►
From YouTube: Health and Wellbeing Board, 12 July 2017
Description
AGENDA (To view individual agenda items click on the links below)
1. Declarations of Interest 00:02:27
2. Minutes 00:03:03
3. Public Participation 00:03:37
4. Appointments to the Health and Wellbeing Board 00:04:06
5. Progress on the Starting & Growing Well Theme of the Joint Health and Wellbeing Strategy 00:04:42
11. All Age Autism Strategy 00:24:30
6. Performance Management: Starting & Growing Well Theme of the Joint Health and Wellbeing Strategy 00:30:58
7. Student Health Needs Assessment 00:45:22
8. Update from the JSNA/JHWBS Steering Group 01:06:19
10. Mental Health and Learning Disabilities Partnership Board 01:19:29
9. Better Care Fund Update 01:27:40
12. Healthwatch York Annual Report; Stakeholder Evaluation; Awareness Survey 01:57:19
16. Urgent Business 02:00:08
13. Director of Public Health's Annual Report 02:09:19
14. York Skills Plan (Online Only) 02:09:43
15. Work Programme 02:10:21
For full agenda, attendance details and supporting documents visit:
http://democracy.york.gov.uk/ieListDocuments.aspx?CId=763&MId=10239
E
F
B
The
cover
reports
are
page
19
in
the
background
section
make
reference
to
the
the
new
health
and
well-being
strategy
and
this
reports.
This
performance
report
is
relation
to
the
starting
and
growing
wealth
theme
of
that
strategy.
So
the
Coverley
Park
is
you
come
some
contextual
detail
around
demographic
issues
in
the
men
in
the
city
relate
to
children,
young
people
in
pounds,
I
think
sure.
With
your
permission,
I'll
I'll
give
an
overview
of
annex
a
which
starts
on
page
23,
and
just
do
that
very
briefly
and
they're
not
looking
for
questions.
B
The
format
of
the
report
will
open
in
future
that
each
life
straighter
than
that
within
the
strategy
will
follow
this
format.
So
hopefully
the
board
and
observers
of
the
board
will
become
familiar
with
the
require
in
the
structure
of
the
report.
So
will
should
be
able
to
demonstrate
clear
and
measurable
progress
against
the
strategy,
and
then
the
performance
report
will
give
some
statistical
performance
indicators
that
sit
behind
the
priorities
so
and
the
left-hand
column
support
for
the
first
thousand
and
one
days,
especially
for
vulnerable
communities.
B
The
report
makes
quite
a
lot
of
reference
to
the
new
ich
local.
It
seems
the
local
area
sings
when
live
on
the
1st
of
January
this
year,
a
different
way
of
a
range
of
agencies
in
the
city
delivering
early
help
services
the
whole
premise
behind
the
new
arrangements
of
they're
based
in
localities.
You
therefore
develop
a
much
closer,
only
standing
of
the
communities
that
they
serve
the
customers,
Realty
agencies.
It
enables
more
intelligence
and
more
real-time
response
to
issues
the
children
and
people
in
their
families
face.
B
Some
of
the
narrative
and
progress
is
around
specific
education
focused
work
that
has
been
led
by
had
teachers
in
the
city,
with
a
focus
on
improving
education
outcomes
and
particular
men
expectant.
So
a
head
teacher
led
project
that
is
focusing
on
improving
attendance,
but
also
particularly
around
law
10
in
English
right
from
early
years.
But
as
it
moves
through
the
key
stage
that
were
in
a
particular
focus
around
Key
Stage
2
on
writing,
and
we
will
be
reporting
back
through
scrutiny.
B
Moving
on
priority
around
ensuring
children,
young
people
are
free
from
all
forms
of
neglect
and
abuse.
A
number
of
us
have
just
walked
jogged
across
the
city
from
the
LSC
beam.
A
team
has
taken
place
at
some
pizza
school
this
afternoon
and
we
received
updates
on
various
strands
of
the
children's
safeguarding
strategy
around
the
glare
and
domestic
abuse.
B
So
a
lot
of
the
work
in
that
section
makes
reference
to
the
work
of
the
children's
safeguarding
bar
and
how
we
are
making
progress
around
at
the
various
terms
of
neglect
and
abuse
that
small,
until
you
first
in
our
city,
we're
going
to
hear
from
Nick
Sinclair
public
health,
around
improving
services
to
students
and
particularly
student
needs.
Health
student
needs
assessment
later
on
in
the
meeting.
B
A
G
G
F
G
A
A
I
You
Joe
the
interested
in
having
an
update
on
the
healthy
child
service.
Please
I
mean
there
in
terms
of
the
changes,
as
you
know,
because
I've
talked
to
you
about
it.
There
are
concerns
about
the
changes
to
the
staffing
arrangements
and
there
are
also
concerns
about
the
number
of
staff.
