Venue: Committee Room 1 - City Hall, Bradford. View directions
Contact: Fatima Butt - 01274 432227
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DISCLOSURES OF INTEREST (Members Code of Conduct - Part 4A of the Constitution)
To receive disclosures of interests from members and co-opted members on matters to be considered at the meeting. The disclosure must include the nature of the interest.
An interest must also be disclosed in the meeting when it becomes apparent to the member during the meeting.
Notes:
(1) Members may remain in the meeting and take part fully in discussion and voting unless the interest is a disclosable pecuniary interest or an interest which the Member feels would call into question their compliance with the wider principles set out in the Code of Conduct. Disclosable pecuniary interests relate to the Member concerned or their spouse/partner.
(2) Members in arrears of Council Tax by more than two months must not vote in decisions on, or which might affect, budget calculations, and must disclose at the meeting that this restriction applies to them. A failure to comply with these requirements is a criminal offence under section 106 of the Local Government Finance Act 1992.
(3) Members are also welcome to disclose interests which are not disclosable pecuniary interests but which they consider should be made in the interest of clarity.
(4) Officers must disclose interests in accordance with Council Standing Order 44.
Minutes: No disclosures of interest in matters under consideration were received. |
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MINUTES Recommended –
That the minutes of the meeting held on 26 July 2016 be signed as a correct record (previously circulated).
(Fatima Butt – 01274 432227) Minutes: Resolved-
That the minutes of the meeting held on 26 July 2016 be signed as a correct record (previously circulated). |
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INSPECTION OF REPORTS AND BACKGROUND PAPERS (Access to Information Procedure Rules – Part 3B of the Constitution)
Reports and background papers for agenda items may be inspected by contacting the person shown after each agenda item. Certain reports and background papers may be restricted.
Any request to remove the restriction on a report or background paper should be made to the relevant Strategic Director or Assistant Director whose name is shown on the front page of the report.
If that request is refused, there is a right of appeal to this meeting.
Please contact the officer shown below in advance of the meeting if you wish to appeal.
(Fatima Butt - 01274 432227)
Minutes: There were no appeals submitted by the public to review decisions to restrict documents. |
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JOINT FINANCIAL PLANNING UPDATE The Director of Finance (Bradford Metropolitan District Council (BMDC)) and Director of Finance for Bradford City, Bradford Districts and Airedale, Wharfedale and Craven Clinical Commissioning Groups will submit Document “F” which provides an update on joint financial planning and budget discussions for health and social care between BMDC, the Clinical Commissioning Groups and health providers in Bradford District and Craven.
Recommended-
That the report be noted and the Board provides feedback on further areas of practice where efficiencies could be made and services improved through integration across health and social care or through greater emphasis on prevention and early intervention in health and wellbeing and other services.
(Angela Hutton – 01274 434176) Minutes: The Director of Finance (Bradford Metropolitan District Council (BMDC)) and Director of Finance for Bradford City, Bradford Districts and Airedale, Wharfedale and Craven Clinical Commissioning Groups submitted Document “F” which provided an update on joint financial planning and budget discussions for health and social care between BMDC, the Clinical Commissioning Groups and health providers in Bradford District and Craven.
The Chief Finance Officer of the three CCG’s (Airedale, Wharfedale and Craven CCG, Bradford City CCG and Bradford Districts CCG) and the Director of Finance Bradford Council gave a joint presentation which included the following points:
· The NHS needed to close a £22 billion deficit by 2020/21, which meant a £1 billion funding gap for West Yorkshire and a £221 million gap for the district. · The CCG’s had £800 million to spend each year, although that amount was not being cut, it was not keeping pace with demand, expectation and technology. · Health organisations had already found ways to save £106 million. · Health organisations were anticipating £18 million of extra funding via the Sustainability and Transformation Plan process to plug part of the gap but now needed to come up with a plan to close the rest of it. · Hospitals had already identified around £47 million of savings they could make, through reduced spending on drugs, controls on agency staff, reducing administration costs and boosting workforce productivity; similar sums still needed to be found and more drastic changes may need to be made. · The districts three CCG’s still needed to find £17 million of savings and the trusts which provided acute care – mainly hospitals – needed to find £46 million of extra savings. · Local Authorities were seeing significant budget reductions in addition to increasing demand for social care. · The Local Authority was looking at cuts of around £35 million to the amount it spent on Health and Social Care. · The Local Authority had managed to make the required savings but it was getting more and more difficult to continue to make further savings. · In closing the funding gap the Local Authority would need to undertake a comprehensive review of all Council activity using an outcome based approach – seeking to improve health and wellbeing as well as to reduce demand, supporting people to choose healthy lifestyles, personalised support and care, joined up health and social care provision; safeguarding people from abuse. · The Council had to make approximately a 5 % cut in net spending each year for the past few years and every year for the next 4 years. · The commitment needed from all organisations in the health, care and wellbeing sector was to maximise every £ that was spent. · Needed to look at solutions that where possible did not impact on quality and inequalities. · Needed to engage and consult where required. · A commitment was required by all leaders across the Health and Social System to make bold changes.
