Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Jan Britton, Anna Eastgate, Nicholas Johnson, and Chief Supt. Stewart Dipple.

To confirm the minutes of the meeting held on 26 June 2024.

The Chair of the Integrated Care Partnership challenged a comment made by Cllr Northam on the area of focus of the Local Economic Partnership (LEP). She felt that this was not correct and that the LEP Board and Overview and Scrutiny Committee had representatives from both councils, who could provide challenge on funding.

Proposed by Cllr C Sutton, seconded by Cllr G Taylor.

Decision:

That the minutes of the meeting held on 26 June 2024 be 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 disclosable 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, 13 September 2024.

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 george.dare@dorsetcouncil.gov.uk by 8.30am on Friday, 13 September 2024. 

Dorset Council Constitution – Procedure Rule 13 

There were no questions from councillors.

To consider the report by the Head of Service – Older People, Home First, and Market Access.

The Head of Service for Older People, Home First, and Market Access introduced the Quarter 1 Discharge Fund Template. The draft Template was shared with the Board prior to submission so there could be more input at this stage. The key parts of the report were summarised, which included home care market investments, recovery and community resilience contracts, trusted assessors, and reablement beds.

Board members discussed the key areas of the report and made the following points:

·         Reduced delays in home care has helped with improving hospital discharge.

·         There were regular engagement sessions and a partnership approach to notifying the market of future plans.

·         There should be a presentation to on the Better Care Fund to the Integrated Care Partnership.

·         There were gaps in provision of nursing care at home, following discharge from hospital.

·         Whether family members could be paid to look after people at home. The legal framework of this would need to be explored.

Proposed by P Miller, seconded by S Crowe

Decision:

That the Better Care Fund 2023-25: Quarter 1 2024/25 Discharge Fund Template be retrospectively approved.

To consider a report by the Strategic Health and Adult Social Care Integration Lead.

(Report to follow)

The Strategic Lead for Health and Adult Social Care Integration outlined diagnostic work being undertaken by Newton to look at patient flow through the system. The findings of the work would be shared with the System Executive Group. The next step would be to consider a commissioning partner for delivering the transformation.

The Chief Executive of NHS Dorset stated that the system was not working in an optimum way. This work was connected with Integrated Neighbourhood Teams and Thriving Communities. Following consideration of the business case, the work would be committed to through a legally binding contract.

During discussion of the reports, the following points were raised:

·         How to consider the benefits at place and neighbourhood levels.

·         The importance of the two Health & Wellbeing Boards working together on this.

·         Consultation at the People & Health Scrutiny Committee would be needed if there would be any substantial variations to health services.

The Board noted the report.

To consider the report by Head of Service – Birth to Settled Adulthood.

The Head of Service for Birth to Settled Adulthood presented the progress report. She gave a summary of the Birth to Settled Adulthood project, which included preparation of the adulthood model, supporting new ways of working, and the positives and challenges.

Board members commented on the report and the following points were raised:

·         Being settled could have different meanings for different people.

·         There were connections to the care leavers covenant through the transitions panel.

·         There was early intervention from the 0-5 Best Start in Life service

·         There were needs for different types of accommodation, including accommodation for care leavers.

·         It was important to ensure that there was settled adulthood and that the ‘cliff edge’ was not being moved from 18 to 25 years old.

There was a request from the Vice-Chair for a report on housing to be provided to the Integrated Care Partnership.

The Board noted and commended the report.

To consider the work programme of the Health and Wellbeing Board.

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.

The Board noted the work programme and that items for the next meeting would need to be prioritised.