Who've
actually
left
the
service
and
that's
doing
to
the
possible
provision
of
the
service
and
it'd
be
interesting
to
know
what
you
see
is
the
time
scale
for
getting
a
full
service
up
and
running
and
for
the
structural
changes
to
taking
place.
Please
structural.
B
B
That
were
looking
forward
to
the
implementation
of
the
new
service,
and
we've
got
a
number
of
staff
engagement
sessions
this
week,
so
I've
been
hearing
directly
from
those
staff
out
there
their
hopes
for
the
service
in
the
future
I'm
listening
to
their
concerns,
we
will
go
to
recruit
very
very
soon
to
make
sure
that
we
have
a
full
complement
of
staff.
In
the
meantime,
we
will
look
to
having
them
prioritize
people's
time
to
make
sure
that
they
deliver
our
our
statutory
mandates
and
responsibilities
with
within
ourselves.
J
A
C
K
B
B
Local
area
teams
have
been
set
up
in
a
way
anywhere
that
we
have
the
capacity
to
develop
that
that
type
of
alternative
provision
so
them
so
the
local
area
teams
have
within
its
operating
remit.
If
you
like,
within
its
staff
instructors,
people,
then
that
can
straighten
volunteers
and
use
the
saw
why
the
capacity
that
we've
got
in
a
city
so
to
do
more
of
that,
so
it's
a
way
of
increasing
capacity
to
do
those
employment.
It's
within.
B
A
health
child
service
I
think
we've
still
probably
got
two
agreed,
but
I
have
my
view
of
that
Express
to
certainly
the
chair
of
health
screenplay
is
that
he
probably
sits
best
with
children.
Educational
communities
group
makes
a
fast
love,
Larry
change,
so
it's
it's
sort
of
in
response
to
Keith's
question,
really
that
we
will
very
clearly
reproducing
progress
on
the
healthy.
H
L
Thank
you
yeah.
My
question
was
in
relation
to
paragraph
10
on
page
20,
a
sort
of
general
press,
that's
a
bit
of
a
strategy,
and-
and
you
say
at
the
end
of
there
that
you
described
how
there
is
nobody
is
you've,
said
a
lot
of
chair,
a
lot
of
work
going
on
and
there's
a
lot
of
structures
in
place
and
the
children
and
young
people's
plans
tends
to
narrow
the
health
and
well-being
strategy.
So,
therefore,
there's
no
need
for
a
single
action
plan
and
I
can
see
that
makes
a
lot
of
sense.
L
They're
not
duplicating
were
doing
unnecessary
work,
but
I
just
wondered.
Therefore:
where
do
we
get
the
added
value
from
the
house
and
well-being
strategy?
If
we're
just
doing
you
know,
could
you
just
point
to
where
the
other
value
comes?
If
we
don't
have
an
action
plan
that
pulls
it
all
together
and
identifies
the
gap?
Well,.
B
I
mean
I
would
argue
with
through
your
chair.
I
would
argue
that
this
performance
management
framework
will
pull
all
of
that
together,
because
so
the
people
that
have
contributed
to
the
two
papers
that
you
you've
got
in
front
of
you
are
drawn
from
right
across
the
partnership
and
a
drawn
from
you
know.
So
the
euro
care
board
will
look
at
very
similar
in
for
me
and
I.
B
I
M
N
N
B
It's
not
question
assister
comment
and
just
to
thank
you
see
none
for
the
work
they've
done.
The
strategy
is
the
as
you
send
the
report,
the
first
time
when
we've
had
a
normal
engine
autism
strategy.
It
is
a
very,
very
significant
issue
for
us
in
the
city
and
I
think
they.
The
strategy
is
a
high
quality
piece
of
work
that
has
been
you
know,
produced
through
a
very,
very
robust
process
by
people
with
learned
knowledge
around
autism
and
I.
B
O
Every
John
said:
I
think
one
of
the
issues
I
think
it
needs
to
be
owned.
Is
that
it's
mass
particular
agencies
strategies?
It
belongs
to
the
health
and
well-being
board.
So
it's
a
responsibility
ball,
so
I
ordered
the
partners
and
deliver
the
strategy.
So
you
know
I
would
serve.
People
need
to
take
it
away
and
be
very
clear
around
the
agency
to
it,
but
that
is
branded.
We
often
in
the
Council
of
our
table
will
take
these
women
run
them
as
York
City
Council
meetings.
Today,
a
strategy.
H
We
need
a
strategy.
Where
is
our
strategy?
Was
the
plan
and
so
being
able
to
go
back
to
think?
Actually,
we've
got
one
and
I
believe
we
got
one,
but
we've
done
it
in
the
right
way.
You've
taken
a
time
you
developed
what
we
actually
need,
rather
than
rushing
to
strategy
that
doesn't
address
any
issues.
I
think.
A
A
B
B
We've
done
all
of
this,
so
the
mic
there
may
not
be
quite
as
close
alignment
between
my
previous
require
and
the
data,
so
that
properly
needs
to
strengthen
that
and
I
think
the
only
performance
area
I
just
wanted
to
draw
the
the
board
attention
soon
is
the
final
one.
