Agenda and minutes

To receive apologies for absence from those Members who are unable to attend the meeting.

Apologies received from, Catherine Riley, Vanessa Taylor, Richard Parry, Karen Jackson, Sean Raynor, Tom Brailsford, Dale Gardiner, Len Richards and Chief Superintendent James Griffiths.

Cath Simms, attended as sub Richard Parry,  Lisa Williams attended as sub Catherine Riley,  Victoria Wallace attended as sub for Karen Jackson, Carmain Gibson-Holmes attended as sub for Sean Raynor and Matt England attended as sub for Len Richards.

To approve the minutes of the meeting of the Board held on the 27 June 2024.

That the minutes of the meeting held on the 27^th June 2024 be approved as a correct record.

Members will be asked to say if there are any items on the Agenda in which they have any disclosable pecuniary interests or any other interests, which may prevent them from participating in any discussion of the items or participating in any vote upon the items.

No interests were declared.

Most agenda items take place in public. This only changes where there is a need to consider exempt information, as contained at Schedule 12A of the Local Government Act 1972. You will be informed at this point which items are to be recommended for exclusion and to be resolved by the Board.

All agenda items were considered in public session.

The Board will receive any petitions and/or deputations from members of the public. A deputation is where up to five people can attend the meeting and make a presentation on some particular issue of concern. A member of the public can also submit a petition at the meeting relating to a matter on which the body has powers and responsibilities.

In accordance with Council Procedure Rule 10, Members of the Public must submit a deputation in writing, at least three clear working days in advance of the meeting and shall subsequently be notified if the deputation shall be heard. A maximum of four deputations shall be heard at any one meeting. 

No deputations or petitions were received.

To receive any public questions.

In accordance with Council Procedure Rule 11, the period for the asking and answering of public questions shall not exceed 15 minutes.

Any questions must be submitted in writing at least three clear working days in advance of the meeting.

No questions were asked.

The Board will appoint a Deputy Chair for the 2024/25 municipal year.

Dr Warren Gillibrand, Acting Head of Nursing, Huddersfield University was appointed Deputy Chair of the Board for the 2024/25 municipal year.

The Health and Wellbeing Board has the Executive Governance for the SEND transformation programme. It has previously confirmed its desire of the work to be brought into view on a regular basis.  SEND is of critical strategic importance to all Partners and is systemic in its impact.

Contact: Jo-Anne Sanders, Service Director, Learning and Early Support Tel: 01484 221000.

Jo-Anne Sanders, Service Director, Learning and Early Support and the Senior Responsible Officer for the SEND transformation in the local area, and Adrian Wisniewski, Programme Manager, Strategy Innovation and Planning, attended the meeting to provide an update on the SEND Transformation Programme.

Jo-Anne Sanders reminded the Board that the last update on the programme was in January 2024, and as the Health and Wellbeing Board is the most senior part of governance for this programme, it is important to report back on the progress that has been made and the next steps.

The Board was informed that the update would focus on:

-          Some of the work that has been undertaken in terms of the shifting culture,

-          Key focuses and also the challenges,

-          Key milestones that have been achieved since the last update

-          Further examples of progress and impact

-          Next steps

-          Deep dive – for the Board to suggest areas to be presented at the next deep dive

The Board was informed that there has been an attempt to try and change the culture, and it requires a system approach to make things better for children and families, and children as they prepare to become adults.  There have been opportunities that have been recognised, regarding how to work together in partnership for families with anyone who wants to provide help and support and drive some of the shared accountability.

There are some cogs that have to work together such as:

Co-production - which is something that the local area needs to be proud of.  There is an active parent/carer forum that holds to account, challenges but are also very supportive

Governance – clear governance, there are three levels of governance, making sure there is the right buy-in at each level.  The highest strategic level of governance, partners, then the operational level

Quality and compliance – there is a clear focus on making sure things are done in a timely way, but also making sure they are of quality, ensuring that they are set up to have impact. Rather than sitting behind a desk it is important to step out, and listen to people’s lived experiences and trying to make a difference on the ground. An example, is the local offer live event, supported by a range of partners, but was led by the parent/carer forum, held in June and the feedback has been extremely positive. 

Clusters - Some of this involves being brave and trying to look at innovation.  Rather than looking inwards in Kirklees, it also involves looking up and down the country and seeking out opportunities. An example of this is a new way of working that is just being undertaken with mainstream schools, of which there are approximately 170.  Work has started with groups called clusters, wrapping a team around those schools, to identify needs early and meet those needs as early as possible.

In addition, there are some system changes with the investment that the local area is making into rebuilding  ...  view the full minutes text for item 20.

