Agenda and minutes

To confirm as a true record the Minutes of the meeting held on 28 April 2022.

RESOLVED:

THAT the minutes of the meeting held 28 April 2022 be confirmed.

To invite Members to declare any interest they might have in the matters on the agenda.

Cllr Karen Lucioni declared she was Personal Assistant on the PA noticeboard.

Questions may be asked without notice but to guarantee a full reply at the meeting, a question must be put including the name and address of the questioner by delivery in writing or by electronic mail to Democratic Services at democratic.services@iow.gov.uk, no later than two clear working days before the start of the meeting. Therefore the deadline for written questions will be Monday 25 July 2022.

No public questions were received.

The Chairman to verbally update the board on progress on actions since the last meeting, including actions that have not been dealt with as a separate agenda item and to invite partners to advise on any extraordinary issues which may affect the work of the board

The Chairman gave a verbal update on the Integrated Care System, outlining its responsibilities and aims. It was stated that the Hampshire and Isle of Wight Integrated Care System would serve a population of 1.9 million people in the combined area and had the responsibility for improving health and care for residents, with the added responsibility of strategic planning.

The Chairman explained the challenge that the NHS and its partners needed to deliver joined-up support for the growing number of older people and people living with long term conditions, which drove the need for a different approach so that the systems could work ever more closely together in order to have maximum impact, simplified governance, and decision-making structures that suited all. The statutory transition took place on 1July 2022, which built on work that had been done over the past few years.

The Director for Public Health presented the Health and Wellbeing Strategy 2022-2027 to the Board for signing off, with the agreement that action plans were formed to progress the implementation of the Strategy, including developing and monitoring the metrics. There was also the agreement to update the Strategy annually, so that it remained relevant.

The Strategy was summarised as being a statutory requirement in the bringing together all the partners across the health and care system to work together, reflecting the joint priorities across the system

The priorities for this strategy had been identified by the Isle of Wight Joint Strategic Needs Assessment (JNSA) through intelligence and structured conversations and workshops with the Board.

The key priorities of the report were deemed as Healthy Places, Healthy People and Healthy Lives with a focus on Housing and Health, Mental health and wellbeing and health inequalities

These priorities enabled a strategic linkage, not just with each other, but also through the wider ramifications connected to health, housing, and the environment.

Discussion took place on housing needs being of extreme concern on the Island and how the issues that link health and housing needs, health and inequalities, health and poverty, needed to be dovetailed together for maximum effective action.

 RESOLVED:

THAT the Health and Wellbeing Strategy 2022- 2027 be signed off by the Board.

THAT action plans are formed to progress the implementation of the Strategy, including the developing and monitoring of the metrics with the support of all members

THAT an update of the Strategy progress takes place annually to ensure that the strategy remains relevant throughout its five year duration.

The Board received the Health and Care Plan 2022-2025 and were asked to approve and sign off the plan.

The Health and Care Plan outlined the trajectory that would need to be taken over the longer term to ensure sustainable health care that met the needs of the local population. The plan focused on necessary steps to develop new models of care, stronger partnerships with local and mainland providers and greater productivity within the healthcare system.

The development of a strong and effective Integrated Care System and Integrated Health and Care Partnership was deemed as key to achieving the aims of the Health and Care Plan as they would enable a joint approach to improving services, benefitting from wider specialist expertise.

The Health and Care Plan 2022 – 2025 had been developed through a robust examination of the local population’s health and care data, as well as looking at feedback from staff and users about what improvements were wanted drawn from the recent surveys. The plan was closely aligned with the Health and Wellbeing Strategy which ties together the quest to improve health inequalities and health outcomes on the Island.

The priorities of the Health and Care plan were set out as, preventing ill health, partnerships, productivity, and pathways.

Further discussion took place amongst the Board members regarding preventing ill health.

The Director of Children’s Services for Hampshire and the Isle of Wight asked if children’s mental health could be at the heart of both the Health and Wellbeing Strategy and the Health and Care Plan.

The challenge regarding access to dentistry on the Island was also brought to the attention of the Board and included in the strategy

RESOLVED:

THAT the Health and Care Plan be noted and approved.

THAT Dentistry be added to the Health and Care Plan

THAT the ICS be contacted regarding Children’s Mental Health

To receive the update and year end position and plan for 2022/23

Rachel McKernan declared an interest in this item as she informed the Board that Age UK receive money from the BCF. Amanda Gregory also declared an interest stating that her department received money from the BCF. Both interests were deemed not to be in direct conflict with the contents of the Report by the Interim Managing Director of the Hampshire and Isle of Wight Integrated Care Board.

The Board was asked to receive the update Q1 on the Better Care Fund for noting and approve the recommendation for the development of the BCF 2022-23 plan in line with local and national requirements.

The Better Care Fund had been in place since April 2017 and was based around 11 points, with the areas of Early help and prevention, Rehabilitation, Reablement and Recovery (Regaining Independence) and the Revised framework for Isle of Wight delivery of effective integrated services at locality, being under review

It was explained that the BCF was the financial vehicle on how to get the most out of available money and funding

RESOLVED:

THAT the BCF Update Q1 be noted and approved for continued areas of work.

To guarantee a reply to a question, a question  must be submitted in writing or by electronic mail to democratic.services@iow.gov.uk no later than 9.30am on Tuesday, 26 July, 2022. A question may be asked at the meeting without prior notice but in these circumstances there is no guarantee that a full reply will be given at the meeting.

No Members questions were received