More
young
people
in
your
tongue
is
the
field
safe,
happy
and
able
to
cope
with.
Think
that's
the
one
that
doesn't
necessarily
easily
align
becomes
the
cannons
that
point
that
out
something
with
the
performance
report,
the
previous
agenda
item.
B
It
is
there
because
it
sits
within
the
children's
plan.
It
is
there
because
it's
prominent
within
the
the
development
of
the
oil
is
mental
strategy
for
the
city
and
within
the
mental
emotional
mental
health
theme
of
the
struck,
the
health
and
well-being
strategy
itself
and
what
we've
given
there
is
an
update
primarily
on
the
school
well-being
service,
which
is
a
relatively
new
service,
joint
funded
through
future
in
mind
from
the
CCG
part
funded
by
schools
themselves.
B
Apart
from
the
bar,
they
gave
the
council
and
I
think
there
are
some
bullet
points
there
on
page
37,
which
I
again
I'm
very
proud
and
pleased
really
to
present
to
the
board,
because
I
think
it
demonstrates
really
speedy
progress
and
a
speedy
partnership
response
to
an
issue.
I
think
if
we
got
any
of
our
63
or
so
ahead,
teachers
in
the
room
right
now
and
said,
what's
the
biggest
issue
facing
you
and
normally
in
your
school,
they
would
say
the
emotional
health
and
well-being
of
our
students.
B
A
I
You
chair,
thank
you
for
the
explanation
of.
Why
is
there
I
suppose?
One
of
the
things
for
me
is
that
in
other
areas
of
our
activities,
we're
looking
at
the
entirety
of
an
issue
so
we're
looking
very
much
trying
early,
not
just
early
intervention,
but
prevention
and
I
wondered
whether
there
was
anything
that's
going
on
around
prevention.
I
I
was
a
guide
when
I
was
young,
but
I've
never
been
a
great
one
for
uniformed
groups,
and
it's
my
natural
rebellious
nature
perhaps,
but
it
does
seem
as
though
we
don't
have
that
kind
of
informal
activity
for
young
people
which,
in
other
areas
we're
looking
at
very
carefully
for
older
people.
We're
looking
at
things
to
do
in
a
very
positive
way.
I
It
will
be
useful
perhaps
to
give
some
consideration
to
helping
young
people
and
I
don't
mean
students
I
mean
young,
younger
people
in
these
students,
perhaps
over
over
11
and
12,
how
they
can
use
their
leisure
time
in
a
productive
way.
I
go
to
the
library
frequently
and
I
say
this
to
everybody.
If
you
go
to
the
library
there's
usually
10
or
a
dozen
young
people
Lurky,
it's
a
good
good
word
they're,
all
outside
with
their
bikes,
they're
chatting
sometimes
they're
inside.
If
it's
raining
and
I
get
the
impression,
there's
other.
A
B
One
of
one
of
the
things
here
is
is
about
I
was
in
the
city,
being
tolerance
of
young
people,
because
it
that
the
challenge
from
Mary
around
prevention
is
actually
in
relation
to
what
I
was
saying
around
in
Austin
health
and
well-being,
prevention
and
actually
a
city
or
an
area
that
values
looks
after
supports
their
children,
young
people,
that
is
the
best
preventive
activity
anywhere.
So
the
the
regard
that
we
have
for
children
here,
the
extent
to
which
we
are
a
child-friendly
society,
a
child-friendly
City,
will
go
a
huge
amount
of
wear.
L
B
B
F
B
Very
very
broad
scale:
I,
actually
don't
think
that
York
is
very
well
placed
in
terms
of
what
it
has
already
out
there
in
the
city
that
the
children
young
people
can
use,
but
that
isn't
a
complex
of
coming
in
as
Dakota
comes
LeBrons
are
saying
that
we
can
always
do
better
and
I
think
linking
with
Ward
committees
and
possibly
helping
what
committees
to
look
at
how
those
activities
are
funded.
That
might
be
something
we
can
do
a
little
bit
more
of
I.
B
Think
where
we
go
in
the
future,
with
with
our
library
service,
of
making
those
more
child
and
young
people
friendly
from
a
really
good
starting
point
is
really
important.
I
did
have
shown
on
my
list
chair,
because
that
is
a
stunning
range
of
activities,
but
in
that
certain
parts
of
the
year,
I
think
my
last
point
is
that
that
could
be
something
that
you,
as
a
board,
said
back
to
the
yard.
Okay
abroad.
Will
you
just
come?
Have
a
bit
of
a
look
at
this?
B
H
We're
doing
it
as
part
of
our
aging
well
operational
activities
that
we
have
a
group
who've
expressed
interest
in
this,
but
it
makes
sense
to
actually
do
it
across
the
four
themes
and
then
and
over
these
resume
normally
and
both
of
it.
