Agenda, decisions and minutes

Bradford and Airedale Health and Wellbeing Board
Tuesday, 26th March, 2019 10.00 am

Venue: Committee Room 1 - City Hall, Bradford. View directions

Contact: Fatima Butt - 01274 432227 

Items
No. Item

31.

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 interests were received.

32.

MINUTES

Recommended –

 

That the minutes of the meeting held on 29 January 2019 be signed as a correct record (previously circulated).

 

(Fatima Butt – 01274 432227)

Minutes:

Resolved-

 

That the minutes of the meetings held on 29 January 2019 be signed as a correct record.

33.

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.

34.

UPDATE ON "CONNECTING PEOPLE AND PLACE": A JOINT HEALTH AND WELLBEING STRATEGY FOR BRADFORD AND AIREDALE pdf icon PDF 180 KB

Previous Reference:           Minute 22 (2018/19)

                                                Minute 30 (2018/19)

 

The Health and Wellbeing Board received an update on progress against the Joint Health and Wellbeing Strategy in November 2018.

 

The Strategic Director Health and Wellbeing will submit Document “L” which provides a further update on developments and activities relating to the implementation of the Strategy and progress against the outcomes set out in the logic model.

 

The logic model is a way of knowing whether or not the work being undertaken has made a difference to the health and wellbeing of the District’s  population. The Board received an update on the overarching measures of the Strategy (life expectancy and healthy life expectancy) in January 2019.

 

Recommended-

 

That the content of the report and progress against the measures set out in the logic model be acknowledged, and the Board provides feedback for further action.

 

                                                                        (Toni Williams – 01274 434701)

Additional documents:

Decision:

Resolved-

 

(1)                  That the contents of the report (Document “L”) and the progress against the measures set out in the logic model be acknowledged.

 

(2)                  That the Children’s Trust Board considers the key measures of children’s health highlighted in “Document “L” and presents its findings and proposals to this Board.

 

(3)                  That a report on Knife Crime be considered at a future development session.

 

(4)                  That the proposals for data sharing which have been developed by the Digital 2020 programme are considered by the Integration and Change Board.

 

(5)                  That the Strategic Director, Place or a member of his team be invited to contribute to the development of proposals to reduce health inequalities in the City CCG area.

 

(6)                  That future reports include a dashboard, logic models and a rag rating element to the outcomes detailed in the report.

 

Action:     Strategic Director Health and Wellbeing/Director of Public Health (6), Interim Strategic Director Children’s Services (2), Chief Superintendent Bradford District West Yorkshire Police (3), Director of Integration and Change Board (4), Bradford City, Bradford Districts and Airedale, Wharfedale and Craven Clinical Commissioning Groups (5)

 

                                                                        (Sarah Muckle – 01274 432805)

Minutes:

Previous Reference:           Minute 22 (2018/19)

                                                Minute 30 (2018/19)

 

The Health and Wellbeing Board received an update on progress against the Joint Health and Wellbeing Strategy in November 2018.

 

The Strategic Director Health and Wellbeing submitted Document “L” which provided a further update on developments and activities relating to the implementation of the Strategy and progress against the outcomes set out in the logic model.

 

The logic model was a way of knowing whether or not the work being undertaken had made a difference to the health and wellbeing of the District’s  population. The Board received an update on the overarching measures of the Strategy (life expectancy and healthy life expectancy) in January 2019.

 

The Director of Public Health gave an explanation on some of the outcomes set out in the logic model:

 

·         The overarching outcomes relating to life expectancy showed that life expectancy for people in the Bradford District was increasing, after previously showing signs of improvements starting to level off; Life expectancy at birth for a male born in the District was now 77.7 years, and for a female born in the District life expectancy was now 81.6 years.

·         The overarching outcome relating to Healthy life expectancy showed a less positive picture; healthy life expectancy had fallen for both males and females; healthy life expectancy at birth in males fell to 60.4 years in the Bradford District; this was the lowest value recorded and remained below the average for England (63.4 years; for females, healthy life expectancy at birth fell to 59.0 years, as with males this was the lowest value recorded and remained below the average for England (63.8 years).

·         Because healthy life expectancy had not improved and life expectancy had increased, this meant that although people could expect to live longer, they were likely to spend more years in poor health.

Outcome 1 (our children have a great start in life)

 

·         School readiness and good level of development – There had been a small decrease in the number of children achieving a good level of development at the end of reception.

·         Better Start Bradford work involved identifying and working with families at risk of poor outcomes across three wards in the District. A range of preventative interventions focusing on pregnancy and fist three years of life had been introduced to establish the right foundations for good health and wellbeing; the aspiration was that more children would start school ready to learn.

·         Educational attainment -   in relation to primary schools, recent results showed that there was an increase in the proportion of pupils achieving the expected standard across a range of subjects; the gap between Bradford and national performance had remained the same; GCSE results continued to improve with Attainment 8 narrowing the gap on the national average and progress 8 showing positive progress.

