Health and Wellbeing Board
Health and Wellbeing Board (HWB) leads and advises on work to
improve the health and wellbeing of the people of Kent through
joined up commissioning across the NHS, social care, public health
and other services (that the HWB agrees are directly related to
health and wellbeing) in order to:
secure better health and wellbeing outcomes in
reduce health inequalities and
better quality of care for all patients and care
The HWB has
a primary responsibility to make sure that health care services
paid for by public monies are provided equitably, are effective and
demonstrate value for money. It is
supported in this work by a series of sub committees referred to as
CCG level Health and Wellbeing Boards.
Role of the
CCG level Health and Wellbeing Board
level Health and Wellbeing Board (HWB) will lead and advise on the
development of the CCG level Integrated Commissioning Strategy and
Plan; ensure effective local engagement and monitor local
outcomes. It will focus on improving
the health and wellbeing of the people living in their CCG area
through joined up commissioning across the NHS, social care,
district councils, public health and other services (that the HWB
agrees are directly related to health and wellbeing,) in order to
secure better health and wellbeing outcomes in their area and
better quality of care for all patients and care users.
level HWB will:
Be appointed and act as a sub committee of the Kent
Health and Wellbeing Board (a committee of Kent County
Develop and deliver a CCG level Integrated
Commissioning Strategy and Plan, based on the Joint Strategic Needs
Assessment, Joint Health and Wellbeing Strategy and partners
Commissioning Plans. This will be
approved by the Kent Health and Wellbeing Board;
Consider the totality of the resources in the CCG
area for health and wellbeing and consider how and where investment
in health improvement and prevention services could (overall)
improve the health and wellbeing of local residents;
Work with existing partnership arrangements, e.g.
children’s commissioning, safeguarding housing, and community
safety, to ensure that the most appropriate mechanism is used to
deliver service improvement in health, care and health
Endorse and secure joint arrangements where agreed and appropriate; including the use of
pooled budgets for joint commissioning (s75), the development of
appropriate partnership agreements for service integration, and the
associated financial protocols and monitoring arrangements, making
full use of the powers identified in all relevant NHS and local
Undertake monitoring of local outcomes relating to
the delivery of the joint commissioning plan;
Ensure effective local engagement on health and care
issues, using existing engagement mechanisms (such as Neighbourhood
Forums, CCG Engagement Groups, Residents Groups etc) where
necessary and linking in to any county level engagement work, with
clear lines of communication;
Provide advice (as and when requested) to the Kent
Health and Wellbeing Board on local service reconfigurations that
may be subject to referral to the Kent County Council Health
Overview and Scrutiny Committee or the Secretary of State on
resolution by KCC HOSC;
Be the focal point for health and wellbeing issues
and joint working in the CCG area to ensure facilities and
accessibility, in order to enhance service integration;
10.Report to the
Kent Health and Wellbeing Board on an annual basis on its activity
and progress against the milestones set out in the Integrated
Commissioning Strategy and any established work plan;
recommendations to Kent Health and Wellbeing Board and other
commissioning partners, how and where investment, resources and
improvements can be made within the CCG area.
12.Identify how to
make the best use of the flexibilities at the Board’s
disposal, such as devolved/pooled budgets.
following is a suggested minimum membership level; additional
members of the Board can be appointed at the discretion of the CCG
level HWB. The Chairman will be elected
by the CCG level HWB.
Two District Council Members to be appointed by the
One Kent County Council Member (Cabinet Member or
Director of Commissioning for Kent County Council
Families and Social Care;
District Council Senior Officer
Public Health Consultant.
Clinical Commissioning Group:
At least one GP
Senior CCG Officer e.g. Accountable Officer or Chief
or other public engagement forum
Other local representatives as identified by the CCG
administering Local Authority is Thanet District Council
The Terms of
Reference and Governance arrangements to be reviewed
Conduct. Members of the HWB are expected to
subscribe to and comply with the Kent County Council Code of
Conduct. Non-elected representatives on the HWB (e.g. GPs and
officers) will be co-opted members and, as such, covered by the
Kent Code of Conduct for Members for any business they conduct as a
member of the HWB.
Declaration of Disclosable Pecuniary
Interests. Section 31(4) of the Localism Act 2011
(disclosable pecuniary interests in matters considered at meetings
or by a single member) applies to the HWB and any sub committee of
it. A register of disclosable pecuniary interests is held by the
Clerk to the HWB, but HWB members do not have to leave the meeting
once a disclosable pecuniary interest is declared, however they
will not have a vote on the matter.
HWB meets at least bi monthly initially, moving to quarterly
meetings unless otherwise determined.
