Agenda and minutes

To note any changes in Membership of the committee, made in accordance with Part 4B, Paragraph 5, of the Constitution.

Apologies were received from Lora Peacey-Wilcox, Gill Kennett, Stuart Ashley and Penny Emerit.

The Vice-Chairman to chair the meeting in the absence of the Chairman.

June Davison was welcomed as the new member for IWALC replacing Shirley Smart

Darren Cattell to represent the Hampshire and Isle of Wight Integrated Care Board as Director of Place (Equivalent position on the Board previously held by CCG in the HWB Terms of Reference)

Dr Michele Legg to represent the Hampshire and Isle of Wight Integrated Care Board as Clinical Director (Equivalent position on the Board previously held by CCG in the HWB Terms of Reference)

Penny Emerit joins the Board as Chief Executive of the Hampshire and Isle of Wight NHS Trust.

To confirm as a true record the Minutes of the meeting held on 26 January 2023.

RESOLVED:

THAT the minutes of the meeting held on 26 January 2023 be approved

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

Karen Lucioni declared she was a 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 17 July 2023.

None were received.

The Chairman to give a verbal update to the Board.

The Chairman updated the Board regarding the ICB forward plan explaining that the Board had been given feedback on this and it was emphasised that they needed take into account the JSNA and health needs of the Island population.

The Chairman also welcomed Darren Cattell to his new position as Place Director for Hampshire and Isle of Wight Integrated Care Board.

Penny Emerit was also welcomed as Chief Executive of the IOW NHS Trust.

The Director of Public Health, Isle of Wight Council, to present the Joint Strategic Needs Assessment (JSNA) update.

The Director of Public Health gave an overview of the JSNA .

Discussion took place around the reasons for longer poor health on the Island and what could be done to prepare people better for old age.

The Board members were asked to identify people in their teams to further develop the JSNA

RESOLVED:

THAT the JSNA update be noted

The committee to discuss the Terms of Reference of the Health and Wellbeing Board. The Monitoring Officer to assist in the discussion, and to advise on the process that needs to be followed regarding any proposed changes to the Board Membership and any other points arising regarding the Terms of Reference.

The Director of Public Health asked the board members to consider the terms of reference and look to discuss any changes felt necessary. The role of substitutes and membership of the board to be circulated and considered.

RESOLVED:

THAT the change of membership in the Terms of Reference due to the disbanding of the CCG and the creation of the Integrated Care Board ICB be noted.

That members be asked to confirm member and substitute members for each organisation

The committee to receive an update on the Isle of Wight Mental Wellbeing Plan 2023-2028 and associated Suicide Prevention Action Plan 2023-2028.

The plan was presented and discussed with the suicide action plan

It was explained to the Board that the Mental Wellbeing and Suicide Action Plans were not about services but rather focused on building capacity.

Training was deemed as highly important in tackling these issues and the Board was asked to undertake the 20 min on-line training regarding suicide prevention and to share the training with colleagues in the workplace. This will be a key part of world suicide prevention day.

It was suggested that more people needed to know about the strategy and training, and it would be beneficial to also involve parish, town and community councils.

The Director of Public health stated he would circulate links regarding the training with all members after the meeting.

RESOLVED:

THAT information and training on suicide prevention would be further coordinated and delivered with the wider workplace and community.

The committee to be presented with the Better Care Fund 2023-2025 Plan for approval.

The Strategic Manager Partnerships and Support Services asked the Board to consider the Better Care Fund Update Q1 2023-24. It was explained that approval of the Board was sought in relation to giving delegated authority to the Director for Adult Social Care and Housing Needs and to the Managing Director of Place for the ICB as having that flexibility would be extremely useful. It was suggested that this be reviewed in six months. Approval was also sought for the BCF Plan 2023-2035.

RESOLVED:

THAT the end of year template for submission to NHSE as a closing position for the Isle of Wight BCF 2022/23 be noted

THAT the new conditions provided by the DHSC and NHSE regarding the development of the BCF 2023-2025 be noted.

THAT initial submission of BCF planning documents by the Interim Managing Director ICB and the Director for Adult Social Care and Housing needs on the 23 June 2023 on behalf of the Health and Wellbeing Board be noted.

THAT the work undertaken to date in relation to the BCF 2023-2025, and to delegate to the Director for Adult Social Care and Housing Needs and to the ICB Interim Managing Director and Place director, authority to further develop and submit the BCF2023-2025 templates in line with national deadlines be approved.

THAT the 2023-2025 BCF Plan and accompanying templated be approved.

To explore the themes of place, deprivation and regeneration and their effect on health.

The Director of Regeneration presented a report highlighting the impact of place base on health.

It was deemed necessary to build on the existing landscape and collaborate further as this subject needed a more coordinated approach. Regeneration was key in improving health outcomes and the board discussed how this could be moved forward.

Discussion took place on how to move away from an acutely reactive health system to a preventative strategy. It was felt there was a need to move downstream to identify those in need but there were significant pressures, particularly concerning resources and finance.

It was suggested to develop a plan using the existing structures as many town, parish and community councils had place plans already and that linkages needed to be pulled together in order a shape a plan. Questions were raised about ownership of the plan. It was stated that it was not to be just a council led plan, but collective ownership with the relevant bodies needed to be agreed.

RESOLVED:

THAT there be further discussion on this subject and links between the relevant agencies and bodies be strengthened to develop this.

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 09:30am on Tuesday, 18 July, 2023. 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.

A verbal question was asked about Pysicon but it was explained that this topic was being dealt with at a meeting of the Health and Care partnership.