Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Spencer Flower, Dr Dani Farrell, Simon Wraw (reserve Chris Spackman attended), Dr Martin Longley, Sam Crowe,

To disclose any pecuniary, other registrable or non-registrable interest as set out in the adopted Code of Conduct. In making their disclosure councillors are asked to state the agenda item, the nature of the interest and any action they propose to take as part of their declaration.

If required, further advice should be sought from the Monitoring Officer in advance of the meeting.

No declarations of disclosable pecuniary interests were made at the meeting.

To receive questions or statements on the business of the committee from town and parish councils and members of the public.

Members of the public who live, work or represent an organisation within the Dorset Council area, may submit up to two questions or a statement of up to a maximum of 450 words.  All submissions must be sent electronically to fiona.king@dorsetcouncil.gov.uk by the deadline set out below.  When submitting a question please indicate who the question is for and include your name, address and contact details.  Questions and statements received in line with the council’s rules for public participation will be published as a supplement to the agenda.

Questions will be read out by an officer of the council and a response given by the appropriate Portfolio Holder or officer at the meeting.  All questions, statements and responses will be published in full within the minutes of the meeting. 

The deadline for submission of the full text of a question or statement is 8.30am on Friday 17 September 2021.

Please refer to the guide to public participation at committee meetings for more information about speaking at meetings.

There were no statements or questions from Town and Parish Councils or members of the public.

To receive any questions from members in accordance with procedure rule 13.  The deadline for receipt of questions is Friday 17 September 2021.

There were no written questions received from Members.

To consider a report from the Executive Director for People, Children.

Members considered a report which enabled them to have line of sight to the work being undertaken by partners to improve health and wellbeing outcomes for children and young people in Dorset.

Areas highlighted and discussed

Working together across the workforce.

Almost at full permanent recruitment levels but in an ever-changing world there was a need to keep on being resilient.

Reflection on a time of poor outcomes for Dorset’s tiny babies.

Pause programme highlighted, currently bidding for regional and national money to support this programme.

The role of the detached outreach workers was highlighted.

The Harbour Project would have a residential element by the end of the year.

Dorset’s Care Leaver offer was highlighted, some of the care leavers were now working for the Council in apprenticeship roles. The CCG were also supporting care leavers through their kick start programme.

School performance and attendance was strong even in difficult times.

Locality model had completed its first year.

Work had focused on prevention.

There were still challenges around those persons with very complex needs. Looking at a more wrap around family approach. There was still more to do about getting children school ready.

The importance of getting the offer right for children was highlighted.

Good partnership working also highlighted.

A valuing and inquisitive approach had been taken and was making a difference to real families.

An opportunity for other community groups. not usually involved directly in this work to contribute to the excellent work being done was explored.  Dorset Community Action had wide relationships with these organisations across Dorset.  

To receive an update from the Director for Public Health.

The Assistant Director for Public Health gave members a short presentation on the current situation with COVID-19, and the response that was continuing under the refreshed local outbreak management plan. The slides are attached as an annexure to these minutes.

Areas highlighted and discussed

Covid was not over, the health system and LAs were still managing a significant impact.

Booster programme had been launched.

Flu campaign was also running.

Whilst restrictions for most had been relaxed restrictions in hospitals had not, masks and PPE still needed to be worn in hospitals.

Masks not only prevented covid but a number of other issues also

handwashing, ventilation, cleaning, isolation if symptomatic, mask wearing in crowded/indoor spaces were all behaviours which were protective against a whole range of infectious illnesses, not just COVID.

The NHS provider sector were now starting to see an upturn in activity now that restrictions had been relaxed.

Currently 95/98% bed occupancy with very little flexibility if there was a covid surge.

Currently 3 patients on mechanical ventilation in Dorset who were covid positive.

Adult social care system under great pressure highlighted. Significant backlog of care waiting to be placed. This was not particularly a Dorset based issue but nationwide.

Update on Local Resilience Forum recovery process and potential winter pressures highlighted.

To receive an update from the Director for Public Health.

Following a recent development session for members, the Assistant Director for Public Health highlighted the strong and committed discussions that had taken place at the recent session.

Areas highlighted and discussed

People recognised the significant challenges around pace and scale.

