Agenda and minutes

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None.

Minutes of the Health and Wellbeing Board Meeting on 26October 2022, to approve as a correct record.

Resolved: that the minutes of the meeting of 26 October 2022 be approved as a correct record

The Delivery Director, Woodspring Locality Partnership presented the report which outlined the headline plans and the work that the ICB localities in Weston Worle and Villages and Woodspring were progressing in conjunction with locality provider partners, lived experience representatives and the VCFSE sector: whilst some projects were specific to the needs of each locality, there was ‘join-up’ in key areas enabling a North Somerset wide approach to be taken.

Since the last briefing to the Board in October 2022, significant focus had been maintained by both Partnerships on two key areas of work which both serve to align services into an integrated model of care; These were Adult Community Mental Health Services and the Ageing Well Programme

Members sought and received clarification on the following aspects of the report:-

• progress on the evaluation of the Aging Well programme pilot scheme - there was a wider discussion about pilot schemes across the piece and the need to build-in evaluation with partner organisations, including local businesses, using this as a platform for communicating back key messages; and
• the extent to which the business community and different faith groups across the region were being engaged in this work, particularly around messaging.

Resolved:

(1)        that the report be received; and

(2)        that it t was agreed that pilot scheme evaluation work be shared with the Board.

The Director of Public Health presented the report providing a brief update on the delivery of actions agreed within the original strategy, and Phase 1 refresh of the strategy and an update on the Phase 2 refresh plans including for the following workstreams:

·        For Adult and CYP mental health – establishment of a targeted grant programme, and progress on a new NS mental health strategy.

·        For CYP risk behaviour – collaborative work between NSC Children’s and Public Health teams on evidence-based interventions.

·        For physical activity – development of a new NS physical activity strategy which will guide spending.

·        For green infrastructure – identification and funding of projects in collaboration with place-based teams across the Council.

·        For equality, diversity and inclusion –plans for funding to be developed, linked to actions across the Health and Wellbeing Strategy and to the development of other strategies e.g. the North Somerset Mental Health Strategy.

·        For carers’ health and wellbeing – a proposal to develop plans for supporting carers’ health and wellbeing following a carers’ needs assessment and refresh of the carers’ strategy.

Concluding discussion of the report and presentation, it was:-

Resolved:

(1)       that the progress on implementing the original and ‘Phase 1’ refresh, actions within the North Somerset Health and Wellbeing (HWB) Strategy be noted;

(2)       that the progress on delivering the ‘Phase 2’ refresh of the North Somerset HWS be noted; and

(3)       that the proposals being developed within the ‘Adult mental health”, ‘CYP mental health’, ‘CYP risk behaviour’, ‘Physical activity’, and ‘Green Infrastructure’ Phase 2 priority workstreams, including awarding of funding as per the options outlined in Section 2 be agreed.

The Programme Director BNSSG ICB presented the report which provided an update on the development of the Integrated Care Strategy.  He also gave a presentation which provided an overview of: -

•     the Strategic Framework;

•     Strategy development work in progress and next steps; and

•     the joint Forward Plan.

In discussion, Member’s feedback included;

•     there could be more emphasis on addressing climate emergency;

•     the Strategic Framework was helpful in aligning work across partners; and

•     there was a need for partners to own, and throw their collective weight behind, the strategy.

Resolved:

(1)       that the cross-system efforts and progress to date in developing a system-wide Integrated Care Strategy be noted;

(2)       that plans for developing a 5-Year Joint Forward Plan and the timeline for sharing a draft with the Board for consultation during April/May be noted: and

(3)       that a development session to facilitate engagement on the draft Joint Forward Plan be held in April/May 2023.

The Principal Head of Commissioning, Partnerships and Housing Solutions presented the report summarising the urgent actions taken to distribute and execute the Adult Social Care Discharge Grant to support Hospital discharge arrangements this Winter.

Members sought and received clarification on the following:-

•       preventing homelessness – there was a separate albeit temporary funding stream to support related services including at discharge;

•       assurance around bridging “cliff edge” risks given the short-term nature of this discharge funding; and

•       challenges around securing sustainable/longer-term funding, addressing system interdependencies (eg care worker recruitment/pay and conditions) and gaps in provision going forward.

Resolved: that decision of the Chair of the Health and Wellbeing Board to take delegated actions on the receipt and distribution of the Adult Social Care Discharge Grant be approved.

The Director of Public Health presented the report summarising progress in taking forward recommendations from the LGA review and recommendations presented at the October 2022 Health and Wellbeing Board meeting.

Resolved: that the progress and recommendations referred to above be noted.

The Director of Public Health presented the report summarising progress in taking forward recommendations from the LGA review and recommendations presented at the October 2022 Health and Wellbeing Board meeting.

Resolved: that the progress and recommendations referred to above be noted.