No disclosures of interest in matters under consideration were received.

Recommended –

That the minutes of the meeting held on 19 September 2019 be signed as a correct record (previously circulated).

(Fatima Butt – 01274 432227)

Resolved-

That the minutes of the meeting held on 19 September 2019 be signed as a correct record.

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

Previous Reference:  Minute 6 (2019/20)

Members are reminded that at the Septembers meeting of the Board it was noted that the Early Help and Prevention Project required some additional time for consultation and finalisation of the plans therefore, it was proposed that further discussions take place at the Health and Wellbeing Board Development Session in October 2019 and that the project should be formally discussed at the Health and Wellbeing Board meeting in November 2019.

In accordance with the above the Chief Executive, Bradford Metropolitan District Council will submit Document “H”  which requests members to:

·      agree to support the design principles for Prevention and Early Help across Bradford District. This is a whole system approach that enables effective cross system working for the benefit of communities and those in need of support.

·      give agreement to support the progress of a number of work-streams including: the development of a district wide out of hours vulnerability information sharing unit and all age “front door” early help hub. 

·      agree the final work-stream is a prevention and early help pilot which will be run in the Keighley area of the District.

Recommended-

That it is recommended that the Health and Wellbeing Board supports:

·         the formation of a District wide out-of-hours co-ordinated function.

·         the formation of a District wide all age “front door” hub.

·         a pilot to be run in the Keighley area with the creation of a locally based all-age Prevention and Early Help Centre which will have 3 related work-streams, Place, People and developing integrated locality services.  This will then be evaluated with a view to roll out District wide if successful.

·         a commitment to supporting the Early Help and Prevention project.

                             (Supt Sally Fryer – 01274 376418)

Previous Reference:  Minute 6 (2019/20)

Members were reminded that at September’s meeting of the Board it was noted that the Early Help and Prevention Project required some additional time for consultation and finalisation and therefore, it was proposed that further discussions took place at the Health and Wellbeing Board Development Session in October 2019 and that the project should be formally discussed at the Health and Wellbeing Board meeting in November 2019.

In accordance with the above the Chief Executive, Bradford Metropolitan District Council submitted Document “H” which requested members to:

·       agree to support the design principles for Prevention and Early Help across Bradford District. This was a whole system approach that enabled effective cross system working for the benefit of communities and those in need of support.

·       give agreement to support the progress of a number of work-streams including: the development of a district wide out of hours vulnerability information sharing unit and all age “front door” early help hub. 

·       agree the final work-stream was a prevention and early help pilot which would run in the Keighley area of the District.

Board Members were informed that:

·         An All Age Prevention and Early Help Board had been established and met on a monthly basis.

·         The project would allow for greater coherence and co-ordination of partner agencies for individuals in need of support.

·         The project would increase collaboration and put the person in need at the centre of discussions; it would allow all organisations to work together as a system to find the best approach for the individual/family/community whilst also creating efficiencies through processes and offering help at an earlier stage, thereby reducing demand on specialist services.

·         From the consultation already undertaken, there were 3 distinct pieces of work which had been identified as priorities for the project which were detailed in the report and included Out of Hours Vulnerability Unit, One Front Door including Multi-agency Safeguarding and Early Help and Keighley Pilot: Proof of Concept.

·         The list of Aims and Objectives of the project were detailed at Appendix A to the Document.

·         Similar work had been undertaken in other authorities and had contributed to a number of benefits such as harmonising of resources and help in sharing of information between agencies.

·         The Out of Hours Vulnerability Unit would have a workable model in place by the end of March 2020; the One Front Door including Multi-agency Safeguarding and Early Help was expected to be delivered by October 2020.

·         The Terms of Reference, operation principles, membership and location base within the pilot area would be developed in time for the pilot to go live by March 2020 and the evaluation would commence in Summer 2020.

Members of the Board made the following comments:

·         With agencies working together would there be changes to the infrastructure such as ICT?

·         Needed to look at Living Well as well as Early Help; Keighley Pilot needed link into the Living Well project.

·         Work needed to build on what was already in place such as performance measures;  ...  view the full minutes text for item 18.

Previous Reference: Minute 4 (2019/20)

The Chair’s Highlight report (Document “H”) includes an update on:

·         data in the logic models which measures the Joint Health and Wellbeing Strategy. It provides information on three measures which have been updated (suicide rate, smoking rate and IAPT (improving access to psychological therapies) recovery rate).

·         Executive Commissioning Board and the Integration and Change Board covering the September and October meetings.

Recommended-

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

(2) That the Board further discuss the progress made against the logic models and consider the allocations of any actions as necessary. 

                                                            (Sadia Hussain – 01274 435872)

Previous Reference: Minute 4 (2019/20)

The Chair’s Highlight report (Document “H”) included an update on:

·           data in the logic models which measured the Joint Health and    Wellbeing Strategy. It provided information on three measures which had been updated (suicide rate, smoking rate and IAPT (improving access to psychological therapies) recovery rate).

·           Executive Commissioning Board and the Integration and Change  Board covering the September and October meetings.

The update from the Integration and Change Board was highlighted at paragraph 3 of the report.

A summary of the current progress made around logic models was highlighted:

·         There were 41 indicators monitored as part of the Joint Health and Wellbeing Strategy. Since the last update in July, new data on three of these indicators had been published.

·         Smoking prevalence had further fallen from 18.9% in 2017 to 18.5% in 2018. Smoking prevalence, however, remained higher than the national average, and higher than the statistical neighbours.

·         The suicide rate in Bradford District continued to fall, with 8.8 suicides per 100,000 population.  This was lower than the national average, and was lower than many of our statistical neighbours; our efforts continued to further reduce the number of suicides in the District; actions were set out in the  Suicide Prevention Action Plan (see July 2019 Logic Model  update to the Board for further detail); suicide data was continuing to be monitored every quarter from West Yorkshire Police, which showed that men were 4 times as likely to die by suicide, and that recent unemployment was a key risk factor.

·         Latest available data for IAPT recovery rates showed a mixed picture. There were signs of improvement in Airedale, Wharfedale and Craven, and Districts CCGs, however, the same level of improvement had not been seen in City. This was recognised, and new approaches were being considered as part of the Reducing Inequalities in City Programme.

Members made the following comments:

·         What were the outputs from the logic models?

·         Needed to look at exception reporting for indicators that were not being achieved.

·         Information at ward/local community partnership level would be useful so efforts could be concentrated in areas of greatest need.

·         Useful to have further information on progress with the actions that were included in the logic models as well as the outcomes that was hoped would be achieved; needed to understand where there was a wide variation.

·         Would be useful to have an update from Community Partnerships to update the Board at a locality level.

In response to the comments raised it was reported that an overview of all the indicators could be brought to the next Board meeting and Public Health was actively involved in Community Partnerships.

Resolved-

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

(2)  That a development session be arranged to consider:

·         further information in relation to the logic models to include a focus on the actions and their outputs, in addition to the long term outcomes for people. Where possible to highlight differences in data at  ...  view the full minutes text for item 19.