Agenda and minutes

As noted above.

To receive any declaration of interest by any Member or Officer in respect of any item of business.

None received.

To submit, for confirmation, the minutes of the meeting held on 5 February, 2019.

The minutes of the meeting held on 5 February, 2019 were confirmed.

To submit by the Head of Adult’s Services in relation to the above.

The Chair welcomed representatives from Betsi Cadwaladr University Health Board and the Chief Officer from Medrwn Môn to the meeting.  He also welcomed Dr Dyfrig ap Dafydd a General Practitioner from Llangefni who also leads on the GP Cluster project on Anglesey.

Submitted – a report by the Interim Director of Social Services in relation to where the Health Board and the County Council are working in partnership to change how support is provided within communities.  These areas of work will be fundamental in changing the approach over the coming years. 

The Interim Director of Social Services and the representatives from the Betsi Cadwaladr Health Board, Dr Dyfrig ap Dafydd and the Chief Officer of Medrwn Môn reported as follows :-

·           GP Cluster Model - In order the improve Primary Care Practitioners’ ability to support their communities the GP Cluster Model is being strengthened across North Wales.  A Cluster brings together all local services involved in health and care across a geographical area. Working as a cluster ensures care is better co-ordinated to promote the wellbeing of individuals and communities.  There are 11 GP surgeries that operate in the Anglesey Cluster area. 

On Anglesey there is one cluster which has seen recent improvements with additional Physiotherapists and Pharmacists involved within the service.  Advanced Practice Physiotherapists allow people presenting with musculoskeletal problems to be seen locally as an alternative to seeing their GP.  The Physiotherapy led service provides a fast local access and early management for patients, preventing clinical deterioration and the risk of developing chronic conditions.  The Anglesey Cluster have been working closely with the Mental Health and Wellbeing Centre, Abbey Road to set up support provision for Tier 0 Mental Health patients within the practice. 

Anglesey Cluster will be focusing on and further developing the following areas from April, 2019 onwards :-

·      Social Prescribing Model working with Medrwn Môn to develop the service further around the community hubs in order to pull patients away from GP practice;

·      Further work with the Police and Crime Commissioner in developing the SPOA and early intervention support for vulnerable people and their families.

·       Launch of the Anglesey Social Prescribing model in April.

·           Community Resource Team - Within the Anglesey Cluster there will be 3 Community Resource Teams (CRT).  Within each area, there will be office space that will allow staff from across Health and the Local Authority to work alongside each other and access their own IT networks/systems.  The CRT’s in Anglesey will mean that the Adult Social Workers and Occupational Therapists will primarily work from these locality bases.  The goal of the CRT’s is that by the end of 2019/20 all adults living on Anglesey will have simple and direct access to a Community Resource Team.  Teams will provide a seamless service by providing a co-ordinated approach to health and social care.  Some support will exist at locality/cluster level and will be shared across all areas i.e. Income and Charging Support, Specialist Medical Services (Diabetes, Heart Failure, Podiatry, Dieticians, Speech and  ...  view the full minutes text for item 4.

To submit a report by the Gwynedd and Anglesey Public Services Programme Manager. 

Submitted – a progress report by the Gwynedd and Anglesey Public Services Programme Manager on the delivery of the Well-being Plan for the Gwynedd and Anglesey Public Services Board.

The aim of the Well-being of the Future Generations Act (2015) is to improve the economic, social, environmental and cultural well-being of Wales.  The Public Services Board Well-being Assessment for the Anglesey well-being areas was published in May 2017 and following a series of engagement and consultation session, the Well-being Plan was established in 2018.  The Well-being Plan confirms the two objectives and six priority fields for which it was agreed that the Board could collaborate in order to ensure the best results for the residents of Gwynedd and Anglesey. 

The Chief Executive reported that the Public Services Board has been established on a secure foundation with continued work expected to be undertaken within the Board to reach its commitment as regards to the Well-being of Future Generations (Wales) Act 2015.

The Gwynedd and Anglesey Public Services Programme Manager reported that the Public Services Board agreed on priority areas to achieve the objectives noted within the report.  Four sub-groups have been established under Objective 1 – Communities which thrive and are prosperous in the long-term as follows :-

·      The Welsh Language Sub-Group – The sub-group submitted a request to Welsh Government to support the ‘ARFer’ project which enables public bodies to share good practice in dealing with linguistic habits and the understanding of behavioural psychology.

·      Homes for local people Sub-Group – The sub-group will develop a detailed business case to (1) Appraise innovative housing models. (2) produce a financial case and determine funding arrangements for the schemes (3) develop innovative housing in our communities.

·      The impact of poverty on the well-being of our communities Sub-group – The sub-group will emphasise the relationship between equality and poverty and develop a tool to extend equality impact assessment to also include the effects of poverty.

·      The impact of climate change on the well-being of our communities Sub-group – The work of sub-group will enable the Public Services Board to consider the impacts of climate change on the delivery of public services to communities in the area.

The Gwynedd and Anglesey Public Services Programme Manager further reported that the two priority areas of ‘health and care of adults’ and the welfare and achievements of children and young people’ contribute towards Objective 2.  It was agreed to establish one sub-group to address the two priorities – The West integrated Health and Social Care Group. 

The Sub-Groups will be presenting update reports to the Public Services Board at its meeting to be held on 13 March, 2019 and to seek support of the Board to continue to develop the work undertaken to date by the sub-groups.  The Sub-Groups reports to the Board on a quarterly basis.  It was also noted that the Public Services Board is currently subject to scrutiny by the designated Scrutiny Committee of both Gwynedd and Anglesey local authorities. It is anticipated  ...  view the full minutes text for item 5.

To submit a report by the Scrutiny Officer on the Committee’s Work Programme to July 2019.

Submitted – a report by the Scrutiny Officer on the Committee’s Work Programme to July 2019.

It was RESOLVED to note the Work Programme to July 2019.

ACTION : As above.