So
we're
going
to
give
this
because
it
feels
like
we're
best
players
to
be
able
to
do
this.
L
L
F
B
Think
those
part
yes
there
is
there
is
and
I
think
it's
an
often
discussed
topic.
Isn't
it
I
mean
we've
had
that
discussion
in
the
health
and
well-being
Bhavan
a
number
of
occasions?
Why
is
this
the
case?
Because
I
think
we
have
a?
We
have
a
clearer
view
in
New
York
than
just
a
lot
anywhere
else
in
the
country
because
of
the
information.
B
That's
sits
from
that
bullet
point
about
the
research,
the
very
relevant,
rigorous,
robust
academic
research
that
we've
done
so
we
know
that
children,
young
people's
emotional,
health
and
well-being
in
the
city
is
not
good
and
actually
is
less
good
than
it
was
10
years
ago.
So
we
know
that
with
a
level
of
accuracy,
uncertain
sake
why
that
is
the
case
is
certainly
very
important
in
terms
of
how
can
that
improve
and
one
of
the
ways
that
we
need
to
do.
B
That
is
by
much
much
better
engagement
with
children,
legal
people
themselves
and
the
school
well-being
services
helping
enormously
from
that
point
as
well,
because
we're
engaged
and
with
lots
more
children,
young
people
that
will
allow
us
to
understand
the
issues
better
put
out.
You
rise
because
I
think
we
need
to
sit
here
what
is
happening
elsewhere
and
it
is
an
issue
that
is
a
national
issue.
It's
not
a
young
issue
per
se.
B
Q
Q
Q
A
They
strap
you
in
this
direction.
For
me,
I
know
from
my
own
experience
that
things
have
improved,
particularly
over
to
University
and
I'm
interested
to
know,
if
you
think
those
improvements
are
taking
effect.
It's
very
clear
on
page
59
that
the
establishments
that
you
are
also
human,
ancestors
and
I
really
wasn't.
Q
B
A
A
B
Oh
yeah,
it's
just
reflects
on
Nick
made
reference
to
the
stuff
of
the
size
of
the
student
population
in
the
city,
and
then
you
know
clearly
a
very,
very
significant
number
of
young
people,
young
Randle's
adults.
He
also
made
reference
to
how
you
york,
I
mean
I
I've
seen
also
the
much
better
engagement
with
those
organizations
around
this
agenda
over
the
last
12
months,
or
so.
It
may
be
that
the
health
and
well-being
board
would
want
to
suggest
to
the
higher
your
board.
B
That
would
present
this
report
to
them,
and
possibly
a
small
number
of
members
of
this
board
would
go
on
to
present
to
the
high
offer,
because
those
are
the
two
vice
chancellors
and
the
principals
of
the
fa
colleges.
So
we
would
then
have
a
need
that
the
dialogue
at
that
level
of
seniority,
rules
for
institutions
and
the
local
authority
on
student,
health,
so
justice,
I,
suppose
triangulate.
A
C
A
A
R
Q
K
B
F
G
With
an
update
on
the
work
of
the
judge,
student
needs
assessment
group,
so
there
have
now
being
board
meeting
in
March.
You
approved
a
new
governance
structure.
They
really
is
bringing
those
terms
of
reference
for
two
new
groups
that
will
sit
underneath
this
board.
So
the
first
of
those
is
the
health
and
well-being
steering
group,
which
is
an
x-ray
which
starts
on
a
71.
So
these
are
the
proposed
terms
of
reference
for
for
that
group.
G
So,
as
you'll
see,
we've
got
representatives
from
all
of
the
organizations
that
sits
on
the
board,
as
well
as
the
strategy
theme
leaves
on
that
group.
What
it
doesn't
sort
of
say
here
right
but
I,
think
we
would
be
looking
for
as
well
as
obviously
noting
that
not
everyone
time's
meeting,
so
whether
we
use
the
same
substitute
procedure
that
we
use
for
the
board
with
membership
with
this
group
as
well,
and
then
one
other
minor
thing
which
we
realized
we
needed
to
include
as
well.
G
It's
on
the
previous
page
on
page
73,
underneath
the
pharmaceutical
needs
assessment.
We
want
to
add
an
extra
line
there.
That's
the
responsibility
of
this
group,
which
is
to
say
that
this
group
would
receive
and
consider
any
notifications
of
changes
to
and
applications
for
pharmaceutical
services
in
New
York
and
make
a
response
today.
So
obviously
we
do
the
pharmaceutical
needs
assessment
which
lasts
for
three
years.
G
One
of
the
things
that
we've
had
to
do
is
to
produce
an
integrated
impact
assessment
before
the
strategy,
which
obviously
looks
at
any
positive
or
negative
impacts
that
the
strategy
has.
So
we
want
to
get
your
approval
of
that
integrated
impact
assessment
and
I
suppose
sitting
alongside
that.
It's,
whether
the
board
feels
that
there's
any
more
for
further
actions
that
need
to
be
done
around
that
integrated
impact
assessment
and
I
guess.
