Agenda and minutes

Dartford Gravesham and Swanley Health and Wellbeing Board - Wednesday 7 December 2016 3.00 pm

Venue: Committee Room B12

No. Item


Apologies for Absence


Apologies for absence were received from Debbie Stock, Graham Harris, Andrew Scott – Clark, Nick Moor, and Jo Pannell.


The Clerk to the Board explained that Ms Jo Pannell was the new representative from Healthwatch and that she would be attending from the next meeting onward.


Declarations Of Interest


There were no declarations made.


Minutes pdf icon PDF 75 KB

The Minutes of the meeting of the Dartford Gravesham and Swanley Health and Wellbeing Board held on 25 August 2016 are attached for confirmation.


Issues arising from the Minutes not addressed elsewhere on the Agenda can be raised at this item.


The Minutes of the Dartford, Gravesham, and Swanley Health and Wellbeing Board held on 25 august 2016 were confirmed as a correct record of that meeting.


Kent County Council Health and Wellbeing Board pdf icon PDF 99 KB

The Chairman may wish to report on any issues of relevance to this Board arising from the meetings held on 21 September and 23 November 2016


The Minutes of the September meeting and Agenda for the November meeting are attached.

Additional documents:


The Chairman updated the Board on a number of issues of relevance to our Board which had been discussed at the two meetings of the Kent HWB held on 21 September and 23 November 2016


Councillor Gough reported that the 21 September meeting had spent considerable time looking at Outcome 3 of the Health and Wellbeing strategy – relating to Out of Hospital Care, and arising from this it had asked for reports from all local Boards on Falls be  presented to its March meeting.


Additionally arising from consideration of the HealthWatch Kent Annual Report Councillor Turner had asked for an update on improvements to mental health care which had arisen from work undertaken by HealthWatch.


The Chairman also reported that the 23 November meeting had looked at 3 major areas of consequence to our Board:


·         The Sustainablility and Transformation Plan (STP) which had been formally published on that day


·         The Better Care Fund which was being reviewed in view of its poor performance


·         Outcome 5 of the Health and Wellbeing strategy, relating to Dementia, its long term prevention, the management of dementia patients and crisis management for patients with serious dementia issues.


Urgent Items

The Chairman will report on any urgent item and determine its position on the Agenda.


There were no urgent issues for the Board to consider.


Sustainability and Transformation Plan

An Officer from the Clinical Commissioning Group will be present to update the Board on this matter.


Dr Elizabeth Lunt explained that in December 2015, the NHS shared planning guidance 16/17 – 20/21 outlined a new approach to help ensure that health and care services are built around the needs of local populations.  To do this, every health and care system in England was to produce a multi-year Sustainability and Transformation Plan (STP), showing how local services will evolve and become sustainable over the following five years – ultimately delivering a Five Year Forward View vision of better health, better patient care and improved NHS efficiency.


In essence the plan aimed to reduce the £400million shortfall in the NHS budget.


Dr Lunt informed the Board that just over two weeks ago the formal Sustainability and Transformation Plan was published and work had commenced upon its formulation and implementation.


She explained that an extensive guidance document had been published and it was aimed to establish around 10 accountable care organisations spanning Kent which would form the basis of delivery for health care and that these would be overseen by a higher level monitoring board.


It was noted that local engagement on service provision was accepted as being important but that there had been no details released on that yet.


Arising from the report the Board recognised the importance that prevention of illness would take in the future of care provision and thus in the STP generally.


The Chairman thanked Dr Lunt for her report.


New District Health Deal

A presentation will be made by Lesley Bowles on the implications of the New District Health Deal.


Lesley Bowles from Sevenoaks District Council and Vicki Tovey from Kent County Council who gave a presentation on the current structure of health delivery in the West Kent Area, proposals for the integration of delivery to achieve significant efficiencies, and the implications of this new District Health Deal on our Board area.


Mrs Bowles explained that the West Kent Area had established an Integration Board comprising the Leaders of the four Councils involved (Sevenoaks, Tonbridge and Malling and Royal Tunbridge Wells Districts together with Kent County Council) with meetings also being attended by the three District Chief Executives and Kent County Council Officers


The Board’s aims were to:


         Retain the individual sovereignty of the four councils


         Save money by taking out waste and duplication, and


         Develop structures that enable services to be co-commissioned, delegated or devolved.


It was noted that the new delivery model which has been developed by the West Kent Integration Board would deliver significant financial benefits and would better serve the population of the areas concerned.  Additionally the structure developed may be integrated for use by other area wide services such as housing.


It was explained that the introduction of a new model of Health Delivery in our Board area would deliver service improvements and savings and that the Health and Wellbeing Board’s involvement in this process was highly desirable.


The Chairman reported that discussions were already underway in our area (the North Kent Cluster) but were not as far developed as West Kent, and accordingly it was agreed to receive a report on this matter once further progress had been made.


Local Children's Partnership Groups

A brief report is attached for the Board’s information.  Unfortunately the report author, Nick Moor, cannot attend the meeting and has asked that any questions on the report be forwarded to him by Email, at the following address.


The Board received a short report on the work of the Local Children’s Partnership Groups, and agreed that individual questions would be forwarded to Mr Moor the report author.


Feedback from LGA Workshop. pdf icon PDF 56 KB

Additional documents:


The Board received a report on the outcomes of the LGA development workshop held on 25 August 2016. 


It was noted that a number of suggestions for the future format of board meetings had arisen from the workshop and that these had been reviewed by the Chairman and Officers and the following recommendations formulated:


·         Future meetings to be kept more focused. Main agenda items at each meeting to be planned so as to be on a common theme or a couple of linked themes;


·         Any ‘standing items’ coming to the DGS HWB meetings to generally be ‘taken as read’ and dealt with concisely so as to allow greater focus on the other parts of the agenda and on meaningful and productive partnership working;


·         To invite additional persons, authorities and organisations to attend specific Board meetings where it is thought that they could usefully contribute


·         Greater engagement by Adult Social Care with the DGS HWB would be beneficial;


·         Make greater use of the synergies and linkages between DGS HWB and other partnership groups -such as the Community Safety Partnerships;


·         The formal meetings of the DGS HWB to be supplemented with separately convened workshops where practical themes and issues can be considered and taken forward by relevant Board members, partners and practitioners.



The Board having considered the points, agreed to adopt the recommendations as the basis for the future work of the Board


Programme of Meetings 2017 - 2018 pdf icon PDF 46 KB

Additional documents:


The Board received a report on a proposed programme of meetings for the forthcoming year – 2017 / 18.


Members expressed some concerns that the programme followed a pattern established some time ago and that amendments to the format of Board meetings may impact on the programme both in terms of dates of meetings and times of the day which they were scheduled.


Accordingly it was agreed that the Clerk to the Board conduct a canvass of Board Members and attendees to ascertain their future availabilities, and subsequently the Chairman would approve a programme for the future.


Actions Outstanding from Previous Meetings. pdf icon PDF 50 KB


The Board received and noted a report on issues outstanding from previous meetings.


Board Work Programme pdf icon PDF 47 KB

Additional documents:


The Board considered a report on its updated programme of work for the forthcoming year.


It was noted that the work plan had been amended in the light of comments arising from the August meeting with a shorter duration meeting scheduled for February with an item on Falls Prevention being added to that meeting and the scheduled reports on Mental Health issues being transferred to the April meeting.


A workshop event would now be held following the truncated February meeting focussing on Obesity.   It was noted that Helen Buttivant was to lead on the Obesity workshop.


Information Exchange


The Board noted that there was no information requiring dissemination.