Agenda and minutes

Apologies for absence were received from Mr S Inett (Healthwatch Kent) and Mr M Lobban.

In accordance with the Terms of Reference, Mr D Reid and Ms P Parker had been appointed as substitute members for Mr S Inett (Healthwatch Kent) and Mr M Lobban (Kent County Council) respectively.

There were no declarations of interest from Members.

To confirm the attached Minutes of the meetings of the Board held on 10 December 2013 and 21 January 2014.

It was agreed that the Minutes of the Board meetings held on 10 December 2013 and 21 January 2014 be approved as a correct record and signed by the Chairman.

To receive a verbal update from Nathalie Reeves, KCC Troubled Families Programme Manager (Dover District) and Gemma O’Grady, KCC Troubled Families Programme Manager (Shepway District)

The Board received an update from Ms N Reeves (Troubled Families Programme Manager (Dover District) Kent County Council) on the progress made in respect of the Troubled Families programme for the Dover District.

Since the last update to the Board, it was stated that the eligibility criteria had been expanded to allow head teachers to nominate families for inclusion within the programme in recognition of the importance of education in identifying potential troubled families through indicators such as absenteeism.

There had also been work undertaken in respect of anti-social behaviour through the multi-agency Dover Anti-Social Behaviour Action Group (DASBAG) that included amongst other agencies Kent Police and that this model was being used in other districts.

It was acknowledged that the target set by the Department of Communities and Local Government (DCLG) of successful intervention for 114 families was challenging given the timeframe of the programme and the level of available resources and that further engagement was needed with social services on information sharing. For Year 1 of the programme, 8 families had been ‘claimed’ and a further 40 were on track.

RESOLVED: That the update be noted.

To consider the attached report of Mark Lobban, Director of Strategic Commissioning (Kent County Council).

The Board received an update from Ms P Parker (Kent County Council) on the progress of the Accommodation Strategy.

The development of the strategy was being led by Kent County Council with support from the Kent Housing Group and the Joint Policy and Planning Board (housing). The Clinical Commissioning Groups were encouraged to contribute to the development of the Strategy and to align the timescales of the development of its Commissioning Plans, particularly in relation to Intermediate Care and the review of Community Hospitals.

It was stated that the current draft of the strategy had been circulated to stakeholders for comment by the end of February 2014 with the final version expected to be produced in April 2014.

There had been 10 candidate projects identified across Kent, 2 of which were within the South Kent Coast CCG area, although it was acknowledged that 8 of the 10 were linked to the same issues. There were no projects involving mental health in the wave except where engaged as part of the older person care provision.

Members of the Board emphasised the need for the Better Care Fund to feed into the accommodation strategy.

RESOLVED:   That the report be noted.

To consider the attached report of Zoe Mirza, Head of Integrated Commissioning, NHS South Kent Coast Clinical Commissioning Group and Mark Lemon, Strategic Business Advisor (Kent County Council).

The Board was informed that the Better Care Fund Kentwide draft plan was being considered by the Kent Health and Wellbeing Board at its meeting to be held on 12 February 2014 after which it would be submitted to NHS England on 14 February 2014. The draft would then be subject to further refinement before the final plan had to be submitted on 4 April 2014.

The links between the Better Care Fund and local CCG plans and the Accommodation Strategy were discussed by Members, and in particular the potential risks involved in the transfer of resources and responsibilities from hospital care to primary care. The shortage of GPs and the lead-in time to train new GPs as well as the need to improve IT links between primary care and hospitals were identified as challenges that would need to be addressed.

The importance of preventative measures, such as lifestyle changes, in freeing resources was also emphasised.

RESOLVED:   That the report be approved.

To receive a verbal update from Councillor S S Chandler.

The Board received an update from Councillor S S Chandler on Childrens’ Services.

It was stated that a ‘Childrens’ Summit’ would be held to map current service provision and identify areas of shared ambition by service providers. It was intended that the summit would improve links between agencies (such as public health, social services, education and others) and tackle gaps in service provision.

RESOLVED: (a)   That the update be noted.

                        (b)   That KIASS (Kent Integrated Adolescent Support Services) be invited to attend a future meeting.

There were no matter raised on notice by Members of the Board.

There were no urgent business items.