It's
also
worth
mentioning
as
well
for
for
the
impact
assessment
and
also
the
joint
of
health
and
well-being
strategy
itself
is
what
I
think.
G
One
of
the
things
that
we
kind
of
wanted
to
request
for
board
members
is
that
now
that
we
have
the
strategy
in
its
endorsed,
is
really
a
request
that
other
organizations
take
the
strategy
to
their
relevant
governing
bodies
or
executive
board
just
to
just
sort
of
share
that
with
their
organization,
so
that
it's
not
just
the
person
sat
around
the
table
who
knows
what's
in
the
strategy,
but
it
kind
of
filters
out
into
all
the
partner
organization,
say
happy
happy
to
take
any
comments
or
questions
on
on
any
of
those
elements.
As
christian
community.
T
G
O
F
C
G
A
L
F
L
H
F
F
Q
F
K
T
A
F
A
O
O
O
O
The
partnership
board.
We
would
also
ask
them
to
be
typically
involved
and
there's
a
big
ask
here
of
our
colleagues
in
in
CVS
on
the
volunteer
community
sector
to
try
and
change
the
culture
of
it's
a
bit
like
that
that
we
would
look
to
the
pump
shoot
forward
to
oversee
the
consultation
on
the
current
strategy,
which
has
been
tied
up,
because
a
lot
of
people
have
already
imported
to
think
run.
Version
9.
O
O
H
A
B
It's
just
to
know
that
the
structure
to
children's
learning,
disability
and
emotional
health
and
well-being
are
replace
the
mental
health
strategy.
That
Martin
mentioned,
however,
is
an
old
age
one
and
describes
those
existence,
I
think,
but
perhaps
a
little
aside
from
them
that
the
paper
we're
working,
how
to
Pauline
Arrangements
together
into
myself
a
knowledge
approach.
I
just
wanted
to
reassure
people
around
some
of
that
additional
infrastructure
for
children,
young
people.
K
I
Just
briefly,
chair
I
think
it's
also
important
to
recognize
that
when
these
two
groups
are
set
up,
they're
going
to
be
very
powerful
groups,
because
they
are
going
to
see
that
be
looking
at
the
and
implementing
the
strategy
and
the
action
plan
that
they
will
agree
that
we
have
read
so
I.
Think
it's
it's
a
it's
a
very
good
point
that
we're
looking
at
the
voluntary
sector
bone
tree
pretty
sector.
Taking
such
a
central
role
in
this
and
I.
A
P
O
O
C
A
H
F
T
Okay,
so
a
short
report
which,
as
it
says,
it's
point
to
that
it
sounds
right,
so
you
can
have
guys.
The
big
news
is.
We
now
have
got
some
elements
of
the
guards,
so
the
planning-
and
this
was
issued
on
the
4th
of
July.
So
we
see
something
fairly
fresh
and
I'll
come
back
to
some
of
the
requirements
around
that
as
I
pick
up
some
other
facts
on
this
first
report.
T
So
at
section
five
and
I
just
want
to
confirm
that
that
first
draft
of
the
narrative
around
the
plan
that
we
know
we've
got
to
do
for
two
years
as
opposed
to
watch
it
started
to
be
developed.
There's
still
further
work
to
do
on
that,
and
now
we've
got
the
guidance
and
the
requirements
and
our
boss
what's
necessary.
T
It
will
be
right
to
essentially
in
line
with
the
requirements
of
the
planning
grants
that
we've
now
got
the
keywords
that
we've
picked
up
from
the
guidance
and
some
to
the
narrative
is,
it
says,
short,
what
sharp
means
when
we
actually
get
the
key
lies
in
crime.
So
one
of
the
things
that
is
not
yet
with
us
are
the
key
lines
that
will
be
used
to
assess
our
plan.
So
that's
a
bit
of
information
that
would
be
helpful,
so
we
can
know
that
we're
covering
up
the
things
that
will.
F
T
Used
to
test
the
level
of
quality
of
come
from
whether
it
would
be
approved
or
proven
conditions,
not
that
I
expect
this
to
be
the
case,
but
not
approved,
so
we
need
those
key
lines
and
quality.
They
are
not
yet
with
us
for
anubians
and
in
terms
of
the
draft
investment
schedule.
So
the
points
at
an
item
limit
part
seven
of
the
document.
This
is
good
news.
T
It's
a
script.
Next
moves
next
meets
on
Monday.
So
that's
where
we'll
take
that
fan
of.
Is
everybody
Kathleen
that
the
separate
individual
schemes
so
I
think
that's
a
really
good
place
for
us
to
be,
even
though
we
haven't
got?
Some
of
these
is
a
much
better
place
than
we
were
question,
and
we
expect
that
to
be
agreed
in
the
next.
