Agenda, decisions and minutes

Bradford and Airedale Wellbeing Board
Wednesday, 24th July, 2019 2.00 pm

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

Contact: Fatima Butt - 01274 432227 

Items
No. Item

1.

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.

 

2.

MINUTES

Recommended –

 

That the minutes of the meeting held on 26 March 2019 be signed as a correct record (previously circulated).

 

(Fatima Butt – 01274 432227)

Minutes:

Resolved –

 

That the minutes of the meetings held on 26 March 2019 be signed as a correct record.

 

ACTION: City Solicitor

 

3.

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.

 

4.

(A) LIVING WELL FOR LONGER: WHAT THE JOINT STRATEGIC NEEDS ASSESSMENT IS TELLING US ABOUT THE HEALTH AND WELLBEING OF PEOPLE IN THE DISTRICT AND (B) UPDATE ON "CONNECTING PEOPLE AND PLACE": A JOINT HEALTH AND WELLBEING STRATEGY FOR BRADFORD AND AIREDALE pdf icon PDF 252 KB

The Health and Wellbeing Board has a statutory duty to produce a Joint Strategic Needs Assessment (JSNA). The purpose of the JSNA is to inform the Joint Health and Wellbeing Strategy (JHWBS) which, in turn, aims to improve the health and wellbeing of the local population and to reduce inequalities. Both the JSNA and JHWBS are intended to be part of a continuous process of assessment and planning, supporting the identification of priorities and gaps for commissioning, based on both evidence and need.

 

The Strategic Director, Health and Wellbeing will submit Document “A” which summarises the main findings of the JSNA, focusing on the headline indicator of health and wellbeing for a population - healthy life expectancy - and health inequalities. The report also considers what issues might require further consideration in response to the findings.

 

Recommended-

 

That the Health and Wellbeing Board members consider the content of Document “A” and provide feedback for further action.

 

                                                            (Toni Williams – 01274 437041)

 

 

 

Additional documents:

Minutes:

 

The Board decided to consider agenda items 5 and 6 together as the items correlated in the information being presented.

 

(A)       LIVING WELL FOR LONGER:  WHAT THE JOINT STRATEGIC NEEDS ASSESSMENT IS TELLING ABOUT THE HEALTH AND WELLBEING OF PEOPLE IN THE DISTRICT

 

The Health and Wellbeing Board had a statutory duty to produce a Joint Strategic Needs Assessment (JSNA). The purpose of the JSNA was to inform the Joint Health and Wellbeing Strategy (JHWBS) which, in turn, aimed to improve the health and wellbeing of the local population and to reduce inequalities. Both the JSNA and JHWBS were intended to be part of a continuous process of assessment and planning, supporting the identification of priorities and gaps for commissioning, based on both evidence and need.

 

The Strategic Director, Health and Wellbeing submitted Document “A” which summarised the main findings of the JSNA, focusing on the headline indicator of health and wellbeing for a population - healthy life expectancy - and health inequalities. The report also considered what issues might require further consideration in response to the findings.

 

Contents of the report were highlighted to Board Members and included that:

 

·         The latest available data on healthy life expectancy showed that healthy life expectancy had fallen for both males and females.

 

 

 

·         There had been no statistically significant change in healthy life expectancy in the District since 2009-11. As 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.

 

·         Improving healthy life expectancy was crucial for the sustainability of the health and care system. Otherwise demand for health care would only increase for all parts of the system (primary care, community care, including the VCS, and emergency and planned hospital care). As the population aged with an increasing number of health issues and frailty, demand for care services would also rise.

 

·         There was an estimated 21 year difference in healthy life expectancy across the District. In the most deprived parts of the District people would spend just over 50 years in self reported good health; this compared to over 71 years in the least deprived parts of the District.

 

·         The main causes of early death in the District were the same as many other areas: cardiovascular disease, respiratory disease and cancer; infant mortality was also an important cause to note in the District.

 

·         Long term conditions such as diabetes, asthma and COPD (chronic obstructive pulmonary disease) all influenced levels of ill health and disability during a person’s life. 

