Agenda and minutes

Mr Hart proposed, Ms Sykes seconded and the Board agreed that Dr Martin be the Chairman for the remainder of the 2017/18 year.

Dr Martin proposed, Mr Hart seconded and the Board agreed that Councillor Reverend Piper be the Vice Chairman for the remainder of the 2017/18 year.

Apologies were received from the following members:

Councillor Wells;

Councillor Gibbens;

Ms Carpenter;

Ms Homer for whom for whom Mr Kenyon was present as substitute.

There were no declarations of interest made at the meeting.

To approve the minutes of the Thanet Health & Wellbeing Board meeting held on 20 July 2017, copy attached.

The Board agreed the minutes to be a correct record of the meeting that was held on 20 July 2017.

In follow up to the report on housing in Thanet presented at the last Board meeting, discussion had taken place between the Thanet CCG and Thanet District Council to incorporate the Council’s Housing department in to the better care fund planning process.

Presentation from Ms Ogilvie, Chief Operating Officer, Thanet CCG.

Ms Ogilvie gave the board an update regarding the emerging themes from the East Kent Listening events.

During consideration of the item it was noted that:

·  There were still some listening events scheduled to take place.

·  Response was largely positive to the proposed new hospital model; people particularly liked proposals for a greater focus on local services and an increase to out of hours services.

·  At Thanet listening events, participant’s greatest concern was regarding accessibility of services.

·  Other concerns raised at event across East Kent and Medway included:

o  Whether there was sufficient workforce to implement such an ambitious service redesign.

o  That there appeared to be a lack of focus on some services areas, such as mental health and children’s services.

·  It was recognised that changes needed to be sustainable and future proofed.

·  The listening events were ongoing and report of the findings would be brought before the Board once complete.

Dr Martin advised that a briefing statement was being prepared which detailed how the Thanet Leaders Group intended to move forward.  The briefing statement would be circulated to Board members.

Presentation from Ms Windibank, Accountable Officer, Thanet IACO.

Ms Windibank, Chief Accountable Officer, Thanet Integrated Accountable Care Organisation (TIACO), and Ms Howden, Head of Membership Development, Thanet Clinical Commissioning Group presented the item which provided a summary of the work that had been done. 

During consideration of the item it was noted that:

·  A local level integrated commissioning body, envisaged by the Thanet Leadership Group, would help drive local care provision forward.  Without this body, or something similar, there was a chance that local decision making could be moved away from local boards up to an East Kent level.

·  The needs of the community should determine what enhanced services were provided at GP surgeries.  There was a programme to visit patient participation groups to ascertain their needs.

·  There was mixed evidence to show that enhanced service provision in GP surgeries led to a significant reduction in Hospital admissions. The hospital was often seen a central hub of the community.

·  Tiers of care looked to provide the right kind of care in the right setting, ideally this took place in the home or as near to the patient’s home as possible.

·  The integrated acute response team was piloted to support frail individuals to receive care in or near to their home and to avoid unnecessary hospital stays.

·  The voluntary sector was a pivotal element of an integrated approach to supporting patients.

·  Underway was a review to establish the need for beds in Thanet, the results of this review would be bought before the Board.

·  The TIACO had adopted an ethos to provide care around the needs of the patient inspired by the Swedish Esther model.

·  The primary care mental health team was set to expand from three to five individuals. They would be aligned with the primary care home hubs and would work directly with GPs.

·  Work was underway to develop a social prescribing structure.  This work took place in coordination with voluntary groups.

·  The first primary care home hub, at the Bethesda site in Margate, was expected to go live in March 2020.  Another hub was proposed at Westwood Cross, initial discussions had taken place and a coordinated approach was needed with the Council.

·  The Board was advised of the positive impact that the enhanced frailty pathway had made on identification and treatment of frail patients.  The aim was to improve the overall wellbeing on the over 60’s.

·  NHS England had endorsed the enhanced frailty pathway scheme.

Ms McLaughlin offered to give a presentation on the work of the Local Children’s Partnership at the next meeting of the Board.