(a)   Management Board considered that the extent of demographic changes and the fundamental changes to service delivery in terms of health and social care were not adequately reflected in the corporate plan;

(b)   the Health and Adult Social Care Overview and Scrutiny Panel would be provided with an update of the results of the Joint Strategic Needs Assessment and its use in the development of the Health and Wellbeing strategy;

(c)    Adult Social Care would be asked to conduct a market impact assessment, particularly with regard to the impact on the adult social care workforce;

(d)   greater voluntary and community sector representation should be considered for the developing Health and Wellbeing Board;

(e)   the Cabinet should consider discretionary funding for adaptations.

(f)     the demand for adaptations was currently outstripping supply;

(g)   the sexual assault referral centre was one of only two in the peninsula and was regarded as best practice. The service had been subject to annual funding commitments from partners for some time, a longer term funding commitment from partners was being sought;

(h)   the Quality, Innovation, Productivity and Prevention programme was the large scale transformational programme for the National Health Service which was hoped would deliver 20 billion of efficiency savings. The panel had received updates on various elements of the programme. A further update would be provided to the panel at a future meeting.