Apologies for absence were received from Councillor CNH Attwood, Mr S Clee, Mr B Hanford, Mr D Smith and Mr A Watts.

Mr A Dawson for Mr D Smith and Mrs S Doheny for Mr B Hanford.

None.

To approve and sign the Minutes of the meeting held on the 28 January 2014.

The Minutes of the meeting held on the 28 January were approved and signed as a correct record.

To approve the joint commissioning and Better Care Fund first Submission.

The Director of Adults Wellbeing presented a report on the Better Care Fund (BCF) Submission, and highlighted the following issues:

·                That the initial submission, made on the 14 February, had been well received and that the next iteration would be submitted on the 4 April.  Since the initial submission, progress had been made in three areas: governance, additional potential areas for pooled funding, and the non-recurrent nature of current funding streams.

·                That the guidance that had been received had changed throughout this process and had shifted in emphasis. April 2014 was no longer the final submission date, but a staging post.   There would be another submission date in June, and there were indications of further submissions to be made in September and January 2015.

·                That there was a requirement within the submission to state the vision for 2015/16, and this was included in the report, together with the five key transformational priorities.

·                That it had been acknowledged that more work was needed in certain areas of the submission, and this would be the main focus over the next 12 weeks.

·                That the Health and Wellbeing Board would take the leadership of the Better Care Fund Governance in order to provide the residents of the County with a way of influencing the process.

In reply to a question from the Chairman, the Director said that the initial document had been peer reviewed by both the Local Area Team and the Association of Directors of Adult Social Services (ADASS) as part of the submission process.  The submission had been well received, although there had been an issue raised around the assessment of acute pathways.

The Director of Children’s Wellbeing added that a review of the Terms of Reference, Membership and Work Programme of the Health and Wellbeing Board would be undertaken over the next month in order to ensure that both were fit for purpose in the light of the submission and the likely increase in the BCF requirements.

In the ensuing discussion, the following points were made:

·                That it was encouraging to see that plans were not being made in silos.

·                That the housing sector was not presently represented on the Board.

·                That a Joint Commissioning Board would be set up between the Clinical Commissioning Group and the Council in order to make better informed commissioning decisions and use of resources. 

·                A day would be set aside to ensure that the BCF priorities met with the needs of the county as represented by the Systems Leaders Group.

RESOLVED:

THAT:

(a)     The next iteration of the Better Care Fund (BCF) submission be agreed for submission to NHS England on the 4^th April 2014;

(b)       Sign off of the submission would be through a meeting of the Chief Officer Clinical Commissioning Group, Director of Adult Well Being Herefordshire Council, Chair of Health and Wellbeing Board on 2^nd April 2014

(c)       The proposed governance arrangements for the programme of activities associated with the BCF in 2014/15 be agreed

(d)       The terms of  ...  view the full minutes text for item 28.

To receive an oral report on the Public Health Commissioning Strategy.

The Director of Public Health reported that work was in hand on setting the Public Health commissioning strategy.  Once it had been finalised, it would be brought back to the Board for information.

To receive a presentation on the CCG’s two and five year plans.

The Board received a presentation on the Herefordshire Clinical Commissioning Groups (HCCG) two and five year plans.

The Chief Financial Officer, HCCG reported that the two year plan would be put before the Group’s Board next week and asked that Health and Wellbeing Board members provide feedback on the plan by next Monday.  The formation of the five year plan was an iterative process which would be finalised in June in order to fit in with the NHS national planning requirements. 

The following areas of the two year plan were highlighted:

·         The 8 Key strategic Work areas aimed at delivering system change. These had captured all the CCG planning over the next five years and reflected the move from a CCG to a systems wide plan.

·         The work streams that would provide links to the Better Care Fund and joint future commissioning plans;

·         That the Health & Wellbeing Modernisation Programme Board had been developed that would have final approval of the Five Years Strategic Unit plan, and would deliver the Unit Plan, including where it was involved with the Better Care Fund.  It included all senior Health and Care leaders in the system, and would review progress against delivery and lead the annual refresh of plans going forward.

·         The financial allocations for the CCG for 2014/15 and 2015/16, together with the financial challenges and their mitigations for delivering financial sustainability.

·         The key metrics and outcome measures.

The Chief Financial Officer went on to present the Five Year Plan, and highlighted the following areas:

·         The key interventions and objectives designed to deliver change.

·         The three strategic system partner themes which included Integrated Services, Community Services and Medical Services.  These were supported by six strategic system partner priorities.

·         There were ten joint initiatives under the six priority areas that would progress the work of the CCG, and had been laid out as an interlocking jigsaw.

Several Board Members expressed concern that there was little reference to any priorities for addressing the health and wellbeing needs of children and young people, particularly in the five year plan. As this sector of the community represented the future health and wellbeing of the population, it was essential they were clearly included. 

RESOLVED:

That

a)    the presentations be noted; and;

b)    The two and five year plans be considered by the Children’s and Young Peoples Partnership Board.

To note the Board’s Work Programme.

The Board noted its Work Programme.

RESOLVED:  That the Work Programme be updated as part of the overhaul of the structure of the Board.