T
To
make
sure
that
monitoring
and
effectiveness
is
part
of
as
part
of
the
ongoing
arrangements,
we
just
want
to
make
sure
we
use
the
best
practice
writer
for
it
can
so
that
will
be
used,
and
the
intention
is
to
invest
in
those
schemes
that
we've
already
gotten
cleared
and
then
add
to
that
to
scope
the
spread
of
services,
and
we
in
terms
of
in
terms
of
being
special.
We
are
special
again
in
this
patch
and
we've
been
identified
as
one
of
the
twelve
areas
across
the
country
that
will
have
and.
T
The
other
final
bit
in
terms
of
this
paper
is
just
to
reaffirm,
as
it
says,
in
Section
13,
that
the
section
75
will
be
reflected
in
land
of
the
narrative
in
the
plant.
That's
not
expected
to
be
required
to
be
submitted
until
after
the
plant
has
been
assigned
of
which
is
not
attended
to
year
October
term.
So
we
will
bring
that
through
the
normal
and
appropriate
governance
processes
through
the
bottle.
But
that
will
be
one
of
the
things
that
will
be
an
endpoint
rather
than
another
point.
T
But
there
is
no
intention
to
establish
a
risk
share
in
this
year,
something
that
was
not
addressed
this
year
and
as
the
board
will
be
required
to
sign
off
the
plan.
The
timetable
has
now
being
issued
as
part
of
the
planning
gardens
I've
still
the
he
did
for
the
narrative
and
everything
to
be
fair
lies
the
11th
of
September.
The
next
meeting
of
this
board
is
the
6th
of
September.
T
So
it's
quite
timely
that
we
should
be
in
a
position
and
I'd
like
to
be
able
to
share
a
draft
before
them
with
members
virtually
outside
of
the
meeting,
but
we
should
be
in
a
position
to
have
an
almost
final
version
of
the
plan
on
the
6th
of
September.
There
might
still
be
some
tweaks
to
do
I'm
sure
we'll
be
working
up
to
the
11th
hour
of
the
11th
of
September,
but
all
being
well.
Our
time
tabling
should
allow
the
board
to
sign
us
off.
We
did
agree.
T
We
could
so
there's
some
critical
dates
and
one
of
those
one
of
those
dates
at
the
21st
of
July
there's,
two
things:
the
truth
right,
which
is
only
next
week,
I
appreciate
it
as
two
things
we
provide
for
the
21st
of
July
and
one
of
those
things
is
posed
to
agree
a
delayed
transfer
of
care
target.
The
minimum
requirement
is
3.5%.
I
would
recommend
to
the
board
that
we
aim
to
achieve
three
five,
three
point:
five
percent
reduction
and
not
aim
to
achieve
higher
than
that.
T
T
O
O
L
O
S
O
Particularly
concerned
around
the
consultation
actually
go,
I
think
to
be
unless
possibly
smiley,
Rosie
about
saying
we
also
have
to
put
out
their
shares
and
I
recognize
some
of
our
performance,
which
I'll
be
mentioning
business
about.
Why
we
are
one
of
12.
We
have
some
areas
of
historically
very
poor
performance
and
we're
gonna
need
to
look
at
those
things,
so
I
think
it
will
affect
most
of
the
agencies
in
here.
We
have
a
some
portion
of
that.
O
O
C
O
A
K
We
just
reflect
on
that
on
the
last
four
years.
Better
care
from
nationally
has
been
reasonably
good
alignment
between
local
government
and
the
NHS
and
and
locally.
My
understanding
is,
we
might
not
have
that
alignment
locally
and-
and
it
seems
interesting
that
now
perhaps
there
isn't
that
alignment
nationally,
but
but
locally.
If
in
a
region
which
is.
F
L
F
K
Just
worth
reflecting
on
that
actually,
and
so
on
that
basis,
I'd
like
to
Gill
to
commend
the
work
that
they're
laying
uncommon
to
get
to
this
point
thank
Martin
and
his
team
for
cooperating.
He
appears
coordinate
what
has
been
a
an
improved
position
that,
notwithstanding
the
difficulties
ahead
in
terms
of
the
denominator.
A
F
I
Feels
it
feels
just
so
much
like
that
has
something
to
do
with
the
sustainability
and
transformation
plans
where
we
had
consultation
documents
after
we
actually
received
a
plan.
We
have
a
situation
where
my
recollection
is
that,
in
terms
of
the
council's
budget,
there's
something
from
the
BCF
in
there,
but
nobody
knows
what
it
is
we're
in
being
on
and
we're
talking
about
forms
that
no
one's
see.
We
talked
about
technical
guidance.
C
T
Responsibility,
so
the
better
care
fund
itself
is
issued
by
an
interesting
done
in
conjunction
with
local
Association.
It
is
interesting,
my
thoughts
I,
just
it's
a
single
agency.
We
took
two
partners
whoever
together
and
we
know
a
local
account
challenging.
That
is,
but
we
we've
managed
to
make
really
good
progress
from.
