Agenda and minutes

The Chair reminded Members of the need to declare any known interests in any matters to be considered at the meeting.  Councillor Ray Ballman made a non-prejudicial declaration of interest in her capacity as a Board Member of SEQOL.  David Wray made a non-prejudicial declaration of interest in respect of Agenda Item no. 6 in his capacity as a member of the Dementia Action Alliance.

Mr Brian Cockbill, a resident of St Margaret, asked whether the Health and Wellbeing Board covered the Borough of Swindon or whether it covered a wider area.

The Chair confirmed that the Swindon Health and Wellbeing Board covered the Borough of Swindon only.

Mr Cockbill also asked what strategies were in place to ensure that good practice was fed downwards and what strategies were in place to consult with members of the public.

Tony Ranzetta (Clinical Commissioning Group) and Jennifer Howells (NHS England) outlined how they developed strategies for sharing good practice and also how members of the public were involved in developing plans and priorities.

To receive the minutes of the meeting held on 8^th May 2013.

Resolved – That the minutes of the meeting held on 8^th May 2013, be confirmed and signed as a correct record.

            Cherry Jones, Acting Director of Public Health, explained that the Clinical Commissioning Group had requested a number of amendments be made to the terms of reference for the Health and Wellbeing Board that were considered at the last meeting.  These amendments were highlighted in the appendix to the report and, whilst not major changes, were about working together to promote positive changes.  Jo Osorio commented that the NHS Commissioning Board was now known as NHS England and Cherry agreed to amend this.

            Councillor Brian Mattock felt that it would be useful to have a Board sponsor/champion for each of the key responsibilities outlined in the terms of reference and it was agreed that this would be explored further, particularly in relation to specific topics, such as Dementia.

            Mike Howard, Chair of the Local Safeguarding Adults Board (LSAB) commented on the relationship between the Health and Wellbeing Board and the Local Safeguarding Boards, as identified in the Slough protocol.  Doug Bale added that it was important to include Vulnerable Adults within the terms of reference.  It was agreed that Cherry Jones would make the suggested amendments to the terms of reference, in consultation with the Chair.

            Resolved – (1) That the Terms of Reference for the Health and Wellbeing Board, incorporating the amendments from the Clinical Commissioning Group and the amendments raised at the meeting, be agreed.

            (2) That further work be undertaken to explore the possibility of Board Members becoming sponsors or champions for specific topics.

            Cherry Jones, Acting Director of Public Health, presented the Joint Strategic Needs Assessment (JSNA) on Dementia and asked the Health and Wellbeing Board to agree the recommendations within the JSNA Bulletin.  She explained the JSNA process and gave a brief presentation on dementia within Swindon. 

            Tony Ranzetta, Clinical Commissioning Group, added that a workshop had been held in June 2013, attended by a range of people who were working towards developing a dementia strategy.  A steering group had been established and they had identified that there were a number of examples of best practice that could be visited; that no dementia case was the same and there was therefore a need for a menu of choices; and, that it was the carers that needed most support.

            A number of questions and comments were raised by members of the Board including:-

·        The need to link into the work of the Localities, in particular around the work on healthy lifestyles.

·        The possible link between dementia and the social/economic status, noting that deprivation had an impact on health in general.  There was a definite link between social deprivation and more recently a potential link to smoking.

·        Better understanding of what training was available from the different organisations and to ensure that all training and other activities were co-ordinated. 

·        Under the recommendations in the JSNA Bulletin, it was agreed to add ‘to have fun’ under recommendation 4 (h).

Tony Ranzetta confirmed that the Commissioning Leadership Group had welcomed the layout of this Bulletin and had endorsed all the recommendations.

Resolved – (1) That, subject to the inclusion of ‘to have fun’ under recommendation 4 (h), the recommendations from the Dementia JSNA Bulletin, be noted and approved.

(2) That it be noted that the Board supports the development of a Dementia Strategy and Action Plan for Swindon.

(3) That the Board receive quarterly reports on the progress on dementia work in Swindon.

            Dale Bale (Head of Service – Adult Social Care) introduced a report setting out a stocktake of progress on meeting the Concordat agreement  (a joint response of agencies including the Local Government Association, National Health Service to the Department of Health Transforming Care report.

            He highlighted a number of key issues in the report and answered questions relating to service provision offered in Swindon and to Swindon residents and outlined the role of the Health and Wellbeing Board in this process.

            Resolved – That the content of the stocktake submission, attached as Appendix 1 to the report, be noted.

            The Chair advised that this item had been withdrawn and would be submitted to the Health and Wellbeing Board in September 2013.

            Councillor Brian Mattock asked whether it would be possible to see the report before the September meeting to ascertain whether there would be a prior need to actively lobby to ensure that Swindon would receive its fair share of resources.  Cherry agreed to contact the Lead Officer to request that the report be circulated to Members of the Board prior to the September meeting.