In a report of the Principal Corporate Development Officer the Board was provided with an overview of the Middlesbrough Health and Wellbeing Boards (HWBB) progress regarding the Joint Health and Wellbeing Strategy.
A Commissioning Intentions Task and Finish Group had been set up to review the commissioning intentions of various groups to ensure alignments with the Health and Wellbeing Strategy (HWBS) and the Joint Strategic Needs Assessment (JSNA) as well as identifying opportunities for joint working. Reference was made to four BIG Lottery Fund investment programmes (Fulfilling Lives, Better Start; Fulfilling Lives Ageing Well; Headstart; and Talent March) for which Middlesbrough was submitting bids all of which would address issues highlighted within the HWBS. The Commissioning Task and Finish Group had identified the need for improving the JSNA and to ensure its recommendations inform commissioning and service planning. An indication was given of the role of the HWBB in approving various plans including the setting up of a steering group chaired by the Director of Public Health which was being established to oversee and co-ordinate the actions required to update and improve the JSNA and the Pharmaceutical Needs Assessment.
As part of current arrangements the HWBB had noted the progress made by Healthwatch Middlesbrough and the establishment of a Childrens Delivery Partnership.
The report submitted summarised the 2013 Director of Public Healths report and outlined the key recommendations contained therein in respect of:
Public Health and NHS Reforms:
Best Start in Life:
Prevention and Early Intervention for Long-Term Conditions:
Impact of Welfare Reforms:
Creating Health Promoting Environments and Settings.
It was reported that a Public Health Campaigns Group had recently been established upon the recommendation of the Health and Wellbeing Strategic Co-ordination Group to co-ordinate communications activity amongst partners across Middlesbrough focussing in 2014/2015 on issues relating to alcohol, cancers, heart disease, lung disease, mental health, obesity and nutrition, smoking, sexual health, summer health and winter health.
In terms of the Better Care Fund it was reported that the NHS planning framework would require Clinical Commissioning Groups to agree five-year strategies, including a two-year operational plan that covered the Integrated Transformation Fund through the HWBB. The Middlesbrough HWBB had approved the elements of the emerging model and delegated final approval of the Better Care Fund submission to the Health and Social Care Delivery Partnership. Following Members' questions it was agreed that further information would be provided on the formula to be used which would be partly linked to performance regarding the allocation of the fund to local authorities.
It was confirmed that the Health and Social Care Delivery Partnership had been given delegated responsibility to sign off all section 75 partnership agreements and formal section 256 agreements between the Local Authority and NHS Area Team.
The Board was also advised that the Health and Social Care Delivery Partnership had established a project group to oversee the implementation of the Health and Social Care Bill and develop a joint action plan.
The report gave an indication of the South Tees Clinical Commissioning Groups IMProVE programme to improve the quality of care for the vulnerable and elderly to ensure that services remained safe now and were sustainable in the future.
In commenting on a number of public health Key Performance Indicators which were off target at Quarter Three 2013/2014 Officers confirmed that the HWBB's Public Health Delivery Partnership was currently in the process of developing a delivery plan and performance management framework to monitor progress against the priority areas.
In response to clarification sought from Members it was agreed that information would be provided regarding the basis of the funding in submitting bids for the Big Lottery Fund projects as outlined and an indication given of when results would be announced.
Following Members' comments regarding the extent of partnership working and potential for duplication of work the Board was advised of ongoing work with the intention of streamlining certain processes. Given the Council's primary responsibility for public health the Board was keen to seek assurances that the arrangements for scrutiny by the Health Scrutiny Panel, Social Care and Adult Services Scrutiny Panel and the opportunities for the scrutiny of the HWBB itself were clear.
Whilst noting the progress made it was hoped that future progress reports would provide an indication of improvements and achievements that had been secured.
ORDERED that the information provided be noted and further information be provided on the areas identified.