·         Not in education, employment or training – latest data showed there had been a small increase in the number of 16-17 year olds not  in education, employment or training – a number of actions  ...  view the full minutes text for item 34.

35.

UPDATE ON FAMILY HUBS PREVENTION AND EARLY HELP IMPLEMENTATION pdf icon PDF 6 MB

Previous Reference:           Minute 116 (2017/18)

 

On the 3 April 2018, the Council’s Executive agreed to implement the Family Hubs model for delivering prevention and early help to babies, children and young people from October 2018.

 

The Interim Strategic Director, Children’s Services will submit Document “M” which  provides an update on implementation since April 2018.

 

Recommended-

 

(1)       That the progress on 0-19 Family Hubs to date be noted.

 

(2)       That the governance and planning to deliver against the consensus for an all ages approach to prevention and early help be endorsed and supported.

 

                                                (Gladys Rhodes-White – 01274 431266)

 

 

 

Additional documents:

Decision:

Resolved-

 

(1)          That a single coordinated approach to Early Help and Prevention is created, supported by a programme management infrastructure and a proposal be submitted to the Board’s development session.

 

(2)      That the Board considers an item on the work underway to support the effectiveness and sustainability of the Community and Voluntary Sector.

 

Action:          Chief Superintendent Bradford District, West Yorkshire Police  

Minutes:

Previous Reference:           Minute 116 (2017/18)

 

On the 3 April 2018, the Council’s Executive agreed to implement the Family Hubs model for delivering prevention and early help to babies, children and young people from October 2018.

 

The Interim Strategic Director, Children’s Services submitted Document “M” which  provided an update on implementation since April 2018.

 

It was reported that there was a broad consensus that an all ages approach to prevention and early help across the district was secured. Such an approach would recognise and build upon the collective assets across families and communities.

 

The Interim Strategic Director, Children’s Services emphasised that it was important that Family Hubs and Early Prevention was effective as it impacted on the future life chances of children. Investing in Early Help would help in having happy, healthy adults.

 

It was reported that the Family Hubs covered West, South, East and Keighley/Shipley combined and they delivered:

 

·      Co-ordination and an information networks across universal and targeted support in the area;

·      Focused work which built family relationships and improves children’s outcomes;

·      Worked to reduce family poverty and support social mobility;

·      Co-location of key teams, particularly with the 0-19 children’s public health service.

 

It was reported that under the Family Hubs model, Children’s Services continued to provide the following services on a district-wide basis:

 

·         Early Help Gateway (including Families Information Service and SEND Local Offer) which would be a single point of contact for advice on prevention and early help linking together on-line and phone based advice, information and referral routes and was being fully integrated with the social work front door;

·         Oversight of educational support, including children missing from education (provided through a dedicated Education Safeguarding Service);

·         Specialist behaviour support and inclusion for children and young people with special education needs and disabilities;

·         Short breaks for disabled children and young people;

·         Intensive Family Support/Family Group Conferences to prevent children and young people coming into care.

 

The Interim Strategic Director, Children’s Services reported that the challenges included unintended consequences such as the reduction in resources; staff were used to working with pre school to 5 but now getting them to work 0-19; changes undertaken at a time where there was a rise in the demand for the service; feeling the tension between universal offer and targeted services; trying to identify dense area of need and poorer areas on outcomes for children and adults.

 

Members made the following comments:

 

·         Good progress being made but how long would it be before the service was to full capacity?

·         Needed to ensure that the service was working efficiently with all partnerships such as police, fire, health etc to ensure maximum impact of the service.

·         Sharing information between partners was extremely useful and needed to work across localities.

·         A coordinated approach to early help and prevention was needed supported by a programme management infrastructure.

·         The voluntary sector played a very important role; funding allocated to voluntary sector was short term which made it difficult to retain experience staff; needed sustainable funding for the voluntary sector.  ...  view the full minutes text for item 35.

36.

CHAIRS HIGHLIGHT REPORT pdf icon PDF 67 KB

The Strategic Director, Health and Wellbeing will submit the Chairs Highlight Report (Document “N”) which summarises business conducted between meetings. The report includes updates from the Executive Commissioning Board and the Integration and Change Board.

 

Recommended-

 

That the Executive Commissioning Board and Integration and Change Board updates be noted.

 

                                                                        (James Drury – 07970 479491)

Decision:

Resolved –

 

That the Executive Commissioning Board and Integration and Change Board updates be noted.

 

                                                            (James Drury – 07970 479491)

Minutes:

The Strategic Director, Health and Wellbeing submitted the Chair’s Highlight Report (Document “N”) which summarised business conducted between meetings. The report included updates from the Executive Commissioning Board and the Integration and Change Board.

 

Resolved –

 

That the Executive Commissioning Board and Integration and Change Board updates be noted.