Venue: MS Teams with Outside Broadcasting
Contact: David Northover 224175 Email: david.northover@dorsetcouncil.gov.uk
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Election of Chairman To elect a Chairman from amongst the BCP Council representatives Minutes: Resolved That
Councillor Nicola Greene be elected Chairman for the meeting. |
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Appointment of Vice-Chairman To appoint a Vice-Chairman for the meeting from amongst the Dorset Council representatives. Minutes: Resolved That Councillor Laura Miller be appointed Vice-Chairman for the
meeting |
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Apologies To receive any apologies for absence. Minutes: An apology for absence was received from Councillor Graham Carr-Jones. |
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Declarations of Interest To receive any declarations of interest. Minutes: No declarations of disclosable pecuniary interests were made at the meeting. |
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To confirm the minutes of the meeting held on 21 July 2020. Minutes: Resolved The
minutes of the meeting held on 21 July 2020 were confirmed and would be signed at the earliest opportunity. The
Director of Public Health took the opportunity to inform the Board of what had been
done by Public Health Dorset (PHD) - in partnership with other heath
bodies GP’s; Dorset Clinical Commissioning Group; the NHS, emergency
services; and Dorset and BCP Councils - to address and manage the
Coronavirus pandemic within Dorset over recent months. The Board
was given a presentation outlining the local outbreak management
plans, how they were being applied and managed and what was being
done in practice, along with other associated information pertaining to the pandemic, to put what PHD was doing – and had done - in some
context. A copy of the presentation is incorporated in these minutes at minute
67. Public
Health Dorset considered that the reduction seen in Covid-19 infection rates
was pleasing to see and reflected the efforts made and the means by which this
was done. Rural Dorset’s seven-day figures were currently just under 100 cases
per 100,000 and the Bournemouth, Christchurch and Poole area, just under 200. Whilst the
increase in rates over the past two to three weeks had been concerning, the
trend being now seen showed that compliance with the interventions put in place
had achieved some considerable success. Nevertheless,
it was of critical importance that compliance with the lockdown rules was
maintained to ensure that trend continued and that there should be no place for
complacency, or this would contribute to this tend being reversed. Household
transmission remained the most significant exposure setting, followed by
visiting friends and family. The local
rise in infection rates had coincided with the period when there were local
limitations in accessing a test as resources were focused on the north of the
country which needed more attention. The Board
were told that many of the recently reported cases were amongst younger people
(16-29), although there had been evidence of a spread to over 65’s -the group
more likely to need medical help in hospital. The Director
said there unfortunately was little which could be done about hospital
admission cases over the upcoming couple of weeks because this was already
determined by the infection rate circulating already within the community. It was
still hoped that when lockdown ended, the county could resume on the minimum
Covid-19 restrictions given how this was being managed and the results being
seen from this and there were advanced plans being developed to design a local
track and trace system to manage the pandemic in helping to keep local figures
down. The Board expressed its appreciation for what the whole Public Health Dorset team had done in addressing the Covid-19 pandemic and commented that this was a credit to the team, to local councils and their partners and to the residents of Dorset. They commented that this demonstrated the importance of our public health service and that Dorset and its residents were benefitting from ... view the full minutes text for item 56. |
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Public Participation PDF 49 KB To receive questions or statements on the business of the
committee from town and parish councils and members of the public. Minutes: No statements and questions from Town and Parish Councils or public statements or questions were received at the meeting. |
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To note the Terms of Reference of the Board. Minutes: The Board’s Terms of Reference were noted. |
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To receive and note the Board’s current Forward Plan. Minutes: The Board’s
