{ "document_id": 10838, "filename": "6f551ead-3816-4486-a411-f22786710414_Public_reports_pack_15102026_1400_Health_and_Wellbeing_Board_-_Devon_CC-artifacted.pdf", "engine": "paddleocr_vl", "source_run_id": 10949, "generated_at": "2026-10-27T10:33:17+00:00", "page_count": 54, "counts_by_type": { "caption": 2, "figure": 62, "footer": 30, "footnote": 10, "form_field": 5, "header": 14, "heading": 84, "link": 27, "list": 29, "list_item": 130, "table": 5, "table_cell": 88, "text": 221, "title": 4 }, "timings": { "total_ms": 34337, "structure_ms": 1656, "text_layer_ms": 83, "build_ms": 50 }, "pages": [ { "document_id": 10838, "page": 1, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 20, "counts_by_type": { "figure": 2, "heading": 3, "link": 2, "text": 12, "title": 1 }, "build_ms": 4, "items": [ { "id": "p1.1", "order": 1, "type": "figure", "bbox": { "l": 67.4241, "t": 791.9812, "r": 135.5681, "b": 724.0628 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 0 }, { "id": "p1.2", "order": 2, "type": "figure", "bbox": { "l": 369.5131, "t": 795.1011, "r": 575.6246, "b": 726.9427 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 1 }, { "id": "p1.3", "order": 3, "type": "text", "bbox": { "l": 62.3853, "t": 718.7829, "r": 340.7199, "b": 677.2639 }, "text": "You can view the agenda and livestream link on the website or use a smart phone camera and scan the code", "children": [ { "id": "p1.3.1", "order": 4, "type": "link", "bbox": { "l": 64.9, "t": 705.552, "r": 105.588, "b": 691.753 }, "text": "website", "attrs": { "uri": "https://www.devon.gov.uk/democracy", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 2 }, { "id": "p1.4", "order": 5, "type": "title", "bbox": { "l": 66.4644, "t": 650.8645, "r": 239.9436, "b": 608.3855 }, "text": "To: The Chair and Members of the Health and Wellbeing Board", "level": 2, "reading_order": 3 }, { "id": "p1.5", "order": 6, "type": "text", "bbox": { "l": 397.1066, "t": 654.4645, "r": 484.2061, "b": 585.3461 }, "text": "County Hall\nTopsham Road\nExeter\nDevon\nEX2 4QD", "reading_order": 4 }, { "id": "p1.6", "order": 7, "type": "text", "bbox": { "l": 70.0635, "t": 564.7066, "r": 191.7149, "b": 550.3069 }, "text": "Date: 7 October 2026", "reading_order": 5 }, { "id": "p1.7", "order": 8, "type": "text", "bbox": { "l": 289.8518, "t": 564.4666, "r": 525.7164, "b": 549.8269 }, "text": "Contact: committee-mailbox@devon.gov.uk", "reading_order": 6 }, { "id": "p1.8", "order": 9, "type": "heading", "bbox": { "l": 195.0741, "t": 520.7876, "r": 399.506, "b": 506.148 }, "text": "HEALTH AND WELLBEING BOARD", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 7 }, { "id": "p1.9", "order": 10, "type": "text", "bbox": { "l": 215.9492, "t": 493.1883, "r": 379.3508, "b": 477.8286 }, "text": "Thursday, 15th October, 2026", "reading_order": 8 }, { "id": "p1.10", "order": 11, "type": "text", "bbox": { "l": 69.1037, "t": 465.3489, "r": 520.9175, "b": 422.15 }, "text": "A meeting of the Health and Wellbeing Board is to be held on the above date at 2.00 pm at Stover Country Park, Newton Abbot, Devon TQ12 6QG to consider the following matters.", "reading_order": 9 }, { "id": "p1.11", "order": 12, "type": "text", "bbox": { "l": 395.427, "t": 409.9103, "r": 483.4863, "b": 381.5909 }, "text": "Donna Manson\nChief Executive", "reading_order": 10 }, { "id": "p1.12", "order": 13, "type": "heading", "bbox": { "l": 260.5787, "t": 368.6312, "r": 334.2414, "b": 354.7116 }, "text": "AGENDA", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 11 }, { "id": "p1.13", "order": 14, "type": "heading", "bbox": { "l": 105.8151, "t": 326.1523, "r": 269.2167, "b": 311.2726 }, "text": "PART I - OPEN COMMITTEE", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 12 }, { "id": "p1.14", "order": 15, "type": "text", "bbox": { "l": 70.3035, "t": 298.3129, "r": 229.626, "b": 283.4333 }, "text": "1 Apologies for Absence", "reading_order": 13 }, { "id": "p1.15", "order": 16, "type": "text", "bbox": { "l": 69.3437, "t": 264.9537, "r": 232.7453, "b": 250.0741 }, "text": "2 Declarations of interest", "reading_order": 14 }, { "id": "p1.16", "order": 17, "type": "text", "bbox": { "l": 106.295, "t": 231.8345, "r": 543.9521, "b": 202.3152 }, "text": "Members of the Council will declare any interests they may have in any item to be considered at this meeting, prior to any discussion taking place on that item.", "reading_order": 15 }, { "id": "p1.17", "order": 18, "type": "text", "bbox": { "l": 106.0551, "t": 190.3155, "r": 545.1518, "b": 147.1165 }, "text": "The other registrable interests of Councillors of Devon County Council, arising from membership of City, Town or Parish Councils and other Local Authorities will automatically be recorded in the minutes.", "reading_order": 16 }, { "id": "p1.18", "order": 19, "type": "text", "bbox": { "l": 106.0551, "t": 135.1168, "r": 536.2739, "b": 106.0775 }, "text": "For details of District and or Town and Parish Twin Hatters please see here - County councillors who are also district, borough, city, parish or town councillors", "children": [ { "id": "p1.18.1", "order": 20, "type": "link", "bbox": { "l": 109.05, "t": 121.2931, "r": 533.908, "b": 107.4941 }, "text": "County councillors who are also district, borough, city, parish or town councillors", "attrs": { "uri": "https://devoncc.sharepoint.com/:b:/s/PublicDocs/Democracy/Eetd7vTZPO1OpWKdB5MCiZoB5fxKVDt2jXjh9JBMHdM65Q?e=PQdmta&xsdata=MDV8MDJ8a2FyZW4uc3RyYWhhbkBkZXZvbi5nb3YudWt8YzYzZjMxNDA4MTA4NDk1NGEzMmYwOGRjOTliOTQxMzB8OGRhMTM3ODNjYjY4NDQzZmJiNGI5OTdmNzdmZDViZmJ8MHwwfDYzODU1NDI2ODE0MDI5Nzc2NnxVbmtub3dufFRXRnBiR1pzYjNkOGV5SldJam9pTUM0d0xqQXdNREFpTENKUUlqb2lWMmx1TXpJaUxDSkJUaUk2SWsxaGFXd2lMQ0pYVkNJNk1uMD18MHx8fA%3d%3d&sdata=cTRrTFEyWWZYeVgvVDA3cDhOM01DVEY3aGkyZGZTRXh1bDYrVUxIVlBOdz0%3d", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 17 } ] }, { "document_id": 10838, "page": 2, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 23, "counts_by_type": { "heading": 1, "link": 5, "table": 1, "table_cell": 16 }, "build_ms": 3, "items": [ { "id": "p2.1", "order": 1, "type": "heading", "bbox": { "l": 70.7834, "t": 770.3817, "r": 151.4044, "b": 755.742 }, "text": "3 Minutes", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p2.2", "order": 2, "type": "table", "bbox": { "l": 71.7431, "t": 750.2222, "r": 543.196268, "b": 97.4377 }, "text": "", "attrs": { "block_label": "table", "n_rows": 16, "n_cols": 2, "integrity": { "cells_checked": 16, "cells_flagged": 0 } }, "children": [ { "id": "p2.2.1", "order": 3, "type": "table_cell", "bbox": { "l": 71.7431, "t": 750.2222, "r": 538.9133, "b": 709.4232 }, "text": "Minutes of the meeting held on 2nd July 2026 (previously circulated). For reference these are available here: Health and Wellbeing Board - Democracy in Devon", "attrs": { "row": 0, "col": 0, "rowspan": 1, "colspan": 2 }, "children": [ { "id": "p2.2.1.1", "order": 4, "type": "link", "bbox": { "l": 297.833, "t": 719.303, "r": 534.6101, "b": 705.504 }, "text": "Health and Wellbeing Board - Democracy in", "attrs": { "uri": "https://democracy.devon.gov.uk/ieListMeetings.aspx?CId=166&Year=0", "action_type": "/URI", "row": 0, "col": 0, "rowspan": 1, "colspan": 2 }, "reading_order": 0 }, { "id": "p2.2.1.2", "order": 5, "type": "link", "bbox": { "l": 109.05, "t": 705.504, "r": 143.738, "b": 691.705 }, "text": "Devon", "attrs": { "uri": "https://democracy.devon.gov.uk/ieListMeetings.aspx?CId=166&Year=0", "action_type": "/URI", "row": 0, "col": 0, "rowspan": 1, "colspan": 2 }, "reading_order": 1 } ], "reading_order": 0 }, { "id": "p2.2.2", "order": 6, "type": "table_cell", "bbox": { "l": 108, "t": 675.398, "r": 282.084207, "b": 664.13 }, "text": "Items Requiring Urgent Attention", "attrs": { "row": 1, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 1 }, { "id": "p2.2.3", "order": 7, "type": "table_cell", "bbox": { "l": 109.05, "t": 642.0500000000001, "r": 525.305314, "b": 616.9832 }, "text": "Items which in the opinion of the Chair should be considered at the meeting as matters of urgency.", "attrs": { "row": 2, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 2 }, { "id": "p2.2.4", "order": 8, "type": "table_cell", "bbox": { "l": 108, "t": 600.653, "r": 235.019938, "b": 589.385 }, "text": "Chair's Announcements", "attrs": { "row": 3, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 3 }, { "id": "p2.2.5", "order": 9, "type": "table_cell", "bbox": { "l": 108, "t": 567.3050000000001, "r": 534.876487, "b": 542.238 }, "text": "Devon Joint Health and Wellbeing Strategy: Rural Areas and Access to Services (Pages 1 - 38)", "attrs": { "row": 4, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 4 }, { "id": "p2.2.6", "order": 10, "type": "table_cell", "bbox": { "l": 127.05, "t": 520.158, "r": 540.581864, "b": 467.49240000000003 }, "text": "Presentation from Devon Rural Deprivation Group exploring the priority theme of rural areas and access to services in Devon followed by consideration of next steps as part of the Devon Joint Health and Wellbeing Strategy, attached.", "attrs": { "row": 5, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 5 }, { "id": "p2.2.7", "order": 11, "type": "table_cell", "bbox": { "l": 108, "t": 437.36400000000003, "r": 537.20357, "b": 412.297 }, "text": "Developing Devon's Neighbourhood Health Plan: Timeline and Principles (Pages 39 - 44)", "attrs": { "row": 6, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 6 }, { "id": "p2.2.8", "order": 12, "type": "table_cell", "bbox": { "l": 109.05, "t": 390.21700000000004, "r": 524.621998, "b": 365.1498 }, "text": "Report of the Chair of the Health and Wellbeing Board (PH/26/09): Developing Devon's Neighbourhood Health Plan: Timeline and Principles, attached.", "attrs": { "row": 7, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 7 }, { "id": "p2.2.9", "order": 13, "type": "table_cell", "bbox": { "l": 108, "t": 348.82000000000005, "r": 493.5594, "b": 337.552 }, "text": "Growing up in Devon: Annual Public Health Report 2026 (Pages 45 - 46)", "attrs": { "row": 8, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 8 }, { "id": "p2.2.10", "order": 14, "type": "table_cell", "bbox": { "l": 109.05, "t": 