Agenda and minutes

Apologies were received from Hazel Carpenter, Esme Chilton and Mark Lobban.

There were no declarations of interest.

To approve the minutes of the meeting held on 17 September 2015, copy attached.

The minutes of the previous meeting held on 17 September 2015 were agreed.

Colin Thompson, Consultant in Public Heath, KCC presented the item noting that Thanet was statistically worse than the England average for a number of cancer indicators. These indicators included; incidence and mortality in under 75’s, prevalence, percentage of urgent GP referrals with cancer, stage at diagnosis and one year survival rate. Mr Thompson also noted that survival rates were generally much lower in more deprived areas of the district.

In response to comments and questions it was noted that:

-  The Thanet Cancer Strategy 2015-2020 had been drafted as a first step in addressing these challenges.

-  There was a need to encourage uptake of screening to improve early diagnosis, particularly in more deprived areas of the district.

-  There would be a meeting towards the end on November to discuss delivery of the action plan.

-  The Thanet Health Inequalities Group would report back to the Board in four to six months to advise how the more deprived areas of the district were being targeted.

Colin Thompson, Consultant in Public Heath, KCC presented the item noting that it has been agreed at a recent Kent Health and Wellbeing Board meeting, to review local action plans to tackle obesity.  Mr Thompson recommended to members that a Thanet Obesity Action Plan be drafted and tabled at the next Thanet Board meeting.

In response to comments and questions it was noted that:

-  This was a good opportunity to develop an effective strategy/action plan.

-  There was a Thanet wide need for a sustained public health campaign to educate people.

-  Thanet could be a pilot for the national campaign to make physical health and social education (PHSE) statutory in schools.

-  The Local Children’s Partnership Board for Thanet, and KCC’s education lead officer for the Thanet area could be key in delivering change in Thanet’s primary schools.

-  Mr Thompson would arrange an initial meeting with Peter Oakford (KCC Cabinet Member for Specialist Children’s Services), the KCC education lead for Thanet, Tony Martin, and a representative from TDC, to look at an example of a school in Scotland that had demonstrated health and educational benefits from the introduction of regular physical exercise in school.  Any suggestions arising from this meeting would be tabled at the next meeting of the Thanet Local Partnership Group for Children.

-  The Thanet Health Inequalities Group would look at how obesity could be tackled across all age groups.

o  Local Partnership Groups – Terms of Reference and update

o  Governance Roadmap

Ailsa Ogilvie, Chief Operating Officer, Thanet CCG, presented the update and introduced the terms of reference for each of the sub-groups.

In response to questions and comments it was noted that:

-  The terms of reference were a good starting point and may develop once the subgroups meet.  Any significant changes would be bought back to the Board for agreement.

-  It was agreed that the integrated commissioning group is established to offer commissioning support to the Board during the transition.  It will be a staff group representing senior commissioning staff from partner organisations.

-  It was agreed that the integrated commissioning group would collate and issue the Board with regular updates on the work of the subgroups unless particular representation from a sub-group was required.

Sue Martin, Head of Governance, Thanet CCG presented an initial governance roadmap which sought the views of the Board.

In response to comments and questions it was noted that:

-  Sue Martin would like to be put in contact with the relevant governance officers from each organisation to allow her to continue governance mapping.  She would report her progress to the Board.

-  The Board agreed to accept the LGA’s offer to assist in the development of the Board.  However this assistance should keep within the existing time table for development.

-  The LGA had offered assistance to all Kent Boards, and it was thought that Swale and Canterbury had also expressed an interest in the LGA’s offer.

Ailsa Ogilvie, Chief Operating Officer, Thanet CCG introduced the item, and Members noted the report.

Colin Thompson advised that the consultation documents for Transformation Health Improvement, referred to at the last Board meeting by Karen Sharp, were now available and a copy would be circulated to members.

Colin Thompson clarified that the agreement of the Kent Health and Wellbeing Board for ‘Local Boards’ to seek assurance from the local system resilience groups regarding winter preparedness plans, referred to East Kent Boards not the Thanet Health and Wellbeing Board.

Tony Martin advised that members should look at the County Growth and Infrastructure Framework as it had received a number of questions at the Kent Health and Wellbeing Board meeting.

Tony Martin added that he would circulate a document called ‘Placed Based Systems of Care’ for information as it had particular relevance to unified budgets.