No disclosures of interest were made at the commencement of the meeting.

Recommended –

That the minutes of the meeting held on 28 January 2020 be signed as a correct record (previously circulated).

(Fatima Butt – 01274 432227)

Resolved –

That the minutes of the meeting held on 28 January 2020 be signed as a correct record.

There were no appeals submitted by the public to review decisions to restrict documents

The Chair of the Health and Care Executive Board will submit Document “A” which reports that the NHS England/ Improvement engagement paper ‘Integrating Care’ proposes significant change for both regional ‘Integrated Care Systems’ (ICS) and local place based partnerships for health and care ‘Integrated Care Partnerships’ (ICP).

The report sets out the main opportunities and challenges, and clarifies how this will be handled within the local place based partnership for health and care.

The views of the Board on the issues set out in Document “A” are requested. 

                                                            (James Drury – 07970 479491)

The Chair of the Health and Care Executive Board submitted Document “A” which reported that the NHS England/ Improvement engagement paper ‘Integrating Care’ proposed significant change for both regional ‘Integrated Care Systems’ (ICS) and local place based partnerships for health and care ‘Integrated Care Partnerships’ (ICP).

The report set out the main opportunities and challenges, and clarified how these would be handled within the local place based partnership for health and care.

The Chair commenced discussion on this item by noting that West Yorkshire was already well advanced in terms of such a partnership as it already had an Integrated Care System in place.

The Board was advised that the report reflected the direction of travel around existing policy and aimed to draw threads together in terms of local involvement. Five responses to the engagement paper from Bradford had been provided to NHS England by the deadline of 9 January 2021 and had shown that all partners had responded consistently as they had all endorsed the partnership approach.

The Board went on to discuss the principle of a place based approach and its connection to the principle of subsidiarity. The report outlined a place based approach in terms of access to advice; access to treatment; digital and non-digital communication and providing proactive support to the most vulnerable. It also raised the issue of governance, which would be a matter for this Board to consider.

The Executive Board Programme Director stressed that it was essential to maximise autonomy as well as demonstrating to NHS England how partners intended to work together to ensure that systems were robust.

The Chair asked for an indication of the necessary timetable to progress matters and was advised that the NHS England/ Improvement paper suggested that Integrated Care Partnerships should be fully functional by April 2022. However, some of the changes proposed would require Parliament to legislate, before they could be fully enacted. Therefore, local work would be undertaken on strengthening governance, finance and systems arrangements, in readiness for legislation. The legislation for integrating care had been included in the last Queen’s speech so it may reasonably be assumed that Parliament would be considering this over the coming year.

The Chief Executive of Bradford District Care NHS Foundation Trust commented that her response had highlighted the importance of service user and patient needs to the issue of governance and the need for their involvement in decision making as well as the importance of the on-going involvement of local councillors.

The Chief Executive of the Bradford Teaching Hospitals NHS Foundation Trust commented that there was a great deal to be optimistic about. She considered there should be an emphasis on both place and autonomy and noted that local work on both put West Yorkshire well ahead of the game.

The Chief Executive of Bradford Metropolitan District Council commented that the local ICS was one of the biggest in the country and that meant that effective arrangements in each place were therefore essential. While noting that the track  ...  view the full minutes text for item 29.

The Interim Strategic Director, Place will submit Document “B” which provides an overview of the Bradford District Economic Recovery plan that has been developed by the Bradford District Economic Recovery Board. The Economic Recovery Board is a partnership board, chaired by Professor Zahir Irani, Deputy Vice Chancellor, University of Bradford with membership from across the business community, public sector partners, education and voluntary sectors.

The recovery plan assesses the impacts of the COVID pandemic on Bradford District’s local economy and sets out the actions that need to be taken now and over the next two years to accelerate the recovery from Covid-19 by sustaining employment and boosting productivity whilst continuing to build a more inclusive, sustainable and resilient economy for the subsequent period.

Recommended-

That the Board notes the Executive recommendations below:

·         Executive would like to thank Professor Zahir Irani and the Economic Recovery Board members for their valuable contribution to this crucial area of work

·         Executive note the approach to Economic Recovery outlined in this report and the accompanying Bradford District Economic Recovery Plan.

·         Recommend that the Economic Partnership takes the lead in taking this plan forward and uses the plan to inform the District’s approach to economic recovery supported by other appropriate partnership boards including the Skills Partnership and the Sustainable Development Partnership.

·         That these plans are progressed for the whole District, working with the Keighley and Shipley Towns Fund Boards and other partnerships.

