Agenda and minutes

The Chairman welcomed all attendants to the meeting of the Health and Wellbeing Board. The Board received a verbal update on the progress of the actions of the previous meeting.

RESOLVED that the minutes of the previous meeting of the Health and Wellbeing Board held on 30^th July 2015 be agreed as a correct record.

Apologies for absence were received from Paul Bennett who has left NHS England. The Board heard that John Atherton had been appointed to the post for the interim and that the post will be recruited to by February 2016.

There were none.

None.

None were received.

The Chairman introduced the item and thanked all the parties involved with the production of the renewed Joint Strategic Needs Assessment 2015-2020 which she referred to as an excellent, reasoned, relevant and readable document. She added that as a result of the very fine balance achieved between extensive engagement and analysis, the JSNA was able to provide an extremely high quality, impartial and credible evidence base on which to base decisions and would add great value to all the work that was done across the Public and Voluntary Sectors to improve health and wellbeing in Barnet.  It had also been reviewed and informed by the comments received from the Board.

The Chairman noted the proposal for plans to host an interactive micro-site JSNA by December 2015 which can be accessed and used as an informative and transparent web-based tool. The Chairman invited Mr Luke Ward, Commissioning Lead Entrepreneurial Barnet to join the meeting.

Mr Ward informed the Board about the benefits of a published JSNA micro-site which can be updated as gaps and concerns about policies are raised.

The Board noted that the development of the JSNA 2015-2020 was informed by a number of guiding principles which were applied from the outset and included:

• Focus on demand management, prevention and early intervention.
• Identification of longer-term trends and needs

Dr Debbie Frost, Chair of the Barnet CCG, commended the joint efforts in the preparation of the JSNA website as well as the Executive Summary of the new JSNA 2015-2020 contained within the appendix to the Report. The Board requested that examples be added to the Executive Summary to highlight some of the achievements. (Action)

Chris Miller, Independent Chair of the Adults and Children's Safeguarding Boards, noted that a wider scope of referrals from different organisations and sources are needed in relation to figures for referrals as set out in graph 8 on p172 of the report.

The Chairman thanked Mr Ward and the Board for the discussion.

RESOLVED that:

1. The Health and Wellbeing Board approves Barnet’s Joint Strategic Needs Assessment 2015-2020.
   
   
2. The Health and Wellbeing Board comments on the wider approach being taken to maintaining and embedding the JSNA in Barnet, in particular the JSNA website which is being developed jointly by Barnet CCG and LB Barnet.

The Chairman welcomed discussion on the draft Joint Health and Wellbeing Strategy 2016-2020, which had been informed by the renewed Joint Strategic Needs Assessment and developed following discussion at the Board in July.   She very much welcomed the suggestion of the Vice Chairman Dr Debbie Frost that in recognition of the integral part which colleagues from the CCG, Healthwatch and other partners represented on the Board had played in its development, that the Strategy now be called the Joint Health & Wellbeing Strategy. It was noted that following this meeting of the HWBB and approval by the Board, a Public Consultation would commence and run until 25 October 2015 to gain the views of partners and residents. 

The Consultation will inform the final JHWB Strategy which will be reported to the Health and Wellbeing Board for approval in November 2015, together with the local Barnet Dementia Manifesto.

The Board provided the following comments for consideration to be included in the draft JHWB Strategy ahead of consultation:

• To amend wording around primary care co-commissioning (p286) to reflect current arrangements
• To consider the collation of data and child immunisation rates on p288
• On p288, re-drafting needed to reflect proportion of number of children subject to a child protection plan
• To add role of designated GPs under p305 of the report.

The Chairman welcomed all comments and moved to the recommendations as set out in the report.

RESOLVED that:

1. That the Health and Wellbeing Board notes the draft Joint Health and Wellbeing Strategy (2016-2020) and comments on its content, including any areas to be developed further.
   
   
2. That the Health and Wellbeing Board approves the draft Joint Health and Wellbeing Strategy for public consultation from 17 September to 25 October 2015.
   
