Agenda and minutes

South Kent Coast Health and Wellbeing Board - Tuesday, 29th April, 2014 3.00 pm

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Items
No. Item

73.

Election of a Chairman

To elect a Chairman for the ensuing municipal year.

Minutes:

It was proposed by Councillor J Hollingsbee, duly seconded and in the absence of any other nominations it was

 

RESOLVED: That Councillor P A Watkins be elected Chairman for the ensuing year 2014/15.

 

 

74.

Appointment of a Vice-Chairman

To appoint a Vice-Chairman for the ensuing municipal year.

Minutes:

It was proposed by Councillor J Hollingsbee, duly seconded and in the absence of any other nominations it was

 

RESOLVED: That Dr J Chaudhuri be appointed Vice-Chairman for the ensuing year 2014/15.

 

 

 

75.

Apologies

To receive any apologies for absence.

Minutes:

Apologies for absence were received from Mr S Inett (Healthwatch Kent), Mr M Lobban (Kent County Council) and Councillor M Lyons (Shepway District Council).

 

76.

Appointment of Substitute Members

To note appointments of Substitute Members.

Minutes:

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.

 

77.

Declarations of Interest

To receive any declarations of interest from Members in respect of business to be transacted on the agenda.

 

Where a Member has a new or registered Disclosable Pecuniary Interest (DPI) in a matter under consideration they must disclose that they have an interest and, unless the Monitoring Officer has agreed in advance that the DPI is a 'Sensitive Interest', explain the nature of that interest at the meeting.  The Member must withdraw from the meeting at the commencement of the consideration of any matter in which they have declared a DPI and must not participate in any discussion of, or vote taken on, the matter unless they have been granted a dispensation permitting them to do so.  If during the consideration of any item a Member becomes aware that they have a DPI in the matter they should declare the interest immediately and, subject to any dispensations, withdraw from the meeting.

 

Where a Member is declaring an Other Significant Interest (OSI) they must also disclose the interest and explain the nature of the interest at the meeting.  The Member must withdraw from the meeting at the commencement of the consideration of any matter in which they have declared a OSI and must not participate in any discussion of, or vote taken on, the matter unless they have been granted a dispensation to do so or the meeting is one at which members of the public are permitted to speak for the purpose of making representations, answering questions or giving evidence relating to the matter.  In the latter case, the Member may only participate on the same basis as a member of the public and cannot participate in any discussion of, or vote taken on, the matter and must withdraw from the meeting in accordance with the Council's procedure rules.

 

Where a Member does not have either a Disclosable Pecuniary Interest (DPI) or Other Significant Interest (OSI) but is of the opinion that for transparency reasons alone s/he should make an announcement in respect of a matter under consideration, they can make a Voluntary Announcement of Other Interests (VAOI). A Member declaring a VAOI may still remain at the meeting and vote on the matter under consideration.

 

Note to the Code:

 

Situations in which a Member may wish to make a VAOI include membership of outside bodies that have made representations on agenda items; where a Member knows a person involved, but does not have a close association with that person; or where an item would affect the well-being of a Member, relative, close associate, employer, etc. but not his/her financial position. It should be emphasised that an effect on the financial position of a Member, relative, close associate, employer, etc OR an application made by a Member, relative, close associate, employer, etc would both probably constitute either an OSI or in some cases a DPI.

Minutes:

There were no declarations of interest from members of the Board.

78.

Minutes pdf icon PDF 47 KB

To confirm the Minutes of the meeting of the Board held on 11 February 2014 and 18 March 2014.

Additional documents:

Minutes:

It was agreed that the Minutes of the Board meetings held on 11 February 2014 and 18 March 2014 be approved as a correct record and signed by the Chairman.

 

79.

Matters Raised on Notice by Members of the Board

Any member of the Health and Wellbeing Board may request that an item be included on the agenda subject to it being relevant to the Terms of Reference of the Board and notice being provided to Democratic Services at Dover District Council (democraticservices@dover.gov.uk) at least 9 working days prior to the meeting.

 

There were no matters raised.

Minutes:

There were no items to be considered.

80.

Integrated Commissioning Group Update - Terms of Reference pdf icon PDF 147 KB

To consider the attached report of the Head of Leadership Support.

Minutes:

Mrs M Farrow presented the report on the proposed Terms of Reference for the Integrated Commissioning Group.

 

The Board discussed the governance arrangements of the group and the importance of it tackling historic structural issues as part of its remit.

 

RESOLVED:   That the Terms of Reference be agreed and adopted.

 

 

 

 

81.

Integrated Commissioning Group Update - Intermediate Care Project (6 month progress review) pdf icon PDF 132 KB

To receive a verbal update from Dr Joe Chaudhuri (South Kent Coast Clinical Commissioning Group).

