Agenda and minutes

Health and Wellbeing Board - Thursday, 13 February 2014 11.30 am, NEW

Venue: Guthlaxton Committee Room, County Hall, Glenfield

Contact: Mrs. R. Palmer (Tel: 0116 305 6098)  Email: rosemary.palmer@leics.gov.uk

Items
No. Item

In attendance.

Dr Mayur Lakhani (West Leicestershire CCG)

54.

Minutes. pdf icon PDF 128 KB

Minutes:

The minutes of the meeting held on 5 December 2013 were taken as read, confirmed and signed.

 

55.

Urgent Items.

Minutes:

There were no urgent items for consideration.

 

56.

Declarations of interest.

Minutes:

The Chairman invited members who wished to do so to declare any interest in respect of items on the agenda for the meeting.

 

Mr I D Ould CC declared a personal interest in all items on the agenda as he was a member of the George Eliot Hospital Advocacy Panel.

 

Geoff Smith OBE declared a personal interest in all items on the agenda as he was a Patient Advisor at the University Hospitals of Leicester NHS Trust.

 

Dr Mayur Lakhani declared a personal interest in all items on the agenda as one of his practice employees was a County Councillor.

 

57.

Future Development of the Health and Wellbeing Board and Terms of Reference. pdf icon PDF 233 KB

Additional documents:

Minutes:

The Board considered a report of the Chief Executive of Leicestershire County Council which presented the terms of reference, revised in the light of the introduction of the Better Care Fund, for approval and outlined a number of supporting actions and Board development priorities for 2014/15.  A copy of the report marked ‘Agenda Item 4’ is filed with these minutes.

 

The Board gave consideration to comments received from Healthwatch Leicestershire, a copy of which is filed with these minutes.

 

It was felt that the development agenda would be crucial to ensure that the Board provided leadership to the local health and social care economy, delivered the necessary outcomes and for Board members to be able to challenge and hold each other to account.  It was noted that a paper with proposals for the Board’s development programme, addressing the issues now raised, would be submitted to the next meeting of the Board.

 

RESOLVED:

 

(a)     That the Terms of Reference for the Health and Wellbeing Board as set out in Appendix A to this report be approved for submission to the Constitution Committee and full Council;

                       

(b)     That the membership of the Health and Wellbeing Board be amended to include a representative from the Leicestershire Partnership NHS Trust and the University Hospitals of Leicester NHS Trust;

 

(c)     That the Chairman of the Health and Wellbeing Board be appointed as the Board’s representative on the Leicester, Leicestershire and Rutland Strategic Programme Board;

 

(d)     That the actions to support the development of the Board during 2014, as outlined in paragraph 52 of this report, be approved.

 

58.

Better Care Fund pdf icon PDF 107 KB

Additional documents:

Minutes:

The Board considered a joint report of Leicestershire County Council, West Leicestershire Clinical Commissioning Group and East Leicestershire and Rutland Clinical Commissioning Group (CCG) which presented the draft Better Care Fund Plan and Templates for approval.  A copy of the report marked ‘Agenda Item 5’ and ‘Supplementary Agenda Pack’ is filed with these minutes.

 

The Board welcomed the plan and the huge amount of work that had gone into producing it across the partnership.  It was acknowledged that there was still work to do to ensure that the Plan would deliver the necessary savings but it was felt that the current draft provided a good platform to build on.

 

The Better Care Fund Plan had been considered by West Leicestershire CCG Board on 11th February.  The Board had made the following comments:-

  • The themes in the Plan were the right areas on which to focus;
  • The balance of resources across the four themes felt right;
  • The balance between protection for social care and support for key NHS priorities and development areas was welcomed;
  • The reserves set aside for risk were welcomed, although it was felt that the level might need to be increased and the workshop to discuss risk management was pending;
  • The proposals for the Integration Executive were supported, particularly with regard to the potential for additional clinical input.
  • Whilst the Better Care Fund Plan provided a good description of the aims for integrated health and social care in Leicestershire, it was felt that more detail around how this would be achieved was needed.
  • A better understanding of the impact that the proposals in the Better Care Fund Plan would have on the planning and commissioning of services was needed.
  • It would be important to have some flexibility built into the Plan, to allow for any unforeseen circumstances.
  • In order to communicate the Plan to patients and the public it was suggested that a single page summary of the Plan be produced.

 

The Board of East Leicestershire and Rutland CCG had also considered the Plan at its meeting on 11th February.  The Plan and its layout had been well received and the Board had made similar comments to West Leicestershire CCG, particularly regarding the need for flexibility and understanding the clinical risk to providers, with robust and measurable plans linked to outcomes.

 

The two major providers of health services in Leicestershire, the University Hospitals of Leicester NHS Trust and Leicestershire Partnership NHS Trust, supported the direction of travel for the Better Care Fund Plan but agreed with the need for more detail to be provided. 

 

In practical terms, it would be important for service providers to understand the overall capacity needed to deliver the Plan, and impact of the shift of activity and resources.  In particular, it would be necessary to understand whether acute sector capacity could and should be safely and effectively reduced prospectively or after the impact of the Better Care Fund was felt. 

 

Commissioners and providers across health and social care would need to work together to scope this and build it into the ongoing contract discussions with providers, including through Quality, Innovation, Productivity and Prevention (QIPP) plans. There was a need to understand the aggregate impact across the three Better Care Fund Plans on the acute provider and the timing at which a stepped change in capacity could be reduced based on the impact of the three Plans

 

The County Council expressed its support for the Better Care Fund Plan and echoed the comments of other partners.  In particular, given the impact of budgetary pressures on adult social care,  ...  view the full minutes text for item 58.

59.

Date of next meeting.

The next meeting will be held on Thursday 13th March at 2.00pm at County Hall.

 

Minutes:

It was noted that the next meeting of the Board would take place on 13th March at 2pm at County Hall, Glenfield.  An additional meeting of the Board would be organised at the beginning of April for the Board to approve the final draft of the Better Care Fund Plan.