315.472, "r": 535.92606, "b": 290.40520000000004 }, "text": "The Report of the Director of Public Health: Growing Up in Devon, Annual Public Health Report 2026 (PH/26/10), attached.", "attrs": { "row": 9, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 9 }, { "id": "p2.2.11", "order": 15, "type": "table_cell", "bbox": { "l": 359.824, "t": 274.063, "r": 543.196268, "b": 262.807 }, "text": "Electoral Divisions(s): All Divisions", "attrs": { "row": 10, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 10 }, { "id": "p2.2.12", "order": 16, "type": "table_cell", "bbox": { "l": 108, "t": 249.22500000000002, "r": 213.38389, "b": 237.957 }, "text": "NHS Devon Update", "attrs": { "row": 11, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 11 }, { "id": "p2.2.13", "order": 17, "type": "table_cell", "bbox": { "l": 109.05, "t": 215.87700000000007, "r": 281.141901, "b": 204.60900000000004 }, "text": "Verbal update from NHS Devon.", "attrs": { "row": 12, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 12 }, { "id": "p2.2.14", "order": 18, "type": "table_cell", "bbox": { "l": 107.8, "t": 188.26700000000005, "r": 211.132, "b": 177.01100000000008 }, "text": "OTHER MATTERS", "attrs": { "row": 13, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 13 }, { "id": "p2.2.15", "order": 19, "type": "table_cell", "bbox": { "l": 108, "t": 160.68100000000004, "r": 248.688, "b": 149.413 }, "text": "Scrutiny Work Programme", "attrs": { "row": 14, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "reading_order": 14 }, { "id": "p2.2.16", "order": 20, "type": "table_cell", "bbox": { "l": 109.05, "t": 127.33300000000008, "r": 534.575, "b": 102.26600000000008 }, "text": "In order to prevent duplication, the Board will review the Council's Scrutiny Work Programme.", "attrs": { "row": 15, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true }, "children": [ { "id": "p2.2.16.1", "order": 21, "type": "link", "bbox": { "l": 459.899, "t": 129.8411, "r": 537.911, "b": 116.042 }, "text": "Scrutiny Work", "attrs": { "uri": "https://www.devon.gov.uk/democracy/committee-meetings/scrutiny-committees/scrutiny-work-programme/", "action_type": "/URI", "row": 15, "col": 0, "rowspan": 1, "colspan": 2 }, "reading_order": 0 }, { "id": "p2.2.16.2", "order": 22, "type": "link", "bbox": { "l": 109.05, "t": 116.042, "r": 145.068, "b": 102.243 }, "text": "", "attrs": { "uri": "https://www.devon.gov.uk/democracy/committee-meetings/scrutiny-committees/scrutiny-work-programme/", "action_type": "/URI", "row": 15, "col": 0, "rowspan": 1, "colspan": 2 }, "reading_order": 1 }, { "id": "p2.2.16.3", "order": 23, "type": "link", "bbox": { "l": 145.068, "t": 116.042, "r": 171.734, "b": 102.243 }, "text": "", "attrs": { "uri": "https://www.devon.gov.uk/democracy/committee-meetings/scrutiny-committees/scrutiny-work-programme/", "action_type": "/URI", "row": 15, "col": 0, "rowspan": 1, "colspan": 2 }, "reading_order": 2 } ], "reading_order": 15 } ], "reading_order": 1 } ] }, { "document_id": 10838, "page": 3, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 9, "counts_by_type": { "heading": 3, "link": 1, "text": 5 }, "build_ms": 0, "items": [ { "id": "p3.1", "order": 1, "type": "heading", "bbox": { "l": 71.2632, "t": 769.6617, "r": 266.8173, "b": 755.2621 }, "text": "11 Forward Plan (Pages 47 - 48)", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p3.2", "order": 2, "type": "text", "bbox": { "l": 107.2548, "t": 736.3025, "r": 413.4228, "b": 722.1428 }, "text": "To review and agree the Board's Forward Plan, attached.", "reading_order": 1 }, { "id": "p3.3", "order": 3, "type": "heading", "bbox": { "l": 71.0233, "t": 708.2232, "r": 244.2626, "b": 694.5435 }, "text": "12 Dates of Future Meetings", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 2 }, { "id": "p3.4", "order": 4, "type": "text", "bbox": { "l": 107.0148, "t": 675.344, "r": 483.9662, "b": 660.9443 }, "text": "Future meeting dates are included in the Council's Meetings Calendar.", "children": [ { "id": "p3.4.1", "order": 5, "type": "link", "bbox": { "l": 379.203, "t": 675.606, "r": 483.259, "b": 661.807 }, "text": "Meetings Calendar.", "attrs": { "uri": "https://democracy.devon.gov.uk/ieListMeetings.aspx?CId=166&Year=0", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 3 }, { "id": "p3.5", "order": 6, "type": "text", "bbox": { "l": 107.0148, "t": 647.5046, "r": 403.5851, "b": 633.345 }, "text": "Next meeting: 7 January 2026 (venue to be confirmed)", "reading_order": 4 }, { "id": "p3.6", "order": 7, "type": "heading", "bbox": { "l": 105.3352, "t": 606.4656, "r": 526.1963, "b": 577.9063 }, "text": "PART II ITEMS WHICH MAY BE TAKEN IN THE ABSENCE OF THE PRESS AND PUBLIC", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 5 }, { "id": "p3.7", "order": 8, "type": "text", "bbox": { "l": 106.5349, "t": 564.7066, "r": 137.9676, "b": 551.7469 }, "text": "None", "reading_order": 6 }, { "id": "p3.8", "order": 9, "type": "text", "bbox": { "l": 69.5836, "t": 527.0275, "r": 522.1172, "b": 470.6288 }, "text": "Members are reminded that Part II Reports contain exempt information and should therefore be treated accordingly. They should not be disclosed or passed on to any other person(s). They need to be disposed of carefully and should be returned to the Democratic Services Officer at the conclusion of the meeting for disposal.", "reading_order": 7 } ] }, { "document_id": 10838, "page": 4, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 29, "counts_by_type": { "heading": 6, "link": 11, "text": 11, "title": 1 }, "build_ms": 3, "items": [ { "id": "p4.1", "order": 1, "type": "title", "bbox": { "l": 69.8236, "t": 770.3817, "r": 387.029, "b": 755.742 }, "text": "MEETINGS INFORMATION AND NOTES FOR VISITORS", "attrs": { "block_label": "doc_title" }, "level": 2, "reading_order": 0 }, { "id": "p4.2", "order": 2, "type": "heading", "bbox": { "l": 69.1037, "t": 742.3024, "r": 329.6825, "b": 728.3827 }, "text": "Getting to County Hall and Notes for Visitors", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p4.3", "order": 3, "type": "text", "bbox": { "l": 69.3437, "t": 728.1427, "r": 411.5032, "b": 713.2631 }, "text": "For SatNav purposes, the postcode for County Hall is EX2 4QD", "reading_order": 2 }, { "id": "p4.4", "order": 4, "type": "text", "bbox": { "l": 69.3437, "t": 700.7834, "r": 491.6444, "b": 671.504 }, "text": "Further information about how to get to County Hall gives information on visitor parking at County Hall and bus routes.", "children": [ { "id": "p4.4.1", "order": 5, "type": "link", "bbox": { "l": 72, "t": 700.905, "r": 344.145, "b": 687.106 }, "text": "Further information about how to get to County Hall", "attrs": { "uri": "https://new.devon.gov.uk/help/visiting-county-hall/", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 3 }, { "id": "p4.5", "order": 6, "type": "text", "bbox": { "l": 69.3437, "t": 659.2643, "r": 505.5611, "b": 630.465 }, "text": "Exeter has an excellent network of dedicated cycle routes. For further information see the Travel Devon webpages.", "children": [ { "id": "p4.5.1", "order": 7, "type": "link", "bbox": { "l": 114.698, "t": 645.709, "r": 247.437, "b": 631.91 }, "text": "Travel Devon webpages.", "attrs": { "uri": "https://www.traveldevon.info/cycle/", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 4 }, { "id": "p4.6", "order": 8, "type": "text", "bbox": { "l": 69.3437, "t": 617.9853, "r": 514.9189, "b": 588.706 }, "text": "The nearest mainline railway stations are Exeter Central (5 minutes from the High Street), St David's and St Thomas. All have regular bus services to the High Street.", "reading_order": 5 }, { "id": "p4.7", "order": 9, "type": "text", "bbox": { "l": 69.1037, "t": 577.1863, "r": 502.6818, "b": 534.2273 }, "text": "Visitors to County Hall are asked to report to Main Reception on arrival. If visitors have any specific requirements, please contact reception on 01392 382504 beforehand.", "reading_order": 6 }, { "id": "p4.8", "order": 10, "type": "heading", "bbox": { "l": 69.5836, "t": 521.2676, "r": 234.9048, "b": 507.8279 }, "text": "Membership of a Committee", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 7 }, { "id": "p4.9", "order": 11, "type": "text", "bbox": { "l": 69.1037, "t": 507.3479, "r": 519.7178, "b": 478.5486 }, "text": "For full details of the Membership of a Committee, please visit the Committee pages on the website and click on the name of the Committee you wish to see.", "children": [ { "id": "p4.9.1", "order": 12, "type": "link", "bbox": { "l": 379.472, "t": 507.719, "r": 511.531, "b": 493.92 }, "text": "visit the Committee pages", "attrs": { "uri": "https://democracy.devon.gov.uk/mgListCommittees.aspx?bcr=1", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 8 }, { "id": "p4.10", "order": 13, "type": "heading", "bbox": { "l": 69.5836, "t": 466.0689, "r": 251.4609, "b": 452.8692 }, "text": "Committee Terms of Reference", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 9 }, { "id": "p4.11", "order": 14, "type": "text", "bbox": { "l": 68.8638, "t": 452.1493, "r": 514.1991, "b": 395.5106 }, "text": "For the terms of reference for any Committee, please visit the Committee page on the website and click on the name of the Committee. Under purpose of Committee, the terms of reference will be listed. Terms of reference for all Committees are also detailed within Section 3b of the Council's Constitution.", "children": [ { "id": "p4.11.1", "order": 15, "type": "link", "bbox": { "l": 357.452, "t": 452.523, "r": 489.511, "b": 438.724 }, "text": "visit the Committee page", "attrs": { "uri": "https://democracy.devon.gov.uk/mgListCommittees.aspx?bcr=1", "action_type": "/URI" }, "reading_order": 0 }, { "id": "p4.11.2", "order": 16, "type": "link", "bbox": { "l": 224.766, "t": 411.126, "r": 360.171, "b": 397.327 }, "text": "the Council’s Constitution.", "attrs": { "uri": "https://democracy.devon.gov.uk/ieListDocuments.aspx?CId=416&MId=2487&Ver=4&info=1", "action_type": "/URI" }, "reading_order": 1 } ], "reading_order": 10 }, { "id": "p4.12", "order": 17, "type": "heading", "bbox": { "l": 69.5836, "t": 383.0309, "r": 200.3529, "b": 369.8312 }, "text": "Access to Information", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 11 }, { "id": "p4.13", "order": 18, "type": "text", "bbox": { "l": 68.3839, "t": 368.8712, "r": 519.9577, "b": 298.5529 }, "text": "Any person wishing to inspect any minutes, reports or background papers relating to an item on the agenda should contact the Clerk of the Meeting. To find this, visit the Committee page on the website and find the Committee. Under contact information (at the bottom of the page) the Clerk's contact details will be present. All agenda, reports and minutes of any Committee are published on the Website.", "children": [ { "id": "p4.13.1", "order": 19, "type": "link", "bbox": { "l": 474.91, "t": 355.93, "r": 518.926, "b": 342.131 }, "text": "visit the", "attrs": { "uri": "https://democracy.devon.gov.uk/mgListCommittees.aspx?bcr=1", "action_type": "/URI" }, "reading_order": 0 }, { "id": "p4.13.2", "order": 20, "type": "link", "bbox": { "l": 72, "t": 342.131, "r": 160.043, "b": 328.332 }, "text": "Committee page", "attrs": { "uri": "https://democracy.devon.gov.uk/mgListCommittees.aspx?bcr=1", "action_type": "/URI" }, "reading_order": 1 }, { "id": "p4.13.3", "order": 21, "type": "link", "bbox": { "l": 456.863, "t": 328.332, "r": 503.574, "b": 314.533 }, "text": "agenda,", "attrs": { "uri": "https://democracy.devon.gov.uk/mgListCommittees.aspx?bcr=1", "action_type": "/URI" }, "reading_order": 2 }, { "id": "p4.13.4", "order": 22, "type": "link", "bbox": { "l": 72, "t": 314.533, "r": 434.194, "b": 300.734 }, "text": "reports and minutes of any Committee are published on the Website.", "attrs": { "uri": "https://democracy.devon.gov.uk/mgListCommittees.aspx?bcr=1", "action_type": "/URI" }, "reading_order": 3 } ], "reading_order": 12 }, { "id": "p4.14", "order": 23, "type": "heading", "bbox": { "l": 69.8236, "t": 286.5532, "r": 185.9563, "b": 273.1135 }, "text": "Public Participation", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 13 }, { "id": "p4.15", "order": 24, "type": "text", "bbox": { "l": 68.6239, "t": 272.8735, "r": 524.0368, "b": 215.9949 }, "text": "The Council operates a Public Participation Scheme. For full details of whether and how you can participate in a meeting, please see the Public Participation Scheme or contact the Clerk for the meeting. Please also note the maximum available seating in the Council's meeting rooms and Chamber outlined in that guidance.", "children": [ { "id": "p4.15.1", "order": 25, "type": "link", "bbox": { "l": 354.845, "t": 259.337, "r": 504.253, "b": 245.538 }, "text": "Public Participation Scheme", "attrs": { "uri": "https://www.devon.gov.uk/democracy/document/public-participation-at-committee-meetings/", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 14 }, { "id": "p4.16", "order": 26, "type": "text", "bbox": { "l": 69.1037, "t": 204.2351, "r": 511.3198, "b": 147.1165 }, "text": "In relation to Highways and Traffic Orders Committees, any member of the District Council or a Town or Parish Councillor for the area covered by the HATOC who is not a member of the Committee, may attend and speak to any item on the Agenda with the consent of the Committee, having given 24 hours' notice.", "reading_order": 15 }, { "id": "p4.17", "order": 27, "type": "heading", "bbox": { "l": 68.6239, "t": 134.8768, "r": 453.0135, "b": 120.9571 }, "text": "Webcasting, Recording or Reporting of Meetings and Proceedings", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 16 }, { "id": "p4.18", "order": 28, "type": "text", "bbox": { "l": 68.6239, "t": 120.4771, "r": 513.9591, "b": 77.9981 }, "text": "The proceedings of any meeting may be recorded and / or broadcasted live, apart from any confidential items which may need to be considered in the absence of the press and public. For more information How to get involved - Democracy in Devon", "children": [ { "id": "p4.18.1", "order": 29, "type": "link", "bbox": { "l": 280.758, "t": 93.749, "r": 507.523, "b": 79.9501 }, "text": "How to get involved - Democracy in Devon", "attrs": { "uri": "https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.devon.gov.uk%2Fdemocracy%2Fhow-to-get-involved%2F&data=05%7C02%7Cwendy.simpson%40devon.gov.uk%7C4516cd3e2175498e853508de76051ecf%7C8da13783cb68443fbb4b997f77fd5bfb%7C0%7C0%7C639077961558327224%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=kcfEbwgcCpY258hGgziugvmMBEkWMuQ0yZS0t91pHsQ%3D&reserved=0", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 17 } ] }, { "document_id": 10838, "page": 5, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 17, "counts_by_type": { "figure": 1, "heading": 6, "link": 2, "text": 8 }, "build_ms": 2, "items": [ { "id": "p5.1", "order": 1, "type": "text", "bbox": { "l": 68.6239, "t": 769.6617, "r": 520.4376, "b": 671.0241 }, "text": "Anyone wishing to film part or all of the proceedings may do so unless the press and public are excluded for that part of the meeting or there is good reason not to do so, as directed by the Chair. Filming must be done as unobtrusively as possible without additional lighting; focusing only on those actively participating in the meeting and having regard to the wishes of others present who may not wish to be filmed. Anyone wishing to film proceedings is asked to advise the Chair or the Democratic Services Officer in attendance.", "reading_order": 0 }, { "id": "p5.2", "order": 2, "type": "text", "bbox": { "l": 69.1037, "t": 659.0243, "r": 471.4891, "b": 644.1447 }, "text": "Members of the public may also use social media to report on proceedings.", "reading_order": 1 }, { "id": "p5.3", "order": 3, "type": "heading", "bbox": { "l": 69.3437, "t": 631.665, "r": 366.8737, "b": 618.2253 }, "text": "Declarations of Interest for Members of the Council", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 2 }, { "id": "p5.4", "order": 4, "type": "text", "bbox": { "l": 69.1037, "t": 617.9853, "r": 498.6027, "b": 575.0263 }, "text": "It is to be noted that Members of the Council must declare any interest they may have in any item to be considered at this meeting, prior to any discussion taking place on that item. A reminder will be on every Committee agenda.", "reading_order": 3 }, { "id": "p5.5", "order": 5, "type": "heading", "bbox": { "l": 69.3437, "t": 563.2666, "r": 100.0565, "b": 549.8269 }, "text": "WiFi", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 4 }, { "id": "p5.6", "order": 6, "type": "text", "bbox": { "l": 68.8638, "t": 548.867, "r": 509.8801, "b": 507.108 }, "text": "An open, publicly available Wi-Fi network (i.e Gov WiFi) is normally available for meetings held in the Committee Suite at County Hall (instructions for signing up to Gov WiFi are available at this link).", "children": [ { "id": "p5.6.1", "order": 7, "type": "link", "bbox": { "l": 196.043, "t": 521.518, "r": 249.399, "b": 507.719 }, "text": "at this link).", "attrs": { "uri": "https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.wifi.service.gov.uk%2Fconnect-to-govwifi%2F&data=05%7C02%7Cwendy.simpson%40devon.gov.uk%7C4516cd3e2175498e853508de76051ecf%7C8da13783cb68443fbb4b997f77fd5bfb%7C0%7C0%7C639077961558283512%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=JCuDmski00QKYgC9aAfKM5sqQ32ipPkLoYzxSIIh3lc%3D&reserved=0", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 5 }, { "id": "p5.7", "order": 8, "type": "heading", "bbox": { "l": 70.3035, "t": 506.868, "r": 96.6973, "b": 494.8682 }, "text": "Fire", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 6 }, { "id": "p5.8", "order": 9, "type": "text", "bbox": { "l": 68.6239, "t": 493.6683, "r": 522.837, "b": 409.9103 }, "text": "In the event of the fire alarm sounding, leave the building immediately by the nearest available exit following the fire exit signs. If doors fail to unlock press the Green break glass next to the door. Do not stop to collect personal belongings; do not use the lifts; and do not re-enter the building until told to do so. Assemble either on the cobbled car parking area adjacent to the administrative buildings or in the car park behind Bellair.", "reading_order": 7 }, { "id": "p5.9", "order": 10, "type": "heading", "bbox": { "l": 70.0635, "t": 400.7905, "r": 123.0911, "b": 387.3508 }, "text": "First Aid", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 8 }, { "id": "p5.10", "order": 11, "type": "text", "bbox": { "l": 69.3437, "t": 386.6308, "r": 418.2216, "b": 371.7512 }, "text": "Contact Main Reception (Extension 2504) for a trained first aider.", "reading_order": 9 }, { "id": "p5.11", "order": 12, "type": "heading", "bbox": { "l": 70.0635, "t": 359.2715, "r": 158.3628, "b": 346.0718 }, "text": "Mobile Phones", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 10 }, { "id": "p5.12", "order": 13, "type": "text", "bbox": { "l": 68.8638, "t": 345.3518, "r": 516.5985, "b": 317.5125 }, "text": "Please switch off or silence all mobile phones before entering the Committee Room or Council Chamber.", "reading_order": 11 }, { "id": "p5.13", "order": 14, "type": "heading", "bbox": { "l": 69.8236, "t": 304.0728, "r": 186.4362, "b": 289.9131 }, "text": "Alternative Formats", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 12 }, { "id": "p5.14", "order": 15, "type": "text", "bbox": { "l": 68.6239, "t": 288.7131, "r": 513.2393, "b": 170.8759 }, "text": "If anyone needs a copy of an Agenda and/or a Report in another format (e.g. large print, audio tape, Braille or other languages), please contact the Customer Service Centre on 0345 155 1015 or email: committee@devon.gov.uk or write to the Democratic and Scrutiny Secretariat in Room 142, County Hall, Exeter, EX2 4QD.