county’s enhanced status had now ended.  Case numbers were currently high in Devon, and in the south west particularly, being above the English rate, but the vaccination programme was proving successful and it was important that precautions were still taken.

Members queried whether vaccination rates by gender, and also local stats, were available online, and it was agreed this information would be shared with Members post meeting.

There was some confusion around timing and eligibility of the booster vaccination and it was clarified that people would be called forward approximately six months after having had their second vaccination.

The Board noted the good work being undertaken in the voluntary sector and the vulnerable, hard to reach groups.

Data was available at:

DCC Covid-19 Dashboard: Coronavirus dashboard and data in Devon -

Coronavirus (COVID-19)

National Coronavirus Tracker: Daily summary | Coronavirus in the UK

(data.gov.uk)

National Coronavirus Interactive Map: Interactive Map |

Coronavirus in the UK (data.gov.uk)

Report of the Director of Public Health, which reviews progress against the overarching priorities identified in the Joint Health and Wellbeing Strategy for Devon 2020-2025.

The Board noted the Report from the Director of Public Health, on the performance for the Board, which monitored the priorities identified in the Joint Health and Wellbeing Strategy for Devon 2020-25.

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 latest Health and Wellbeing Outcomes Interactive Report, along with this paper, was available on the Devon Health and Wellbeing website.

The Report monitored the four Joint Health and Wellbeing Strategy 2020-25 priorities, and included breakdowns by local authority, district and trends over time. These priorities areas included:

·          Create opportunities for all

·          Healthy safe, strong and sustainable communities

·          Focus on mental health

·          Maintain good health for all

The indicators below had all been updated since the last report to the Board:

Children in absolute low-income families (Under 16s), 2019/20

The percentage of children aged under 16 living in absolute low-income families in Devon was 12.5%. This was significantly lower compared to the England rate of 15.6%. Across Devon, all districts, except for Torridge, were significantly lower compared to the England average. Torridge was significantly higher compared to the England average (17.3%).

Estimated Dementia Diagnosis Rate (65+), 2021

In Devon, the estimated dementia diagnosis rate of persons aged 65+ was 56.3%. This was significantly worse compared to the national target of 66.7%. Across Devon, there was some variation across the districts. Mid Devon, South Hams, Teignbridge Torridge and West Devon had rates that were significantly worse compared to national average. The East Devon, Exeter and North Devon rates were statistically similar to the national value.

Fuel poverty, 2019

The percentage of households in Devon that experience fuel poverty in Devon was 10.7%. The England average was 13.4%. Across Devon all districts were statistically similar to the national average.

The Board’s discussion covered:

-       the level of dementia diagnosis rates in Devon;

-       the time lag in the data not reflecting the impact of COVID over the last year, and predictive modelling; and

-       that a self-harm and suicide update was planned for the January Board meeting.

Report of the Independent Chair, Mr Paul Northcott.

The Board received the Annual Report of the Torbay and Devon Safeguarding Adults Partnership (TDSAP) 2020/21.  The TDSAP was founded in 2021 by Devon County Council and Torbay and South Devon NHS Foundation Trust following the merger of the Torbay and Devon Safeguarding Adults Boards, and provided strategic leadership for adult safeguarding across Torbay and Devon. 

The TDSAP Annual Report included sections covering:

-       Role and Purpose

-       Structure

-       Partnership Members

-       Safeguarding Adult Reviews

-       Sub-Groups

-       Priorities 2020/21

-       Work During 2020/21

The strategic priorities for the TDSAP and published in their 2021-24 Business Plan were:

-       To embed the learning from Safeguarding Adult Reviews into organisational practice;

-       To work with partners to better understand and reduce the risk of ‘Hidden Harm’, especially in the context of COVID 19;

-       To improve outcomes for people with needs for care and support by finding the right solution for them; and

-       Improving Involvement and Engagement with people in receipt of safeguarding services.

Further information on the Board’s work including the Safeguarding Board Annual Report was available on the Torbay and Devon Safeguarding Adults Partnership website.

The Chair thanked Paul Northcott, Independent Chair, for the comprehensive report.

`

Panel presentation.

The Board received presentations from a number of Officers on, firstly, Public Health Management (PHM) that covered:

-       What is Population Health Management?

-       The PHM Cycle

-       Components of effective PHM: Infrastructure, Intelligence, Interventions and Incentives

-       Devon PHM Development Programme

-       One Devon Dataset/Components

-       Primary Care Networks workstream

-       Case Studies

-       PHM development programme: lessons learnt

-       PHM Roadmap

Population Health Management was about:

-       Improving health inequalities by taking action’

-       Using data-driven insights and evidence of best practice to inform targeted, proactive interventions to improve the health and wellbeing of specific populations and cohorts;

-       The wider determinants of health, not just health and care;

-       Making informed judgements - clinical, public health and analysts working together;

-       Best use of collective resources – workforce and incentives - to have the best impact;

-       Acting together – the NHS, local authorities, public services, the VCS, communities, activists & local people. Creating partnerships of equals; and

-       Achieving practical tangible improvements for people and communities.

The second presentation covered Primary Care Flow, Northern Devon’s PHM Pilot.  Copies of both presentations would be circulated to Board Members post meeting.

The Chair welcomed the presentations and discussion, and thanked Officers for their attendance.

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

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, particularly on:

-       The South West AHSN annual review now available on their website;

-       Health services remain under intense pressure;

-       Improving children’s mental health services together; and

-       Local primary care communications campaign; and

-       Listening to communities to facilitate vaccine take-up.

There followed discussion around the pressure that the Health Services remained under and the mechanisms in place for ensuring that those people on waiting lists were given the correct level of priority according to need.

Nil

Nil

In order to prevent duplication, the Board will review the Council’s Scrutiny Work Programme.

The Board reviewed the Council’s Scrutiny Work Programme in order to avoid any potential duplications.

To review and agree the Board’s Forward Plan, attached.

The Board considered the contents of the Forward Plan, as outlined below:

RESOLVED that the Forward Plan be approved.

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 on the Devon Health and Wellbeing website.

No items of correspondence had been received since the last meeting.

Please note that dates of future meetings and conferences will be included in the Devon County Council meetings calendar.

Meetings

13 January 2022

7 April 2022

14 July 2022

20 October 2022

19 January 2023

6 April 2023

RESOLVED that future meetings of the Board would be held on the following dates:

13 January 2022

7 April 2022

14 July 2022

20 October 2022

19 January 2023

6 April 2023