The Chair reminded Members about the proposed expansion of the Health and Wellbeing Board Membership which was discussed at a Health and Wellbeing Board development meeting on 24 October.

She reported that at the development meeting Members felt that the Board needed a broader membership than the current one in order to address the wider determinants of health such as employment, housing, transport, neighbourhood and community safety.  In Bradford District to date this broader membership had been represented on the Bradford District Partnership Board rather than at the Health and Wellbeing Board.

She reported that Board Members had agreed that the Health and Wellbeing Board should strengthen its focus on the wider determinants of health as routes to improve wellbeing at a population level, and invited representatives from the social housing sector, the police service, the fire service and the Place Directorate of the Council to become Co-opted Members of the Board.

Representatives from West Yorkshire Police force, the social housing sector and the Council’s Strategic Director of Place attended the meeting and introduced themselves. The representative of the West Yorkshire Fire and Rescue Service sent apologies.

No disclosures of interests were received.

Recommended –

That the minutes of the meeting held on 26 September 2017 be signed as a correct record (previously circulated).

(Fatima Butt – 01274 432227)

Resolved –

That the minutes of the meeting held on 26 September 2017 be signed as a correct record.

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

The purpose of a Joint Health and Wellbeing Strategy is to help the Health and Wellbeing Board to meet its duties to improve health and wellbeing, reduce health inequalities between people, and provide a shared, public agreement about the focus and direction of the Health and Wellbeing Board as it leads this work. Through the Board members this shared agreement extends across the health and wellbeing sector and to other sectors and strategic partnerships who have important contributions to make to health and wellbeing.

The Strategic Director, Health and Wellbeing will submit Document “H” which reports on the final draft of the Joint Health and Wellbeing Strategy 2018-2023 and requests the Board’s approval, subject to any final amendments that the Board may wish to make.

Recommended-

That the Joint Health and Wellbeing Strategy be agreed subject to any minor amendments made at the meeting.

                                                            (Sarah Muckle – 01274 432805)

The purpose of a Joint Health and Wellbeing Strategy was to help the Health and Wellbeing Board to meet its duties to improve health and wellbeing, reduce health inequalities between people, and provide a shared, public agreement about the focus and direction of the Health and Wellbeing Board as it leads this work. Through the Board members this shared agreement extends across the health and wellbeing sector and to other sectors and strategic partnerships who had important contributions to make to health and wellbeing.

The Strategic Director, Health and Wellbeing submitted Document “H” which reported on the final draft of the Joint Health and Wellbeing Strategy 2018-2023 and requested the Board’s approval, subject to any final amendments that the Board may wish to make.

Members made the following comments:

• The strategy did not replace the Better Health Better Lives section of the District Plan.
• Needed to look at where the District Plan sat now that the Bradford District Partnership would no longer be operational; the Health and Wellbeing Strategy would be an overarching plan.
• The plan should be referred to the other strategic partnerships for them to consider how they could apply the strategy in their respective areas.
• Other Authorities had the Health and Wellbeing Strategy as their district plan.
• Population health improvement was fundamental.

Resolved-

That the Joint Health and Wellbeing Strategy be agreed and referred to the other strategic partnerships for them to consider how they can apply the strategy in their respective areas of influence.

Action: Strategic Director Health and Wellbeing

A first draft of a Health and Care Plan for Bradford District and Craven (Document “I”) is submitted to the Board for early discussion and feedback.

Recommended-

That the Board provides feedback on the draft Health and Care Plan for the Bradford District and Craven and a further draft of the plan be submitted to a future meeting.

                                                                        (James Drury – 07970 479491)

A first draft of a Health and Care Plan for Bradford District and Craven (Document “I”)  supported by a presentation was submitted to the Board for early discussion and feedback.

It was reported that this plan was a refresh of the existing place based transformation plan for care and health.  The plan was owned by the Health and Wellbeing Board and responsibility for its delivery was delegated to the Integration and Change Board (ICB).

The purpose of the plan was to ensure that the following were achieved.

