Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Vivienne Broadhurst, CC Scott Chilton, Nicholas Johnson, and Theresa Leavy.

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 george.dare@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, 25 March 2022.

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

There was no public participation.

To receive questions submitted by councillors.  

Councillors can submit up to two valid questions at each meeting and sub divided questions count towards this total.   Questions and statements received will be published as a supplement to the agenda and all questions, statements and responses will be published in full within the minutes of the meeting. 

The submissions must be emailed in full to george.dare@dorsetcouncil.gov.uk by 8.30am on Friday, 25 March 2022.  

Dorset Council Constitution – Procedure Rule 13 

There were no questions from councillors.

To receive a verbal update from the Director of Public Health on the current position and ensure the Board is able to fulfil its role in accordance with the Plan.

The Director of Public Health introduced the item, gave a presentation, and explained the current situation of Covid-19 in Dorset. The presentation is attached to these minutes. The requirement to self-isolate and free testing had ended. Free tests would remain for health workers and people in high-risk areas. Locally, the Health Protection Board would cease and covid would be the responsibility of the Health Protection Network. The Local Outbreak Engagement Board was standing down but would return if the situation changed.

The Board discussed the item, and the following points were raised:

·         There was a need for a negative test before someone was discharged from hospital to a care home.

·         Hospitals would struggle because there are patients that have not been discharged and staff absences.

·         The longer Covid goes on, the greater impact there is on delivering care.

·         The current Covid wave was about disruption on services.

·         There were no variants of concern circulating.

·         Nationally, mortality due to non-covid was a far bigger issue than due to covid.

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

The Board received an update on the Pharmaceutical Needs Assessment. There was initial engagement with the public about community pharmacies. There were over 1,000 responses but there was not a full representative view due to the demographics that responded. A quarter of people were not using their closest pharmacy and younger people have a different way of using pharmacies. It was on track for a formal consultation in May and publication in October.

There were no questions from the board.

To receive an update from the Director of Public Health and the Executive Director of Place on the development of the ICS and the role of the Health and Wellbeing Board.

The Director of Public Health presented the plans for the development of the Integrated Care Partnership (ICP). The development stage would include a series of engagement exercises and the draft timetable for this stage was shared with the board. There would be an annual review process or workshop for the ICP strategy. The presentation is attached to these minutes.

The board discussed the update, and the following points were raised:

• The roles of the ICP, health scrutiny, and health and wellbeing board need to be identified.
• Further guidance on the roles would come after the local elections in May.
• The strategy should be about customers and giving quality care to service users.

The Executive Director of Place presented the update on place-based partnerships. A key part of this work was to think about the delivery process.

Following the update, members of the board raised:

• GP’s would be interested in engaging with the partnership
• Using satisfaction of the NHS to measure success of the strategy.
• It was good to engage with special interest groups.
• It takes time to get the public involved in the decision-making process.

To receive a presentation from the Consultant in Public Health.

The Senior Health Programme Advisor gave a presentation on the Health and Wellbeing Board Strategy Action Plan Stocktake. The responses to the stocktake were outlined and all responses are attached to these minutes

The Board discussed the responses to the stocktake and the following points were raised:

·         It stood out how much organisations were doing.

·         The Board would welcome a development session for the Health & Wellbeing Board Strategy.

·         There were a significant number of social care reforms coming forward which talk about health and wellbeing.

To receive a brief update from the Consultant in Public Health.

The Senior Health Programme Advisor updated the board on initiating an Anchor Institution Network. He gave a presentation which is attached to these minutes.

The board discussed the update, and the following points were raised:

·         20% of a person’s wellbeing was about health interventions, the rest was wider determinants.

·         When the integrated care strategy was further developed, it would give an indication of what anchor principles could build upon.

·         Money should be spent in the local area.

·         There was an example of Anchor Institutions in Preston where the local economy was boosted by £75 million.

·         Many groups could benefit from the information in the presentation.

·         Procurement from local businesses which boosts employment.

To receive a report by the Strategic Commissioning Lead, Adult Commissioning.

The Deputy Director for Primary & Community Care introduced the item and gave a presentation which is attached to these minutes. The key links between the Better Care Fund purpose and the Health and Wellbeing Board Strategy were highlighted. There was an unprecedented level of demand in primary care. 91.5% of people were being discharged to their normal place of residence. The better Care Fund investment was making a difference to individual’s lives.

In response to the presentation, the following points were raised:

·         Priority work programmes for the Better Care Fund and what opportunities there were for supporting children and young people.

·         Widening the Better Care Fund to provide more opportunities.

·         Priorities may be different depending on where in Dorset you lived.

To consider the Forward Plan for the Board.

The Chairman updated members on the Forward Plan. There were no questions on the Forward Plan.

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.

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.