Terms of Reference
The Purpose of the Health and Wellbeing Board
(“the Board”) is to lead improvement of health and
well-being and to oversee transformation of health and care
services in Staffordshire. This includes:
Leading a conversation with the public about how
they can improve their own health and well-being.
Ensuring that there is a clear prevention programme
to improve health and wellbeing and reduce ill health and the
associated demand on health and care services, in line with the
Health and Well-being Strategy.
Ensuring a commitment and contribution from all
partners to the prevention programme and assuring its
Providing democratic input to the Sustainability and
Transformation Partnership [STP], alongside Stoke on Trent City
Acting as an advocate for the changes required to
ensure the sustainability of the health and care services and
shaping proposals to ensure that they are publically acceptable.
Overseeing the Better Care Fund [BCF] and
encouraging joint commissioning between the County Council and the
Monitoring health and well-being, identifying
emerging trends and any additional actions required.
Carrying out the statutory functions of the Board as
listed in paragraph 2.
The statutory functions of the Board are set out in
the Health and Social Care Act 2012:
Prepare and publish a Joint Strategic Needs
Assessment (JSNA) as well as a Pharmaceutical Needs Assessment
every 3 years.
Prepare and publish a Joint Health and Wellbeing
Strategy (JHWS) setting out how the needs identified in the JSNA
will be prioritised and addressed.
Ensure effective public engagement and consultation
in developing the JSNA and JHWS.
Promote the integration of health and social care
services including to provide advice, assistance and other support
in encouraging arrangements under section 75 of the NHS Act
Encourage providers to work closely with the Board
and encourage those that provide health, health related or social
care services in an area to work “closely
Consider and report on whether CCG Commissioning
Plans have taken proper account of the JHWS.
The Board is committed to:
Providing strategic leadership based on evidence:
focusing on those areas where the Board can make the biggest
difference to health and well-being.
Transparency in decision making: so that the public can understand the
decisions being taken and the rationale behind them.
Involving the public in decision making: allowing people to have their say and an
opportunity to influence decisions.
Acting with courage and conviction: to ensure that
decisions are taken in the long term
interests of the whole population.
The following are constituent organisations and
members of the Board. Note that some of these are mandated by
Cabinet Member for
Health, Care and Wellbeing (Co-Chair)
Cabinet Member for
Cabinet Member for
Learning and Employability
Clinical Chair for
each CCG, (with one representative being Co-Chair)
Director of Health
and Care (statutory member – DASS plus DPH)
Children’s Services (statutory member)
Chair of Chief
Executive (statutory member)
Chair of STP Clinical
Chief Executive of
Chief Executive of
District and Borough
Senior elected member
x 2 (to be agreed)
Chief Executive x
Chief Constable or
Chief Fire Officer or
Members will be asked to nominate one substitute who
is able to attend meetings in the event they are not
NHS England will be required to attend at the
Board’s request when it is considering a matter relating to
the exercise, or proposed exercise, of their commissioning
Members will be expected to follow the terms and
spirit of the
The Board is a Committee of Staffordshire County
Council and is to be treated as if it were a committee appointed by
that authority under section 102 of the Local Government Act
Decisions will be made by consensus. The Board does
not have the power to direct any of the statutory organisations.
However where the Board has agreed a
course of action is will expect the statutory agencies to ensure
that this is enacted.
members will come to meetings with the authority to take decisions
on behalf of their organisations or will secure this where
necessary through their own governing bodies.
members are expected to feedback the deliberations and decisions of
the Board to their respective organisations.
quorum for a meeting shall be a quarter of the membership including
at least one elected member from Staffordshire County Council and
one member from the NHS.
Project and Administrative Support
13.Programme and project management will be provided by the County
14.Administrative support will be provided by the County
15.Constituent organisations are responsible for meeting the
expenses of their own members.
16.Meetings will be held in public except where there are items
that need to be considered in public due to protect the
confidentiality of individuals or commercial
17.Meetings will be held at a frequency and intervals to be
determined by the Board and there will be at least 4 meetings a
expectation is that items will go to relevant sub-groups beforehand
so that the advice of these can be considered by the
Board will establish its own Forward Programme of activity which
will be reviewed at each meeting to ensure it remains
20.Agendas for each Board meeting will be published at least 7
working days in advance of a meeting. Draft minutes will be
circulated to the Chairs for comment and circulated within 10
working days of each meeting. Final minutes and actions will be
published after they have been ratified by the Board.
21.Standard agenda items:
BCF update and issues for consideration
STP and issues for consideration
Healthwatch Annual Report
Prevention programme update and issues for
Families Strategic Partnership updates & Board
Strategies and updates
Director of Public Health Annual Report
reports for a meeting of the Board should be submitted to the
County Council’s Member and Democratic Services team no later
than ten working days in advance of the meeting.
Board will have the following subgroups:
Prevention Programme Management Group
BCF and joint commissioning Board
Families Strategic Partnership Board
Physical Activity (SASSOT)
Board will consider creating a “Committee in Common”
with Stoke on Trent City to provide democratic input to the
25.Additional subgroups may be formed and disbanded by decision of
Code of Conduct
26.Members of the Board and their substitutes are required to abide
by a Code of Conduct based on the 7 Nolan Principles of Public Life
(selflessness, integrity, objectivity, accountability, openness,
honesty and leadership).
members must complete a register of interests (Disclosable
Pecuniary Interests - DPIs). DPIs cover matters such as
sponsorship, contracts tenancies and securities.
a Board member feels they have a DPI in relation to a decision
being taken by the Board then they are required to declare this at
the start of the meeting and the Chair will take a view on whether
it is appropriate for them to speak or vote on the
Board will maintain strong working relationships with the following
partnership bodies to develop a shared understanding of local
issues and ensure consistency of decision making:
STP Health and Care Transformation Board
Staffordshire and Stoke on Trent Local Enterprise
Staffordshire and Stoke on Trent Safeguarding Adults
Staffordshire and Stoke on Trent Safeguarding
Background to the Board
Health and Wellbeing Strategy 2018 - 2023