Apologies were received from Councillor PM Morgan.

None.

None.

To approve and sign the Minutes of the meeting held on 17 June 2015.

The Minutes of the Meeting held on the 17 June 2015 were approved and signed as a correct record.

To receive questions from Members of the Public relating to matters within the Board’s Terms of Reference.

(Questions must be submitted by midday eight clear working days before the day of the meeting (ie on the Wednesday 13 calendar days before a meeting to be held on a Tuesday.))

None.

To approve a report on Understanding Herefordshire: the Joint Strategic Needs Assessment.

The Board received a report on Understanding Herefordshire – the Joint Strategic Needs Assessment.   The document provided a single integrated assessment of health and wellbeing needs of the people of Herefordshire and meet the statutory requirement to produce a joint strategic needs assessment (JSNA) to inform corporate business planning and commissioning intentions across the council.

In the ensuing discussion, the following points were made:

That there were three key areas within the document that should be regularly considered: Children’s Services, Adult Social Care and Economic Growth.  These were particularly important as there were different populations moving into the county.

That the economy of farming and tourism were areas where clearer data would be helpful, especially that of the patterns of work and employment in these areas.  Farming communities were unlikely to claim for free school meals which had a knock on effect on school funding. 

That it was an important part of community resilience planning for vulnerable communities such as the care home sector in the case of power cuts.

Resolved: the Joint Strategic Needs Assessment ‘Understanding Herefordshire’ Report be approved

To approve the Children and Young People's Plan 2015-2018.

The Board received the Children and Young People’s Plan 2015-18.  The Children and Young People’s Partnership had been tasked by the Health and Wellbeing Board to develop the Plan, which reflected the priorities that had previously been agreed by the Board and had been set out in the Joint Strategic Needs Analysis, the Children’s Integrated Needs Analysis and the Health and Wellbeing Strategy.  Partner Agencies would also need to approve the plan.

In the ensuing discussion, the following points were made:

·         That this was a useful document that could be referenced by other organisations.  One of the challenges would be how the health strategy for a systems wide approach should be tied into the plan.

·         It was suggested that the plan be shared with school governing bodies to help them consider ways of being involved in some of the preventative work. Consideration should also be given to the contracts for health visitors and school nurses in order to ensure their involvement.

·         That financial support was available from Sport England.

·         That there was a significant variation in suicide rates as a result of childhood experiences, and that the Plan appeared to lack a singular message in the area of life experiences and the impact of health and diet.

·         That there had been insufficient work with children and young people in the safeguarding and mental health areas up to this point, but that there would be positive movement by January.

Resolved:  that the Board approve the Children’s and Young People’s Plan.

To receive a presentation on the joint project to develop an integrated pathway for mental health services.

The Board received a presentation on a project to develop a joint, integrated, all age pathway for mental health services based around the needs of the population and the outcomes they required.  During the presentation, the following issues were highlighted:

·                That the catalyst for the work had been the imminent expiration of the existing provider contract, which offered the opportunity to reconfigure service as part of an integrated pathway.

·                The project had been set up and there was a target contract completion date of 30^th September 2016 and target contract commencement date of 1^st April 2017.

·                There would be an extension to the current contract with 2Gether NHS Foundation NHS Trust to allow the time to develop the joint mental health services specification with Herefordshire Council. As a result of the first workshop, employment, education and housing were being included as part of the pathway model. The next workshop to be held would consider the scope of the review.

·                Artificial boundaries existed with the commissioning of services, and service users would benefit by the removal of duplication and commissioners from a reduction in waste in the system.

·                That spend on mental health was £25m, and that once the scope had been finalised, the budget for the service would be set.

The Director of Adult Wellbeing pointed out that as Mental Health was the main priority for the Health and Wellbeing Strategy, the Board would need to be assured that the approach laid out in the pathway would deliver the appropriate outcomes.

Dr Watts said that there were gaps in service provision at the moment and difficult decisions might have to be made in areas of the pathway in order to address these.

It was suggested that milestones toward achievement be provided for the Board until April 2017.

Resolved:

That

a)    The report be noted;

b)    That the Communications Plan be organised through the Engagement Gateway in order to involve communication leads;and;

c)    An updated report be bought to the Board in six months’ time.

To receive the following items for information:

·         Better Care Fund Submission Update

·         Safeguarding Adults Peer Challenge Self-Assessment and Questions

·         Youth Justice Plan 2015-18

The Board noted briefing notes on the:

·         Better Care Fund Submission

·         Safeguarding Adults Peer Challenge Self-Assessment and Questions

·         Youth Justice Plan 2015-18

Resolved: That the reports be noted

To note the Board’s Work Programme.

The Board noted its Work Programme.

Resolved: That the report be noted.