\nInduction Loop available", "children": [ { "id": "p5.14.1", "order": 16, "type": "link", "bbox": { "l": 249.015, "t": 235.191, "r": 434.234, "b": 216.793 }, "text": "committee@devon.gov.uk", "attrs": { "uri": "mailto:committee@devon.gov.uk", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 13 }, { "id": "p5.15", "order": 17, "type": "figure", "bbox": { "l": 70.7834, "t": 153.1164, "r": 119.9718, "b": 101.2776 }, "text": "", "attrs": { "block_label": "image" }, "reading_order": 14 } ] }, { "document_id": 10838, "page": 6, "width": 595, "height": 842, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595, "height_pt": 842, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 0, "counts_by_type": [], "build_ms": 0, "items": [] }, { "document_id": 10838, "page": 7, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 8, "counts_by_type": { "figure": 2, "heading": 1, "text": 5 }, "build_ms": 2, "items": [ { "id": "p7.1", "order": 1, "type": "figure", "bbox": { "l": 0, "t": 529.3333, "r": 841.92, "b": 281.2233 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "Page" }, "reading_order": 0 }, { "id": "p7.2", "order": 2, "type": "heading", "bbox": { "l": 33.8304, "t": 274.5047, "r": 784.5763, "b": 163.1671 }, "text": "Proposition: Rurality should not be a reason for poorer access, poorer housing, weaker connectivity or worse health outcomes", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p7.3", "order": 3, "type": "text", "bbox": { "l": 129.803, "t": 145.8906, "r": 800.4118, "b": 69.346 }, "text": "Nora Corkery, Janie Devoreard\n\nard October 15th 2026\n\nPartnership", "reading_order": 2 }, { "id": "p7.4", "order": 4, "type": "text", "bbox": { "l": 346.9411, "t": 143.0112, "r": 806.89, "b": 119.4959 }, "text": "Devon Heal[p7.6.1] and Wellbeing Board October 15 th 2026", "children": [ { "id": "p7.4.1", "order": 5, "type": "text", "bbox": { "l": 346.9411, "t": 143.0112, "r": 806.89, "b": 119.4959 }, "text": "^{th}", "attrs": { "inline": true, 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"counts_by_type": { "figure": 1, "footer": 1, "heading": 3, "list": 1, "list_item": 2, "text": 4 }, "build_ms": 1, "items": [ { "id": "p8.1", "order": 1, "type": "heading", "bbox": { "l": 39.3488, "t": 505.0982, "r": 668.2095, "b": 476.5439 }, "text": "Introducing the Devon Rural Deprivation Partnership", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p8.2", "order": 2, "type": "heading", "bbox": { "l": 151.8767, "t": 420.6352, "r": 404.0448, "b": 392.3209 }, "text": "Looking Through the", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p8.3", "order": 3, "type": "figure", "bbox": { "l": 405.2445, "t": 447.2698, "r": 672.5283, "b": 350.0894 }, "text": "", "attrs": { "block_label": "image" }, "children": [ { "id": "p8.3.1", "order": 4, "type": "text", "bbox": { "l": 417.9609, "t": 428.0737, "r": 654.7733, "b": 393.0408 }, "text": "Rural Lens", "reading_order": 0 } ], "reading_order": 2 }, { "id": "p8.4", "order": 5, "type": "text", "bbox": { "l": 804.0108, "t": 553.0885, "r": 835.2019, "b": 395.6802 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 3 }, { "id": "p8.5", "order": 6, "type": "list", "bbox": { "l": 34.0703, "t": 339.990376, "r": 746.4272, "b": 194.8407 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p8.5.1", "order": 7, "type": "list_item", "bbox": { "l": 34.0703, "t": 339.990376, "r": 746.4272, "b": 258.6679 }, "text": "Devon Rural Deprivation Partnership established in June 2024 - Independent cross-sector collaborative partnership Group working together to better understand & address pockets of nested rural deprivation in Devon", "reading_order": 0 }, { "id": "p8.5.2", "order": 8, "type": "list_item", "bbox": { "l": 38.629, "t": 247.95646000000005, "r": 721.4743, "b": 194.8407 }, "text": "Designated as the Health and Wellbeing Board Rural Areas and Access to Services Sub-Group 2026", "marker": "•", "reading_order": 1 } ], "reading_order": 4 }, { "id": "p8.6", "order": 9, "type": "heading", "bbox": { "l": 319.8288, "t": 174.2049, "r": 497.8581, "b": 153.3291 }, "text": "THE PROPOSITION:", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 5 }, { "id": "p8.7", "order": 10, "type": "text", "bbox": { "l": 91.8938, "t": 146.6104, "r": 725.5532, "b": 124.7748 }, "text": "Rurality should not be a reason for poorer access, poorer housing, weaker", "reading_order": 6 }, { "id": "p8.8", "order": 11, "type": "text", "bbox": { "l": 238.492, "t": 114.217, "r": 579.4348, "b": 94.301 }, "text": "connectivity or worse health outcomes.", "reading_order": 7 }, { "id": "p8.9", "order": 12, "type": "footer", "bbox": { "l": 628.8607, "t": 74.625, "r": 841.6801, "b": 67.4264 }, "text": "https://www.devon.gov.uk/public-health/jhws/devons-joint-health-and-wellbeing-strategy-2026-to-203", "attrs": { "block_label": "footer" }, "reading_order": 8 } ] }, { "document_id": 10838, 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transport, digital access & social connectivity. Also the NHS Devon Quality & Equality Impact assessment inclusion of “Rural or Coastal Deprivation”", "marker": "-", "reading_order": 0 }, { "id": "p9.2.2", "order": 4, "type": "list_item", "bbox": { "l": 32.8706, "t": 302.579, "r": 722.674, "b": 251.7093 }, "text": "Initiated and influenced the development of the Devon Public Health Rural Composite Exclusion Risk Indices Dashboard (CERI)", "reading_order": 1 }, { "id": "p9.2.3", "order": 5, "type": "list_item", "bbox": { "l": 32.6307, "t": 243.071, "r": 771.62, "b": 115.6567 }, "text": "Contributed to the Devon County Council Full Council Decision Feb 2026: One Door for Devon to support the Cost of Living within Rural and Coastal Communities including the recommendation to consider opportunities to ‘rural proof’ future & opportunities to consider rural impacts within future decision-making and policy development", "marker": "-", "reading_order": 2 } ], "reading_order": 1 }, { "id": "p9.3", "order": 6, "type": "text", "bbox": { "l": 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"text": "Small, dispersed pockets can sit inside otherwise affluent places – making place averages an unreliable guide to lived experience.", "reading_order": 1 } ], "reading_order": 6 }, { "id": "p11.8", "order": 12, "type": "text", "bbox": { "l": 808.5695, "t": 56.8685, "r": 829.4436, "b": 42.9513 }, "text": "O", "attrs": { "block_label": "number" }, "reading_order": 7 }, { "id": "p11.9", "order": 13, "type": "footnote", "bbox": { "l": 35.5099, "t": 294.9006, "r": 277.8408, "b": 270.9054 }, "text": "Central llfracombe (75 years)", "attrs": { "block_label": "vision_footnote" }, "reading_order": 8 }, { "id": "p11.10", "order": 14, "type": "footnote", "bbox": { "l": 613.985, "t": 294.4207, "r": 745.4675, "b": 275.9444 }, "text": "Exton (90 years)", "attrs": { "block_label": "vision_footnote" }, "reading_order": 9 }, { "id": "p11.11", "order": 15, "type": "footer", "bbox": { "l": 6.4782, "t": 72.2254, "r": 810.489, "b": 62.1475 }, "text": "Source: Devon Public Health: IMD 2025; 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Stock imagery used. Names and details have been changed to protect client confidentiality", "attrs": { "block_label": "footer" }, "reading_order": 7 } ] }, { "document_id": 10838, "page": 16, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 16, "counts_by_type": { "figure": 1, "footer": 1, "form_field": 5, "heading": 1, "list": 1, "list_item": 4, "text": 3 }, "build_ms": 1, "items": [ { "id": "p16.1", "order": 1, "type": "text", "bbox": { "l": 805.2105, "t": 552.6086, "r": 828.4838, "b": 395.6802 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 0 }, { "id": "p16.2", "order": 2, "type": "heading", "bbox": { "l": 35.03, "t": 483.7425, "r": 445.3131, "b": 450.8691 }, "text": "Case study 3 | Brian's story", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p16.3", "order": 3, "type": "figure", "bbox": { "l": 420.1202, "t": 412.7168, "r": 821.5258, "b": 133.6531 }, "text": "", "attrs": { "block_label": "image" }, "reading_order": 2 }, { "id": "p16.4", "order": 4, "type": "text", "bbox": { "l": 35.2699, "t": 410.3173, "r": 363.7363, "b": 386.0822 }, "text": "No local family - rural isolation", "children": [ { "id": "p16.4.1", "order": 5, "type": "form_field", "bbox": { "l": 37.2023, "t": 407.53676, "r": 46.76966, "b": 385.94684000000007 }, "text": "", "attrs": { "field_kind": "radio", "label": "No local family - rural isolation", "checked": true, "source": "glyph", "label_source": "parent_text", "label_ref": "p16.4", "text_offset": 0, "text_span": 0 }, "reading_order": 0 } ], "reading_order": 3 }, { "id": "p16.5", "order": 6, "type": "text", "bbox": { "l": 34.5502, "t": 368.3258, "r": 392.2882, "b": 288.4219 }, "text": "- Witnessing but unable to prevent drug and alcohol abuse in his teenage son", "children": [ { "id": "p16.5.1", "order": 7, "type": "form_field", "bbox": { "l": 37.2023, "t": 365.77897300000006, "r": 46.76966, "b": 344.18905300000006 }, "text": "", "attrs": { "field_kind": "radio", "label": "- Witnessing but unable to prevent drug and alcohol abuse in his teenage son", "checked": true, "source": "glyph", "label_source": "parent_text", "label_ref": "p16.5", "text_offset": 0, "text_span": 0 }, "reading_order": 0 } ], "reading_order": 4 }, { "id": "p16.6", "order": 8, "type": "list", "bbox": { "l": 35.2699, "t": 284.3427, "r": 363.7363, "b": 135.3327 }, "text": "", "attrs": { "item_count": 4 }, "children": [ { "id": "p16.6.1", "order": 9, "type": "list_item", "bbox": { "l": 35.7498, "t": 284.3427, "r": 53.9846, "b": 273.065 }, "text": "O", "reading_order": 0 }, { "id": "p16.6.2", "order": 10, "type": "list_item", "bbox": { "l": 35.9897, "t": 270.6654, "r": 363.7363, "b": 219.5557 }, "text": "Unmanageable and escalating household bills", "marker": "-", "children": [ { "id": "p16.6.2.1", "order": 11, "type": "form_field", "bbox": { "l": 37.2023, "t": 268.457551, "r": 46.76966, "b": 246.86763100000002 }, "text": "", "attrs": { "field_kind": "radio", "label": "Unmanageable and escalating household bills", "checked": true, "source": "glyph", "label_source": "parent_text", "label_ref": "p16.6.2", "text_offset": 0, "text_span": 0 }, "reading_order": 0 } ], "reading_order": 1 }, { "id": "p16.6.3", "order": 12, "type": "list_item", "bbox": { "l": 35.2699, "t": 201.3194, "r": 349.5803, "b": 177.0843 }, "text": "Deteriorating physical health", "marker": "-", "children": [ { "id": "p16.6.3.1", "order": 13, "type": "form_field", "bbox": { "l": 37.2023, "t": 198.85595700000005, "r": 46.76966, "b": 177.26603700000004 }, "text": "", "attrs": { "field_kind": "radio", "label": "Deteriorating physical