 

·         Mental health was one of the most important factors, including anxiety, depression and serious mental illnesses such as schizophrenia. Whilst there was already a Mental Wellbeing Strategy, the JSNA emphasised the need for action.

 

·         For many people it was the norm to have multiple long term conditions (multimorbidity).  It was multimorbidity and not age that was driving demand in the health and care system.

 

·         Poverty damaged health and poor health increased  ...  view the full minutes text for item 4.

5.

UPDATE ON "CONNECTING PEOPLE AND PLACE": A JOINT HEALTH AND WELLBEING STRATEGY FOR BRADFORD AND AIREDALE pdf icon PDF 292 KB

The Joint Health and Wellbeing Strategy was published in June 2018.

 

The Strategic Director, Health and Wellbeing will submit Document “B” which reports on the logic model which establishes a way of knowing whether or not what has been undertaken has made a difference to the health and wellbeing of residents. The report provides an update on progress against the four outcome areas of the Strategy, as well as describing some of the key areas of work that have been delivered and progressed since the last update.

 

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 437041)

 

 

 

Additional documents:

6.

CHAIR'S HIGHLIGHT REPORT pdf icon PDF 192 KB

The Chair’s highlight report (Document “C”) summarises business conductedbetween Board meetings. The report includes updates from the Executive Commissioning Board and the Integration and Change Board. 

 

Recommended-

 

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

                                                            (Sadia Hussain – 07929024881)

 

 

Minutes:

 

 

 

 

The Chair’s highlight report (Document “C”) summarised business conductedbetween Board meetings. The report included updates from the Executive Commissioning Board and the Integration and Change Board. 

 

Update from the Executive Commissioning Board

 

Board Members were informed that the Director of Strategic Partnerships, Bradford District CCG and the Strategic Director Health and Wellbeing commissioned an external review of ECB to provide an insight into how the group added value to other parts of the health and care system, along with an analysis of its overall impact and effectiveness. The findings from the review:

 

·        confirmed that partnership working was of paramount importance in delivering service improvement to the districts population. 

 

·       The review recommended that ECB should exercise a temporary pause until such time that it had been able to re-evaluate its strategic fit within the revised health and care structures and governance mechanisms, which now included 2 health and care partnership boards and a number of function specific programme boards. 

 

·       The Director of Strategic Partnerships, Bradford District CCG and the Strategic Director of Health and Wellbeing would be reviewing the terms of reference for the ECB in the context of the section 75 agreement and the current Better Care Fund.

 

·        Further strategic discussions were planned on integrated commissioning in August which would focus on further closer collaboration between the CCG’s and Local Authority on commissioning.

 

Update from the Integration and Change Board

 

Board Members were informed that:

 

·         The ICB (Integration and Change Board) met on 15th March and 17th May. This update covered the key actions and decisions arising from these meetings.

 

·         The ICB received progress updates from the System Development Network, and considered the action plan and five areas of system development were proposed, which included: Leadership, People, Relationships, Processes, & Pride in place. Work is on-going to develop this further.

 

·         The ICB also received an update on progress on the Strategic Partnering Agreement (SPA) and the final version of the document was presented to the ICB in March. It was agreed that the ICB endorsed the SPA document and the document was currently going through individual organisation governance processes.

 

·         The ICB considered the implications of the document ‘Investment and Evolution: a five year framework for GP contract reform’. ICB endorsed the proposal that Community Partnerships should be the continued basis for local level collaboration.

 

  • The Living Well programme provided an update to the ICB on its approach to being whole system programme which brought together the work programmes and teams formerly known as Self Care and Prevention and Healthy Bradford. The Living Well programme would be providing further updates to the ICB as work developed.

 

  • NHS England undertook a national engagement exercise regarding potential legislative changes required in order to implement the NHS Long Term Plan. 

 

  • In May, the ICB received an update from the Digital Enabler group, this update included progress on the programme and to approve the principles of the updated Digital Strategy for the Bradford District & Craven Place. These included: care records, information governance, digital  ...  view the full minutes text for item 6.