Agenda and minutes

Apologies for absence were received from Councillor Palmer, who had been delayed, and from Councillor Sood.  Apologies were also received from Chief Superintendent Rob Nixon, Leicestershire Police.

Councillor Patel announced that Councillor Palmer was unable to attend and had asked her to Chair the meeting in his absence.

Councillor Patel in the Chair.

Members are asked to declare any interests they may have in the business to be discussed at the meeting.

Members were asked to declare any interests they may have in the business to be discussed at the meeting. No such declarations were made.

To note that the membership of the Board was amended at the Annual Council meeting on 29 May 2014 to increase the number of members in each group to 4 as follows:-

Councillors

Chair of the Board – Councillor Palmer - Deputy City Mayor

Councillor Dempster - Assistant City Mayor (Children, Young People and Schools)

Councillor Patel - Assistant City Mayor (Adult Social Care)

Councillor Sood MBE - Assistant City Mayor (Community Involvement, Partnerships and Equalities)

City Council Officers

Deb Watson – Strategic Director, Adult Social Care and Health

Andy Keeling – Chief Operating Officer

Elaine McHale – Interim Strategic Director, Children’s Services

Tracie Rees, Director, Care Services and Commissioning, Adult Social Care

 NHS Representatives

Professor Azhar Farooqi, Co-Chair, Leicester City Clinical Commissioning Group

Dr Simon Freeman, Managing Director, Leicester City Clinical Commissioning Group

Dr Avi Prasad, Co-Chair, Leicester City Clinical Commissioning Group

David Sharp, Director, (Leicestershire and Lincolnshire Area) NHS England

Healthwatch/Other Representatives

Karen Chouhan, Chair, Healthwatch Leicester

Chief Superintendent Rob Nixon, Leicester City Basic Command Unit Commander. Leicestershire Police

2 vacancies

The Board’s Terms of Reference were amended by the Council to reflect this change in membership and also that the Board will meet 6 times a year in future.  All other Terms of Reference remain the same as before.

RESOLVED:

1)    That the membership of the Board as amended at the Annual Council meeting on 29 May 2014 to increase the number of members in each group to 4 be noted as follows:-

Councillors

Chair of the Board – Councillor Palmer - Deputy City Mayor

Councillor Dempster - Assistant City Mayor (Children, Young People and Schools)

Councillor Patel - Assistant City Mayor (Adult Social Care)

Councillor Sood MBE - Assistant City Mayor (Community Involvement, Partnerships and Equalities)

City Council Officers

Deb Watson – Strategic Director, Adult Social Care and Health

Andy Keeling – Chief Operating Officer

Elaine McHale – Interim Strategic Director, Children’s Services

Tracie Rees, Director, Care Services and Commissioning, Adult Social Care

 NHS Representatives

Professor Azhar Farooqi, Co-Chair, Leicester City Clinical Commissioning Group

Dr Simon Freeman, Managing Director, Leicester City Clinical Commissioning Group

Dr Avi Prasad, Co-Chair, Leicester City Clinical Commissioning Group

David Sharp, Director, (Leicestershire and Lincolnshire Area) NHS England

Healthwatch and Other Representatives

Karen Chouhan, Chair, Healthwatch Leicester

Chief Superintendent Rob Nixon, Leicester City Basic Command Unit Commander, Leicestershire Police

2 vacancies

2)    That it be noted that the Board’s Terms of Reference were amended by the Council to reflect this change in membership and also that the Board will meet 6 times a year in future and that all other Terms of Reference remained the same as before.

The Minutes of the previous meetings of the Board held on 3 April 2014 at 9.30 am and 11.30 am are attached and the Board is asked to confirm them as a correct record.

RESOLVED:

That the Minutes of the previous meetings of the Board held on 3 April 2014 at 9.30 am and 11.30 am be confirmed as a correct record.

The Strategic Director, Adult Social Care and Health to present an Annual Report on Public Health.  A presentation on the report will be made at the meeting.

The Strategic Director, Adult Social Care and Health presented her Annual Report as the Director of Public Health.  A presentation on the report was also made at the meeting, a copy of which is attached to these minutes.

