Agenda and draft minutes

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None.

Minutes of the Health and Wellbeing Board Meeting on 24 August 2023, to approve as a correct record.

Resolved: that the Minutes of the last Board meeting held on 24 August 2023 be approved as a correct record.

Members received the report proposing an amendment to the Health and Wellbeing Board Terms of Reference (ToR).

Resolved: that the ToR be amended such that the Executive Member for Adult Services and Stronger Communities be added list of designated Members of the Board.

The Director of Public Health presented the report proposing the establishment of a new Operations Group to better coordinate collaboration between the Health and Wellbeing Board and the Locality Partnerships.

Resolved: that the proposal to establish an Operations Group be adopted and the Board’s ToR be revised accordingly.

The Consultant in Public Health presented the report which included: proposals for review by the Board regarding allocation of funding aimed at improving Mental health and oral health and an overview of the updated draft North Somerset Mental Health Strategy, for review and feedback.

Members commented or sought assurance on the following issues:

• Challenges around access to children’s dental services - The Director of Public Health confirmed the Integrated Care Board (ICB) were working in partnership with providers to put together an improvement plan.  He referred to a recent detailed report to the Health Overview and Scrutiny Panel setting out further details and agreed to circulate a copy for information.
• Services for refugees/asylum seekers – The Director of Public Health acknowledged the challenges giving assurance that work was underway with the ICB towards establishing a common approach across BNSSG.
• Anecdotal link between child obesity and poor dental hygiene – officers confirmed that parent support was available via schools but that this was targeted at areas of greatest need.
• Link between housing needs and mental health – Members’ comments included: concern that the £40k allocated for support was limited and more work was needed around prevention; and concern that focus should not be limited to mental health (physical health as well).
• Need for specific reference in the proposals to mental health support targeted at older people.
• Better utilising communities to support early intervention.
• The need to include hearing loss as a significant factor contributing to social isolation and challenges around dementia.    

Resolved:

(1)        that progress in implementing the joint Health and Wellbeing Strategy be noted;

(2)        that Members’ feedback be provided to officers in the form of the minutes;

(3)        that the proposal for extended capacity to implement oral health programmes for children and young people to complete strategy actions be approved;

(4)        that the allocation of funding for Phase 2 workstreams (adult mental health and children and young people’s mental health) be approved; and

(5)        that suggestions for the foundation structure of the next Joint Local Health and Wellbeing Strategy 2024-2028 be noted.

The ICB Programme Delivery Manager presented the report outlining the background to, and process for, the development of the Joint Forward Plan (JFP).

It was noted that this iteration of the JFP needed to be published on 28^th March 2024 and feedback was invited by Members, particularly in respect of better integrating existing local strategies and plans whilst also addressing wider system ambitions and universal NHS commitments.

In discussion, feedback included:

• The potential for the Board’s Operations Group to coordinate planning.
• Emphasis on the strengths of Health and Wellbeing Strategy’s place-based approach to locality planning and opportunities for the Operations Group to reinforce and integrate this approach within the JFP.
• The need to ensure the JFP was accessible and understandable for the general public.

In concluding discussion, the ICB Programme Delivery Manager confirmed that following feedback, an updated version of the detailed Plan would be circulated in January and, noting comments about the need to make this more accessible, a “visual format” of the plan would also be produced.

Resolved: that the report be noted.

The Assistant Director of Commissioning, Partnerships and Housing presented the report proposing delegated arrangements for the approval of the Better Care fund Quarter 2 performance report.

Resolved: that approval of the Quarter 2 Better Care Fund performance report be delegated to the Chair of the Health and Wellbeing Board.

The Head of Locality, Woodspring, presented the report outlining the headline plans and the work that the ICB localities in Weston Worle and Villages and Woodspring participated in and how this work was being conducted with partners to ensure alignment across North Somerset whilst also identifying the needs of the population within each locality, working closely with lived experience representatives.

Resolved: that the report be noted.

In updating Members, the Director of Public Health reported that the Board’s work plan was still in development, noting the need to align it with the Council’s 2024-2028 Corporate Plan which was due to be published in the new year.  He said the Board’s work plan would be presented to the next meeting of the Board in February 2024, possibly as an appendix to the Board’s Terms of Reference.

He also encouraged Members to consider appreciative inquiry topics for future Board meetings and submit suggestions at the appreciative inquiry following this meeting - or submit them by email.

Resolved: that the update be received.