Council and democracy

Agenda and minutes

Venue: Committee Room 1, Civic Offices, New Road, Grays, Essex, RM17 6SL. View directions

Contact: Darren Kristiansen, Business Manager - Commissioning  Email: Direct.Democracy@thurrock.gov.uk

Items
No. Item

1.

Minutes pdf icon PDF 98 KB

 Minutes         To approve as a correct record the minutes of the Health and Wellbeing Board meeting held on 15 March 2017.

 

Minutes:

The minutes of the Health and Wellbeing Board held on 15th March were approved as a correct record.  

 

2.

Urgent Items

To receive additional items that the Chair is of the opinion should be considered as a matter of urgency, in accordance with Section 100B (4) (b) of the Local Government Act 1972.

Minutes:

There were no urgent items provided in advance of the meeting. 

 

3.

Declaration of Interests

Minutes:

There were no declarations of interest.

 

4.

Air Quality Strategy

Item will be presented to the Board through a PowerPoint presentation that will be delivered by Fred Raphael, Transport Development Manager Thurrock Council

Minutes:

Fred Raphael, Transport Development Manager, Thurrock Council updated members on Thurrock’s Air Quality Strategy.  Key points included:

·         The Strategy frames the councils approach to improving air quality and to reduce air pollution exposure to safe levels across the borough

·         The Council will undertake a detailed review of the merits of the wider use of Clean Air Zones or Low Emission Zones within Thurrock.

·         Seven Air Quality Management Areas (ACMAs) have been selected and a range of interventions tailored to those areas particular needs.  The seven AQMAs are:

o   AQMA 10 – London Road, Purfleet.

o   AQMA 3 – Hogg Lane/ Elizabeth Road.

o   AQMA 5 – A1306 (Pilgrim’s Roundabout).

o   AQMA 24 – Tilbury (Calcutta Road).

o   AQMA 25 – Aveley.

o   AQMA 26 – Purfleet Bypass

o   AQMA 1, 2, 23 London Road, Grays.

 

During discussions the following points were made:

·         The UK adopts EU Air Quality Standards

·         The creation of 20 miles per hour zones can create congestion challenges and assessments must be undertaken prior to speed limits being introduced.

·         The pilot exercise to reduce idling on National Clean Air Day demonstrated that schools can play a role in helping to reduce idling.  It is important to ensure that the focus on reducing idling also includes passenger vehicles such as school coaches and ice cream vans parked near schools with engines running.  It was agreed that Fred Raphael will engage the passenger service team to encourage coach drivers not to idle when transporting children across the borough.  

·         It will be important to ensure that the Air Quality Strategy does not become transport heavy and captures the wide range of action that can be taken to improve health outcomes including ensuring environments are created to enable children to walk to school and the work that primary care and public health are undertaking with GPs to diagnose respiratory conditions.

·         It was acknowledged that adopting a borough wide view when determining air quality may distort data and mask areas that are experience Air Quality challenges. 

·         There is an expectation that all future major developments will be expected to complete an air quality assessment.  

 

RESOLVED:  Health and Wellbeing Board members noted the update.

 

5.

ESR / STP Update

Item will be presented to the Board through a PowerPoint presentation that will be delivered by Wendy Smith Interim Communications Lead, Essex Success Regime

Minutes:

NHS England representation was not available to provide an update to Health and Wellbeing Board members.  The Chair expressed his disappointment that STP colleagues could not attend the meeting.  Board members shared information about the STP which included the following points:

·         A Joint Committee comprising 5 CCGs has now been established and involves 4 CCG Accountable Officers and 5 CCG Board Chairs.  The Committee has now held its first meeting

·         The Joint Committee delivery plan will be approved by NHS England.  It is envisaged the consultation will commence by the end of the year

·         Thurrock CCG leads on Frailty and mental health

·         Board members remain concerned that the Joint Committee and STP decision making process excludes Local Authorities, Health and Wellbeing Boards and elected members. 

·         The Chair asked for a letter to be prepared for sending to Paul Watson at NHS England which sets out concerns raised by the Board about the STP governance structure not giving due consideration to existing statutory governance arrangements.

 

            RESOLVED:  Board members considered the latest information available about the STP

 

6.

Transforming Care Programme pdf icon PDF 105 KB

Board members have been provided with a report with the meeting papers.  This item will be presented by Mark Tebbs, Director for Commissioning, Thurrock Clinical Commissioning Group.

Minutes:

Mark Tebbs, Director of Commissioning, Thurrock CCG presented this item to members.  Key points included:

·         The objective of the programme is to implement the national service model for people with learning disabilities and / or autism that display behaviour challenges

·         There are three strands of work:

o   A review of the outcomes and pathways for children with a learning disability and / or autism who display behaviour that challenges to assure that the right support is in place to prevent crisis for these children;

o   A review of the pathways for adults with autism only (no learning disability) who display behaviour that challenges to assure that the right support is in place to prevent crisis and address any gaps;

o   Implementation of the requirement to undertake a review into all deaths for all children or adults with a Learning Disability (LeDeR).

·         The current plan is to re-procure the current specialist learning disability health services as part of ensuring the future care model meets national requirements. 

