Issue - meetings

To consider a recommendation from the Corporate Policy and Resources Committee.

Committee considered a report on Spelthorne Place Arrangements to Facilitate Health Outcomes.

It was proposed by Councillor J Boughtflower and seconded by Councillor M Attewell and resolved that the following recommendations from the Corporate Policy and Resources Committee be agreed:

1.    The Council’s approach to expanding the Health and Wellbeing Board to take account of the new requirements under the Health and Care Act and the associated White Paper, Health and Social Care Integration: joining up care for people, places and populations (Option 2 of the report),

2.    That the Health and Wellbeing Board be renamed The Spelthorne Healthy Communities Board, with an expanded terms of reference, a wider membership of community participants and increased ability to award financial and other assistance using ‘pooled budgets’ from Health, Adult Social Care and the Council,

3.    That devolved authority by provided to the Spelthorne Healthy Communities Board, within strict spending limits, to utilise ‘pooled budgets’ to expediate community based health initiatives. Initially using £50,000 of £132,000 awarded for prevention made by North West Surrey Alliance; and

4.    That there be periodic reporting back to the Corporate Policy and Resources Committee on the Healthy Communities Board’s funding decisions.

Following legislative changes local partners have been asked to devise a new model of governance that meets the requirements of place based timely health interventions.

The proposed changes hoped to enable Spelthorne to access additional resources aimed at improving residents’ health via a strategy of prevention.  Work had taken place to review the models that had been deployed by a number of other councils, which had informed the proposal before the Committee.

There was a discussion about the integrated care system and whether there was sufficient public and political accountability over the limited resources available.

The lack of references to people with disabilities or learning difficulties was raised.  It was suggested that updates to the action plan could be made to include these groups.

It was resolved that the following recommendations be put to Council on 20 October 2022:

1.    That the Council’s approach to expanding the Health and Wellbeing Board to take account of the new requirements under the Health and Care Act and the associated White Paper, Health and social care integration: joining up care for people, places and populations (Option 2) be endorsed.

2.    That the Health and Wellbeing Board be renamed the Spelthorne Healthy Communities Board, with an expanded terms of reference, a wider membership of community participants and increased ability to award financial and other assistance using ‘pooled budgets’ from Health, Adult Social Care and the Council.

3.    That devolved authority be provided to the Spelthorne Healthy Communities Board, within strict spending limits, to utilise ‘pooled budgets’ to expedite community-based health initiatives. Initially using £50,000 of £132,000 awarded for prevention made by North West Surrey Alliance.

4.    That there be periodic reporting back to the Corporate Policy and Resources Committee on the Healthy Communities Board’s funding decisions.

To consider a new model of governance that meets the requirements of place based timely health interventions.

The Committee considered a report from the Strategic Lead, Independent Living which sought approval to lead on expanding the Health and Wellbeing Board in response to new legislation. A new model of governance was needed that met requirements of place-based timely health interventions. The proposed structure and membership for the new board was outlined along with the desired outcomes and achievements.

Funding would be provided to the board to apply locally towards health interventions and initiatives, and this would be spread across organisations in the borough rather than focused in one area. The Committee explored the types of interventions that could be addressed with the funding.

The Committee resolved to recommend to Corporate Policy and Resources Committee and Council

1)    To endorse the Council’s approach to expanding the Health and Wellbeing Board to take account of the new requirements under the Health and Care Act and the associated White Paper, Health and social care integration: joining up care for people, places and populations

2)    To rename the Health and Wellbeing Board the Spelthorne Healthy Communities Board, with an expanded terms of reference, a wider membership of community participants and increased ability to award financial and other assistance using ‘pooled budgets’ from Health, Adult Social Care and the Council

3)    To request devolved authority to this board, within strict spending limits, to utilise ‘pooled budgets’ to expedite community-based health initiatives. Initially using £50,000 of £132,000 awarded for prevention made by NWS Alliance.