Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Tim Goodson, Patricia Miller and Eugine Yafele.

To disclose any pecuniary, other registerable or personal 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.

To receive questions or statements on the business of the committee from town and parish councils and members of the public.

Members of the public who live, work or represent an organisation within the Dorset Council area, may submit up to two questions or a statement of up to a maximum of 450 words.  All submissions must be sent electronically to fiona.king@dorsetcouncil.gov.uk by the deadline set out below.  When submitting a question please indicate who the question is for and include your name, address and contact details.  Questions and statements received in line with the council’s rules for public participation will be published as a supplement to the agenda.

Questions will be read out by an officer of the council and a response given by the appropriate Portfolio Holder or officer at the meeting.  All questions, statements and responses will be published in full within the minutes of the meeting. 

The deadline for submission of the full text of a question or statement is 8.30am on 18 June 2021.

Details of the Council’s procedure rules can be found at: Public Participation at Committees.

There were no statements or questions from Town and Parish Councils or

member of the public.

To receive any questions from members in accordance with procedure rule 13. The deadline for receipt of questions is 8.30am on Friday 18 June 2021.

There were no questions received from Members.

To receive a presentation from Dorset Police.

Members received a presentation from Dorset Police and is attached as an annexure to these minutes.

Areas highlighted and discussed:-

Prevention at scale very much at the centre of the integrated care strategy.

The need to explore more about the cost to schools.

The charging model from the Police was not sustainable or ethical at the present time.

Being part of providing safer healthier lives across Dorset.

A large number of children in Dorset were educated within the Independent sector, had they been consulted. Officers confirmed they had been consulted.

A key partner of this was health, especially in the prevention element, working collaboratively, development of collective services and ideas around quick wins.

A lot of the information was already out there it now needed to be coordinated.

Violence reduction work highlighted.

Working collaboratively across the public sector, data sharing.

Looking to populate health management systems.

A number of areas where communication could be improved

Place for the voluntary sector and how would this fit. 

The Chairman highlighted a key meeting on 30 June and encouraged as many partners to attend as possible.  She invited Police colleagues to report back to the Board in the autumn with an update.

To receive a report from the Director for Public Health.

Members considered a report which provided a short update on the current situation with COVID-19, and the response that was continuing under the refreshed local outbreak management plan. An update was also provided on the current actions under the plan.

The Director for Public Health updated members on the current Covid situation:

• 52 cases per 100k for the recent 7 day period
• Cases rising quickly which was a concern
• Current infection predominantly happening in the younger age groups
• Progress with vaccinations made locally highlighted
• Proactive communications plan had been developed with the CCG
• The huge effort to get as many younger people vaccinated as soon as possible.

Areas highlighted and discussed:-

The importance of reinforcing businesses about more testing and vaccinations as GPs did not always have telephone contacts for younger people.

The success of the ongoing vaccination work.

Reminder that Covid had not gone away, while hospitals were not full with Covid patients it was still having an impact on primary care.

Reinforced the continuation of following the rules.

The need to keep transmission as low as possible.

The nervousness around vaccinations especially with some younger people.

The anxiety in a number of younger people in respect of injections and how this could be fuelled by reports on social media.

To receive a report from the Director for Public Health.

Members considered a report which provided a summary of the next steps in the development of Integrated Care Systems. However, it also intended to highlight some important proposed policy developments, including the formation of the statutory Health and Care Partnership. This was because within the current Dorset system, two Health and Wellbeing Boards already existed as statutory boards who were responsible for the promotion of prevention and integration at a place-based level.

Areas highlighted and discussed:-

Very much work in progress.

A degree of top down design.

The role of the Health and Wellbeing Board to oversee what happened in the Dorset Council area.

An opportunity to work out what the people of Dorset needed.

A mirror report was also considered by the Health and Wellbeing Board in the Bournemouth, Christchurch and Poole council area.

Central directives highlighted.

Following discussion members were ‘minded to’ approve the recommendation. The Director for Public health had the delegated authority to approve the recommendation following members ‘minded to’ motion.

In view of rising infection rates members agreed to hold the initial development session online with the hope that members could meet face to face later in the year.

Decision

Members agreed to hold a development session in the next two months to consider how the Board will work with the place-based partnership forum of the ICS and its statutory body.

To receive a presentation from the Senior Analyst, Public Health Dorset.

Members received a presentation on health Inequalities from the Principal Researcher from Public Health, which is attached as an annexure to these minutes.

Areas highlighted and discussed:-

Feedback from focus groups highlighted – key messages were how complex the issues were in health inequalities, not just about one sector but about working together.

Power of the Insights Panel process highlighted.

Importance of listening to and working with communities

First stage of process now needed to feed into the strategic decision process.

Invest collective resource in the community.

How best to engage with communities across Dorset.

Consideration of online engagement work to get discussions around key areas.

Highlighted the use of plain language – not corporate or ‘buzz’ like words was essential.

Following a question from the Chairman about whether health inequalities could be put in a place to be understood by all, officers advised that the first phase had focused on the professional audience and more wide engagement with communities would be for the next stage.

Members to receive a brief update from the Programme Co-ordinator.

Members received a presentation from the Programme Co-ordinator which is attached as an annexure to these minutes. 

The following link will take you to the system map:

https://www.publichealthdorset.org.uk/jsna/insights/physical-activity.aspx

Areas highlighted and discussed:-

Understanding behavioural barriers, working with people and communities, not imposing interventions and solutions.

Focus more on movement rather than physical activity.

De-medicalise a number of problems that were caused by lifestyle factors.

Empower people.

The new drive to reduce obesity in primary care and could this be linked to the Live Well Dorset work.

Including the whole family on the activity journey.

Encourage people back into exercise, people have got out of the habit as a result of Covid, illness etc. Journey back into good practice.

Strengthening the number of social prescribers to help patients to not have to see GPs every time.

Consider the public sector workforce in Dorset and how to promote this through the workforce.

Be helpful to hold a whole member webinar on this topic.

The Interim Executive Director for Adult Social Care to update members on the BCF for 2020/21 and the uplift allocated to existing schemes.

There was no formal reporting requirement for the BCF to the Health and Wellbeing Board during the period due to Covid. The 2021/22 BCF guidance is not yet available.

The Interim Executive Director for Adult Social Care updated

members on the BCF for 2020/21 and the uplift allocated to existing

schemes.

Members were advised that ordinarily they would have received an annual report.  However, as an impact of Covid there was no requirement last year to produce one.

Members also considered a report which provided preliminary information on the Dorset Integrated Care System funding for the Hospital Discharge Programme in advance of a fuller report at the Health and Wellbeing Board on 22 September 2021.

Areas highlighted and discussed:-

Helpful to have a detailed conversation about how this activity was jointly funded.

Officers confirmed that CCG colleagues had had sight of the report and were in agreement with it prior to agenda publication.

Members were ‘minded to’ agree the recommendation as set out in the report.  The Interim Executive Director for People, Adults had the delegated authority to approve members’ ‘minded to’ motion.

Decision

That the Portfolio Holder for Adult Care and Health be given delegated authority in  consultation with the Chair and Vice-Chair of the Health and Well-being Board (and following Council and CCG governance processes) to agree Dorset Integrated Care System funding for the Hospital Discharge Programme for the period April to September 2021 if   needed in advance of a report coming to the Board on 22 September 2021.

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 of business.

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 3 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 was no exempt business.