 

During discussions the following points were made

·         Board members agreed that timescales provided in the report provided to the Board for procuring specialist learning disability health services should be adhered to as far as practicable due to continued concerns being raised about the quality of care received by people with a learning disability.

·         Consideration should be provided to engaging mainstream service providers to provide support for people with learning disabilities including, for example, Thurrock Community College.

·         Children’s Services are fully engaged in the process and will be exploring options to work with mainstream providers within Thurrock as well as working across regional boundaries with Southend and Essex Authorities.

 

RESOLVED: Members noted the update and agreed to a further update in approximately six months.

 

7.

Dementia Strategy pdf icon PDF 72 KB

Board members have been provided with a report in the meeting papers.

 

Item will be presented by Mark Tebbs, Director of Commissioning, Thurrock Clinical Commissioning Group

Additional documents:

Minutes:

Mark Tebbs, Director of Commissioning, Thurrock CCG presented this item to members.  Key points included:

·         The Southend, Essex and Thurrock Dementia Strategy 2017-2021 is a collaborative piece of work between people living with dementia, their carers, the three Local Authorities and the seven CCG’s within Greater Essex.

·         The strategy is a response to a growing understanding that the range of support available for people living with dementia across Greater Essex is fragmented and perceived as difficult to access by those requiring it.

·         The Southend, Essex and Thurrock Dementia Strategy sets out nine priority areas of work which Thurrock Council and Thurrock CCG fully support. These nine priorities are focused on improving the lived experience of those with dementia and their families and carers by addressing the fragmentation of response and lack of understanding of dementia.

·         Thurrock Council and Thurrock CCG have and continue to be very proactive is raising awareness of dementia and supporting those living with dementia and their carers.

 

During discussions the following points were made

·         Dementia patients should not be disadvantaged when accessing community based care and support.

·         The Dementia Crisis Team aims to support individuals to remain in their own homes.

·         A local plan will be developed and will include details of how local residents have been engaged to inform its development.

 

RESOLVED: Health and Wellbeing Board members endorsed the Southend, Essex and Thurrock Dementia Strategy 2017-2021.

 

The Health and Well Being Board agreed to the development of a local Thurrock implementation plan to deliver the Dementia Strategy in Thurrock.  Members also agreed that the local Thurrock Implementation plan should review all care options and to the quality and capacity of residential /nursing home provision in Thurrock and how that can be improved and a wider offer considered.

 

Members agreed that the Local Thurrock implementation plan will be considered at a future Heath and Well Being Board meeting.

 

 

8.

Health and Wellbeing Strategy Annual Report pdf icon PDF 77 KB

Board members have been provided with a report and a draft copy of the Health and Wellbeing Strategy Annual report in the papers for this meeting.  Item will be presented by Ceri Armstrong, Strategy Officer, Thurrock Council

Additional documents:

Minutes:

Ceri Armstrong, Strategy Officer, Thurrock Council, presented this item.  The Annual Report:

·         Explains the Health and Wellbeing Board’s function, membership and how it drives forward the development and implementation of the Health and Wellbeing Strategy;

·         Describes Thurrock’s Health and Wellbeing Strategy and reports year one key achievements; and

·         Demonstrates how the public’s views have been reflected and have informed action plans that have been developed as part of implementing the Strategy.

 

Members of the Health and Wellbeing Board welcomed the report and the commitment demonstrated across the Council and partner agencies to develop action plans focussed on improving health and wellbeing of Thurrock residents.

 

            RESOLVED:

 

The Board approved the structure and contents of the first annual report and agreed that it should be published on the council’s website.   

 

The Board approved in principle amendments to the Health and Wellbeing Strategy Goal 3, Better Emotional Health and Wellbeing and that objective 3D improve the identification and treatment of depression, particularly in high risk groups should be amended to reflect intentions to also improve the wider mental health and wellbeing of the residents of Thurrock. 

 

 

9.

Health and Wellbeing Board Terms of Reference pdf icon PDF 89 KB

Board members have been provided with a report within the meeting papers.  This Item will be presented by Ceri Armstrong, Strategy Officer, Thurrock Council

Minutes:

Ceri Armstrong, Strategy Officer, Thurrock Council, presented this item.  Key points included seeking approval on:

 

·         The inclusion of the Health and Wellbeing Board’s Vision, Principles and Goals within the Terms of Reference; 

·         Removing the commitment for the Board to host at least one stakeholder forum each year; and 

·         Amending membership details to ensure the Terms of Reference continues to accurately reflect the roles of existing members

 

RESOLVED:  The Health and Wellbeing Board approved amendments proposed to the Terms of Reference

 

10.

Health and Wellbeing Board Executive Committee and Integrated Commissioning Executive Minutes pdf icon PDF 201 KB

Additional documents:

Minutes:

RESOLVED:

The Board noted the minutes of February’s Health and Wellbeing Board Executive Committee.

 

11.

Work Programme pdf icon PDF 69 KB

Board members are asked to note that a Special Health and Wellbeing Board meeting is being arranged to consider the Better Care Fund.

 

The meeting previously scheduled for Wed 20 Sept 2017 has been amended to Friday 22 September 2017

 

Minutes:

RESOLVED:

The current work programme for the Health and Wellbeing Board was noted