T
P
I
Mean
I
I
just
like
to
observe
place
on
record
my
real
concern
about
this.
We
know
the
hustle.
There
was
an
Australia
around
a
better
care
fund
and
that
the
health
and
well-being
board
every
meeting
was
asking
what's
happening
about
the
health
and
care
better
care
fun.
Miss
Luo
Tian's
got
to
meet
them
better.
F
I
I
I
T
T
T
That's
really
really
good.
A
significant
proportion
of
the
narrative
is
written
was
too
big
that
it's
got
too
much
stuff
in
it
and
he
needs
to
be
slender
down.
So
that's
that's
that
plotting
in
terms
of
responding
to
how
we're
going
to
deliver
the
three
point:
five
percent
reduction
of
whatever
it
is.
We
know
all
the
points
of
baseline
that
could
be
used,
whether
it's
far
last
year,
whether
it's
a
person
to
here
today.
We
know
all
of
those
things
because
we've
looked
at
those
things
and
we've
looked
at
those
things
together.
T
So
when
I
heard
the
farm
lands,
we
feel
that
being
a
strong
position
to
be
able
to
complete
that
together
and
have
a
shared
view,
the
level
and
attention
to
the
detail
of
how
patients
are
and
people
are
moving
through
the
system
and
why
the
delays
there
Martin's
talk
to
us
and
the
challenges
the
weekend.
I
am
confident.
It
doesn't
arrive
first
to
be
submitted
by
12,
October
21st
appliance
I
mean
it
could
good.
A
T
J
J
T
O
F
O
H
Think
it's
really
reassuring
to
sit
around
here
and
have
a
conversation
about
better
care
for
where
we're
not
all
kind
of
thinking
about
locking
people
in
a
room,
not
letting
the
mountain.
So
that's
lovely.
But
if
we
are
serious
about
involving
our
community
of
conversations
about
how
we
improve
health
and
social
care
services,
then
a
deadline
of
next
week.
We
came
here
to
do.
C
S
Like
a
fuzzy,
welcome
for
the
work
that's
going
on,
I
would
just
like
to
bring
it
back
to
the
fact
that
there
was
a
gret
who
are
in
the
press
that
set
Social.
Care
is
underfunded
anyway,
on
and
on
and
on,
and
the
government
came
out
and
said.
We're
gonna
give
this
six
billion
pounds
for
Social,
Care
and
I
can
tell
you
our
members
got
in
touch
with
us
and
said:
hey
great,
and
it
isn't
the
case.
Is
it
so
you
know
they
can
so
far
as
I'm
concerned.
S
L
Thank
you.
Yes,
I
had
a
question,
but
just
before
I
asked
that
question
I
just
want
to
reiterate
my
sort
of
puzzlement,
as
everyone
else
was
bad
about.
You
know
you're,
not
you
know
having
to
sign
this
often,
but
not
knowing
what
the
it's
a
short
timescale
and
I
just
absolutely
not
I'm,
just
above
the
main
organizations
doing
this.
F
L
My
question
was
just
I'm
sure:
we've
asked
this
before,
but
given
given
the
the
situation,
and
it
looks
more
positive
with
a
bit
of
extra
money
in
there.
But
given
the
financial
situation
of
our
of
our
main
providers
of
the
hospital
in
the
CCG,
is
there
still
potential
for
that
to
impact
on
on
how
this
goes
forward?
L
T
Set
of
circumstances
they
can't
ever
get
away
from
that.
However,
the
the
process
of
agreeing
that
balance
of
life
has
has
been
that
the
Task
Group,
and
that
is
not
just
the
CCG
of
them
counseling,
it's
a
partnership
forum.
We
have
gone
we've
taken
the
approach
that
we
will
start
with
the
fund
up
to
twelve
point
three
million
pound,
which
was
last
year.
F
T
T
I
K
O
The
links
will
be
said,
but
I
think
it
will
relieve
some
issues.
Person
number
wise.
We
are
one
of
the
12
signs.
Second,
second
line
a
list
of
the
other
signs.
That's
going
to
be
subject
to
a
review
in
brackets,
inspection
of
the
health
and
social
care
system.
It
already
in
some
ways
begins
to
feel
very
hard.
It's
much
about
that
systemic
approach.
O
Yet
all
the
information
is
largely
Camille
and
a
little
authority
of
energy,
a
reads
and
uses
very
joined
up,
so
it
helps
Jews
feel
any
better
and
I
think
that
we're
failing
already
an
approach
that
were
doing
on
their
sandwich.
I've
gotta,
say
BL
james
bit
more
involved,
but
it's
through
CQC.
It
was
a
joint
regulates
that
but
doesn't
seem
to
be
taking
a
very
gentle
approach
so
obvious.
O
We
love
a
few
of
the
little
pieces
as
to
have
a
fully
prepared
decisions,
although
it's
not
International
Press,
there
is
no
agree
terms
of
reference
for
the
reviews.