Forward Plan was noted and, what was due to be considered over the coming months, accepted. |
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Future of Public Health Dorset - Partnership Agreement PDF 119 KB To consider a report by the Director for Public Health. Additional documents: Minutes: The Board considered a report by the
Director on the future arrangements for the Partnership Agreement between Dorset
Council and BCP Council in light of unitary status of the two councils arising
from local government reorganisation in April 2019. Since 2013, Public Health Dorset had
provided a range of public health services, advice and expertise to local
councils, under a shared service arrangement. During local government re-organisation,
the Joint Public Health Board undertook a review of the shared service model,
and agreed to continue the arrangements under the two new unitary councils. In
the past year, the terms of reference had been updated and agreed by the Board,
to ensure a clearer separation between the work of the Joint Public Health
Board, and respective councils' health and wellbeing work. The shared service agreement was also
reviewed by both councils in January 2020. Although there was a delay in
finalising a new agreement due to COVID-19, both councils were now in a
position to agree a new shared service agreement
to support delivery of public health. The renewed shared services agreement and
finance agreement was now being presented for agreement to the Board. Renewal
of the agreement would enable the continued functioning of the shared service,
as well as providing more certainty over use of the Public Health Grant, both
within the shared service, and partner councils. It was also bring recommended that a report
summarising the performance of the shared services be taken to the Board each
year, as part of the continued assurance around provision of
public health services within each council. The
Board was in agreement with what was being proposed, and the reasons for this,
and agreed that the provisions of the Partnership Agreement should be endorsed
on the basis of the Director’s report. Resolved 1)That the renewal of the shared service
agreement governing the public health service across both Councils
be accepted and agreed. 2)That the development of a financial annex
each year that sets the service budget requirements, and respective
contributions from partner councils be supported and endorsed. Reason for Decision To enable the continuation of the shared
service for public health in the two councils, and have a clearer view of the
financial requirements of the service, to support effective use of the public
health grant. |
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To consider a joint report by the Chief Financial Officer and the Director for Public Health Minutes: The
Board received an update on the use of each Council’s grant for public health,
including the budget for the shared service, Public Health Dorset, and the
other elements of grant used within each Council outside of the public health shared
service. The report described how the funding was being applied and to what services and in what proportion. The Spending Round 2019 covered a single
year planning round. It seemed unlikely that in the midst of a COVID pandemic
there would be reductions to the Public Health Grant, so planning for
next year was therefore built on an assumption that the Public Heath Grant would
be the same as 20/21. In recognition of the difficult and
uncertain financial circumstances that both local authorities faced due to the
COVID response, discussion continued in regard to any potential change
in retained elements or return of any underspend to ensure local
authorities could continue to provide and transform their
prevention and public health interventions. Whilst
it was acknowledged that the continued interventions needed to address the
issues associated with Covid-19 were unprecedented and represented a unique
challenge both in financial and practical terms, the Board recognised that the
available funding was being used as efficiently as it could be and
appropriately prioritised to continue to optimise outcomes. Resolved That
the content of the Finance report, and what it was designed to achieve, be
noted and acknowledged. Reasons
for Decision The public health grant is ring-fenced and
all spend against it must comply with the necessary grant conditions and be
signed off by both the Chief Executive or Section 151 Officer and the Director
of Public Health for each local authority. The public health shared service delivers
public health services across Dorset Council (DC) and BCP Council. The service
works closely with both Councils and partners to deliver the mandatory public
health functions and services, and arrange of health and wellbeing initiatives.
