Present: Councillors Coppinger (Chairman) and Bicknell (Lead Member for Children’s Services).

Dr Judith Kinder, Christabel Shawcross, Roger Battye, Dr Lise Llewellyn, Dr Jackie McGlynn, Deborah Maynard, Rachel Pearce and Matthew Tait.

Mark Ainsworth, Nick Davies,, Marianne Hiley, Rutuja Kulkarni, and Tim Newton

Officers: Wendy Binmore and Catherine Mullins.

42/14 APOLOGIES FOR ABSENCE

Apologies were received from Councillor Lynda Yong, Dr Adrian Hayter, Mike Copeland, and Alison Alexander

43/14 DECLARATIONS OF INTEREST

None

44/14 MINUTES

RESOLVED: That the minutes of the meeting of the Meeting held on 16 December 2014 be approved.

45/14 CHILD SEXUAL EXPLOITATION

After receiving a presentation on the findings of the internal audit into identifying CSE within the Borough, Members of the Health and Wellbeing Board agreed they would look at opportunities for carrying out their own awareness raising activities following the findings of the Borough’s internal audit. Members supported the actions and recommendations of promoting awareness and looking at their own processes and practices to enable the identification of potential people at risk of Child Sexual Exploitation. It was confirmed from the CCGs that they have been undertaking safeguarding awareness training that has incorporated CSE and had been received very positively by CCG teams and will enhance practice and identifying possible risk scenarios.

46/14 COMMISSIONING INTENTIONS EARLY HELP SERVICE

Members received a presentation on commissioning intentions which outlined the proposals and aims of the commissioning process. The presentation included a brief overview of the present situation of Early Help Services in the Royal Borough, high level impacts and outcomes sought and timescales. Members noted the core principles of the commissioning process would be introduced by April 2016. Members endorsed the aims, timescales, impacts and outcomes sought from the Commissioning Intentions Early Help Service.

47/14 PUBLIC HEALTH UPDATES – PHARMACEUTICAL NEEDS ASSESSMENT

The report was introduced by the Head of Public Health and Members noted a consultation on the PNA had been carried out across Berkshire and a second period of consultation had been completed in January 2015; part of the consultation included a survey of users and that helped to inform the draft recommendations of the PNA. The Health and Social Care Act 2012 transferred responsibility for developing and updating the PNAs to Health and Wellbeing Boards and the PNA needed to be kept up to date and fully revised every three years.

RESOLVED UNANIMOUSLY: That:

The Health and Wellbeing Board approved the consultation process and the final PNA with the revisions document.

JOINT STRATEGIC NEEDS ASSESSMENT – REFRESH

The Board received a verbal update on the JSNA and noted there had been numerous hits on the JSNA on the website which showed it was being used. Information that supports the contents of the JSNA will be having further additions during April

SEXUAL HEALTH SERVICES TENDER

The Board received a brief verbal update on the Sexual Health Services Tender. The main point was that it was going to Cabinet where a decision would be made.

48/14 HEALTH AND WELLBEING BOARD DEVELOPMENTS

Catherine Mullins, Health and Wellbeing Development Officer gave a brief presentation on the Health and Wellbeing Board (HWB) developments. The presentation included the duties and the powers of HWB’s from the Health and Social Care Act 2012. Members noted that HWB formal powers were very limited but legislation allowed for considerable scope to develop the role if partners agreed. The Kings Fund had been brought in to give an independent view on the evolving role of the HWB and strengths and areas for development were explained and illustrated. The Health and Wellbeing Development Officer informed the Board that the Terms of Reference was due for a refresh in the summer of 2015 with a forward plan or annual work programme due by autumn 2015.

The Board agreed that things had moved forward due to partners working together through the Health and Wellbeing Board but, to illustrate that, some smarter targets were required to evidence the difference that the existence of Health and Wellbeing Board had made and to demonstrate progress in a measureable way.


49/14 PRIMARY CARE CO-COMMISSIONING WITH NHS ENGLAND

Dr Jackie McGlynn gave a presentation on the CCGs Joint Approach to Co-commissioning with NHS England; she explained it was an opportunity to work with the NHSE Local Team which would enable more effective plan and improved provision of out of hospital services. The development of Joint Committees included voting membership needed to be equal between NHSE Local Team and the CCG.