   
3. That the Health and Wellbeing Board notes that the final Joint Health and Wellbeing Strategy will return to the Board on 12 November 2015 for sign off.

The Chairman welcomed Mr James Mass, Community Wellbeing Assistant Director and Ms Hannah Ufland, Partnerships Board Officer to join the meeting for this item. Dr Clare Stephens welcomed the report and noted the importance of incorporating the ideas generated into work programmes.

The Chairman thanked all those involved with the success of the Partnership Board Summit which was held on 9^th July 2015. The Board noted the information contained in the Report and the excellent attendance and lively discussions from all partners at the Summit which presented an ideal opportunity to share lessons.

The Board noted that a further update report will be received in January 2016.

RESOLVED that:

1. That the Health and Wellbeing Board agrees the Summit report (appendix 1) for publication on London Borough of Barnet website and for circulation to all members of the Health and Wellbeing Board and Partnership Boards.
   
   
2. That the Health and Wellbeing Board notes that a report on the proposals for future partnership engagement will be presented to the Health and Wellbeing Board on 28 January 2016.

The Chairman welcomed the report and the opportunity for the Board to review the CCG Commissioning Intentions for 2016/17. The Chairman welcomed Ms Elizabeth James, Head of Clinical Commissioning, Interim, Barnet CGG to present the item.

The Board noted that under the provisions of the NHS Act 2006 all CCGs are required to prepare commissioning intentions for each financial year. The Board was informed about the engagement process involving patients, CCG Governing Body Members and service providers which has informed the draft Commissioning Intentions 2016/17.

The Board noted the Strategic Goals as set out in the appendix to the report which have helped to produce the draft Commissioning Intentions of the CCG for 2016/17.

Dr Frost welcomed comments from the Board and emphasised the importance of joined up working particularly in respect of engagement and partnership working with Healthwatch Barnet.

RESOLVED that:

1. That the Health and Wellbeing Board notes and comments on the content of the draft Barnet CCG 2016/17 Commissioning Intentions (see Appendix 1).

The Board received a presentation on the report from Beverley Wilding (Head of Primary Care Commissioning, BCCG).

The Board noted the information contained within the report and the appendix to the report along with the presentation.

RESOLVED that:

1. That the Health and Wellbeing Board notes and comments on the contents of this report.

The Chairman welcomed Dr Barry Subel, Barnet Clinical Commissioning Group, to join the meeting. Dr Subel informed the Board about the proposal to procure an integrated NHS 111/GP OOH service.

The Board heard about the viability of commissioning NHS 111/ OOH service as a single contract which would allow for fewer transfers and enable better information sharing.

Mr Michael Rich, Head of Healthwatch Barnet informed the Board about the option to bring an update report to a later meeting which would be informed by Barnet Healthwatch and potentially other NCL Healthwatch service.

The Chairman thanked partners for the discussions.

RESOLVED that:

1. That the Health and Wellbeing Board notes and comments on the proposal to procure an integrated NHS 111/GP out-of-hours service (OOH) across Barnet, Camden, Enfield, Haringey and Islington.

The Chairman informed the Board that the minutes of the Health and Social Care Integration Board of 8^th September and the minutes of the Finance Group meeting held on 16^th September will be reported to the HWBB at its meeting in November 2015.

Dr Howe informed the Board that the theme of his Annual Report, as Director of Public Health is Mental Health.

The Board noted the Forward Work Programme which is a standing item on the agenda.

RESOLVED:

1. That the Health and Wellbeing Board notes the Forward Work Programme and proposes any necessary additions and amendments to the forward work programme (see Appendix 1).

2. That Health and Wellbeing Board Members agree to propose updates to the forward work programme before the first day in each calendar month, so that the work programme can be published on the Council’s website more efficiently, with the most up to date information available.
   
   
3. That the Health and Wellbeing Board agrees to align its work
   programme with the work programmes of the Council Committees (namely the Adults and Safeguarding Committee, and the Children’s, Education, Libraries and Safeguarding Committee), Health Overview and Scrutiny Committee, and Barnet CCG’s Board (see Appendix 2).

None.