Agenda and minutes

Resolved that:

The minutes of the meeting held on the 4^th October are agreed as a correct record.

Apologies were received from Cllr Sachin Rajput, David Riddle, Gillian Jordan, Dr Clare Stephens and Mathew Kendall.

The Chairman welcomed Dr Andrew Howe, Director of Public Health for Barnet and Harrow, and John Morton, Designate Chief Officer Barnet CCG to their first meetings of the Board

None.

None.

Kate Kennally, Interim Director of Children’s Service / Director of Adult Social Services, gave a presentation outlining the Council’s finance and business planning for 2013/14-2015/16.

The presentation set out:

·   the economic context of business planning

·   the impact of demographic change in a time of austerity

·   how the Council intended to make £54.3 million savings across the next three years

·   how the Council was setting aside funding to support residents during this period

·   the opportunities available to promote growth over the coming years

·   the Council’s consultation process in relation to budget planning

·   the Council’s priority outcomes

Cllr Hart commented on how clearly the Presentation demonstrated the Council’s long history of commitment and support to Adults and Children’s Services.

Cllr Harper commented that under the new commissioning model the Council would be moving away from a traditional directorate structure and that this would result in new relationships between stakeholders and a redefinition in how services were delivered. Kate Kennally informed the Board how the new commissioning model would involve the intelligent use of data to support the effective delivery of services.

John Morton advised that the CCG would bring their budget planning to the next meeting of the Board for discussion, and that he also welcomed the opportunity to review the detail of the Council’s social care and children’s service budgets and understand their impact.

Resolved that:

1. The Board notes the report and presentation.

2. Members of the Health and Well-being Board comment on the finance and business planning priorities in advance of the 31^st January deadline.

Kate Kennally presented the minutes of the Financial Planning Subgroup which updated the Board on the joint planning of health and social care funding in accordance with the Council’s Medium Term Financial Strategy (MTFS) and the NHS Quality Improvement and Productivity Plan (QIPP).

Kate Kennally reported that there had been some inconsistency in terms of membership of the Group and that confirmation of a settled representation from the CCG would support the resolution of this issue.

Resolved that:

1. The Board notes the report.

2. The Designate Chief Officer of Barnet CCG confirms the CCG Board representative for the Financial Planning Sub-group

Dawn Wakeling, the Deputy Director of Adult Social Care and Health, presented a report which updated the Board on the developing of scoping work in relation to the Health and Social Care Integration Programme.

She drew the Board’s attention to the outcomes of the successful Health and Social Care Integration (HSCI) Delivery Board meeting held in October 2012 and to the Health and Social Care Concordat which illustrated how integration would work from the perspective of a service user.

The Board considered how the NHS and specifically the Primary Care Strategy could complement the planned activity by the Health and Social Care Integration Programme and the £1.1m investment from Barnet Council to deliver the vision outlined in the HSCI Concordat.

John Morton commented that the CCG needed to do further work around the delivery of the Primary Care Strategy advising that their Primary Care Strategy Board would be meeting on the 20^th December to develop the next stage. Mr Morton advised the Board that the CCG would work with council partners to ensure the effective use of the £1.1 million investment and consider how the Primary Care Strategy implementation monies could support health and social care integration.

Resolved that:

The Board notes the report

Temmy Fasegha, the Joint Commissioner Mental Health and Learning Disability, presented a report that provided the Board with an update on the council’s position following the serious case review on Winterbourne View Hospital commissioned by South Gloucestershire’s Adult Safeguarding Board, and the Department of Health’s (DH) interim report which outlined actions for the NHS and Local Authorities.

Mr Fasegha outlined to the Board the actions already taken locally and those being planned in response to the reviews following the reported abuse that took place in Winterbourne View Hospital. In relation to these plans the Board commented on the importance of intelligence sharing.

With regard to funding for the Deprivation of Liberty Safeguards responsibilities in paragraph 7.3 of the report, it was noted that the Quality Improvement Productivity Programme (QIPP) Board would be signing off the financial envelope on 13/14 which would include the CCG’s contribution towards the Council’s new responsibilities.