Strong support from both Health and Wellbeing Boards to be part of Integrated Care Partnership Board.

Both ICB and ICP would be statutory, the Health and Wellbeing Board would sign off on the strategy of the Integrated Care Partnership.

Jenni Douglas Todd had been confirmed chair of ICB and ICP, which would be reviewed in 12 months.

Good willingness to work together was highlighted. 

The Bill was passing through parliament, on time. 

Chief Executive positions were now being advertised and would require Secretary of State sign off.

The transfer of the CCG into the ICB was highlighted.

Highlighted the need to focus on system and place in parallel.

Important to consider co-design in its broader sense.

Poverty truth commission highlighted.

Consideration of a further development session to include BCP and PCN leaders.

To receive a verbal update from the Consultant, Public Health.

The Consultant Public Health updated members on next steps.  He also highlighted the relationship between the Institution and the wider health inequalities agenda.

Areas highlighted and discussed

Partnership working highlighted.

There would be an Anchor Institutions workshop session with BCP on 29 September 2021.

Concept and principle of Anchor Institution highlighted.

How this fitted in with the Place agenda was explored.

To receive a presentation from the Senior Analyst, Public Health Dorset.

Members received a presentation from the Senior Analyst from Public Health which updated them on the Joint Strategic Needs Assessment (JSNA) data work and is attached as an annexure to these minutes.

Click this link for further information on the JSNA:- https://www.publichealthdorset.org.uk/jsna/joint-strategic-needs-assessment.aspx

Areas highlighted and discussed

The process used to seek priority areas.

Engaging real experience with the data.

The working together on key themes was highlighted.

Lots of opportunities to build on in order to improve things for the people of Dorset.

The living document informed the health and wellbeing strategy.

To consider a report from the Director for Public Health.

Members considered a report from the Director for Public Health which highlighted the development of a single Pharmaceutical Needs Assessment (PNA) that covered both the Dorset and Bournemouth, Christchurch and Poole Health and Wellbeing Boards.

Members agreed a ‘Minded to Decision’ to approve the recommendations as detailed in the report.

The Assistant Director for Public Health, having heard the debate, confirmed the ‘minded to’ decision to approve the recommendations under delegated powers on behalf of the informal meeting of the Health and Wellbeing Board.

Decisions

1. That the development of a single Pharmaceutical Needs Assessment (PNA) that covered both the Dorset and Bournemouth, Christchurch and Poole Health and Wellbeing Boards be approved.

2. That the use of Primary Care Networks be the basic framework for the PNA.

3. That delegation of authority to the Director of Public Health to agree final content for publication by October 2022, following statutory consultation be approved.

To consider a report from the Interim Executive Director for People, Adults.

Members considered a report from the Interim Executive Director of People, Adults which focussed on funding to support the Hospital Discharge Programme.

Areas highlighted and discussed

Confirmation that hospital discharge funding would be extended until March 2022 although the actual amount was not yet clear.

Struggles with workforce was highlighted.

Financial pressures also highlighted.

Members agreed a ‘Minded to Decision’ to approve the recommendations as detailed in the report. 

The Interim Executive Director for People, Adults, having heard the debate, confirmed the ‘minded to’ decision to approve the recommendations under delegated powers on behalf of the informal meeting of the Health and Wellbeing Board.

Decision

That the delegation previously granted by the Board at its meeting on 23rd June 2021 be extended to enable the Portfolio Holder for Adult Care and Health, after consultation with the Chair and Vice-Chair of the Health and Wellbeing Board, to agree Dorset Integrated Care System funding for the additional Hospital Discharge Programme (HDP).

To consider the Forward Plan for the Board.

The Board considered its Forward Plan.

The Chairman advised members she was now meeting regularly with officers to look at the Forward plan to ensure items coming forward to the Board were really relevant.

To consider any items of business which the Chairman has had prior notification and considers to be urgent pursuant to section 100B (4) b) of the Local Government Act 1972. The reason for the urgency shall be recorded in the minutes.

There were no urgent items of business.

To move the exclusion of the press and the public for the following item in view of the likely disclosure of exempt information within the meaning of paragraph 3 of schedule 12 A to the Local Government Act 1972 (as amended).

The public and the press will be asked to leave the meeting whilst the item of business is considered.

There was no exempt business.