Each council also provides a range of other services with public health impact
and retains a portion of the grant to support this in different ways. |
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Clinical Services Performance Monitoring PDF 90 KB To consider a report by the Director for Public Health. Additional documents:
Minutes: The
Board considered a report on clinical services performance monitoring,
providing a high-level summary of
performance for drugs and alcohol and sexual health services, with
supporting data in appendices. The
Board considered that the performance was appropriate and acceptable
given the challenges of service delivery during the pandemic. The Board appreciated
what the services had achieved so far and expressed their expectation that this
would be maintained and enhances where
practicable. Resolved That the performance in relation to drugs
and alcohol, and sexual health be noted, accepted and endorsed. Reason for Decision Close monitoring of performance will ensure
that clinical treatment services deliver what is expected of them and that our
budget is used to best effect. |
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To consider a report by the Director for Public Health. Minutes: The Board considered a report by the
director on the Sexual Health Service and the mobilisation of the new contract,
integration progress and changes due to Covid-19 response. During 2020, Dorset Healthcare NHS
Foundation Trust was successfully awarded the contract to provide Sexual
Health and HIV services, following a collaborative joint procurement exercise
undertaken between Public Health Dorset and NHS England. The new community-based pan Dorset service
commenced on 1st October 2020. The new service had simplified
fragmented delivery arrangements and brought together a range of services to
work together in an integrated model. This new service model,
developed over the past two years, was more equitable, much more
straightforward, efficient, effective and, over time had made the required cost
savings in line with the national savings made to the Public Health Grant. This procurement presented an opportunity to
improve service delivery, providing the right level of service, by the
most appropriate professional (complex and routine care) at the right time
and place. Designing a responsive community-based clinical service,
where people would be seen efficiently for testing or treatment, but
with an added focus on prevention, education, self-care and innovative digital
solutions to improve virtual access and meet changing population need
were critical in ensuring that need was met. The new pan Dorset service had mobilised
effectively and relatively smoothly, and risks and challenges largely
worked through, with additional measures put in place because of COVID-19.
In order to comply with guidance, the service was working
differently, including using digital service offers, virtual clinics and community pick
up points to keep essential services running. Services had stayed open for emergencies. As
recovery began, the service was working to risk assess and
reopen the satellite clinics that closed during lockdown. The recovery would be a
phased approach due to capacity and change in practice due to COVID-19. The
Board was pleased to see the progress being made and the success being seen
with sexual health service improvements. Officers affirmed that Public Health Dorset
would remain committed to maintaining and developing these improvements going
forward.
Resolved 1)That the successful joint procurement
award to Dorset Healthcare NHS Foundation Trust and subsequent service
mobilisation progress be noted and endorsed. 2)That the additional COVID measures and
phased recovery planning be noted and endorsed. Reason for
Decision To update on
progress and delivery of the Service during COVID-19. |
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Update on the Children and Young People's Public Health Service (Year 1 implementation) PDF 167 KB To consider a report by the Director for Public Health. Minutes: The Board received a paper which provided a
summary of year one progress, achievements and noted the local
challenges faced by the Children and Young People’s Public Health Service (CYPPHS) during the COVID-19 pandemic. Of note was the progress and achievements
made in mobilisation prioritisation and restoration in the practical
application of the service, what it entailed and the reasons for doing what was
being done. The stakeholder engagement process which
helped to develop the service specification and procurement process for
this service, recognised the important role this service would play
within the local children and young people’s
partnership arrangements and specifically
its contribution to improving the outcomes for families,
children and young people. The specification outlined a number of ways
in which the service would be expected to demonstrate outcomes and an
annual conversation was intended to provide a regular partnership opportunity
to review the evidence and develop continuous improvement plans. The Board was pleased to see what progress had
been made, how this was being done and what achievements had been realised and
considered this to be beneficial in meeting the needs of service users. Resolved 1)That the progress and achievements in year 1
implementation of the Children
and Young People’s Service be noted and endorsed. 2)That the challenges and restrictions to
elements of the service during the COVID-19 pandemic and lessons learned to
inform recovery planning be noted. Reason for Decisions To update on progress and delivery during the COVID-19 pandemic. |
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Commissioning options for Drug and Alcohol services in BCP Council PDF 172 KB To consider a report by the Director for Public Health. Minutes: The Board considered a report on
commissioning options for drug and alcohol services in BCP Council and the
reasoning for why this was seen to be necessary. Since 2015, Public Health Dorset had
commissioned most of the core elements of service provision for BCP
Council, other than the Psychosocial and Young People/Families
contracts for Bournemouth. This included contracts with pharmacies for
needle exchange and supervised consumption. There were several issues with the existing
model of commissioning - outlined in the report - and the preferred model
moving forward was for all commissioning responsibility to move to
a single set of commissioners. Having considered the options in detail, the
preferred option for BCP Council was that they took the
responsibility for commissioning drug and alcohol services for BCP Council and BCP
area with the aim of tendering for new contract(s) for November 2021.