Resolved that:

The Board notes the report

Andrew Nathan, Strategic Policy Adviser, presented to the Board the latest version of the Forward Work Programme.

Cllr Hart requested that an item be placed on the work programme to discuss developments in relation to the proposed acquisition of the Barnet and Chase Farm NHS Trust by the Royal Free NHS Foundation Trust.

John Morton advised that the role of the NHS Commissioning Board was still emerging but that an item for the April 2013 meeting would be appropriate.

Kate Kennally advised that an item on public health commissioning intentions  would be  taken to the January meeting and would incorporate the work programme item on substance misuse strategy.

Kate Kennally and John Morton would discuss a submission date for the integrated Commissioning Strategy. 

Cllr Harper requested that the Early Intervention and Prevention - strategic

review item come to the Board, preferably in January.

The next Quality and Safety report was expected to cover the handover from NHS North Central London and how system wide working would still be preserved.

The item on Mental Health would be scheduled for April.

It was agreed that a suitable subject for the workshop session at the next Board would be engagement and communications with the public and with stakeholders.

Dr Sumners advised that there was a clash on the 4^th April between meetings of the Health and Well-being Board and the CCG Board. The Board agreed to hold the Health and Well-being Board meeting in the afternoon of the 4^th April to accommodate CCG members’ attendance at both meetings and to ensure that Board meetings in 13/14 did not occur on the first Thursday of each month.

Resolved that:

The Board notes the Forward Work Programme.

Jeffrey Lake, Locum Consultant in Public Health, presented a report providing direction for local authority and partnership priorities to promote healthy weight. The report provided a summary of the evidence based interventions available to promote healthy weight and tackle obesity, a high level assessment of current provision and additional opportunities in Barnet and also set out proposed aims of a strategic approach to healthy weight.

Cllr Hart commented on the experience at Harrow where childhood obesity had fallen since a healthy eating programme was introduced across 16 children's centres in 2008 at a cost of approx £5000 a year. She also drew attention to their success in involving volunteers and to Harrow’s investment in outdoor gyms. Cllr Hart commented that Barnet needed to produce a strategic vision in relation to access to affordable, healthy food and for opportunities to be physically active.

Resolved that:

1. The Board notes the potential for evidence based intervention to promote healthy weight and tackle obesity in Barnet.

2. The Board commit to the development of a strategic approach across the Borough

Mick Quigley, Assistant Director Schools and Learning, presented a report which set out the strategic outline case for a review of sport and physical activity provision within the borough.

Mr Quigley advised that the full business case would be completed by April 2013. The Board were informed that the council was currently engaged in negotiations with Greenwich Leisure.

The Board was also informed of the development of a new initiative, the Barnet Strategic Sport Group, which had been established by schools to facilitate the effective strategic coordination of sports and physical activity planning and provision for Barnet in order for people to have the opportunity to participate in high quality sport and physical activity. It was agreed that the co-ordinator of this Group attend a future Board meeting.

Dawn Wakeling highlighted the need to provide a range of leisure opportunities that went beyond competitive sport and incorporated broader social and environmental considerations such as older individuals feeling safe and secure enough in the community to engage in simple, healthy activities such as going for a walk.

Kate Kennally commented on the arrival of Saracens Rugby Football Club in the borough and the opportunities that this would bring through the club’s engagement activities with local communities.

Kate Kennally also drew the Board’s attention to the £203,000 identified to deliver the Outline Business case and prepare a strategy, welcomed Public Health taking up a leadership role in the review with support from all partners. In relation to the financial and resource implications of the review Cllr Hart commented on the importance of prioritising physical activity and other obesity and overweight reduction activity for any public health funding remaining once statutory obligations had been met.

Dr Andrew Howe reported that the Implementation Plan for the Health and Well Being Strategy would include a clear set of actions to capitalise on the Board’s support for this agenda.

Resolved that:

1. The Board notes the report.

2. That the outline business case on the future of sport and physical activity provision return to the Health and Well Being Board for comment prior to implementation.