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 implementation.
·
Providing democratic input to the Sustainability and Transformation
Partnership [STP], alongside Stoke on Trent City Council.
·
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 NHS.
·
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 2006.
·
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 together”.
·
Consider and report on whether CCG Commissioning Plans have taken
proper account of the JHWS.
http://www.legislation.gov.uk/ukpga/2012/7/part/5/chapter/2/crossheading/healthand-wellbeing-boards-establishment/enacted
Key Principles
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.
Membership
The following are constituent organisations
and members of the Board. Note that some of these are mandated by
statute:
|
Organisation
|
Individual
|
|
Staffordshire County Council (x3)
|
Cabinet Member for Health, Care and Wellbeing
(Co-Chair)
Cabinet Member for Children and Young
People
Cabinet Member for Economy and Skills
|
|
CCGs (x5)
|
Clinical Chair for each CCG, (with one
representative being Co-Chair)
|
|
Staffordshire County Council
|
Director of Health and Care (statutory member
– DASS plus DPH)
|
|
Staffordshire County Council
|
Director for Families and Communities
(statutory member)
|
|
CCG (x1)
|
Accountable Officer (statutory member)
|
|
Healthwatch
|
Chair of Chief Executive (statutory
member)
|
|
STP (x2)
|
STP Director
Chair of STP Clinical Advisory Group
|
|
Voluntary Sector (x2)
|
Chief Executive of SCYVS
Chief Executive of Support Staffordshire
|
|
District and Borough Councils (x3)
|
Senior elected member x 2 (to be agreed)
Chief Executive x 1
|
|
Police
|
Chief Constable or nominee
|
|
Fire
|
Chief Fire Officer or nominee
|
Members will be asked to nominate one
substitute who is able to attend meetings in the event they are not
available.
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
functions.
Members will be expected to follow the terms
and spirit of the
“job description”
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 1972.
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.
Board 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.
Board members are expected to feedback the
deliberations and decisions of the Board to their respective
organisations.
Quorum
The 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
Programme and project management will be
provided by the County Council.
Administrative support will be provided by the
County Council.
Expenses
Constituent organisations are responsible for
meeting the expenses of their own members.
Meeting
Arrangements
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 confidences.
Meetings will be held at a frequency and
intervals to be determined by the Board and there will be at least
4 meetings a year.
The expectation is that items will go to
relevant sub-groups beforehand so that the advice of these can be
considered by the Board.
The Board will establish its own Forward
Programme of activity which will be reviewed at each meeting to
ensure it remains appropriate.
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.
Standard agenda
items:
Statutory Duties
BCF update and issues for consideration
JSNA update
STP and issues for consideration
Healthwatch Annual Report
Commissioning Intentions
Prevention
Prevention programme update and issues for
consideration
Families Strategic Partnership updates &
Board Annual Report
System Issues
Strategies and updates
Director of Public Health Annual Report
Any 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.
Subgroups
The Board will have the following
subgroups:
Prevention Programme Management Group
BCF and joint commissioning Board
Families Strategic Partnership Board
Physical Activity (SASSOT)
The Board will consider creating a
“Committee in Common” with Stoke on Trent City to
provide democratic input to the STP.
Additional subgroups may be formed and
disbanded by decision of the Board.
Code of Conduct
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).
Board members must complete a register of
interests (Disclosable Pecuniary Interests - DPIs). DPIs cover
matters such as sponsorship, contracts tenancies and
securities.
Where 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 matter.
Other
Relationships
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 Partnership
·
Staffordshire and Stoke on Trent Safeguarding Adults Board
·
Staffordshire and Stoke on Trent Safeguarding Children’s
Board
Further
Information
Background to the Board
Health and Wellbeing Strategy 2018 - 2023