The Wiltshire Council Health and Wellbeing Board is scheduled to meet on Thursday, 27 November 2025, to discuss a range of topics including public participation, safeguarding, community safety, the Joint Strategic Needs Assessment, health protection, and the Better Care Fund. The meeting will take place at the Kennet Room - County Hall, Bythesea Road, Trowbridge.

Here are the topics that are listed for discussion:

Public Participation

The meeting agenda includes a response from the Integrated Care Board (ICB) regarding a public representation from David Reeves, Secretary of the Warminster Area Health and Wellbeing Forum. The representation concerns the decision to move the Mobile Breast Screening Unit for Avenue Surgery Warminster patients to the White Horse Health Centre in Westbury for the 2025 round.

The ICB response included in the agenda pack states that NHS England colleagues met with Warminster Town Council in October to discuss the move, explaining that the decision to relocate the unit was taken in response to significant antisocial behaviour at the previous site, Morrison's car park, and because the site lacked access to a water supply and suitable disposal of clinical waste. The ICB recognises that a local petition has received around 600 responses, but states that the decision taken by the provider was based on urgent safety and quality concerns and not on public sentiment. NHS England has committed to carrying out a full equality and impact assessment ahead of the next screening round in 2028.

In a letter to the ICB included with the agenda, David Reeves argues that the decision was made without consultation, and is based on flawed data. He says that it is nonsense to suggest that Westbury is closer for the 92% of the cohort who reside within Warminster or in villages west, east and south of the town boundary, and claims that modelling data used by Great Western Hospital NHS Foundation Trust is clearly discredited. He requests that the Wiltshire Health and Wellbeing Board seeks official assurance that the default position for 2028 is to locate the service in Warminster, for Avenue Surgery, Warminster patients.

Safeguarding Vulnerable People Partnership (SVPP) Annual Report

The Health and Wellbeing Board is scheduled to receive the annual report from the Safeguarding Vulnerable People Partnership (SVPP). The SVPP brings together the work of the Safeguarding Adults Board, the Community Safety Partnership and partnership activity in relation to Safeguarding children as set out in Working Together 2023¹. The annual report provides an update on progress against the five partnership priorities: domestic abuse, exploitation, safeguarding unborn babies and under 1s, transitional safeguarding, and social, emotional and mental health. The report also outlines activity in relation to case reviews and multi-agency training.

The SVPP Annual Report 2024/25 includes a foreword by David Williams, Independent Scrutineer, who notes the increased demand in practice reviews, especially across the adult space, and the need for flexibility and thought on what methodology is used to both provide and develop the learning, as well as greater assurance around how that learning is embedded.

The report also includes partner agency contributions and engagement, with stakeholders such as HealthHero, South Western Ambulance Service NHS Foundation Trust (SWASFT), Royal United Hospitals Bath NHS Foundation Trust, Wiltshire Police, Wiltshire Council Public Health, Wiltshire Council Families & Children Directorate, Wiltshire Council Education & Skills Directorate, Wiltshire Council Adult Social Care, Bath and North East Somerset, Swindon & Wiltshire Integrated Care Board and HCRG Care Group providing headlines on the impact of the SVPP and their engagement with partnership activities.

The report sets out progress against the SVPP's strategic priorities, including:

• Domestic Abuse: The MARAC² audit has not yet been completed, and the Community Safety Partnership Executive are sighted on this.
• Exploitation: The all-age Exploitation Strategy was produced as part of the Community Safety Partnership Review and signed off by the CSP Executive.
• Safeguarding unborn babies and under 1s: A BSW Pre Birth Protocol was approved and published in October 2024.
• Transitional Safeguarding: Agreement has been reached for business as usual for new service provision.
• Social, emotional and mental health: A presentation was given to the Safeguarding Adults System Assurance Group (SASA) on Avon and Wiltshire Mental Health Partnership (AWP) Transformation.

The report also includes information on practice reviews, system assurance, and the impact of multi-agency training.

Community Safety Partnership (CSP) Strategy and Update

The Health and Wellbeing Board is scheduled to receive an update from the Community Safety Partnership (CSP). Every local authority in England and Wales has a CSP, which brings together local partners to tackle crime, disorder and antisocial behaviour in their communities. The five statutory members are the local authority, Police, Fire & Rescue, Probation Services and Health.