health", "checked": true, "source": "glyph", "label_source": "parent_text", "label_ref": "p16.6.3", "text_offset": 0, "text_span": 0 }, "reading_order": 0 } ], "reading_order": 2 }, { "id": "p16.6.4", "order": 14, "type": "list_item", "bbox": { "l": 35.7498, "t": 159.0879, "r": 310.2316, "b": 135.3327 }, "text": "Low paid, seasonal work", "children": [ { "id": "p16.6.4.1", "order": 15, "type": "form_field", "bbox": { "l": 37.2023, "t": 157.098185, "r": 46.76966, "b": 135.50826500000005 }, "text": "", "attrs": { "field_kind": "radio", "label": "Low paid, seasonal work", "checked": true, "source": "glyph", "label_source": "parent_text", "label_ref": "p16.6.4", "text_offset": 0, "text_span": 0 }, "reading_order": 0 } ], "reading_order": 3 } ], "reading_order": 5 }, { "id": "p16.7", "order": 16, "type": "footer", "bbox": { "l": 42.4679, "t": 82.5434, "r": 803.7709, "b": 66.4666 }, "text": "Note: Photo for illustrative purposes only. Stock imagery used. Names and details have been changed to protect client confidentiality", "attrs": { "block_label": "footer" }, "reading_order": 6 } ] }, { "document_id": 10838, "page": 17, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 7, "counts_by_type": { "figure": 1, "heading": 1, "list_item": 2, "text": 3 }, "build_ms": 0, "items": [ { "id": "p17.1", "order": 1, "type": "heading", "bbox": { "l": 54.7044, "t": 496.4599, "r": 379.8117, "b": 440.5512 }, "text": "Key issues we are trying to address", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p17.2", "order": 2, "type": "list_item", "bbox": { "l": 51.8252, "t": 412.06189600000005, "r": 408.8435, "b": 358.9676 }, "text": "IMD disguising pockets of rural deprivation leading to unmet need", "marker": "•", "reading_order": 1 }, { "id": "p17.3", "order": 3, "type": "text", "bbox": { "l": 35.7498, "t": 349.6095, "r": 368.7749, "b": 274.0248 }, "text": "- Failure to embed rural\nconsiderations into policy and service design & delivery", "reading_order": 2 }, { "id": "p17.4", "order": 4, "type": "list_item", "bbox": { "l": 47.2665, "t": 268.30203, "r": 404.2848, "b": 143.971 }, "text": "Wicked problem = Lack of a public sector rural connection & intersectionality approach (eg: Combined County Authority Health in All Policies HiAP commitment)", "marker": "•", "reading_order": 3 }, { "id": "p17.5", "order": 5, "type": "figure", "bbox": { "l": 438.1151, "t": 509.1774, "r": 836.1616, "b": 63.3472 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "https://www.devon.gov.uk/public-health/jhws/devons-joint-health-and-wellbeing-strategy-2026-to-203" }, "children": [ { "id": "p17.5.1", "order": 6, "type": "text", "bbox": { "l": 805.2105, "t": 204.4388, "r": 829.4436, "b": 61.4276 }, "text": "Agenda Item", "attrs": { "block_label": 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"text", "bbox": { "l": 500.4973, "t": 251.4693, "r": 689.5634, "b": 152.3693 }, "text": "Resilient\nResilience to climate change\nEnvironmental resilience\nSocial resilience", "reading_order": 0 } ], "reading_order": 1 }, { "id": "p18.3", "order": 4, "type": "text", "bbox": { "l": 805.2105, "t": 553.8084, "r": 830.8831, "b": 394.7204 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 2 }, { "id": "p18.4", "order": 5, "type": "caption", "bbox": { "l": 215.9384, "t": 116.8564, "r": 601.0287, "b": 96.7005 }, "text": "EU Rural Commission Vision for Rural Areas 2025", "attrs": { "block_label": "figure_title" }, "reading_order": 3 } ] }, { "document_id": 10838, "page": 19, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 9, "counts_by_type": { "figure": 1, "footnote": 1, "heading": 1, "list": 1, "list_item": 4, "text": 1 }, "build_ms": 0, "items": [ { "id": "p19.1", "order": 1, "type": "heading", "bbox": { "l": 39.5887, "t": 505.3381, "r": 566.7184, "b": 477.9837 }, "text": "What can be achieved in the next 100 days?", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p19.2", "order": 2, "type": "list", "bbox": { "l": 33.1106, "t": 447.7497, "r": 752.4255, "b": 232.0332 }, "text": "", "attrs": { "item_count": 4 }, "children": [ { "id": "p19.2.1", "order": 3, "type": "list_item", "bbox": { "l": 40.7884, "t": 447.7497, "r": 725.7931, "b": 404.3185 }, "text": "All Health & Wellbeing Board members to commit to championing systemic rural proofing within their own organisations (example NI Rural Needs Act 2016)", "marker": "1.", "reading_order": 0 }, { "id": "p19.2.2", "order": 4, "type": "list_item", "bbox": { "l": 40.3085, "t": 397.3599, "r": 752.4255, "b": 333.5328 }, "text": "Development and shared use of a shared Devon Rural Intelligence System (CERI) to build a much better understanding of place, needs & barriers & to improve health & wellbeing outcomes", "marker": "2.", "reading_order": 1 }, { "id": "p19.2.3", "order": 5, "type": "list_item", "bbox": { "l": 33.1106, "t": 324.8945, "r": 696.7614, "b": 282.4231 }, "text": "Approve investment in a Devon Rural Deprivation Group Place – based Rural Proofing Pilot (cost c. £30k)", "marker": "3.", "reading_order": 2 }, { "id": "p19.2.4", "order": 6, "type": "list_item", "bbox": { "l": 34.3102, "t": 274.7446, "r": 711.3972, "b": 232.0332 }, "text": "Board Partners to commission Devon Rural Deprivation Partnership to provide Rural Proofing workshops for Key staff", "reading_order": 3 } ], "reading_order": 1 }, { "id": "p19.3", "order": 7, "type": "figure", "bbox": { "l": 192.6651, "t": 222.9151, "r": 721.2344, "b": 88.0622 }, "text": "", "attrs": { "kind": "chart", "block_label": "chart", "embedded_text": "Identify\ninvestable Align existing Agree simple Publish\nlocal funds outcomes learning\nopportunities" }, "reading_order": 2 }, { "id": "p19.4", "order": 8, "type": "text", "bbox": { "l": 803.5309, "t": 201.3194, "r": 830.6432, "b": 41.0317 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 3 }, { "id": "p19.5", "order": 9, "type": "footnote", "bbox": { "l": 72.9392, "t": 208.9979, "r": 184.5074, "b": 189.5618 }, "text": "First 100 days:", "attrs": { "block_label": "vision_footnote" }, "reading_order": 4 } ] }, { "document_id": 10838, "page": 20, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 3, "counts_by_type": { "figure": 1, "heading": 1, "text": 1 }, "build_ms": 0, "items": [ { "id": "p20.1", "order": 1, "type": "figure", "bbox": { "l": 6.4782, "t": 543.0105, "r": 841.92, "b": 250.7495 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "Agenda\nItem\n6\nPage\n14" }, "reading_order": 0 }, { "id": "p20.2", "order": 2, "type": "heading", "bbox": { "l": 42.7078, "t": 243.5509, "r": 271.3626, "b": 209.7177 }, "text": "2 | Three asks", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p20.3", "order": 3, "type": "text", "bbox": { "l": 42.4679, "t": 175.1647, "r": 606.5471, "b": 153.809 }, "text": "A practical programme the Health & Wellbeing Board can sponsor", "reading_order": 2 } ] }, { "document_id": 10838, "page": 21, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 2, "counts_by_type": { "figure": 1, "text": 1 }, "build_ms": 0, "items": [ { "id": "p21.1", "order": 1, "type": "figure", "bbox": { "l": 28.7918, "t": 488.5415, "r": 777.3784, "b": 90.7017 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "We are asking the Devon Health and Wellbeing Board\nto approve:\nMaking rural A shared rural A Collaborative\nPage place-based NHS\nproofing routine - intelligence\n15 Systemic approach & Public sector\nembedding of rural\nrural proofing in neighbourhood\nservice design & plan service\ndelivery design in\npartnership with\nrural communities" }, "reading_order": 0 }, { "id": "p21.2", "order": 2, "type": "text", "bbox": { "l": 802.3313, "t": 203.239, "r": 831.8429, "b": 39.592 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 1 } ] }, { "document_id": 10838, "page": 22, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 14, "counts_by_type": { "figure": 2, "heading": 2, "list": 1, "list_item": 5, "text": 4 }, "build_ms": 1, "items": [ { "id": "p22.1", "order": 1, "type": "figure", "bbox": { "l": 674.2078, "t": 554.2883, "r": 833.2825, "b": 398.5597 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image", "embedded_text": "Agenda\nItem\n6" }, "reading_order": 0 }, { "id": "p22.2", "order": 2, "type": "heading", "bbox": { "l": 42.7078, "t": 502.4587, "r": 663.171, "b": 423.2747 }, "text": "ASK 1 | Make rural proofing routine - Systemic embedding of rural proofing of all strategies, commissioning, service delivery redesign & investment decisions", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p22.3", "order": 3, "type": "list_item", "bbox": { "l": 40.0686, "t": 404.84028, "r": 719.315, "b": 339.2916 }, "text": "All partners commit to a requirement for rural impact to be visible & evidenced in business cases and equality/health impact assessments. Report exceptions and mitigations to the Board to monitor progress", "marker": "-", "reading_order": 2 }, { "id": "p22.4", "order": 4, "type": "text", "bbox": { "l": 35.5099, "t": 331.6132, "r": 755.5446, "b": 246.4303 }, "text": "Page 16\nApprove the Action with Communities in Rural England (ACRE) Rural Proofing checklist • test it on 3 live decisions/ policies/places refine & make it standard in all policy development & service design & delivery aiming to provide a service for people living in a rural community", "reading_order": 3 }, { "id": "p22.5", "order": 5, "type": "text", "bbox": { "l": 44.1474, "t": 237.5521, "r": 335.1845, "b": 196.2804 }, "text": "• Always Ask:\nWho is furthest from the service?", "reading_order": 4 }, { "id": "p22.6", "order": 6, "type": "heading", "bbox": { "l": 416.5213, "t": 224.5947, "r": 526.8898, "b": 205.6385 }, "text": "First 100 days:", "level": 3, "reading_order": 5 }, { "id": "p22.7", "order": 7, "type": "list", "bbox": { "l": 73.1791, "t": 187.6422, "r": 514.8932, "b": 82.7833 }, "text": "", "attrs": { "item_count": 4 }, "children": [ { "id": "p22.7.1", "order": 8, "type": "list_item", "bbox": { "l": 73.1791, "t": 187.6422, "r": 514.8932, "b": 145.8906 }, "text": "Is there public transport? What does the journey cost? What happens without a car?", "reading_order": 0 }, { "id": "p22.7.2", "order": 9, "type": "list_item", "bbox": { "l": 74.3788, "t": 