There
are
no
read
metrics
and
the
LGA
are
very
unhappy
with
the
metrics
that
have
been
proposed
so
far,
I,
don't
know
where
NHS
England
are
on
them
or
whether
they
be
through
being
fully
consulted.
There
is
no
agreed
methodology.
O
They
are
still
talking
to
different
sites
to
kind
of
work
out.
How
might
they
best
do
this?
There?
We
don't
know
at
the
moment
people
go
first
out
of
the
twelve
sites
and
therefore
there
are
no
dates.
It's
viewed
as
it's
meant
to
be
a
quick
review
which
will
take
up
to
14
weeks,
which
companies
simply
don't
quite
so
if
it
is
going
to
link
in
to
me
or
one
assumes
it
will
link
in
to
the
better
care
fund.
If
the
better
care
funds
you
don't
make,
the
submission
is
to
mid
to
late
September.
O
O
There
are
six
key,
metrics
and
I
say
this
in
here
without
trying
to
point
fingers,
because
I
think
all
the
agencies
have
got
some
issues
in
it.
There
is
one
of
the
metrics
around
emergency
admissions
for
the
65
plus
population
I've
sent
an
email
to
the
on
path.
Today,
we've
done
some
initial
analysis
of
2012
local
authorities.
O
O
Unfortunately,
some
of
the
data
that
we
added
in
in
the
mental
health
was
not
verified
and
to
be
fair
to
choose,
they
did
make
clear,
but
that
information
had
not
been
verified,
but
it's
all
been
counted,
which
was
my
fear,
and
it
has
because
if
you
took
that
out,
we
wouldn't
be
in
12
the
perception
that
so
the
proportion
of
people
must
pay
like
291
days
after
discharge
that
they
will
look
at
intermediate
care
and
Rio
bond.
And
again
we
have
missed
some
opportunities.
O
I
think
were
doing
that
approach
and
the
proportion
of
all
the
people
remaining
receiving
moments
of
rehabilitation,
which
is
the
same
as
the
previous
one
wants
a
specific
magic,
the
other
ones
about
who's,
getting
the
service
and
the
weekend
discharge.
The
weekend
discharge
is
definitely
our
weakest
performance
issue,
I
think
become
a
hundred
and
forty
eight.
O
So
that's
something
we
need
to
get
underneath.
The
proposal,
basically,
is
that
we
need
to
develop
the
system
response,
that
we
don't
just
do
a
local
authority
response
to
this
and
that
it
will
include
a
better
care,
for
there
will
be
an
interesting
dynamic
there,
which
goes
back
to
the
bit
where
we
were
just
talking
about
with
NHS
England.
What?
O
How
does
this
link
then
into
what
might
be
put
forward
around
capped
expenditure
of
any
of
the
capped
expenditure
which
one
Trump
which,
because,
if
you
do
anything
in
capital
expenditure,
which
makes
all
worse
and
that's
going
to
be
reported
by
CQC,
so
I
think
that's
an
interesting
challenge
for
as
exercise
of
this
forum
to
have
a
conversation
and
probably
to
think
back
and
speak
to
Julie.
We
need
to
find
out
who
NHS
England.
O
You
know,
we've
done
those
things
before
we've
put
in
place
with
two
species
and
mental
health
and
a
position
with
Trust
was
improved
dramatically,
so
I
think
we've
got
a
triumph
on.
How
do
we
use
this
as
a
positive
way
to
help
us
with
our
plans,
because
we
have
significant
challenges
around
our
finances
and
other
things
as
a
system?
So
we
still
want
to
do
the
best
that
we
can
do
and
if
we
get
in
I,
certainly
think
the
extra
capacity
that
we've
got
through
the
better
care
on
the
death
of
sweets.
O
O
A
S
I'd
like
to
understand
that
they
want
more
people
discharged
out
the
weekend
yeah,
but
whenever
we've
looked
at
this,
it's
never
a
good
thing,
because,
if
you're
going
out
at
work
at
home
or
if
you're
going
out
into
your
own
home
GP
surgeries,
aren't
necessarily
ready
to
look
after
you,
you
may
need
equipment.
There
are
lots
of
things
that
probe
that
actually,
the
care
sets
have
do
not
like
people
discharged
at
the
weekend
and
that's
the
truth,
no
matter
if
you
know
something,
because
we
are
not
a
24-hour
service.
H
I've
only
been
called
in
on,
we
have
received
email
confirmation
from
the
Care
Quality
Commission
that
image
to
work
very
closely
with
watch
on
this
in
terms
of
the
engagement
plans
and
I
would
like
to
just
say
to
to
partnership
here.
We
would
obviously
welcome
the
opportunity
to
work
closely
with
you
all,
because
I'm
very
aware
that
we
are
not
going
to
be
speaking
to
people
who've
experienced,
delayed
transfers
of
care
unless
we
are
supported
to
have
those
conversations.
So
I
think
we're
very
happy
to
do
some
of
the
work
on
this.