The CSP Strategy outlines the key goals and expected outcomes aimed at addressing crime and disorder issues within the community. The strategy has three main goals: protecting vulnerable people, reducing harm, and safer communities.

The themes identified from analysis of the crime data identified some key priority areas:

• Domestic Abuse
• Exploitative Drug Networks / Commodities Crime
• County Lines / Child Criminal Exploitation
• Child Sexual Abuse
• Cyber Enabled Crime
• Serious and Organised Crime (SOC) as an overarching threat.
• Violence Against Women and Girls

Development of the Joint Strategic Needs Assessment (JSNA)

The Health and Wellbeing Board is scheduled to receive a presentation and report regarding the Joint Strategic Needs Assessment (JSNA). The Wiltshire Joint Strategic Needs Assessment (JSNA) 2025 is a statutory document that provides the evidence base for the Health and Wellbeing Strategy. The 2025 JSNA will be published on Tuesday, 25th November 2025, and will be available on the Wiltshire Intelligence website.

The 2025 JSNA presents a comprehensive picture of health and wellbeing needs across Wiltshire, and includes approximately 200 indicators across six themes, supported by interactive visuals and narratives to ensure accessibility and relevance. The six themes are: population, lifestyle and risk factors, life expectancy and causes of death, housing crime and environment, health and disease, and education and employment.

The Public Health (PH) Intelligence team will request a more detailed workshop, at a future Health and Wellbeing Board to enable a deeper dive into this tool, and how findings may be integrated into service planning. In addition, the PH Intelligence team will request to return in a year's time to Health and Wellbeing Board to discuss the JSNAs use in service planning over the year.

Health Protection Annual Report

The Health and Wellbeing Board is scheduled to receive the annual report from the Wiltshire Health Protection Assurance Group (HPAG). The Director of Public Health (DPH) has a statutory responsibility for strategic leadership and oversight of health protection functions on behalf of the Council. The HPAG produces an annual report for consideration by the Health and Wellbeing Board, which provides an overview of health protection monitoring and surveillance, any significant issues with lessons learned and recommendations for further development of the local health protection system.

The Health Protection Report 2024/25 has been prepared for the Board with information on and assurance of the health protection arrangements in Wiltshire. The scope of health protection in this context includes: infection prevention and control, immunisations and screening programmes, infectious diseases, health emergency planning, environmental hazards and climate.

The report sets out the health protection priorities for over the next twelve months, structured around three strategic pillars; Advocate, Act and Assure.

Priorities identified in this report include:

• Advocate – Influence and Empower: Undertake a sexual health needs assessment, build a Wiltshire focused childhood vaccination action plan, explore Wiltshire's cancer screening inequalities, and understand Wiltshire's climate-related health risks.
• Act – Prevent and Respond: Promote Infection Prevention and Control (IPC) messaging, reduce Gram-Negative Bloodstream Infections (GNBSIs), increase Sexually Transmitted Infection (STI) testing, promote awareness of risks associated with Antimicrobial Resistance (AMR), and test the refreshed local health resilience partnership's (LHRP) communicable disease plan.
• Assure – Collaborate and Safeguard: Maintain collaborative working across the Health Protection system, ensure horizon scanning and escalation of emerging risks, Tuberculosis (TB) assurance, maintain assurance of vaccination and screening provision, and screening inequalities governance.

Better Care Fund Update

The Health and Wellbeing Board is scheduled to receive an update from the Integrated Care Board on the Better Care Fund (BCF). The Better Care Fund (BCF) is the national mechanism through which NHS and local authority resources are pooled to support integrated, person-centred care.

The BCF Q2 quarterly reporting document was submitted to the national team prior to the national deadline on 11 November 2025, and sign-off prior to submission was agreed by the Chairman of the Health and Wellbeing Board, Councillor Ian Thorn.

The Q2 reporting focussed on expenditure across the first two quarters and performance against the national metrics.

The second part of the paper sets out the current position of the Better Care Fund (BCF) across Bath and North East Somerset, Swindon, and Wiltshire (BSW) and proposes a phased approach to ensure preparedness for the 2026/27 planning round.

The proposed approach focuses first on consolidating the basics (updated Section 75s³), a shared dataset, and clear governance) before moving into structured scheme review, system learning, and drafting of next year's plans.