145.1707, "r": 361.8169, "b": 125.0148 }, "text": "What happens without broadband?", "reading_order": 1 }, { "id": "p22.7.3", "order": 10, "type": "list_item", "bbox": { "l": 73.8989, "t": 123.815, "r": 365.8957, "b": 103.6591 }, "text": "What happens for people who need", "reading_order": 2 }, { "id": "p22.7.4", "order": 11, "type": "list_item", "bbox": { "l": 73.1791, "t": 102.6993, "r": 255.7671, "b": 82.7833 }, "text": "face-to-face support?", "reading_order": 3 } ], "reading_order": 6 }, { "id": "p22.8", "order": 12, "type": "figure", "bbox": { "l": 528.8093, "t": 228.9139, "r": 775.9388, "b": 97.4204 }, "text": "", "attrs": { "block_label": "image" }, "children": [ { "id": "p22.8.1", "order": 13, "type": "text", "bbox": { "l": 547.7639, "t": 204.1988, "r": 630.5403, "b": 123.5751 }, "text": "Approve 1 or 2 place-based rural proofing pilots", "reading_order": 0 }, { "id": "p22.8.2", "order": 14, "type": "text", "bbox": { "l": 679.2464, "t": 196.0405, "r": 762.5026, "b": 131.7334 }, "text": "Approve training for key public sector staff", "reading_order": 1 } ], "reading_order": 7 } ] }, { "document_id": 10838, "page": 23, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 22, "counts_by_type": { "figure": 1, "footer": 1, "heading": 3, "text": 17 }, "build_ms": 2, "items": [ { "id": "p23.1", "order": 1, "type": "heading", "bbox": { "l": 39.1089, "t": 515.1762, "r": 802.3313, "b": 465.5062 }, "text": "UK RURAL PROOFING | CURRENT POLICY & GOVERNMENT ACTIVITY (NI Rural Needs Act 2016)", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p23.2", "order": 2, "type": "figure", "bbox": { "l": 34.7901, "t": 447.5098, "r": 817.9268, "b": 112.2974 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "From “end-of-pipe” review\n→ proactive rural proofing\nat policy design stage\nSUMMER 2025 JUL 2026 2026 →\n6 thematic workshops" }, "children": [ { "id": "p23.2.1", "order": 3, "type": "text", "bbox": { "l": 50.1457, "t": 442.2309, "r": 147.318, "b": 428.5536 }, "text": "THE POLICY SHIFT\nFrom “end-of-pipe” review\n→ proactive rural proofing\nat policy design stage", "reading_order": 0 }, { "id": "p23.2.2", "order": 4, "type": "heading", "bbox": { "l": 315.2701, "t": 440.7911, "r": 390.8486, "b": 426.634 }, "text": "GOVERNANCE", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p23.2.3", "order": 5, "type": "text", "bbox": { "l": 577.0355, "t": 440.5512, "r": 671.0887, "b": 425.9141 }, "text": "ACCOUNTABILITY", "reading_order": 2 }, { "id": "p23.2.4", "order": 6, "type": "text", "bbox": { "l": 314.3104, "t": 423.0347, "r": 503.6164, "b": 365.4463 }, "text": "Defra leads; all departments assess real-world rural impacts", "reading_order": 3 }, { "id": "p23.2.5", "order": 7, "type": "text", "bbox": { "l": 575.1161, "t": 423.0347, "r": 777.6183, "b": 368.5657 }, "text": "New cross-government\nboard + annual public\nreporting + new rural metrics", "reading_order": 4 }, { "id": "p23.2.6", "order": 8, "type": "text", "bbox": { "l": 37.9092, "t": 338.3318, "r": 240.8913, "b": 322.7349 }, "text": "2025[p23.2.6.1] 2026: GOVERNMENT ACTIVITY", "children": [ { "id": "p23.2.6.1", "order": 9, "type": "text", "bbox": { "l": 37.9092, "t": 338.3318, "r": 240.8913, "b": 322.7349 }, "text": "→", "attrs": { "inline": true, "text_offset": 4, "text_span": 11, "bbox_estimated": true }, "reading_order": 0 } ], "reading_order": 5 }, { "id": "p23.2.7", "order": 10, "type": "text", "bbox": { "l": 34.3102, "t": 330.1734, "r": 162.9136, "b": 224.8347 }, "text": "Page 17\nAPR 2025\nRural Taskforce established\nCross-Whitehall + rural stakeholders", "reading_order": 6 }, { "id": "p23.2.8", "order": 11, "type": "text", "bbox": { "l": 447.7124, "t": 282.903, "r": 590.4717, "b": 223.8749 }, "text": "Future of Rural England\nReport\nStrategic recommendations and\naction across government", "reading_order": 7 }, { "id": "p23.2.9", "order": 12, "type": "heading", "bbox": { "l": 642.7768, "t": 279.3037, "r": 735.6303, "b": 262.987 }, "text": "Implementation", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 8 }, { "id": "p23.2.10", "order": 13, "type": "text", "bbox": { "l": 252.408, "t": 253.3889, "r": 401.4056, "b": 226.7543 }, "text": "Growth • housing • skills • health • resilience • connectivity", "reading_order": 9 }, { "id": "p23.2.11", "order": 14, "type": "text", "bbox": { "l": 641.0972, "t": 252.6691, "r": 800.4118, "b": 227.4741 }, "text": "Board, metrics, annual reporting; rural proofing embedded in major decisions", "reading_order": 10 }, { "id": "p23.2.12", "order": 15, "type": "text", "bbox": { "l": 42.9478, "t": 207.7981, "r": 719.5549, "b": 189.0819 }, "text": "SIX PRIORITIES FOR RURAL ENGLAND - Defra/ MHCLG Strategic Authority Rural Proofing Working Group 2026", "reading_order": 11 }, { "id": "p23.2.13", "order": 16, "type": "text", "bbox": { "l": 47.9863, "t": 166.7664, "r": 152.1166, "b": 113.0172 }, "text": "Economic growth & productivity Infrastructure & housing", "reading_order": 12 }, { "id": "p23.2.14", "order": 17, "type": "text", "bbox": { "l": 583.9935, "t": 166.5264, "r": 666.2901, "b": 113.7371 }, "text": "Safety & community resilience", "reading_order": 13 }, { "id": "p23.2.15", "order": 18, "type": "text", "bbox": { "l": 180.4286, "t": 161.9674, "r": 395.1674, "b": 123.0952 }, "text": "Infrastructure & housing Skills & education", "reading_order": 14 }, { "id": "p23.2.16", "order": 19, "type": "text", "bbox": { "l": 454.6704, "t": 160.0477, "r": 524.9704, "b": 123.3351 }, "text": "Health & wellbeing", "reading_order": 15 }, { "id": "p23.2.17", "order": 20, "type": "text", "bbox": { "l": 705.8788, "t": 157.4083, "r": 798.2524, "b": 137.9722 }, "text": "Connectivity", "reading_order": 16 } ], "reading_order": 1 }, { "id": "p23.3", "order": 21, "type": "text", "bbox": { "l": 804.2507, "t": 201.5594, "r": 830.1634, "b": 42.9513 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 2 }, { "id": "p23.4", "order": 22, "type": "footer", "bbox": { "l": 39.1089, "t": 91.9015, "r": 537.6867, "b": 81.1037 }, "text": "Source: Defra, Future of Rural England (16 July 2026); GOV.UK. Rural proofing applies to England; devolved administrations have separate responsibilities.", "attrs": { "block_label": "footer" }, "reading_order": 3 } ] }, { "document_id": 10838, "page": 24, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 7, "counts_by_type": { "figure": 2, "heading": 1, "text": 4 }, "build_ms": 1, "items": [ { "id": "p24.1", "order": 1, "type": "figure", "bbox": { "l": 644.4563, "t": 555.2481, "r": 833.0425, "b": 451.349 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image", "embedded_text": "Agenda" }, "reading_order": 0 }, { "id": "p24.2", "order": 2, "type": "figure", "bbox": { "l": 804.4907, "t": 554.2883, "r": 830.8831, "b": 400.9592 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image", "embedded_text": "Agenda\nItem" }, "reading_order": 1 }, { "id": "p24.3", "order": 3, "type": "heading", "bbox": { "l": 33.8304, "t": 500.5391, "r": 631.0201, "b": 470.7851 }, "text": "Rural Proofing of Devon Policies & Services", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 2 }, { "id": "p24.4", "order": 4, "type": "text", "bbox": { "l": 30.4713, "t": 451.349, "r": 819.6064, "b": 365.2064 }, "text": "Devon County Council Adult Social Care Service - Devon Communities Together was commissioned to carry out an inspection of Adult Social Care core policies to check for unconscious bias in terms of rurality and deprivation. Devon Communities Together submitted a detailed Rural Proofing Review Report with recommendations in June 2024.", "reading_order": 3 }, { "id": "p24.5", "order": 5, "type": "text", "bbox": { "l": 31.9109, "t": 345.5304, "r": 810.489, "b": 259.1478 }, "text": "As a result of your work, and guided by it, we are now building into the business as usual review schedule of our operational guidance, the lens of ensuring equality of access, experience and outcomes for those people living in rural communities\". James Martin, Policy and Executive Support Manager, Office of the Director of Integrated Adult Social Care Devon County Council", "reading_order": 4 }, { "id": "p24.6", "order": 6, "type": "text", "bbox": { "l": 31.671, "t": 241.1514, "r": 815.2876, "b": 176.6044 }, "text": "Devon & Torbay Combined County Authority– Through the Combined County Authority (CCA) Business Advisory Group, Devon Communities Together conducted a light touch rural proofing review of the Local Growth Delivery Plan 2025 – 2030", "reading_order": 5 }, { "id": "p24.7", "order": 7, "type": "text", "bbox": { "l": 32.8706, "t": 156.9284, "r": 793.6937, "b": 92.1414 }, "text": "ACRE National Rural Proofing Network – Devon Communities Together collaborated on the development of a Rural Proofing Toolkit 2026 which is an available resource to Health & Wellbeing Board partners.", "reading_order": 6 } ] }, { "document_id": 10838, "page": 25, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 15, "counts_by_type": { "figure": 1, "heading": 1, "list": 1, "list_item": 4, "text": 8 }, "build_ms": 1, "items": [ { "id": "p25.1", "order": 1, "type": "heading", "bbox": { "l": 43.6676, "t": 501.4989, "r": 576.0758, "b": 476.7839 }, "text": "ASK 2 | Approve a shared rural intelligence approach", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p25.2", "order": 2, "type": "text", "bbox": { "l": 39.5887, "t": 465.9861, "r": 769.4607, "b": 390.1614 }, "text": "Ask: Rural Disadvantage cannot be fully understood through any single dataset. The Board should approve a shared approach that combines quantitative data, local intelligence and lived experience to identify communities experiencing hidden disadvantage and prioritise areas for action?", "reading_order": 1 }, { "id": "p25.3", "order": 3, "type": "list_item", "bbox": { "l": 40.7884, "t": 383.05766000000006, "r": 765.3818, "b": 342.411 }, "text": "Approve the development, testing & adoption of the Composite Exclusion Risk Index (CERI) as part of a wider rural intelligence framework to identify hidden disadvantage.", "marker": "-", "reading_order": 2 }, { "id": "p25.4", "order": 4, "type": "list", "bbox": { "l": 34.0703, "t": 