ITEM 2 Minutes of the Health and Well-being Partnership 17

							ITEM 2 Minutes of the Health and Well-being Partnership 17 November 2008 Douglas Mill Present: Cllr Dale Smith(Chair) John Dennis Keir Shillaker Adam Cairns Anita Sims Sheila Bamforth Peter Kay Phil Barker Moira Wilson Richard Tipping John Howarth John Breen Paul Anderson Marilyn Foster Sue Crowe In attendance Roz Hall Amanda Fletcher Elizabeth Brookfield

(Executive Member, Adult Services and Health) (Bradford B-Active) (BTHFT) (Airedale NHS Trust) (B&A tPCT and Bradford Council, joint DPH ) (Horton Housing Association) (CBMDC, Strategic Disabilities Partnership ) (CBMDC, Culture Consortium) (CBMDC, Adult Services, (CBMDC, Children and Young People’s Partnership ) (CBMDC, Older People’s Partnership Bradford Council) (CBMDC, Neighbourhood Services) (DPF- vcs rep) (Bradford Older People’s Alliance vcs rep ) (Health Net vcs rep)

(Bradford Council) (Bradford and Airedale tPCT) (Bradford Council)

Apologies Simon Morritt Simon Large Dean Johnson Cllr Martin Smith Diane Draper Item 1.

(Bradford and Airedale tPCT) (Bradford District Care Trust) (BTHFT) (Safer Communities Partnership) (Government Office) Action s

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Welcome and apologies Councillor Dale Smith welcomed everyone to the meeting, particularly the three elected voluntary and community reps. Cllr Smith stressed the importance of this Partnership in influencing the wider Bradford District Partnership , so partners’ attendance was valued. Apologies were tabled. Minutes of Partnership meeting 8th September 2008 The date of the meeting recorded on the minutes should say 8th September and not 6th June. With this amendment, the minutes were approved. With the new voluntary and community sector (VCS) representation

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ITEM 2 arrangements, Julie Lintern from Age Concern and Anthony Clipsom from Bradford Community Voluntary Services will no longer represent the VCS on the Health and Well Being Partnership (H&WBP). Cllr Dale Smith thanked Anthony and Julie for their contribution to the H&WBP and it was agreed that a letter of thanks is sent to Anthony and Julie. 3 i) Matters Arising Bradford District Partnership (BDP) update The BDP Board is underway and has had 3 meetings. At the last meeting, both worklessness and the local Transport Plan were discussed. All partners were asked to think about the key actions that partners and the BDP Board could do, to reduce worklessness. Views to be sent to Roz, Amanda or Elizabeth so that they can be fed into the discussion. A summit on the economic downturn is being hosted by the Economic and Regeneration Partnership on 4th December. ii) Local Area Agreement (LAA) update At the end of Q2 of the LAA, there is one Red indicator for the whole LAA: refuse collection. It is anticipated that the overall target will be met in year 3. The serious acquisitive crime rate indicator is amber. Recognised that this indicator could be problematic, given the economic downturn and will need to be monitored carefully. All H&WB targets are being met. LAA refresh Government Office has issued guidance on the review and refresh of the LAA which is to be completed by the end of March 09. The review and refresh will feed into the Corporate Assessment Framework. There is no Comprehensive Area Assessment (CAA) in place yet, so Partnerships will self assess. This will feed into the CAA and into Partnership development plans, which are in development. A LAA / Sustainable Community Strategy (SCS) performance management framework is also being developed. Because of timing, the performance report and self assessment will be completed before the next H&WBP meeting. It was agreed that the Chair and Vice Chair will “sign off” the two documents.

Roz Hall

Action all

iii)

iv)

Third sector review Roz reminded the Partnership that the third sector review arose form the Local Strategic Partnership (LSP) / Vision review. It focussed on