The paper is to provide an update on the Better Care Fund Plan for 2024/25 for information. The purpose of the paper is to assure the Board that robust planning and monitoring processes are in place. 

Contact: Vicky Dutchburn, Director Of Operational Delivery & Performance (Kirklees), West Yorkshire ICB, Cath Simms, Service Director, Adults Social Care Operation, Tel: 01484 221000.

Cath Simms, Service Director, Adults and Social Care Operations and

Vicky Dutchburn, Director of Operational Delivery and Performance, provided the Board with an update on the Better Care Fund (BCF). The aim of the update would be to outline the plan spend through the BCF for the 2024/25 financial year, and also the plan for next year, and to get agreement from the Board. 

The Board was provided with an overview of the BCF, which is a mechanism for joint spending between the ICB, health and the council.  It is not new money it is direct from the council and the ICB.  The only exception to that is there has been some additional three year national non-recurrent funding specifically for adult social care, supporting hospital around discharge. The final year for the funding is 2024/25 and it is not clear whether there will be a repeat of that funding, although there may be some additional monies coming through for that.

There are some very clear national conditions and requirements that have to be followed in order to spend this money.  Essentially it is around enabling people to stay well, safe and independent at home for longer providing the right care, in the right place, at the right time.  There is a clear planning framework that needs to be followed.  The recent one was a two year planning framework, the BCF plan covered from last year 2023/24, through to this year 2024/25. 

The Board was provided with a summary of how both partners, the ICB and the Council contribute to the pooled funding as follows:

 Source                                 £ ICB                    £ Kirklees Council

The Board was informed that in terms of how the spending has been planned for this year, a working group was established with representation from the ICB and Kirklees Council to oversee the planning process. For the 2024/25 plan, each scheme has been subject to a review to determine:

Review criteria

-        Delivery against national objectives

-        Risk to future delivery

-        Value for money

-        Opportunities for efficiency through transformation

Update and approvals

-        In terms of approvals, the Health and Wellbeing Board (H&WB) is required to complete a planning template and delegated authority for this has been given to Vicky Dutchburn and Cath Simms to submit on behalf of the H&WB. Updates have also been delivered to the Joint Kirklees Senior Leadership Team. 

-        The plans were submitted to the BCF team in August, and the Section 75 agreements is being updated.  This is a legal agreement to outline how the money is to be spent

The Board was informed that there is often an element of back and forth with the national BCF team regarding whether the narrative about how the money is going to be spent is explained to them.

In terms of key points:

-         It is imperative that the plans meet the minimum financial contributions  ...  view the full minutes text for item 21.

This paper has two purposes:

a)      To update the Board on pharmacy changes that have taken place in Kirklees since the last update to the Board (on 27/07/23

b)      To inform the Board of the planned process for production of the 2025-28 Pharmaceutical Needs Assessment (PNA)

Contact:  Owen Richardson, Data and Insight Enablement Lead Tel: 01484 221000

Owen Richardson, Data and Insight Enablement Lead advised the Board that there are two parts to the appended briefing paper. The first part is to update the Board on pharmacy changes in Kirklees, in the past year, since the last update.  There were a list of changes, including change of ownerships, six supplementary change of hours, five of which were a reduction in hours with one being an increase in pharmacy hours.  There was also a change of trading name and two pharmacy closures in Kirklees.

A small subgroup regularly meets to discuss the changes and the impact they may have on local pharmacy provision.  Looking at both those closures, it was decided that there would be no significant impact on the local population.  There has been one new pharmacy opened which is a distance selling premises with no face to face interactions, and one pharmacy that has moved slightly.

The second part of the update is to inform the Board on where things are at with the next Pharmaceutical Needs Assessment (PNA). PNA’s need to be refreshed or rewritten every three years, and this will be due to be published in September 2025 and that will be the 3 years up for the current PNA.

The approach taken last time was to convene a West Yorkshire wide steering group, to collectively undertake the PNA, but write individual reports as every Health and Wellbeing Board has to have its own PNA.  This will be the approach taken to refresh or rewrite the PNA.  The steering group has started meeting regularly and there are some key milestones that will be coming up, as follows:

-        October/November 2024, a survey will go out to the public and pharmacies to get views on current pharmacy provision,

-        February 2025, there will be a draft of the report circulated to the Board prior to public consultation.  The report has to go out to 60 day public consultation before it is published

-        March/April 2025, public consultation

-        The report will be brought back to the Board for final sign off July/August/September time.  It will then be published in time of the old PNA running out

RESOLVED:

That Owen Richardson be thanked for providing an update on the Pharmaceutical Needs Assessments and that the information be noted.