334.2526, "r": 757.2241, "b": 184.0429 }, "text": "", "attrs": { "item_count": 3 }, "children": [ { "id": "p25.4.1", "order": 5, "type": "list_item", "bbox": { "l": 34.0703, "t": 334.2526, "r": 738.9893, "b": 277.3841 }, "text": "Page\nApprove a shared rural intelligence approach that brings together CERI, IMD, service intelligence, local insight and lived experience to provide a more complete understanding of rural disadvantage at a very local level.", "reading_order": 0 }, { "id": "p25.4.2", "order": 6, "type": "list_item", "bbox": { "l": 35.9897, "t": 270.739526, "r": 757.2241, "b": 230.3536 }, "text": "Approve partnership mapping to identify existing activity, community assets, service provision, gaps and opportunities for collaboration.", "reading_order": 1 }, { "id": "p25.4.3", "order": 7, "type": "list_item", "bbox": { "l": 40.3085, "t": 224.17864100000003, "r": 718.3552, "b": 184.0429 }, "text": "Support the selection of pilot place(s) to test the approach, align partners around shared priorities and evaluate impact.", "reading_order": 2 } ], "reading_order": 3 }, { "id": "p25.5", "order": 8, "type": "text", "bbox": { "l": 803.291, "t": 198.9199, "r": 829.9234, "b": 41.9915 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 4 }, { "id": "p25.6", "order": 9, "type": "figure", "bbox": { "l": 290.7971, "t": 190.2816, "r": 814.3279, "b": 83.9831 }, "text": "", "attrs": { "block_label": "image" }, "children": [ { "id": "p25.6.1", "order": 10, "type": "text", "bbox": { "l": 416.0414, "t": 172.5252, "r": 476.7441, "b": 103.6591 }, "text": "Select test places through a shared rural intelligence approach", "reading_order": 0 }, { "id": "p25.6.2", "order": 11, "type": "text", "bbox": { "l": 730.5917, "t": 166.7664, "r": 800.8917, "b": 110.3778 }, "text": "Establish baseline measures and success indicators", "reading_order": 1 }, { "id": "p25.6.3", "order": 12, "type": "text", "bbox": { "l": 627.4211, "t": 155.9686, "r": 692.2027, "b": 120.4557 }, "text": "Identify existing funding pots", "reading_order": 2 }, { "id": "p25.6.4", "order": 13, "type": "text", "bbox": { "l": 531.2086, "t": 155.4887, "r": 574.6362, "b": 121.1756 }, "text": "Agree a shared baseline", "reading_order": 3 }, { "id": "p25.6.5", "order": 14, "type": "text", "bbox": { "l": 309.7517, "t": 150.4497, "r": 368.0551, "b": 126.2146 }, "text": "Nominate a senior lead", "reading_order": 4 } ], "reading_order": 5 }, { "id": "p25.7", "order": 15, "type": "text", "bbox": { "l": 167.7122, "t": 165.0867, "r": 279.7603, "b": 146.6104 }, "text": "First 100 days:\nNominate a\nsenior lead", "reading_order": 6 } ] }, { "document_id": 10838, "page": 26, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 7, "counts_by_type": { "figure": 2, "heading": 1, "list_item": 2, "text": 2 }, "build_ms": 0, "items": [ { "id": "p26.1", "order": 1, "type": "figure", "bbox": { "l": 1.4396, "t": 541.3309, "r": 47.0266, "b": 63.1073 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "Page\n20" }, "reading_order": 0 }, { "id": "p26.2", "order": 2, "type": "heading", "bbox": { "l": 74.3788, "t": 504.3783, "r": 408.3636, "b": 446.7899 }, "text": "Why Develop a Devon Rural Intelligence System?", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p26.3", "order": 3, "type": "list_item", "bbox": { "l": 58.3034, "t": 421.40228, "r": 403.8049, "b": 355.6083 }, "text": "No single dataset or methodology fully captures rural deprivation, exclusion, resilience, opportunity or local context.", "marker": "-", "reading_order": 2 }, { "id": "p26.4", "order": 4, "type": "text", "bbox": { "l": 32.8706, "t": 333.7727, "r": 437.3953, "b": 228.194 }, "text": "Page 20\n• A Devon Rural Intelligence System brings together multiple sources of quantitative and qualitative evidence to support better understanding, decision-making and place-based action.", "reading_order": 3 }, { "id": "p26.5", "order": 5, "type": "list_item", "bbox": { "l": 58.0634, "t": 197.363558, "r": 421.5598, "b": 111.0976 }, "text": "This directly supports the Rural Strategic Framework's ambition to strengthen the evidence base for understanding and responding to rural need.", "marker": "-", "reading_order": 4 }, { "id": "p26.6", "order": 6, "type": "figure", "bbox": { "l": 436.6755, "t": 545.4101, "r": 832.5627, "b": 101.4995 }, "text": "", "attrs": { "block_label": "image" }, "children": [ { "id": "p26.6.1", "order": 7, "type": "text", "bbox": { "l": 802.8111, "t": 554.7682, "r": 829.4436, "b": 397.3599 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 0 } ], "reading_order": 5 } ] }, { "document_id": 10838, "page": 27, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 15, "counts_by_type": { "figure": 2, "footnote": 1, "heading": 1, "list": 1, "list_item": 6, "text": 4 }, "build_ms": 1, "items": [ { "id": "p27.1", "order": 1, "type": "figure", "bbox": { "l": 697.7211, "t": 523.5745, "r": 822.7255, "b": 480.8631 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 0 }, { "id": "p27.2", "order": 2, "type": "heading", "bbox": { "l": 61.4225, "t": 511.3369, "r": 530.4888, "b": 485.1822 }, "text": "Devon Composite Risk Exclusion Index", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p27.3", "order": 3, "type": "text", "bbox": { "l": 60.2228, "t": 465.7461, "r": 281.1998, "b": 446.0701 }, "text": "Looking beyond Deprivation", "reading_order": 2 }, { "id": "p27.4", "order": 4, "type": "text", "bbox": { "l": 59.743, "t": 429.9933, "r": 434.5161, "b": 353.2088 }, "text": "Key Message: CERI provides an additional lens to identify communities that may be at greater risk of exclusion and less resilient to economic, social or service-related shocks.", "reading_order": 3 }, { "id": "p27.5", "order": 5, "type": "text", "bbox": { "l": 34.0703, "t": 322.7349, "r": 51.8252, "b": 264.1867 }, "text": "Page 21", "attrs": { "block_label": "aside_text" }, "reading_order": 4 }, { "id": "p27.6", "order": 6, "type": "list", "bbox": { "l": 58.0634, "t": 340.2514, "r": 437.3953, "b": 96.4606 }, "text": "", "attrs": { "item_count": 6 }, "children": [ { "id": "p27.6.1", "order": 7, "type": "list_item", "bbox": { "l": 60.4628, "t": 340.2514, "r": 437.3953, "b": 283.6228 }, "text": "Question answered: Which rural communities may face greater exclusion risk and have fewer routes to recovery?", "reading_order": 0 }, { "id": "p27.6.2", "order": 8, "type": "list_item", "bbox": { "l": 58.0634, "t": 266.94876000000005, "r": 435.9557, "b": 198.9199 }, "text": "CERI combines measures relating to Digital Exclusion, Transport Exclusion, Social Exclusion, Employment Exclusion, alongside wider factors relating to health, housing, skills and access to healthy assets", "marker": "-", "reading_order": 1 }, { "id": "p27.6.3", "order": 9, "type": "list_item", "bbox": { "l": 58.7832, "t": 199.504566, "r": 322.708, "b": 180.36804600000005 }, "text": "Explores Hidden Rural Disadvantage", "marker": "•", "reading_order": 2 }, { "id": "p27.6.4", "order": 10, "type": "list_item", "bbox": { "l": 58.7832, "t": 182.58506600000004, "r": 384.8503, "b": 163.44854600000002 }, "text": "Provides an additional lens beyond deprivation", "marker": "•", "reading_order": 3 }, { "id": "p27.6.5", "order": 11, "type": "list_item", "bbox": { "l": 58.5433, "t": 165.78853800000002, "r": 412.4424, "b": 131.7334 }, "text": "Many identify communities not highlighted through traditional deprivation measures alone", "marker": "•", "reading_order": 4 }, { "id": "p27.6.6", "order": 12, "type": "list_item", "bbox": { "l": 58.7832, "t": 132.18379800000002, "r": 424.6789, "b": 96.4606 }, "text": "Generating national interest and emerging academic partnerships", "marker": "•", "reading_order": 5 } ], "reading_order": 5 }, { "id": "p27.7", "order": 13, "type": "figure", "bbox": { "l": 480.1031, "t": 424.9543, "r": 774.0194, "b": 124.055 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"", "attrs": { "role": "page_header", "block_label": "header_image", "embedded_text": "Agenda\nItem\n6" }, "reading_order": 0 }, { "id": "p28.2", "order": 2, "type": "figure", "bbox": { "l": 697.2412, "t": 548.7694, "r": 830.1634, "b": 473.4246 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image", "embedded_text": "Agenda" }, "reading_order": 1 }, { "id": "p28.3", "order": 3, "type": "text", "bbox": { "l": 33.5904, "t": 334.9725, "r": 53.0249, "b": 273.3049 }, "text": "Page 22", "attrs": { "block_label": "aside_text" }, "reading_order": 2 }, { "id": "p28.4", "order": 4, "type": "heading", "bbox": { "l": 59.2631, "t": 506.5379, "r": 528.3294, "b": 479.9033 }, "text": "How the Intelligence is used in practice", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 3 }, { "id": "p28.5", "order": 5, "type": "heading", "bbox": { "l": 59.0232, "t": 463.8265, "r": 526.4099, "b": 445.3502 }, "text": "Developing and Testing the Devon Rural 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"b": 123.815 }, "text": "", "attrs": { "item_count": 3 }, "children": [ { "id": "p29.2.1", "order": 3, "type": "list_item", "bbox": { "l": 24.473, "t": 438.80228, "r": 405.9643, "b": 330.8933 }, "text": "Partners to approve the creation & use of a shared Rural Deprivation Partnership Innovation Fund, with shared outcome measures & aligned to existing budgets rather than creating a new bureaucracy.", "marker": "-", "reading_order": 0 }, { "id": "p29.2.2", "order": 4, "type": "list_item", "bbox": { "l": 26.1525, "t": 324.80273, "r": 405.0045, "b": 237.7921 }, "text": "Prioritise locally designed and co-produced action on warm homes, digital inclusion, social connection, transport and access to prevention.", "marker": "•", "reading_order": 1 }, { "id": "p29.2.3", "order": 5, "type": "list_item", "bbox": { "l": 24.713, "t": 230.1136, "r": 396.1271, "b": 123.815 }, "text": "Give rural communities a route from 'good local project' to 'system partner' – invest in relationships & pool resources so everyone has a stake in procurement & building value\nFirst 100 days:", "marker": "•", "reading_order": 2 } ], "reading_order": 1 }, { "id": "p29.3", "order": 6, "type": "figure", "bbox": { "l": 418.6806, "t": 385.1224, "r": 826.3244, "b": 89.9819 