Agenda and minutes

Introductions were carried out.

At this point in the meeting, Board Members are asked to declare:

·        any personal interests not included on the Register of Interests

·        any prejudicial interests or

·        any disclosable pecuniary interests

which they may have in respect of business on this agenda. A list of general personal interests previously declared is attached.

Board Members were invited to declare any disclosable pecuniary interests in relation to the business on the agenda.

Sarah Armstrong confirmed that York CVS received grant funding from CYC and the Vale of York CCG.

Keren Wilson from the Independent Care Group confirmed that they received money from both the Council and the CCG.

SiânBalsom stated that Healthwatch York received funding from the Department of Health.

Ruth Hill informed the Board that Tees, Esk and Wear Valleys NHS Foundation Trust received funding from CYC and the CCG.

Mike Proctor confirmed that York Hospital NHS Foundation Trust were commissioned by the CCG to provide them with acute medical services.

Councillor Douglas declared a standing personal interest as a governor of Tees, Esk and Wear Valleys NHS Foundation Trust.

No other interests were declared.

To approve and sign the minutes of the last meeting of the Health and Wellbeing Board held on 9 March 2016.

Resolved:  That the minutes of the meeting of the Health and Wellbeing Board held on 9 March 2016 be signed and approved by the Chair as a correct record.

It was noted that all actions in the Action Grid from the previous meeting had all been completed.

It is at this point in the meeting that members of the public who have registered their wish to speak can do so. The deadline for registering is Tuesday 19 April 2016 at 5.00 pm

To register please contact the Democracy Officer for the meeting, on the details at the foot of this agenda.

Filming, Recording or Webcasting Meetings

Please note this meeting will be filmed and that includes any registered public speakers, who have given their permission.  This broadcast can be viewed at: http://www.york.gov.uk/webcasts.

Residents are welcome to photograph, film or record Councillors and Officers at all meetings open to the press and public. This includes the use of social media reporting, i.e. tweeting.  Anyone wishing to film, record or take photos at any public meeting should contact the Democracy Officer (whose contact details are at the foot of this agenda) in advance of the meeting.

The Council’s protocol on Webcasting, Filming & Recording of Meetings ensures that these practices are carried out in a manner both respectful to the conduct of the meeting and all those present.  It can be viewed at: https://www.york.gov.uk/downloads/file/6453/protocol_for_webcasting_filming_and_recording_council_meetingspdf

It was reported that there had been no registrations to speak under the Council’s Public Participation Scheme.

This report asks the Board to confirm a new appointment to its  membership.

The Board received a report which asked them to confirm a new appointment to its membership.

Resolved: That;

Colin Martin, the newly appointed Chief Executive of Tees, Esk and Wear Valleys NHS Foundation Trust be appointed to replace Martin Barkley former Chief Executive from 1 May 2016.

Reason: In order to make the appointment to the Health and Wellbeing Board.

The purpose of this report is to update the Health and Wellbeing Board (HWBB) on progress to finalise a submission for the Better Care Fund (BCF) in 2016/17 and beyond.

The Board received a report which updated them on progress to finalise a submission for the Better Care Fund (BCF) in 2016/17 and beyond.

Officers reported that the Council and CCG had not yet agreed a balanced draft spending plan, but had got a projected £2.3 million overspend with limited room for manoeuvre. Progress had also been hampered by the financial situations of both the CCG and the Council. It was felt that the BCF must not divert from the bigger idea of system transformation in health and social care.

Reasons for why an agreement had not been reached were as follows;

•      The starting point of the 2015/16 plan contained stretched targets that weren't achieved.

•      It would be very difficult to scale back the 2015/16 plan without having a knock on effect on delayed dicharges from acute settings.

•      In trying to resolve some of the issues locally there was a need to look at the wider health and social care system

•      Partners needed to work in a more integrated way to deliver efficiencies and plans and this needed to be brought forward to be able to do this.

It was reported that there was a small task and finish group that would be reviewing each BCF project in the 2015/16 plan to assess it in terms of its impact.

Board Members continued to state how the BCF was a tool, a set of principles to follow to enable system change and further integration, and was not just about delayed discharges. It would do this in the following seven areas;

·        Reduce inappropriate admissions

·        Shift money into early interventions/prevention

·        Speed up discharge from acute settings

·        Support for Carers

·        Reablement/Intermediate Care Funding

·        Care Act Funding

·        Delayed Transfers of Care

One Board Member informed the Board that the submission date for the Better Care Fund had been extended from 3 May to 15 May. There was now a commitment to transformation from partners through the Integrated Transformation Board.

One Board Member felt that the schemes funded by the 2015/16 BCF were not delivering what was required or wanted. The original idea behind the BCF was how to get the best mechanism across local government, the Board had this through the Integrated Transformation Board. He felt that there needed to be a medium term financial strategy, performance metrics, that all partners needed to share problems and make shifts in the way they operated and it was the role of the Board to hold them to account. In addition, he felt other agencies needed to brought on board when decisions were being made. He also felt that further risk impact analysis needed to be carried out.

It was noted that neither the Council nor the CCG were allowed to have deficit budgets as these were illegal. It was reported that NHS England believed that an agreed submission from York could be delivered by the new deadline of 15 May.

Discussion took place amongst Board Members.

One Board Member commented that  ...  view the full minutes text for item 65.

To consider the Board’s Forward Plan.

Board Members were asked to consider the Board’s Forward Plan.

Following discussion it was;

Resolved: That the Forward Plan be approved with the following amendments;

·        To reschedule Healthwatch reports

·        An additional report on the Care Act

Reason:   To ensure that the Board has a planned programme of work in place.