Rob Webster Senior Responsible Officer, West Yorkshire and Harrogate Sustainability and Transformation Plan (STP) reported on the linkages with the West Yorkshire ... view the full minutes text for item 12. |
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The Health and Wellbeing Chair’s highlight report (Document “G”) summarises business conducted between meetings: where for example reporting or bid deadlines fall between Board meetings or business conducted at any meetings not held in public where these are necessary to consider material that is not yet in the public domain. Reporting through a highlight report means that any such business is discussed and formally minuted in a public Board meeting.
It reports on:
· Quarter 1 performance of the 2016-17 Better Care Fund Business conducted at the August meetings of the Bradford Health and Care Commissioners Group and the Integration and Change Board · A short update on progress on action to establish a Healthy Weight Delivery Board
Recommended-
That the Board notes the Better Care Fund Performance report for Quarter 1 of 2016-17 and receives further progress and performance reports at future Board meetings.
(Angela Hutton – 01274 437345)
Additional documents: Minutes:
The Health and Wellbeing Chair’s highlight report (Document “G”) summarised business conducted between meetings: where for example reporting or bid deadlines fall between Board meetings or business conducted at any meetings not held in public where these are necessary to consider material that is not yet in the public domain. Reporting through a highlight report means that any such business was discussed and formally minuted in a public Board meeting.
The report focused on:
· Quarter 1 performance of the 2016-17 Better Care Fund · Business conducted at the August meetings of the Bradford Health and Care Commissioners Group and the Integration and Change Board · A short update on progress on action to establish a Healthy Weight Delivery Board
In terms of the Better Care Fund update it was felt that it would be more appropriate to report by exception ie where there was an issue on the Better Care Fund Summary Dashboard rather than reporting on all schemes. Members also felt it would be helpful to have a description of each objective and what it would achieve.
Members requested that the Terms of Reference for the Delivery Board for the Healthy Weight Programme should be circulated to Members. Members also requested that the voluntary sector be involved in this piece of work.
Resolved-
(1) That the Board notes the Better Care Fund Performance report for Quarter 1 of 2016-17 and receives further progress and performance reports at future Board meetings.
(2) That the draft Terms of Reference for the Healthy Weight Group be circulated to Board Members.
Action: Strategic Director Health and Wellbeing
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HEALTH AND WELLBEING BOARD TERMS OF REFERENCE The Director of Public Health will submit Document “H” which proposes review of the Terms of Reference for the Health and Wellbeing Board, last reviewed in March 2014, in order to reflect changes in the scope of the Board’s responsibilities and recent changes to the Council Directorships and Portfolios as currently referenced in the Terms of Reference.
This would allow Members to consider whether the stated purpose, membership and duties of the Board should be amended to reflect recent developments in relation to new ways of working in the health and care sector and integration of health and care services.
Recommended-
(1) That the Terms of Reference for Bradford and Airedale Health and Wellbeing Board are updated to reflect changes to Council Portfolios and Strategic Directorships and the additional duties noted at section 3.3.2 of Document “H”.
(2) That further comments and submissions in respect of updating the Terms of Reference are received by 30th September 2016 and that a final proposal is developed and circulated for consultation and brought to the November 2016 Board meeting for agreement.
(Angela Hutton – 01274 437345)
Minutes: The Director of Public Health submitted Document “H” which proposed a review of the Terms of Reference for the Health and Wellbeing Board, last reviewed in March 2014, in order to reflect changes in the scope of the Board’s responsibilities and recent changes to the Council Directorships and Portfolios as currently referenced in the Terms of Reference.
This would allow Members to consider whether the stated purpose, membership and duties of the Board should be amended to reflect recent developments in relation to new ways of working in the health and care sector and integration of health and care services.
Resolved-
(1) That the Terms of Reference for Bradford and Airedale Health and Wellbeing Board be updated to reflect changes to Council Portfolios and Strategic Directorships and the additional duties noted at section 3.3.2 of Document “H”.
(2) That further comments and submissions in respect of updating the Terms of Reference are received by 30th September 2016 and that a final proposal is developed and circulated for consultation and brought to the November 2016 Board meeting for agreement.
Action: Strategic Director, Health and Wellbeing
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The Working Better Together report is a standing item at the Health and Wellbeing Board that brings regular updates on development of a whole system approach to health, social care and wellbeing; for example supporting further integration between health and social care organisations and processes and directing the health and wellbeing system to develop integrated strategies.
The Interim Strategic Director of Adult and Community Services and the Chief Officer Bradford City and Bradford Districts Clinical Commissioning Groups will submit Document “I” which notifies the Board that a presentation will be made at the Board meeting to provide a further update on the development of a Mental Health and Wellbeing Strategy for Bradford, Airedale and Craven and assurance that good progress is being made and draws out themes from the draft strategy.
Recommended-
That the Board receives the update and provides feedback to further shape the strategy and encourages wide participation in consultation on the draft strategy through its constituent organisations.
(Ali-Jan Haider – 01274 237290)
Minutes:
Chair
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