• Better outcomes for the people of Bradford District and Craven; more people living longer in better health, and good health was enjoyed by everyone rather than being determined by where you live.
• Better services that met the needs of people; providing access to the highest quality interventions, delivered by teams with the best expertise, at the times people want, through the routes they preferred.
• Better use of the resources available; by reducing waste, arranging services to avoid delay and duplication, and working together to keep people well because this delivered better outcomes for people and was cost effective.

The plan was being reviewed now because the Health and Wellbeing Strategy had been refreshed.

Board Members were informed of the Our Say Counts engagement exercise which took place in Summer 2017 which aimed to hear the views of as many people as possible from all communities across Bradford District and Craven.  The independent local Healthwatch organisation led the conversation and produced a summary report which had influenced this plan.  Chapter 3 described what was learnt and how the learning was being used to guide changes.

Members commented on the following:

• Thanked Healthwatch for the Our Say Counts engagement exercise that was undertaken; would like to see this type of exercise undertaken more frequently.
• Any further feedback on the Health and Care Plan could be submitted to Sarah Hutchinson at Healthwatch.
• It was important to give feedback to participants where it was not possible to deliver a particular service/suggestion.
• Needed to ensure that there was no duplication; key performance indicators listed in the plan needed to be reviewed against those in the Joint Health and Wellbeing Strategy, the District Plan and other key strategies.
• A number of GP practices had signed up to the primary home care model, the type of services that would be included would be clearer once the needs assessment that were underway for each area had been finalised.
• It was important that there was co-ordination between the various partners in achieving the aims of the plan.
• Needed a tracker to show how the KPI’s were being achieved.
• Needed resources to shift to early help and prevention.
• What was most concerning was the £210 million efficiency savings that needed to be made across the Health and Care Sector by 2021; the Board required a further report at the February 2018 meeting on the financial position and progress towards meeting those challenges.

·         It was reported that Bradford Council had been named one  ...  view the full minutes text for item 19.

The Health and Wellbeing Board Chair’s highlight report (Document “J”) summarises business conducted between Board meetings. The December report brings: the Future in Mind Strategy for information and agreement; a Quarter 2 performance update from the Better Care Fund for information; updates from the Board’s sub-groups which are the Executive Commissioning Board and the Integration and Change Board; a proposed expansion of the Health and Wellbeing Board’s membership.

Recommended-

(1)          That the Board approves the update on the Children and Young People’s Mental Health Transformation Plan.

(2)          That the Board notes the progress at Q2 of the 2017-19 Bradford Better Care Fund Plan and compliance with reporting arrangements as set out in Better Care Fund Guidance.

(3)          That the Board approves the proposal to invite representative of the police service, the fire service, the social housing sector and the Place Directorate of the Council to become co-opted members of the Board and that the changes be included in the Boards Terms of Reference to be considered at a future meeting.

(Bev Maybury – 01274 432900)

The Health and Wellbeing Board Chair’s highlight report (Document “J”) summarised business conducted between Board meetings. The December report brings: the Future in Mind Strategy for information and agreement; a Quarter 2 performance update from the Better Care Fund for information; updates from the Board’s sub-groups which are the Executive Commissioning Board and the Integration and Change Board; a proposed expansion of the Health and Wellbeing Board’s membership.

Resolved-

(1)          That the Board approves the update on the Children and Young People’s Mental Health Transformation Plan.

(2)          That the Board notes the progress at Q2 of the 2017-19 Bradford Better Care Fund Plan and compliance with reporting arrangements as set out in Better Care Fund Guidance.

(3)          That the Board approves the proposal to invite representatives of the police service, the fire service, the social housing sector and the Place Directorate of the Council to become co-opted members of the Board, and that the changes be included in the Board’s Terms of Reference to be considered at a future meeting.

Action:           Strategic Director, Health and Wellbeing

The Chair informed Board Members that there would be CQC (Care Quality Commission) Local System Review of Health and Care taking place between 12-16 February 2018.

She reported that the review would focus on how people moved between parts of health and care system, focus on people over 65 years old and experiences of people living with dementia.

It was reported that Bradford had been selected for its good performance,  4^th out of 152 Local Authorities, on the combined measure on the NHS social care dashboard for quarter 2 of 2017-18.

It was reported that a multi-agency project team had been established to work on the CQC review.