Members noted that a CCG GP could not be a voting member and representatives from local Healthwatch and local HWB’s must be invited as attendees. The presentation illustrated how agreement between NHSE Local Team and CCG would work, including how the parties would work together, how risk would be managed and how contributions from the parties would be used under joint working arrangements.

Members noted the presentation and endorsed the proposed way forward of Co-commissioning.

50/14 BETTER CARE FUND

Nick Davies, Head of Strategic Commissioning for Adult Social Care and Housing explained to the Board he was seeking agreement for the recommendations to be taken to Cabinet and the CCG Governing Body in regard to the S75 legal agreement that supported the BCF. The BCF has been aligned with Slough and Bracknell with an agreement around governance to performance manage the fund. Performance risks had been agreed and funds could be redeployed throughout the year. The report focused on six project areas which were listed in the appendix of the report.

Members noted the S75 was required to have a legal agreement of transfer form the NHS to the BCF and it was necessary to plan ambitions for 2015/16 locally to potentially integrate a £14m budget. Paragraph 2.3 of the report explained how budgets would be controlled and how risks would be managed and shared. It was also noted there was a report on the BCF going to Cabinet on 26 March 2015.

RESOLVED UNANIMOUSLY: That:

Members Agreed the contents of the report and the Section 75 agreement for Cabinet and for CCG governing body to approve in March 2015. Should there be any changes that may arise from Cabinet or CCG processes, that there is delegated authority from the Chair of the HWB, the Acting Managing Director of RBWM and the Clinical Chair of WAM CCG to agree them.


51/14 COMMISSIONING INTENTIONS

The Chairman agreed the item on Commissioning Intentions was to be postponed to a future meeting of the Health and Wellbeing Board.




52/14 CARE AND SUPPORT ACT

Members received a brief presentation on Care Act Overview and Consultation Update and noted the key elements of the presentation which included high quality advice and information, prevention and early intervention and a wellbeing principle. Other key elements of the presentation included a new duty to provide support for carers, safeguarding adults, personal budgets and direct payments and Care Accounts and the Care Cap from April 2016.

Members noted the consultation on the Care Act was carried out between 5 January and 2 March 2015 and detailed the areas consulted on. They included discretionary powers regarding financial charging, development of universal deferred payment schemes and charging self funders for support planning and brokerage services.

The next steps in the consultation on charging arrangements included analysis of responses received, a report on the consultation was due to go to Cabinet in March 2015 and implementation of the new arrangements from April 2015 review.

Members endorsed the work that had been ongoing and supported the implementation of the next steps.

53/14 ADDITIONAL ITEMS FOR THE HEALTH AND WELLBEING BOARD


1 – Berkshire Healthcare Foundation Trust has a requirement to produce a Quality Account that looks at the services and performance of the community healthcare. The Quality Account is going to be going to Scrutiny Panel on the 20^th March. The HWB are aware of this and should they have any comment on the Quality Account, they can liaise with Scrutiny as appropriate through Democratic Services.

2 – Local Mental Health Crisis Care Thematic Review – This took place from the Care Quality Commission during late 2014 and currently awaiting a report on their findings and how to implement any actions they identify as needing to be completed. As this is not available yet from the CQC at this point in time, this is an item for the HWB to note and depending on the report and the actions required, is likely to be a future item of the HWB.

3 - The Autism Self Assessment has been completed and it is an annual return regarding the implementation of the National Autism Strategy 2009. Previously there has been a requirement for the HWB to be the place where the Assessment was signed off, this is no longer the case and most of the people around the table have been involved with answering the 56 assessment questions. Last year there was one “red” item regarding training for staff across health and social care, this year there are no reds, with 11 ambers and 13 greens – the rest of the questions are yes / no answers. The information from the ambers are already a part of the action plan and improvements have been made.


Letters to the Health and Wellbeing Board Chair

Only one letter had been received from Anthony Stansfield regarding protecting vulnerable women and girls from domestic abuse, sexual violence and FGM.

54/14 POTENTIAL FUTURE AGENDA ITEMS

Members noted potential future agenda items. No comments were received.

55/14 MEETING

The meeting, which began at 2.00pm, ended at 4.19pm.