Minutes:

Dr J Chaudhuri provided an update on Integrated Commissioning Group’s Intermediate Care Project. The update provided a review of the first 6 months of the project and set out the objectives for the next 6-8 months.

 

The Board was advised that an additional 80 intermediate care beds were provided for the winter months, of which 20 were in the South Kent Coast CCG area. These beds were used as ‘step down’ beds to release beds in hospitals. As part of the evaluation of the use of the beds the level of readmission to hospital was being investigated.  

 

The Group wanted to see intermediate care beds used more appropriately with a split on a 60/40 basis between step-up/step-down beds to tackle bed blocking in both the hospital and community sectors and as part of this the issue of inappropriate referrals was acknowledged to be an issue.

 

The importance of the links between intermediate care beds and other out-of-hospital care plans such as the accommodation strategy and independent living was emphasised and it was acknowledged that further work needed to be undertaken in respect of this as part of the project. The benefit of improved information sharing between the acute and primary care sectors in caring for the patient as a whole and not on the basis of individual conditions was acknowledged.

 

RESOLVED:   That the update be noted.

 

82.

South Kent Coast Clinical Commissioning Group Operational Strategy 2014-19 pdf icon PDF 5 MB

To consider the report of Ms K Benbow, Chief Operating Officer (South Kent Coast Clinical Commissioning Group).

Minutes:

Ms K Benbow presented the draft South Kent Coast Clinical Commissioning Group Operational Strategy 2014-19.

 

The Board was informed that in assessing the health needs of the South Kent Coast CCG area, six key issues had been identified that the strategies and plans of the CCG would seek to address. These were:

 

·         Tackling health inequalities

·         Improving the management of Long Term Conditions

·         Urgent Care – Avoiding unnecessary admission to hospital

·         Improving mental health and wellbeing (including ‘Parity of Esteem’ by which physical and mental health are valued equally)

·         Supporting children and families

·         Prevention of illness

 

As part of this investment would be realigned to be a rebalancing between services provided in hospital and those outside of hospital. Multi-agency co-operation was identified as a significant factor in delivering this rebalancing.

 

In considering the progress made by the South Kent Coast CCG over the last year, the embedded principle of partnership working between organisations had been of great assistance.

 

RESOLVED: (a)   That the Strategy be noted and endorsed.

 

                        (b)   That an update on the progress of the South Kent Coast Clinical Commissioning Group over its first year of operation be submitted to a future meeting.

83.

Child and Adolescent Mental Health Services: Current Provision in South Kent Coast

To receive a verbal update from Ms K Benbow, Chief Operating Officer (South Kent Coast Clinical Commissioning Group).

 

Minutes:

The Board discussed the provision and commissioning arrangements for Children and Adolescent Mental Health Services (CAMHS). The importance of looking at CAMHS in the context of the ‘whole system’ was highlighted and in particular improving the co-ordination with schools and academies.

 

RESOLVED:     That a report on the current provision of Child and Adolescent Mental Health Services be submitted to a future meeting.

 

84.

Draft South Kent Coast Health and Wellbeing Strategy pdf icon PDF 416 KB

To consider the report of Mrs M Farrow (Head of Leadership Support, Dover District Council) and Ms J Mookherjee (Consultant in Public Health, Kent Public Health Department). (To follow)

 

Minutes:

The Board was informed that the strategy, which was developed based on the Kent Joint Strategic Needs Assessment (JSNA) and local health profiles, aimed to address the current and future health and wellbeing needs of residents in the South Kent Coast area.

 

The Strategy identified six core issues from the Kent JSNA for local residents as followed:

 

·         Tackling Health Inequalities

·         Urgent Care: Avoiding Unnecessary Admissions To Hospital

·         Supporting Children And Families

·         Prevention Of Illness

·         Improving Long Term Conditions

·         Improving Mental Health And Wellbeing

 

The Strategy represented a commitment by the partner organisations to work to achieve the proposed outcomes over the next five years. It also formed part of the Board’s communication and engagement with the public.

 

RESOLVED: That the Strategy be approved.

 

85.

Children's Operational Group Update pdf icon PDF 64 KB

To receive an update from Councillor S S Chandler and Mrs M Farrow (Head of Leadership Support, Dover District Council).

Minutes:

Councillor S S Chandler gave an update on the Children’s Operational Group (COG).

 

The Board was advised that Kent County Council had agreed that the COGs would operate on the same boundaries as the Clinical Commissioning Groups (CCG). The COG for the South Kent Coast CCG area would have two sub-groups aligned to the district council areas and troubled families groups.

 

RESOLVED: that the update be noted.

 

86.

Urgent Business Items

To consider any other items deemed by the Chairman to be urgent in accordance with the Local Government Act 1972 and the Terms of Reference. In such special cases the Chairman will state the reason for urgency and these will be recorded in the Minutes.

Minutes:

There were no items of urgent business.