The date, time and venue of meetings are fixed in advance by the
HWB in order to coincide with the key decision-points and the
Forthcoming Decision List.
HWB meetings are advertised and held in public and
administered by the nominated District/Borough/City
The HWB may consider matters submitted to it by
The administering Council gives at least five clear
working days’ notice in writing to each member of the Board
of every ordinary meeting of the HWB, to include any agenda of the
business to be transacted at the meeting.
Papers for each HWB meeting are sent out at least
five clear working days in advance.
Late papers may be sent out or tabled only in
The HWB holds meetings in private session when
deemed appropriate in view of the nature of business to be
discussed, in accordance with the Local Government Act 1972
(schedule 12A para 3).
The HWB meetings will be web cast where the
facilities are in place
The Chairman’s decision on all procedural
matters is final.
Meeting Administration of Sub
HWB sub-committees are administered by a principal local authority,
in the case of the Clinical Commissioning Group level HWBs, by a District Council in that
area. They will be subject to the
provisions stated in these Procedure Rules.
Special Meetings. The
Chairman may convene special meetings of the HWB at short notice to
consider matters of urgency. The notice convening such meetings
shall state the particular business to be transacted and no other
business will be transacted at such meeting.
Chairman is required to convene a special meeting of the HWB if
they are in receipt of a written requisition to do so signed by no less than three members of the
HWB. Such requisition shall specify the
business to be transacted and no other business shall be transacted
at such a meeting. The meeting must be
held within five clear working days of the Chairman’s receipt
of the requisition. In this instance it
may not be possible for written reports to be provided in
Minutes. Minutes of all
of HWB meetings are prepared recording:
the names of all members of the HWB present at a
meeting and of those in attendance
details of all proceedings, decisions and
resolutions of the meeting
Draft minutes approved by the Chairman before being
Minutes are printed and circulated to each member of the HWB
before the next meeting of the HWB, when they are submitted for
approval by the HWB and are signed by the Chairman.
Agenda. The agenda for each meeting
Minutes of the previous meeting for approval and
Reports seeking a decision/recommendation from the
Any item which a member of the HWB wishes included
on the agenda, provided it is relevant to the terms of reference of
the HWB and notice has been give to the Clerk at least nine working
days before the meeting.
Declaration of Pecuniary Interests in addition to
those already declared
Chairman may decide that there are special circumstances that
justify an item of business, not included in the agenda, being
considered as a matter of urgency. He
must state these reasons at the meeting and the Clerk shall record
them in the minutes.
Chairman and Vice Chairman’s Term of
Office. The Chairman and Vice
Chairman’s term of office terminates on 1 April each year,
when they are either reappointed or replaced by another member of
the HWB, according to the decision of the HWB, at the first meeting
of the HWB succeeding that date.
Members of the HWB and or the Chairman. If a member of the HWB is unable to attend a meeting, then they
may provide an appropriate alternate person to attend in their
place, subject to them being of sufficient seniority to agree and
discharge decisions of the Board within and for their own
organisation. The Clerk of the meeting
should be notified of any absence and/or substitution at least five
working days prior to the meeting. The
Chairman presides at HWB meetings if they are present. In their
absence the Vice-Chairman presides. If both are absent, the HWB
appoints from amongst its Board members an Acting Chairman for the
meeting in question.
11.Voting. The HWB should operate on a
consensus basis. Where consensus cannot
be achieved the subject the matter will be put to a
vote. The HWB
decides all such matters by a simple majority of the HWB members
present, with each organisation having one vote. In the case of an
equality of votes, the Chairman shall have a second or casting
vote. All votes shall be taken by a show of hands unless decided
otherwise by the Chairman.
12.Quorum. A third of members form a
quorum for HWB meetings, to be made up of at least one
representative from each of the main partners (Kent County Council,
Thanet District Council and Thanet CCG). No business requiring a decision shall be
transacted at any meeting of the HWB
which is inquorate. If it arises during
the course of a meeting that a quorum is no longer present, the
Chairman either suspends business until a quorum is re-established
or declares the meeting at an end.
13.Adjournments. By the decision of a
majority of those members of the Board present, meetings of the HWB
may be adjourned at any time to be reconvened at any other day,
hour and place, as the HWB decides.
Meetings. At all meetings of the HWB it
is the duty of the Chairman to preserve order and to ensure that
all HWB members are treated fairly.
They decide all questions of order that may arise.
15.Suspension/disqualification of HWB
Anybody with a representative on the HWB will be asked to
reconsider the position of their nominee if they fail to attend two
or more consecutive meetings without good reason or without the
prior consent of the Chairman.