Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Jan Britton, Marc House and Simone Yule.

To confirm the minutes of the meeting held on 18 September 2024.

The minutes of the meeting held on 18 September 2024 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 disclosable pecuniary 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^th November 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 were no questions submitted by members of the public.

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, 15^th November 2024. 

Dorset Council Constitution – Procedure Rule 13 

There was one questions submitted by Cllr Carole Jones and a response given by the Chief Executive of NHS Dorset. Cllr Jones asked one supplementary question and received a response by the Chief Executive of NHS Dorset.

The question and response are attached as an appendix to these minutes.

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

The Strategic Health and Adult Social Care Integration Lead introduced the item and gave a presentation to the Board, in conjunction with representatives of the strategic delivery partner Newton. The purpose of the transformation programme was to ensure that people can live independently and there were better outcomes for people in Dorset. It would ensure that residents receive care in the right places, which reduces hospital admissions and discharges patients from hospital quicker. The presentation included the areas which would be included in the transformation. The presentation is attached as an appendix to these minutes.

Board members discussed the report and presentation. During the discussion the following points were raised:

·       If there needed to be a culture change, change needed to be made with staff and ensuring that local teams were around each change.

·       There would be Key Performance Indicators for measuring change. The indicators needed to be shared at the right levels, ensuring that the most important indicators were shared with all levels.

·       The programme was structured around health organisations in the Dorset area, which could mean that some of the benefits do not affect residents who use hospitals in other counties.

·       This programme was critical to the local health system, to ensure that people were admitted to the right places that meet their needs, when a hospital may not be the best place for them.

·       The voluntary sector needed to be joined up with the work, however their involvement needed to be properly funded to be effective.

·       Virtual wards enable patients to access the support they would usually get in a hospital, but from their own home. Patients could use the virtual ward as a step between hospital and community-based care.

·       The Place-Based Partnership would be key to ensuring the work is delivered and in conjunction with other pieces of transformation for health, such as Integrated Neighbourhood Teams.

·       Change in the healthcare system may cause anxiety for patients. The integrated model could have more coordination from a community coordinator or a case manager, who would ensure that patients are receiving the right care in the right places.

The Health and Wellbeing Board noted the findings from the diagnostic phase of the Urgent and Emergency Care Transformation Phase and endorsed progressing to the Design and Delivery Phase of the programme.

The Board agreed that the programme be added as a standing item at meetings.

To consider a report the Head of Service for Commissioning for Older People and Home First.

The Head of Service for Older People, Home First and Market Access introduced the item and outlined the key areas of the report in a presentation. An achievement was that more people were being effectively supported than planned during a time of higher demand. The challenges included the demand and the quality of data, it was outlined how these challenged were being managed. The presentation is attached as an appendix to these minutes.

There were no questions or comments from members.

Proposed by Cllr S Robinson, seconded by Sam Crowe.

Decision:

That the Better Care Fund Reporting Template for Quarter 2 2024/25 be endorsed.

To consider a report by the Independent Chair of the Dorset Safeguarding Adults Board.

The Independent Chair of the Safeguarding Adults Board introduced the annual report. She gave a presentation which highlighted the key areas from the annual report. These areas included safeguarding activity and performance information, the key achievements, and progress against the Board’s strategic plan. The presentation is attached as an appendix to these minutes.

In response to a question on what support there is to mothers who have children removed from their care, the Corporate Director for Commissioning and Partnerships advised that the Pause project which is a programme designed to support women who have children removed from their care. It is a long-term and very effective intervention. It creates significant cost avoidance for where they could potentially end up without support.

The Board noted the annual report.

To consider a report by the Service Manager for Strategic Partnerships.

The Cabinet Member for Children’s Services, Education and Skills introduced the report. The Corporate Director for Commissioning and Partnerships outlined the impacts from each of the priority areas of the Children, Young People and Families Plan that the Strategic Alliance had over the year.

The Director of Public Health referred to the refresh of the Health and Wellbeing Strategy. he hoped that Children and Young People would be prominent in the strategy.

The Board noted the annual report.

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

There were no comments on the Board’s work programme.

Board members were updated that they would receive a consultation for the Health and Wellbeing Strategy.

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.