Agenda and minutes

To appoint a Chairman for the Municipal Year 2018/19.

RESOLVED

That Councillor Rachel Bailey be appointed as Chairman for the Municipal Year 2018/19.

To appoint a Vice-Chairman for the Municipal Year 2018/19.

RESOLVED

That Dr Andrew Wilson be appointed as Vice-Chairman for the Municipal Year 2018/19.

Apologies for absence were received from Louise Barry (Healthwatch), Tom Knight (NHS England) and Kath O’Dwyer (Cheshire East Council).

To provide an opportunity for Members and Officers to declare any disclosable pecuniary and non-pecuniary interests in any item on the agenda.

Councillor S Corcoran declared a non-pecuniary interest by virtue of his wife being a GP.

To approve the minutes of the meeting held on 27 March 2018 as a correct record.

The minutes of the meeting held on 27 March 2018 were approved as a correct record.

In accordance with paragraph 2.32 of the Committee Procedural Rules and Appendix 7 to the Rules a period of 10 minutes is allocated for members of the public to address the meeting on any matter relevant to the work of the body in question.  Individual members of the public may speak for up to 5 minutes but the Chairman or person presiding will decide how the period of time allocated for public speaking will be apportioned where there are a number of speakers. Members of the public are not required to give notice to use this facility. However, as a matter of courtesy, a period of 24 hours’ notice is encouraged.

Members of the public wishing to ask a question at the meeting should provide at least three clear working days’ notice in writing and should include the question with that notice. This will enable an informed answer to be given.

No members of the public wished to speak.

To consider the end of year report on the performance of the Better Care Fund.

Consideration was given to the year end performance report on the Better Care Fund in Cheshire East for 2017/18.  The information given included progress for that period against expectations, a detailed breakdown on the progress of individual schemes, highlights during that time, and how the Plan compared against national metrics.

The Committee welcomed the progress made and its positive evidence of commitment and partnership working.  In looking at its findings it was agreed that a richer picture would be provided by the inclusion of individual patient stories and that these would be incorporated.  The report could now be used to identify where additional resources were needed in the community and in primary care; the importance of the ongoing development of community hubs was appreciated and it was requested that a report on this be considered at a future meeting. 

The Committee agreed that the report provided confidence for the future evolution of the fund over the next 2 years which was to be considered as the next item on the agenda. 

RESOLVED

That: 

1.    The Better Care Fund in Cheshire East is making a significant difference to people’s lives as evidenced by the highlights of scheme performance in section 1.4 of the report;

2.    There have been notable improvements to Delayed Transfers of Care during the course of 2017/18.

3.    The Better Care Fund plan covers a two year period 2017/19 and in 2018/19 there remains much to do as noted in next steps 1.17 of the report, including concluding the evaluation process, confirming schemes for 2018/19, the completion of number of self-assessments to better understand progress against 7 day working, integration and High Impact Care.

4.    In appraising the performance of the Better Care Fund in 2017/18 the following information be noted:

·         Vision, aims and objectives of the BCF in Cheshire East (Appendix one)

·         The aims of individual schemes (Appendix two)

·         What will be different as a result of the 2017/18 BCF plan? As noted in ‘Delivering the Better Care Fund in Cheshire East 2017-19’

·         How individual schemes performed and what they achieved (Appendix three)

·         How the plan performed against national metrics  and Q4 performance  (Appendix four)

·         The evaluation process that has taken place to date and the results of that evaluation (Appendix five and six)

·         The financial income and expenditure of the plan

·         The next steps for the BCF in 2018-19

5.    That future year end reports include individual patients’ stories, and at a future meeting consideration be given to the impact of the developing provision of community hubs.

To consider and endorse the iBCF schemes (1-7) and associated expenditure.

Consideration was given to the activity and proposals for grant money received directly by Cheshire East Council in 2018/19 through the Improved Better Care Fund (iBCF) monies for 2018 to 2020.  The report identified nine schemes, with supporting rationale of how they met the demands of the local care and health economy and assisted the aims of avoiding unnecessary admission to hospitals and care homes, reducing delayed transfers to care in order to meet the 3.5% target and supported the implementation of the high Impact Change Model. 

In order to monitor the development of these schemes it was agreed that there be quarterly reports using information currently prepared for the commissioning bodies, and that consideration be given to the most appropriate body for doing it. 

RESOLVED

That Cabinet be recommended to endorse the Improved Better Care Fund Schemes 1-9 and associated expenditure as set out in report.

To consider the Annual Report for 2017.

Consideration was given to the Annual Report for 2017 prepared by the Director of Public Health.  The report, to be read with the Compendium of Statistics, captured work from across the partnership and health communities and included key issues and recommendations.  The aim was for the report to be use as a key tool for working with the public to improve the health and wellbeing of the community as a whole, and to encourage people to take responsibility for their own health and wellbeing.

The Board appreciated the change in format of the report to a month by month account which made it more readable for members of the general public.  In response to a question regarding health inequalities across the Borough it was reported that different and local health campaigns were run in the community hubs on a monthly basis reflecting those local needs. It was recognised that the rural nature of the Borough impacted domiciliary care and both transport and social isolation were to the subject of further work and importance of ‘Place’ was to be included in the report for 2018.  The value of self help to improve health and well being was also documented in the report.

RESOLVED

That the report be received and noted.

To consider the updated Health and Wellbeing Strategy. 

Consideration was given to the outcome of the consultation on the Health and Wellbeing Strategy following which it had been updated to take a place based approach.  The draft had been consulted on across the Borough with events and an online survey and the changes made would help to strengthen its effectiveness.  

During the consultation a number of partners had expressed their willingness and enthusiasm to be involved and it had been suggested that implementation/action groups be created to assist in delivering the actions.  It was reported that this was being implemented with each network developing an action plan and that the Board would receive a progress report on a quarterly basis. 

RESOLVED

That approval be given to the recommendations to aid the implementation of the Strategy as follows:

1.    Reduce the number of priorities in the refreshed Health and Wellbeing Strategy, identified by the Joint Strategic Needs Assessment.

2.    Partners ensure that actions discussed at the Health and Wellbeing Board are followed up in each organisation – acknowledging that the Board has a strategic role and implementation occurs outside the Board.

3.    Strengthen links with sub-regional working via expanded membership to include the Cheshire East Council Executive Director of Place.

4.    Expand the agenda of the Health and Wellbeing Board to include Place issues (e.g. Crewe Masterplan).

To approve this report on the annual work of the Board for 2017/18.

The Health and Wellbeing Board has a duty to provide an annual Report on its business and activities and the report was now considered for comment and amendments prior to publication.  As part of the report a table detailed the responsibilities of the Board and highlighted the range of its work and priorities.

RESOLVED

That the Annual Report 2017/18 be approved for publication.