Public Health colleagues would continue to provide appropriate expertise to
the commissioning cycle for the BCP area. The Board understood the reasoning for doing
this and considered this to be a pragmatic and practical arrangement that would
benefit the efficient and effective means of delivering this service. There was a discussion about future reporting
to the Joint Public Health Board and the Board asked for a further paper
outlining a more detailed plan for governance of drug and alcohol services to be
brought to the next meeting. Resolved 1)That the proposal for BCP Council
commissioners to take on the core responsibility for commissioning of drug and
alcohol services for BCP Council be noted and endorsed. 2)That the impact of this on future oversight
of drug and alcohol service performance and commissioning decisions to the
Board be noted and accepted. Reason for Decisions To resolve the current inherent challenges with the drug and alcohol services
commissioned for BCP Council and in particular to
achieve an equitable and sustainable service offer for all residents. Action Paper outlining a detailed proposal for future governance arrangements for drug and alcohol services to be brought to the next meeting. |
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Urgent items 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. Minutes: The following items of business were considered by the
Chairman as urgent pursuant to section 100B (4) b) of the Local Government Act
1972. The item was considered to be urgent. |
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Public Health Dorset - Response to and action on Covid -19 Minutes: COVID-19 summary, BCP and Dorset Councils
As of 1st November – data taken from SW Alert tables •BCP -197 cases per 100,000 population, testing positivity in pillar 2 is 7.4% •Dorset –99.9cases per 100K pop -testing positivity in pillar 2 is 4.5% South West at 145 cases per 100k; England at 228 cases per 100K •BCP Council 781cases in past 7 days (26 October to 1 November) •Dorset Council 378 cases in past 7 days (26 October to 1 November) •Age profile predominantly 16-29, but also infection rates have risen significantly in the over 65s in past week •Household transmission is the single most important exposure setting, followed by visiting friends / family •Also seeing outbreaks now in healthcare settings and workplaces –all being managed by joint work between public health, Council and NHS, but reflects increasing rates in community •Currently 107 people in hospital with COVID in our local system –need to do all we can to prevent further infection rate rises, and admissions •SW Region had fastest growing cases last week –reproduction rate R was 1.3 –1.6 Public Health Dorset: summary of recent work •Delivered local outbreak management plans x 2 in July •Completed action cards and operating procedures for high risk settings •Continue to build EpiCell–weekly reports to the system •Health Protection Board meets weekly –longer term programme of work established under “Contain and Enable” •Full out of hours rota established 24/7 with consultant cover all the time •Incident mailbox supported by fully staffed duty desk for acute response •Working with both Councils and ICS partners on our Contain strategy *communications and engagement *rapid testing capability * localised contact tracing, including welfare calls to all positive cases Testing •Around 2,000 people are being tested per day in each Council through the different services, community, healthcare, and via the national portal (including care home testing) •Roughly 7.5 per cent of people are testing positive in BCP Council –this is higher than 4 weeks ago, and higher than neighbouring Council areas like Dorset, where positivity is 4-5% •Please use the national testing portal to book your test –this is only required if you have symptoms of coronavirus •Additional testing capability for people unable to drive to Creekmoor at Lansdown and Talbot campuses •New rapid tests that give a result in 15 minutes are likely to be rolled out soon to support local test and trace, with further details expected imminently Outlook for the next month •When BCP and DC Councils come out of lockdown, we are aiming to emerge under the Tier 1 restrictions –medium risk; cases have levelled off in the past week –need to do all we can to keep cases down so we can balance impact on businesses •Hospital services remain open for people needing care for non-COVID conditions –and during lockdown we will endeavour to continue to provide services –support will continue particularly for the most vulnerable •Local outbreak engagement board continues to meet regularly to review the position, and develop clear messaging ... view the full minutes text for item 67. |