Agenda and draft minutes

To confirm the non-exempt minutes of the meeting of the Health and Wellbeing Board held on 30 September 2021.

 RESOLVED that the minutes of the meeting of the Board held on 30 September 2021 be confirmed as a correct record.

The refreshed Derbyshire ‘Health and Wellbeing Strategy’ had been presented in draft format. The strategy continued to focus around 5 priority areas, outlined within the report.

The refreshed 2022 ‘Health and Wellbeing Strategy’ would be a live document and governance structures would continue to be updated to make sure it fully aligned with emerging Integrated Care System arrangements throughout 2022.

The strategy would be fully reviewed with an ambition to have a new strategy in place from the end of 2023 onwards. For this review officers would

fully engagewith Boardmembers andlocal residentsto informthe development of new priorities and outline a longer vision which formalised arrangements betweenthe IntegratedCare Systemand theHealth andWellbeing Boardonce all governance was fully in place.

RESOLVED to (1) review and discuss the refreshed Health and Wellbeing Strategy; (2) provide comment and feedback on the draft strategy document by Thursday 10 March, so that a final version of the documentcould be approved at the Health and Wellbeing Board meeting on 31 March 2022; and (3) agree to have the 2022 refresh of the ‘Health and Wellbeing Strategy’ as a live document in preparation for the full strategy refresh in2023.

Derbyshire County Council (DCC) had a long tradition of investing in physical activity and had worked with a range of partners including Active Derbyshire, Shift and the district and borough councils to deliver a range of interventions aimed at reducing inactivity levels.

The currentphysical activitysystem includeda successfulJog Derbyshire programme delivered by Shift, an exercise by referral scheme that was delivered through district and borough councils and Walk Derbyshire. These programmes were funded through DCC Public HealthGrants.

Derbyshire’s new physical activity strategy, ‘Making our Move’, was launched in October 2021, and aimed to address inequalities and empower everyone to be active in a way that works for them. The strategy set out an approach that would help focus the efforts and resources to empower communities and unlock their potential.

The strategyoutlined thatmost physicalactivity tookplace outdoor,within 20 minutes of people’s homes, and that all population groups walk more than they do any other type of activity whether to keep fit, for leisure or for travel. There was an opportunity to further integrate the physical activity provision across the county and a new commissioning model was in development which would form part of the whole system approach to physical activity. This would ensure that commissioned services contributed to strategic objectives, namely increasing rates of physical activity and reducing rates of inactivity.

RESOLVED to (1) engage in the work of developing a whole system approach to physical activity; and (2) support the Walk Derbyshire programme and its implementation.

A presentation had been given to provide the board with an update on Derbyshire’sHomeless Strategy, aimed to be delivered in Spring2022.

The plan was to build upon the positive partnership working that had emerged in response to the pandemic. To develop a regional approach to tackling homelessness across Derbyshire and therefore reduce and prevent homelessness across the County.

There was a need to understand system blockages such as drug and alcohol services where there may be limited, or lack of, flexibility around appointmentsand adaptingto theparticular needsof anindividual serviceuser. As wellas mentalhealth wherethere maybe over-relianceon emergencyhealth care services such as A&E by individuals experiencing multiple and complex needs.

The emerging priorities of the strategy had been outlined within the presentation. As well as how Health and Wellbeing partners could support the implementation of the strategy.

HJ had provided HWB members with a verbal update on the Integrated CareSystem.

The instigation of ICS had been delayed until 01 July 2022. The work to build an integrated care partnership was being continued. Phase one wouldbe held between January to September, this would determine the shape of the partnershipand producethe strategy.Once passedthere wouldbe twostrategy bodies and the roles and responsibilities of each were yet to bedetermined.

There hadbeen asuggestion thatthe Healthand WellbeingBoard would have a development session and that this could take place at the next scheduled meeting. This had been agreed and would take place on 31 March 2022.

On 30 September 2021 the Department of Health and Social Care, Ministry of Housing, Communities and Local Government, and NHS England published the Better Care Fund (BCF) planningguidance for2021-22. Thedetails ofallocations offunding forthe BCF 2021-22 were made available in February 2021 as per the guidance and the planning template was submitted nationally on the 16 November 2021. Approval of the plan was granted from 9 January 2022 and the Section 75 agreement needed to be signed by 31 February2022.

The Derbyshire 2021-22 BCF Plan was, in effect, a continuation of the 2020-21 plan. The overarching vision and aims of the plan remained the same as they did in 2015-16.

There was a continued focus on community services being funded through the plan to reflect the work of the Joined Up Care Derbyshire Place workstream.This includedservices suchas CommunityNursing, Therapy,

Matrons, Evening Nursing, Clinical Navigation, Intermediate Care Teams (North), Social Care support packages, Reablement, Hospital Social Work Teams etc.

The full 2021-22 expenditure plan was attached as an appendix to the report.

The Plan had been developed in conjunction with key partners through the Joint BCF Programme Board and its Monitoring and Finance Group. The final plan was approved by the Joint BCF Programme Board, a delegated sub- group of the Derbyshire Health and Wellbeing Board, at its meeting on 27 January 2022, the Section 75 agreement would be updated in February 2022.

RESOLVED to note (1) the summary of the 2021-22 Better Care Fund Planning Requirements; and (2) the 2021-22 Better Care Fund Plan for Derbyshire.

HJ hadprovided HWB members with a written report containing a round-up of key progress in relationto Healthand Wellbeingissues andprojects notcovered elsewhereon the agenda.