                                            (Jason Longhurst - 01274 434748)

(Philip Witcherley – 01274 431241)

(Mark Clayton – 01274 434558)

The Interim Strategic Director, Place submitted Document “B” which provided an overview of the Bradford District Economic Recovery plan that had been developed by the Bradford District Economic Recovery Board which was a partnership board, chaired by Professor Zahir Irani, Deputy Vice Chancellor, University of Bradford with membership from across the business community, public sector partners, education and voluntary sectors.

The recovery plan assessed the impacts of the COVID pandemic on Bradford District’s local economy and set out the actions that needed to be taken now and over the next two years to accelerate recovery from Covid-19 by sustaining employment and boosting productivity whilst continuing to build a more inclusive, sustainable and resilient economy for the subsequent period.

Professor Irani joined the meeting and spoke to his paper, stressing the level of challenge the District faced from COVID, Brexit and climate change. He stated that COVID had caused a significant health and social care crisis as well as the deepest recession for 300 years. In terms of unemployment, he highlighted the disproportionate effects on younger people and people from BAME communities, both of which groups formed a large proportion of Bradford’s population.

He advised that a comparatively low proportion of the local population was qualified to NVQ level two or above and stressed the need to address that and to improve both digital and physical connectivity to increase chances for learning.

He also stressed the positive aspects of the report, especially that Bradford was fast gaining a good reputation as a place to start a business, which meant there were opportunities to be pursued as well as challenges to address. To do that, it would be vital to accelerate local recovery from the effects of the COVID pandemic. He considered that the Economic Strategy 2018-30 would be important in addressing the induced recession and that recovery would come in three phases, getting back to pre-COVID; building a better future and finally achieving a thriving and resilient local economy.

He took the Board through the approach set out in the report, which he explained was methodical,  budget driven and set against the West Yorkshire Economic Recovery Plan. It was also designed to address inequalities not to embed them. The opportunities identified in the report included having a young population, the green economy and culture.

He concluded by explaining the focus of the new Board and highlighting that it was already gaining plaudits for the high quality of its work.

The Chair thanked Professor Irani for his presentation and concurred that a successful economy was vital to the health of the population. She asked what the next steps should be and, in response, the Chief Executive of the Council highlighted that this was a strong platform for moving forward and that it would be positioned within the West Yorkshire plans for moving on. The Council had already approved investment in educational attainment, employment and skills and the good work on employment that had been going throughout the pandemic was highlighted. She  ...  view the full minutes text for item 30.

The Executive Board Programme Director will submit Document “C” which reports that prior to the first wave of the Covid 19 pandemic, a process was underway to reform the Health and Wellbeing Board, to become the Wellbeing Board, including associated changes to its membership, and focus.

The Wellbeing Board has been operating in shadow form for several months, and now seeks a formal decision in accordance with the Council’s Constitution in order to complete the process of transition.

Recommended -

(1)  That the Health and Wellbeing Board supports and agrees the proposed focus of the Board’s activity; its membership; its operating model and implementation plan.

(2)  That the changes to the Terms of Reference of the Health and Wellbeing Board be referred to Governance and Audit Committee at its meeting in April 2021 as part of the changes to the constitution that will be considered at that meeting.

(James Drury - 07970 479491)

The Executive Board Programme Director submitted Document “C” which reported that prior to the first wave of the Covid 19 pandemic, a process had been underway to reform the Health and Wellbeing Board, to become the Wellbeing Board, including associated changes to its membership, and focus.

The Wellbeing Board had been operating in shadow form for several months, and now sought a formal decision in accordance with the Council’s Constitution in order to complete the process of transition.

Members were advised that there would be both formal meetings and development sessions under the new arrangements, long with an annual gathering of all members.

It was stressed that the new arrangements meant that this Board was still responsible for the statutory functions of a health and well being board and that they must continue to be addressed as must the governance arrangements for the Integrated Care System as discussed earlier in the meeting.

A member suggested the inclusion of a representative of the Race Equality Network within the membership of this Board as the Outbreak Control Board would be wound up post pandemic and the continued participation of the Network in the work of this Board would be important.

Resolved -

(1)          That, subject to the invitation of a representative of the Race Equality Network to become a member of the Board, the Health and Wellbeing Board supports and agrees the proposed focus of the Board’s activity; its membership; its operating model and implementation plan.

(2)          That the changes to the Terms of Reference of the Health and Wellbeing Board be referred to Governance and Audit Committee at its meeting in April 2021 as part of the changes to the constitution that will be considered at that meeting.

Action:  Executive Board Programme Director/City Solicitor