Agenda and minutes

Apologies were received from Hazel Carpenter and Councillor Chris Wells.

To receive any declarations of interest. Members are advised to consider the advice contained within the Declaration of Interest form attached at the back of this agenda. If a Member declares an interest, they should complete that form and hand it to the officer clerking the meeting and then take the prescribed course of action.

There were no declarations of interest.

To approve the minutes of the meeting held on 19 November 2015, copy attached.

The minutes of the previous meeting held on 19 November 2015 were agreed.

Kallie Heyburn (Integrated Commissioning Group Chairman) to provide an update.

Kallie Heyburn, Integrated Commissioning Group Chairman presented the item.  It was explained to the Board that Personal Healthcare budgets use existing resources and use a non-medicalised model to improve wellbeing, based on an outcome based care plan.

Ms Heyburn confirmed that CCGs had been asked to develop and set out a ‘local offer’ by March 2016.  The local offer will need to be included in the local Health and Wellbeing strategy.

In response to a question it was confirmed that work would be completed with KCC to look at where overlaps were with Personal Budgets and Direct Payments.

The Thanet Health and Wellbeing Board were asked to note the progress made and to agree the proposed approach.

Kallie Heyburn (Integrated Commissioning Group Chairman) will present.

Kallie Heyburn, Integrated Commissioning Group Chairman presented an update and reported the emerging themes from the work that had been completed by the Integrated Commissioning Group (ICG).

It had been agreed at the previous meeting that in line with the Board’s development roadmap, a draft Integrated Commissioning plan would be presented at this meeting.  However, it was recognised that it had been challenging to achieve this as not all of the Local Partnership sub-groups had met.

Concerns were raised by the Board that the programme was behind schedule and therefore, it was agreed that recommended outcomes and a draft plan to deliver these outcomes would be presented at the next meeting.

In response to comments and questions:

-The ICG had been tasked with identifying one outcome for each sub-group for the first year. The Board were concerned that there be broader wellbeing outcomes in the plan and it was asked for the wider theme of ‘obesity’ to be considered rather than ‘diabetes’.

- Mark Lobban, Director for Adult Social Care Commissioning, KCC, asked the Board to consider the frameworks and timescales involved in moving to an outcome focussed model and integrating commissioning; involving providers and other stakeholders.

-The Board asked for clarity on what the relationship between the outcomes of the work of the Integrated Commissioning Group and the Integrated Provider Plan would be.

- In response to a concern raised that the public should be made aware that the different events feed into the one stream, Dr. Tony Martin, Clinical Chair – Thanet Clinical Commissioning Group reported that Communications had been working on a campaign with the local newspapers. 

The Board agreed plans to organise a follow up to the June Development Awayday.  The awayday will include consideration of the future membership of the Board.

Colin Thompson (Consultant in Public Health, KCC) to provide an update.

Colin Thompson, Consultant in Public Health and Karen Sharp, Head of Commissioning Public Health, KCC provided an update regarding Public Health Transformation.

The key issues identified through service, stakeholder, public and market engagement would feed into the development of service specifications and the commissioning approach for Public Health services, with the procurement plan being finalised during February 2016.

Development of a new approach would be needed to meet the challenges faced in Public Health, the changing needs of the population and the financial envelope of the Public Health Grant.

Item requested by Dr T Martin.

Graham Gibbens, Cabinet Member for Adult Social Care and Public Health, KCC provided feedback that it had been agreed at the Kent Health & Wellbeing Board that every district would provide a report on their plans to tackle obesity at the May meeting.

It was agreed that Colin Thompson would make a recommendation at the March Thanet Board meeting.

In response to comments and questions, it was noted that:

-It was suggested that there is a risk that free or discounted activities are not taken up by those most in need. It was also noted that physical activity should not be the only focus.

-The Board considered that promotion should be more targeted and queried how to reach the population. It was suggested that an information and signposting service could be made available in surgeries.

-More information was needed on what provision was being provided by the third sector.

An awayday was to be arranged for late February but avoiding the dates of the Thanet District Council Peer Review on 25 and 26 February.