In presenting the report the following comments were made in addition to those listed in the presentation:-

·         Although there was a statutory requirement to produce a report there was no guidance on what should be included in the report.  However it was customary to include an assessment of the health of population and to make recommendations about things that could be done to improve the health of population.

·         One of the report’s purposes was also to inform the City Council, Health and Wellbeing Board, Clinical Commissioning Group, NHS England, Public Health England and other partners about the health of the resident population and to identify key areas where improvements could be made that would benefit the health of the population.  The plan also provides information on health needs overall which informs the planning and the commissioning process within all partner organisations.

·         The report also sat alongside the Joint Strategic Needs Assessment which had enabled the Board to produce its Joint Health and Wellbeing Strategy ‘Closing the Gap’.

·         The report also helps to provide a record of the health of the population which allows a comparison to be made over a period of time and with other places, both locally and nationally.

·         The striking differences for Leicester from these comparisons were:-

o   Leicester was ranked 25^th most deprived area out of 326 local authorities in England, it was noted that deprivation probably had the greatest single impact upon the health of the population.

o   Deprivation was also linked to lifestyle factors and material conditions that can affect the health of people, e.g people living in cold damp conditions have a greater risk of heart problems etc.

o   The population of Leicester has a very rich diversity.  There are 18 different ethnic groups in the City with populations of 1,000 or more identified in the 2011 census.  (37% Asian/Asian British, 6% Black/Black British, 46% White and 4% Other White groups from Poland and other EU succession countries).

o   Different ethnic backgrounds have different predispositions to health conditions.  Lifestyle factors are deeply embedded in the lives of people from different cultures and can impact upon health either to increase the risk of, or be a protective factor against, particular health conditions.

o   Leicester’s population is relatively young in nature.  34.5% of households have dependent children (29% nationally) and 20% of the population in Leicester are aged 20 – 29 years old compared to 14% nationally.

o   There are also significant socio-economic challenges in Leicester.  29% of adults have no educational qualification and 35% of 16-74 year olds were economically inactive compared to 30% nationally.

o   All these factors had a high impact upon health and health needs.

·         The top three causes of deaths in the Leicester population under 75 years old were cancer, cardio-vascular  ...  view the full minutes text for item 6.

The Divisional Director to submit a report on the Pharmaceutical Needs Assessment.

The Divisional Director of Public Health submitted a report outlining the preparation of the Pharmaceutical Needs Assessment (PNA) for Leicester which the Board was required to publish by March 2015.

It was noted that the Board’s statutory responsibility to prepare and publish the PNA was being overseen by the Leicester Joint Integrated Commissioning Board through the Leicester, Leicestershire and Rutland Pharmaceutical Needs Assessment Project Team.  The terms of reference for the Project Team were submitted as part of the report.

The purpose of the PNA was to identify the pharmaceutical services currently available and to assess the need for pharmaceutical services in the future.  The PNA was a statutory document used by NHS England to agree changes to the commissioning of local pharmaceutical services.

The PNA was currently going through a period of local public consultation until 14 July 2014.  There would then be a period of statutory consultation for 60 days starting in September 2014 and the list of statutory consultees was listed in the report.  The consultation process would also be open to the public and, whilst the consultation would be available through the Council’s website, printed copies of the PNA and the consultation process would also be distributed.

RESOLVED:-

That the report be noted and that further reports be received on the progress of the PNA prior to the final PNA being submitted to the Board for approval in March 2015.

The Programme Director for Leicester, Leicestershire and Rutland Five Year Strategy to submit a report on the Directional Plan for Better Care Together Programme. There will be a presentation at the meeting on the Plan. 

A copy of the summary report is attached at Page 147 and the Better Care Together 5 Year Strategic Plan 2014-19 is attached at Page 159.

The Programme Director for Leicester, Leicestershire and Rutland Five Year Strategy submitted a report on the Directional Plan for the Better Care Together Programme.  A copy of the summary report and the Better Care Together 5 Year Strategic Plan 2014-2019 had previously been circulated to Members of the Board.

