Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Vivienne Broadhurst, Cllr Spencer Flower, Martin Longley, and John Sellgren.

To confirm and sign the minutes of the meeting held on 21 June 2023.

The minutes of the meeting held on 21 June 2023 were confirmed and signed.

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.

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 either 1 question or 1 statement for each meeting.  You are welcome to attend the meeting in person or via Microsoft Teams to read out your question and to receive the response.   If you submit a statement for the committee this will be circulated to all members of the committee in advance of the meeting as a supplement to the agenda and appended to the minutes for the formal record but will not be read out at the meeting. The first 8 questions and the first 8 statements received from members of the public or organisations for each meeting will be accepted on a first come first served basis in accordance with the deadline set out below.  For further information read Public Participation - Dorset Council

All submissions must be emailed in full to george.dare@dorsetcouncil.gov.uk by 8.30am on Friday, 15 September 2023.

When submitting your question or statement please note that: 

·         You can submit 1 question or 1 statement.

·         a question may include a short pre-amble to set the context.

·         It must be a single question and any sub-divided questions will not be permitted.

·         Each question will consist of no more than 450 words, and you will be given up to 3 minutes to present your question.

·         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.   

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 add your email address by 8.30am on Friday, 15 September 2023.

Dorset Council Constitution – Procedure Rule 13 

There were no questions from councillors.

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

The Head of Service for Commissioning for Older People, Home First and Market Access introduced the report and gave a presentation which is attached to these minutes. The presentation included the objectives and framework of the Better Care Fund, the key changes and opportunities within the plan, and outlined the recommendation to the Board.

Board members discussed the report and in particular the inclusion of metrics on falls and how it was linked across the integrated care system. There was a need for more local indicators in addition to the national indicators.

Proposed by Sam Crowe, seconded by Cllr Somper.

Decision

That the Better Care Fund Plan for 2023-25 be retrospectively approved.

To receive a report, by the Programme Director, on the Birth to Settled Adulthood transformation programme. The report includes background and summary of the project and governance information.  (Report to follow).

The Corporate Director for Adult Care Operations introduced the report and outlined the Birth to Settled Adulthood transformation programme. This included transition points within the 0-25 age group, creating a pathway for young people and removing barriers for a young person transitioning into adulthood, and creating an integrated model across health and social care organisations.

Board members discussed the report and raised the following points:

·       There was a challenge around understanding need and supporting families for young people with neurodiverse needs.

·       There was collective agreement for the NHS Joint Forward Plan which had two pillars about children and young people and complex behaviours.

·       There were some local metrics in place for the programme.

·       Children with complex needs was a target group that would benefit from the programme because they will be identified early.

Board members supported the approach to the Birth to Settled Adulthood programme.

To receive an update from the Chief Executive and Chief Strategy and Information Officer of NHS Dorset.

The Chief Executive, NHS Dorset, introduced the item. The 5-year forward plan was a requirement introduced by NHS England and in Dorset a system-wide forward plan was created that satisfied the regulator.

The Chief Strategy and Information Officer, NHS Dorset, gave a detailed verbal report on the Joint Forward Plan. He outlined the development of the forward plan and explained the five key outcomes of the plan, which are:

1.     To improve the lives of 100,000 people impacted by poor mental health.

2.     To prevent 55,000 children from becoming overweight by 2040.

3.     To reduce the gap in healthy life expectancy from 19 years to 15 years by 2043.

4.     To increase the percentage of older people living well and independently in Dorset.

5.     To add 100,000 healthy life years to the people of Dorset by 2033.

Board members asked questions and discussed the report. The following points were raised:

·       Whether there was a need to be using ‘right weight’ rather than overweight.

·       It was positive to see there were measurable outcomes, whereas the ICP strategy was to do with culture change.

·       For social mobility, there needed to be inclusion in schools.

·       Organisations all had a role to play in the wider determinants of health.

·       Men and women had different life expectancies and there were unique health issues that affect each of them.

·       There was a lack of understanding within the NHS around some serious issues that affect women’s health.

·       At patient level there was a lack of knowledge and understanding of NHS Dorset.

·       In relation to the loss of young people from the county and how that would be mapped against the forward plan, there were discussions with the Department for Education about opportunities and there were apprenticeships through the NHS long-term work programme.

·       Resources in the NHS could be used in different ways with a focus on prevention, which would help reduce pressures on the NHS.

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

Board members noted the work programme.

The Chairman informed the Board that there would be an informal discussion following the meeting about the development of the work programme.

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 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 are no exempt items scheduled for this meeting.  

There was no exempt business.