Action EB, AF, SM and Cllr DS

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ITEM 2 relationships between the third sector and Partnerships, to ensure that the VCS was well integrated into the LSP. The review looked at the role and function of the VCS; investment in the VCS; and how the VCS can be best supported. The review recognised that around £75million of public money is invested annually in the district’s VCS. As a result, Bradford District Partnership has made recommendations including : - a Voluntary Sector Forum to represent the VCS and feed into all of the Partnerships - a code of conduct for all representatives - a refresh of the Compact - the development of a commissioning framework to improve commissioning arrangements - setting up of a district Assembly for the VCS The review report is available on the website ……………………. All partners can comment on the report There was discussion around the details of the review: governance arrangements and reporting arrangements. It was advised that the Review steering group would retain oversight , reporting to the Council’s executive, whilst reporting on progress will be to the BDP Board. Working Neighbourhoods Fund (WNF) Roz reminded the Partnership that the WNF process has been thorough and robust. All partnerships were involved, and the H&WBP was well represented during the process of putting the WNF allocation recommendations together. The recommendations on the WNF went to the Council Exec on 11th November, but have been ‘called in’ by the Corporate Improvement Committee. No action can be taken until after that scrutiny. It was recognised that the WNF was not able to support the range of partnership proposals. As such, the Council and the Board will be looking at alternative sources, including the Local Public Service Agreement (LPSA) reward element. Discussion followed on the process of prioritisation. It was noted that the VCS are unhappy with the final recommendations, particularly the lack of infrastructure support, given the economic downturn. It was explained that the WNF criteria were applied rigorously- and many VCS proposals did not meet the “supporting Worklessness” measure.

All

v)

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ITEM 2 It was agreed that the WNF process has been a good example of partnership decision making, and could be applied around mainstream decisions too. It was also noted that whilst the Partnership did not receive WNF allocation, many programmes in other Partnerships that did will support the overarching objectives of H&WB- reducing health inequalities. Finally, it was noted that the VCS need to be better linked to BDP decision making processes, so that the sector is aware of progress at all stages. 4. Draft Terms of Reference The Draft Terms of Reference were approved. The document to be circulated as a final version and dated. There was some confusion about selection process for VCS representation. Representatives present were elected by Cnet. However, the Strategic Disabilities partnership and the Older people’s Partnership had expected to run the elections from their forums. It was clarified by Roz that Healthnet would select a representative who would be accountable to that network. BOPA would select a representative who would be accountable to that network. Disability Forum would select a representative who would be accountable back to the Disability Forum. 5. Draft Partnership High Level Delivery Plan The H&WBP were presented with a reworked draft of the delivery plan at a higher level linking the Big Plan, the LAA targets and the objectives of the partnership. Comments: More details to firm up the leads officers needed The new Covalent monitoring system will allow a range of performance reports to be accessed, including partnership performance monitoring. This will ensure cross referencing common issues and partnership interests: eg. The Joint Strategic Needs Assessment and the National Indicators for the H&WB and Children and Young People’s partnership. . There were some gaps, and partners who want to add more to the plan can contact AF or EB. 6. JSNA and DPH Annual Report Moira Wilson and Anita Sims presented the Joint Strategic Needs Assessment report, and the Director of Public Health Annual Report. The DPH Annual report reviews what has been happening. The JSNA looks to the future and incorporates the wider determinants of health.

Action EB

RH to work with CNet to clarify the situati on.

Action all

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ITEM 2 The Public Health Observatory will be key to improving data quality and quantity, including data at locality / neighbourhood level. Health Impact Assessments are important for all partners to consider doing to assess the impact of their work on health. The website for accessing Health Impact Assessment tools is http://www.dh.gov.uk/en/Publicationsandstatistics/Legislation/Healtha ssessment/Browsable/DH_075622 The Yorkshire and Humber Public Health Observatory Health Profile for Bradford is very useful and could be considered for inclusion in future JSNA / DPH annual reports. The Health Profile has a focus on narrowing the gap in health inequalities. Pilot projects will need to be assessed, and where they need to be mainstreamed, commissioners will have to be influenced. A JSNA workshop is taking place on 18 December. John Howarth to provide details. 7. Items from the Strategic Disabilities Partnership Simon Morritt attended the SDP meeting on 8th October as Chair of the H&WBP to discuss the roles and remits of the H&WBP and the SDP. Communication and involving and engaging with different communities were central to the discussion. Issues raised included how the H&WBP communicates with disabilities groups and how it responds back; improvements in the format of the H&WBP agenda papers; whether meetings were open meetings or whether observers could attend; better co-ordination of events to avoid clashes where possible, and whether the H&WBP could adopt the 5 principles proposed by the SDP to: 1. Ensure that disabled people are involved from the start 2. Provide information through a range of channels and formats 3. Ensure your information meets users’ needs 4. Clearly signpost other services. 5.Always define responsibility for information provision) The SDP support officer will convene a meeting with H&WBP officers to discuss communications involvement and engagement. The third sector review recommendations may help to address some of these issues. PK Action JH