The Board received a presentation ‘A blueprint for Health and Social Care in LLR 2014-19 – Phase 2 – Discussion and Review Phase’ a copy of which is attached to these minutes.

During the presentation it was noted that:-

a)         The strategy was produced by a partnership of commissioners, providers, local authorities and Healthwatch.

b)         It was the biggest ever health and social care review locally.

c)         Whilst the review was being conducted against a backdrop of a financially challenged health economy, it was not purely a financially driven plan.

d)         The values and principles which underpinned the Plan together with its strategic aims and objectives were listed in the presentation.

e)         The Better Care Together programme was based around a ‘left shift’ in the settings and models of care moving care from the acute sector of hospital health care into the primary and community care services sector.  However this shift would not take place until the primary and community services necessary to support and achieve this new care model were in place.

f)          The Improvement Interventions for outcomes in 5 years’ time for the 8 pathways of Urgent Care, Frail Older People, Long Term Conditions, Planned Care, Maternity and Neonates, Children Young People and families, Mental Health and Learning Disabilities were set out in detail in the presentation.

g)         The current phase of ‘Discussion and Review’ would end in September 2014.  During this period further discussions would be held with partners and there would be further community and patient engagement during the summer.  Detailed options for change and a final strategy for approval would be presented for approval in September 2014.

h)        Phase 3 – ‘Implementation and Consultation’ would start in September and where formal public consultation was required, this would not take place until after the elections in May 2015.

Following questions from the public it was stated that:-

a)         The plan was evidence based and all the evidence used to underpin the plan had been published in its appendices. The directional plan was by its nature a high level plan and further more detailed business cases would be developed in the future. Any evidence to support those would also be made available.

b)         A Risk Register was currently being developed and would be submitted to the Better Care Together Board in due course.  The risk register was being prepared on the best practice guidance of the Office of Government Commerce and they had also been asked to provide an independent assessment of the governance and risk management elements of the programme.

c)         Although the Better Care Together Board did not currently meet in public this was being re-assessed as to whether it should in future.

d)         There  ...  view the full minutes text for item 8.

Members of the Board to make announcements, if appropriate, on topics of current interest.

The Strategic Director for Adult Social Care and Health reported that the Care Act had now received Royal Assent and would be implemented from April 2015. This would introduce significant changes to the delivery of social care and would increase the costs of social care considerably.  The consultation on the draft regulations under the Act was currently being undertaken.  The draft regulations were available on the Department of Health website.

The Chair to invite questions from members of the public.

The Divisional Director of Public Health undertook to respond to a question from a member of the public on the number of people from Hindu, Sikh and Muslim communities that were suffering from mental health conditions.

To note that future meetings of the Board will be held on the following dates:-

Thursday 9 October 2014

Thursday 11 December 2014

Thursday 5 February 2015

Thursday 26 March 2015

Thursday 25 June 2015

Thursday 3 September 2015

Thursday 29 October 2015

Thursday 10 December 2015

Thursday 4 February 2016

Thursday 7 April 2016

All meetings will start at 10.00am unless stated otherwise on the agenda for the meeting.

The next meeting of the Board on 9 October will be held in the Tea Room, 1^st Floor Town Hall.  Future meetings will be held in City Hall, 115 Charles Street as soon as the meeting rooms become available for public use.

NOTED:

that future meetings of the Board will be held on the following dates:-

Thursday 9 October 2014

Thursday 11 December 2014

Thursday 5 February 2015

Thursday 26 March 2015

Thursday 25 June 2015

Thursday 3 September 2015

Thursday 29 October 2015

Thursday 10 December 2015

Thursday 4 February 2016

Thursday 7 April 2016

All meetings will start at 10.00am unless stated otherwise on the agenda for the meeting.

It was also NOTED that the next meeting of the Board on 9 October will be held in the Tea Room, 1^st Floor Town Hall.  Future meetings will be held in City Hall, 115 Charles Street as soon as the meeting rooms become available for public use.

The Chair declared the meeting closed at 12.15 pm.