Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Vivienne Broadhurst, Theresa Leavy, Martin Longley, Simon Wraw, and ACC Rachel Farrell.

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 interests were made at the meeting.

To confirm the minutes of the meeting held on 9 November 2022.

The minutes of the meeting held on 9 November 2022 were confirmed and signed.

Representatives of town or parish councils and members of the public who live, work or represent an organisation within the Dorset Council area are welcome to submit up to two questions or two statements for each meeting.  Alternatively, you could submit one question and one statement for each meeting.  

All submissions must be emailed in full to george.dare@dorsetcouncil.gov.uk by 8.30am on Friday, 10 March 2023.

When submitting your question(s) and/or statement(s) please note that: 

·         no more than three minutes will be allowed for any one question or statement to be asked/read  

·         a question may include a short pre-amble to set the context and this will be included within the three minute period 

·         please note that sub divided questions count towards your total of two 

·         when submitting a question please indicate who the question is for (e.g. the name of the committee or Portfolio Holder) 

·         Include your name, address and contact details.  Only your name will be published but we may need your other details to contact you about your question or statement in advance of the meeting. 

·         questions and statements received in line with the council’s rules for public participation will be published as a supplement to the agenda 

·         all questions, statements and responses will be published in full within the minutes of the meeting.   

Dorset Council Constitution Procedure Rule 9 

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, 10 March 2023.

Dorset Council Constitution – Procedure Rule 13 

There were no questions from councillors.

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 receive any updates from the Chairman of the Board.

The Chairman updated members on several developments in the integrated care system. The Integrated Care Partnership (ICP) was about to appoint a chair and the Chairman of the Health & Wellbeing Board would contact them to discuss how the board and ICP would work together. There was recently a workshop where leaders and members of place-based partnerships to discuss how the partnerships would work. The place-based partnerships would deliver the priorities for improving health and wellbeing.

The Chairman also updated members on health & wellbeing improvements. This included the relaunch of the NHS Health Check programme which offered residents aged 40-75 years to find out about the risk of heart disease, stroke, and diabetes. Most people should be able to receive the check from their local GP. The Chairman urged people to take advantage of this programme. A briefing note to councillors with further details about the programme is attached to these minutes.

As the Bournemouth, Christchurch, and Poole Health & Wellbeing Board may have a membership change in May due to local elections, the chairman would make contact with the new chair of the Board when they are appointed.

To consider the Health and Wellbeing Board’s work programme.

Members noted the current work programme and would discuss it further during the item on developing a work programme.

A member felt it was important to engage with the voluntary and community sector whilst developing the work programme.

To consider the report by the Head of Service for Older People and Prevention Commissioning.

The Head of Service for Older People and Prevention Commissioning introduced the item and gave a short presentation, which included an outline of the discharge funding, opportunities for alignment of Better Care Fund investment, and a summary of the recommendations. The presentation is attached to these minutes.

The Chief Executive of the Integrated Care Board said that there had been 2 tranches of money for hospital discharge. In order for there to be 2-year funding there needed to be a reduction of patients in hospital.

Proposed by Cllr Flower, seconded by Marc House.

Decision: That the Adult Social Care Discharge Fund Plan, which is pooled into the Better Care Fund 2022/23, be retrospectively approved.

The Board noted the progress of the working group formed to identify opportunities to realign Better Care Fund investment from 2023/24 and agreed to receive a further item at a future Health & Wellbeing Board meeting.

To consider the report by the Director of Public Health.

The Director of Public Health introduced the report. The report recognised changes to the Health & Wellbeing Board and the new responsibilities it has.

The Head of Service Planning said that developing a work programme would give the board an opportunity to refresh itself and make a difference. A development session would help to develop a work plan so the board can deliver on priorities. A key part of a development session would be to understand the role of the board and how it interacts with other bodies. The recommendations were highlighted.

The Chairman said that the board would develop their Health & Wellbeing Strategy at a faster pace than BCP Council’s Health & Wellbeing Board because they have upcoming elections.

The following comments were made by board members:

·         The board needs to consider the roles and responsibilities of partners in order to not duplicate work.

·         Resources should be channelled to make the most impact for residents.

·         The Integrated Care Board had 5 priorities for their forward plan. All were related to health equity and 3 of them related to children and young people.

·         The roles of providers were likely to change significantly over the next 5-10 years.

·         A development session should have challenging and honest conversations which would benefit the current and successor authorities.

·         It should be considered if there were any underlying issues.

The Chairman asked Board members to read the ICP Strategy before a Health and Wellbeing Board development session.

The Board noted the new responsibilities and duties of Health and Wellbeing Boards, set out in new guidance.

The Board agreed to hold a development session to consider the ICP strategy and identify other potential elements of a work programme including refresh of the Joint Local Health and Wellbeing Plan.

To consider the report by the Director of Public Health.

The Director of Public Health introduced the item and updated members of the Integrated Care System. The Integrated Care Partnership (ICP) Strategy was developed through a three-workstream approach and the first ICP meeting took place in January. The Director of Public Health was the senior responsible officer for strategy development, and he will continue in this role following endorsement from the ICP. The ICP would need a development session following the appointment of a new chair. The recommendations in the report were outlined.

Members of the Board discussed the item, and the following points were raised:

·         There could be agreements and disagreements at a development session.

·         All partners should share the ICP strategy with their organisation, so they have feedback to provide.

·         A member sought assurance that the Director of Public Health felt he could ask for additional support.

·         The ICP Strategy was good for voluntary and community sector organisations.

·         The Executive Director of Place would welcome the opportunity to talk about the local plan and how it would shape communities.

·         A Health & Wellbeing Board development session could include a section on the local plan.

·         The local plan would be a plan for Dorset, not just Dorset Council.

·         There would be a publicly visible launch of the ICP Strategy.

Proposed by Cllr Wharf, seconded by Cllr Parry

Decision:

That:

1. The ICS strategy as a broad framework for securing the fastest possible improvements to the health and wellbeing of resident be noted and supported.
2. The strategy be considered in detail at a development session.
3. The next steps in implementing the strategy, as agreed by the ICP, be noted, and supported.

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 x 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 is no planned exempt business for this meeting.

There was no exempt business.