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ITEM 2 The question of open Partnership meetings will be raised with the BDP. A Partnerships website is being developed which should improve communications. 8. Foundation Trust – Airedale Hospitals Trust Adam Cairns gave a presentation about Airedale Hospitals Trust (AHT) and the processes and reasons for proposing to go forward for foundation trust status. AHT was named by Dr. Foster as the Best Small Hospital Trust of 2008. The foundation trust consultation is underway and will end in January 2009. The AHT Board will make an assessment in March 2009 about whether to approve, and it is hoped that Government approval will be given by the end of December 2009. The current challenges being tackled by AHT include safety and infection reduction; reducing mortality and reducing the gap in mortality rates; systems for getting feedback from users; introducing innovative services such as stroke care and treatment; and addressing the needs of people with cognitive impairment and dementia Common pathways are being developed, and integration with community services is being progressed. This is a challenge as it involves 3 PCTs and Local Authorities. Responses to foundation trust consultation have so far been very positive. The H&WBP partners could express support for the application for foundation trust status. 9. The Green Paper on Care, Support and Independence John Howarth spoke about the Government’s proposal for care and support services. Currently at a pre consultation phase, due to end on 28th November 2008. Partners can provide individual responses on the website . (Handouts attached). Comments: There was no reference to lifelong homes or the supporting people programme. Need to ensure resources are not exclusively for acute care, as non acute interventions also need resourcing to ensure there is investment to maintain independence. Simon Morritt

All

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ITEM 2 There should be fairness and consistency between districts and consideration given to the tax burden between generations given the changing population. The quality of care in care homes needs to be maintained. Partner Updates • Adult Services – SDP is co-ordinating responses to the Green Paper on welfare reform. • Beacon Status bid, for involving and supporting older people, at stage 3- panel presentations in January 2009. • Supporting People inspection from 12th January for 1 week , may involve partners. Briefing circulated in December • Culture consortium – o a new Bradford cycle map has been produced o There is a launch of the Queensbury section of the Railway trail o Planned celebration event of local work supporting the Change for Life Programme. Alan Johnson SoS Health, has been invited. o The B-Active directory is being publicised by the tPCT o The Culture Consortium is reviewing its membership o A Mind the Gap event is happening on arts and people with disabilities o A Centre for Dance Partnership is being developed CNet – A programme on testicular cancer for people with learning difficulties has been developed and is being implemented. Housing Partnership – Affordable warmth cavity and loft insulation for 60+ is being promoted. Leisure Services – a Physical Activity and Sports Board is being formed to bring together adults, children, PCT and colleges together. It will report to the CYP Board.

10.

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Draft Work Programme The format for the Partnership’s work programme was approved. Additions to be made to the future programme: • Green Paper results • Occupational Health and Safety ( when the outcome of the Dame Carol Black Report is known) • Health Inequalities Action Plan Agreed to have one ‘chunky’ topical item per meeting A list of future meeting dates is required, to check Chair’s diary A calendar of events to be put together Action AF/EB

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ITEM 2 10. AOB • Roz circulated a draft Partnership Review Sheet. It is proposed to use the format to report progress in meeting objectives and targets and to communicate key Partnership issues, to both he BDP Board and other Partnerships, e.g. the social care Green Paper; Supporting People; Small Trusts Awards; Beacon Status. Following H&WBP support of the draft, Roz will take it to BDP. • A Health Inequalities Workshop was held in Bradford on 12th November. The workshop was run by the National Support Team for Health Inequalities and the Audit Commission. The beginnings of an action plan were developed and this will come to the H&WBP. It can also be flagged up in the Review Sheet. All partnerships will need to own the Health Inequalities Action Plan, not just the H&WBP. • It was agreed that the minutes of H&WBP meetings should be circulated within 10 working days of the meeting. Hard copies of the minutes to be sent to John Dennis and Marilyn Foster. • Food at the meeting should cater for special dietary requirements Date and Time of next meeting: THURSDAY 19TH FEBRUARY 2009, 12 TO 4 pm at DOUGLAS MILL Apologies from Moira Wilson

RH

AS

EB/AF

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