Agenda and draft minutes

Apologies for absence were received from Councillor Searles, Dr. Lunt, Graham Harris, Andrew Scott – Clarke, Sarah Kilkie, Lesley Bowles, Jo Pannell, Allison Duggal and Terry Hall.

There were no declarations of interest received.

The Minutes of the meeting of the Dartford Gravesham and Swanley Health and Wellbeing Board held on 12 April 2017 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 12 April 2017 were agreed as a correct record of that meeting.

The Chairman may wish to report on any issues of relevance to this Board arising from the meeting held on 14 June 2017

The agenda for the meeting is attached as an aide memoire.

The Chairman updated the Board on the major issues discussed at the meeting of the Kent Health and Wellbeing board held on 14 June 2017.

Councillor Gough explained that the Kent Board had concentrated on the two major issues:

Adult Social Care, receiving two reports one relating to an update on the position of Social Care in Kent, which had focussed on ways to rebuild capacity for domiciliary care,  and a second looking at the financial position of the Better Care Fund for 2016/17 and the approach being taken to plan for 2017/2019.

An update on the Your Life Your Wellbeing Pilots, which had been established (mostly) in east Kent and which it was now proposed to extend across the County later this year.

Councillor Gough also informed the Members that he had stepped down as Chairman of the Kent Board, his place being taken by Dr Peter Oakford, as his County remit had been amended.

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

The Chairman reported that there were no urgent issues for the Board to consider.

Nick Moor will be presenting a report on the 2017 /2018 Early Help and Preventative Services Grant for Dartford, Gravesend and Swanley.

The Board received a presentation from Mr Nick Moor, KCC Head of Service (0 – 25) North, on work undertaken by the Local Children’s Partnership Groups which focussed particularly on the 2017/18 Early Help and Preventative Services Grants process and awards for the Dartford, Gravesham and Swanley areas.

Mr Moor explained that the grants awarded were classified as Innovation Grants and were made on a one off basis to fund

·         Innovations / pilots or pilot scheme, or;

·         The development of new organisations which would contribute to the Council’s strategic priorities. 

He explained the grant aiding process to the Board and detailed the priorities and grants awarded by each of the three partnership groups.

It was noted that one of the groups which had received grant aid had subsequently ceased trading and that KCC were attempting to recover the funding amount from their administrators.

Mr Moor further reported that monitoring reports on the continuity and sustainability of the projects funded would be presented in future years.

The Board thanked Mr Moor for his presentation and agreed to note the report.

Karen Cook from KCC Strategic and Corporate Services will be presenting this report.

The Board received a draft of the Kent Joint Health and Wellbeing Strategy 2018-23 which had been discussed at the Kent Health and Wellbeing Board on 22^nd March 2017. 

The report, presented by Karen Cook - Policy and Relationships Adviser (Health), Kent County Council - outlined a strategy responding to a challenge set by commissioners to more effectively support the commissioning decision making process. 

Having approved the draft Strategy the Kent HWB agreed, amongst other things that the Strategy be presented to local HWB for comment, especially relating to the priorities identified in Appendix 2 which relate to Health Priorities.

Having considered the draft report the Board welcomed the Strategy and the approach toward preventative intervention (especially Obesity) rather than curative work. 

The Board also identified the following points as requiring refinement:

Priority 1 – a tighter definition of “Housing” in the Outcomes section

Priority 2 – the addition of “Sexual Health”, and “Earlier Identification of Sexual Abuse” in the Outcomes section

Priority 3 – a redefinition “Recovery from mental health problems” in the Outcomes section, and the introduction of a methodology to avoid target chasing.

Priority 4 - a tighter definition of “Housing” in the Outcomes section, to include care situations.

This item was not available for despatch with the main Agenda, and thus is

“TO FOLLOW”

The Board received a report on the process and outcome of the recent procurement exercise undertaken to commission specialist mental health care services for children and young people across Kent.

The contract was for a 5 year period with an option to extend for a further 2 years

It was noted that the current contract would expire in August 2017 and that it was essential that the new contract commence in September 2017.

Details of the selection criteria and the client consultation process were provided together with information relating to the suppliers that submitted applications for the contract.

The Board noted that the North East London Foundation Trust had provided the most satisfactory application and that they had been awarded the contract to commence in September 2017.

Catherine Read from KCC will make a presentation and introduce a video relating to the support of mental health resilience in school age children / young people.

Ms Catherine Read presented to the Board a synopsis of the work of the Headstart project in Gravesham.

Headstart is a lottery funded pilot providing five years investment into work to improve young people’s resilience and mental health. 

The pilot aims to improve the mental well-being of at - risk 10 to 16year-olds by developing

·         the necessary local conditions to enable that strategy to become sustainable after a two year introductory period

·         a more robust evidence-base around ‘what works’ in the area of mental well-being to be pro-actively shared beyond HeadStart with the aim of contributing to the national and local policy debate with those at risk of mental Health problems.

The Headstart pilot works in four main areas, local schools; the home; through social media; and through the Community, and provides

·         Kent’s Resilience Approach and Quality Mark Resources and Support

·         A Menu of Evidence Based Interventions

·         A Common Measurement Framework which is accessible to two year groups.

·         Workforce Development

·         Domains Approach to Resilience, Mindfulness, Youth Mental Health First Aid.

It was noted that HeadStart currently planned to be operated in four geographic regions in Kent,

a)    Swale and Gravesham;

b)    Ashford, Shepway, and Canterbury;

c)    Thanet and Maidstone; and,

d)    Tonbridge & Malling and Dover

which had been identified as most suitable for the pilot, and work is either underway or is planned in these regions. 

In addition a work on a Resilience Hub is also underway.

The Board thanked Ms Read for her presentation and noted the information that she had provided.

This is a standing Agenda item and Members can update the Board on any relevant issues.

There were no matters to consider.

There was no information to disseminate.

The Board received and noted a report which set out the plan of work for the forthcoming year and identified outstanding issues that required attention.