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "Agenda" }, "children": [ { "id": "p29.3.1", "order": 7, "type": "heading", "bbox": { "l": 419.4004, "t": 375.7643, "r": 531.4485, "b": 355.3684 }, "text": "First 100 days:", "level": 3, "reading_order": 0 }, { "id": "p29.3.2", "order": 8, "type": "text", "bbox": { "l": 565.9987, "t": 331.1333, "r": 759.3835, "b": 149.4899 }, "text": "Address system question: how do the Board members work together to commission joined up place-based neighbourhood services & budgets in partnership with rural communities & VCSE sector?", "reading_order": 1 } ], "reading_order": 2 }, { "id": "p29.4", "order": 9, "type": "text", "bbox": { "l": 804.0108, "t": 201.3194, "r": 830.8831, "b": 41.7516 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 3 } ] }, { "document_id": 10838, "page": 30, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 7, "counts_by_type": { "heading": 1, "list": 1, "list_item": 2, "text": 3 }, "build_ms": 1, "items": [ { "id": "p30.1", "order": 1, "type": "heading", "bbox": { "l": 43.9075, "t": 501.4989, "r": 656.4529, "b": 477.9837 }, "text": "Devon Rural NHS Neighbourhood Footprint – The Challenge", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p30.2", "order": 2, "type": "text", "bbox": { "l": 43.4276, "t": 459.9873, "r": 787.6955, "b": 354.4086 }, "text": "• The Key Challenge is the commissioning of neighbourhood healthcare plans using the requirement of 30-50,000 residents. Devon has over 842,000 residents (split into 25-30 neighbourhood health plans to deliver health based services over 8000 km squared)\nhttps://www.england.nhs.uk/long-read/next-steps-on-neighbourhood-health-and-new-delivery-models/", "reading_order": 1 }, { "id": "p30.3", "order": 3, "type": "text", "bbox": { "l": 805.4504, "t": 553.5684, "r": 830.6432, "b": 395.9202 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 2 }, { "id": "p30.4", "order": 4, "type": "text", "bbox": { "l": 34.3102, "t": 334.2526, "r": 794.1736, "b": 269.4657 }, "text": "Page 24\n\nThese geographies may well work in an urban setting but will not work so well in a rural setting where trusted organisations are geographically dispersed and very much village/town location based and there will be the complexity of multiple healthcare providers.", "reading_order": 3 }, { "id": "p30.5", "order": 5, "type": "list", "bbox": { "l": 43.9075, "t": 251.24083900000005, "r": 792.4941, "b": 102.6993 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p30.5.1", "order": 6, "type": "list_item", "bbox": { "l": 44.3873, "t": 251.24083900000005, "r": 792.4941, "b": 165.3267 }, "text": "NHS England - Neighbourhood footprints should follow “natural communities”, not simply administrative boundaries. The national model envisages neighbourhoods of around 50,000 people, but explicitly recognises the need for local flexibility. This is particularly relevant where rural populations are dispersed and settlements are smaller.", "marker": "•", "reading_order": 0 }, { "id": "p30.5.2", "order": 7, "type": "list_item", "bbox": { "l": 43.9075, "t": 146.12128, "r": 790.8146, "b": 102.6993 }, "text": "A rural partnership approach between VCSE's and healthcare care providers such as the NHS Trusts, Adult and Children's services and Mental Health services is vital", "marker": "•", "reading_order": 1 } ], "reading_order": 4 } ] }, { "document_id": 10838, "page": 31, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 14, "counts_by_type": { "figure": 3, "footer": 2, "heading": 1, "list": 1, "list_item": 5, "text": 2 }, "build_ms": 0, "items": [ { "id": "p31.1", "order": 1, "type": "figure", "bbox": { "l": 744.9876, "t": 503.6585, "r": 816.2473, "b": 452.0689 }, "text": "", 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398.43973200000005 }, "text": "Over 6,000 VCSE organisations in the county.", "reading_order": 0 }, { "id": "p31.5.2", "order": 7, "type": "list_item", "bbox": { "l": 76.0583, "t": 396.823896, "r": 574.8761, "b": 368.20103200000005 }, "text": "Many of them specifically serve rural communities.", "marker": "•", "reading_order": 1 }, { "id": "p31.5.3", "order": 8, "type": "list_item", "bbox": { "l": 75.0986, "t": 366.57509600000003, "r": 617.8239, "b": 314.5766 }, "text": "Substantial long term funding received from the ICB for VCSE infrastructure.", "marker": "-", "reading_order": 2 }, { "id": "p31.5.4", "order": 9, "type": "list_item", "bbox": { "l": 75.0986, "t": 311.01959600000004, "r": 613.745, "b": 258.9078 }, "text": "Much of this funding will support small VCSE networks in rural locations.", "marker": "•", "reading_order": 3 }, { "id": "p31.5.5", "order": 10, "type": "list_item", "bbox": { "l": 75.5785, "t": 255.46409600000004, "r": 611.8256, "b": 201.3194 }, "text": "VCSE 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"text": "Digital inclusion should include devices/data, skills, trust and accessible service design. Rural barriers include patchy broadband/mobile coverage, device and data costs, and limited confidence.", "marker": "-", "reading_order": 1 }, { "id": "p33.5.3", "order": 8, "type": "list_item", "bbox": { "l": 36.2297, "t": 296.92818900000003, "r": 483.2223, "b": 214.9967 }, "text": "Embedding digital support in community settings can reach people who do not respond to centralised or online offers (ICB Digital Inclusion investment in VCSE community grant fund £85k 2026/27)", "reading_order": 2 }, { "id": "p33.5.4", "order": 9, "type": "list_item", "bbox": { "l": 37.1894, "t": 205.8785, "r": 475.3045, "b": 106.5385 }, "text": "Transferable lesson: treat digital inclusion as a determinant of health – not an IT project. System response: retain phone and face-to-face routes, fund assisted digital support, and co-design services with excluded residents.\nPublic Health identifies\nForever Connected and Digital Skills Devon as community-based examples described by residents as highly impactful.", "marker": "•", "reading_order": 3 } ], "reading_order": 4 }, { "id": "p33.6", "order": 10, "type": "text", "bbox": { "l": 578.955, "t": 207.7981, "r": 786.4958, "b": 122.3753 }, "text": "Public Health identifies\nForever Connected and Digital\nSkills Devon as community-\nbased examples described by\nresidents as highly impactful.", "reading_order": 5 }, { "id": "p33.7", "order": 11, "type": "text", "bbox": { "l": 805.4504, "t": 200.5996, "r": 830.4033, "b": 61.6676 }, "text": "Agenda Item", "attrs": { "block_label": "aside_text" }, "reading_order": 6 }, { "id": "p33.8", "order": 12, "type": "footer", "bbox": { "l": 568.398, "t": 79.9039, "r": 807.8497, "b": 70.3058 }, "text": "Source: Devon Public Health Annual Report 2022/23: Energy Saving Devon", "attrs": { "block_label": "footer" }, "reading_order": 7 }, { "id": "p33.9", "order": 13, "type": "footer", "bbox": { "l": 808.8094, "t": 57.1085, "r": 829.4436, "b": 42.9513 }, "text": "", "attrs": { "block_label": "footer_image" }, "reading_order": 8 } ] }, { "document_id": 10838, "page": 34, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 12, "counts_by_type": { "figure": 1, "footer": 1, "footnote": 1, "heading": 1, "list": 1, "list_item": 5, "text": 2 }, "build_ms": 1, "items": [ { "id": "p34.1", "order": 1, "type": "heading", "bbox": { "l": 39.3488, "t": 524.0544, "r": 679.9662, "b": 496.9398 }, "text": "Digital exclusion can turn 'digital first' into 'no access'", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p34.2", "order": 2, "type": "figure", "bbox": { "l": 41.0283, "t": 491.9008, "r": 295.1159, "b": 323.2148 }, "text": "", "attrs": { "block_label": "image" }, "reading_order": 1 }, { "id": "p34.3", "order": 3, "type": "list_item", "bbox": { "l": 36.9495, "t": 309.49576, "r": 272.0824, "b": 287.90584 }, "text": "Rural barriers include patchy", "reading_order": 2 }, { "id": "p34.4", "order": 4, "type": "list", "bbox": { "l": 35.9897, "t": 288.6618, "r": 753.955167, "b": 100.2998 }, "text": "", "attrs": { "item_count": 4 }, "children": [ { "id": "p34.4.1", "order": 5, "type": "list_item", "bbox": { "l": 36.7095, "t": 288.6618, "r": 345.5015, "b": 250.2696 }, "text": "broadband/mobile coverage, device and data costs, and limited confidence.", "reading_order": 0 }, { "id": "p34.4.2", "order": 6, "type": "list_item", "bbox": { "l": 58.5606, "t": 242.880202, "r": 753.955167, "b": 222.0826 }, "text": "People can be digitally excluded even when they have a smartphone: confidence, trust, accessibility and service design matter.", "marker": "•", "reading_order": 1 }, { "id": "p34.4.3", "order": 7, "type": "list_item", "bbox": { "l": 35.9897, "t": 204.32, "r": 337.5838, "b": 166.05 }, "text": "Devon’s overall Digital Exclusion Risk Index is 3.9/10", "marker": "•", "attrs": { "bbox_estimated": true }, "reading_order": 2 }, { "id": "p34.4.4", "order": 8, "type": "list_item", "bbox": { "l": 36.4696, "t": 156.9284, "r": 329.666, "b": 100.2998 }, "text": "Online-only access can compound existing inequalities in healthcare, benefits, education and employment.\nMid Devon and East Devon are 4.3, with some small areas reaching 6.6.", "marker": "•", "reading_order": 3 } ], "reading_order": 3 }, { "id": "p34.5", "order": 9, "type": "text", "bbox": { "l": 53.7447, "t": 99.8199, "r": 277.8408, "b": 89.0221 }, "text": "Source: Devon Public Health: Digital Exclusion JSNA (May/July 2026)\nPeggy is an older woman. Starting from being completely digitally excluded received multiple VCSE Digital Inclusion sessions over months in to help her feel more confident and to understand how best her iPad and phone could help her in her everyday life. Focusing on key skills to help her to connect with friends and family better, particularly her children who did not live close by greatly improved her wellbeing. These skills also enabled her to be more independent, and she was even able to contact bill providers over email when needed, as well as search the internet for information her with a new sense of independence.", "reading_order": 4 }, { "id": "p34.6", "order": 10, "type": "text", "bbox": { "l": 805.2105, "t": 553.3285, "r": 830.4033, "b": 395.4403 }, "text": "Agenda Item 6", "attrs": { "block_label": "aside_text" }, "reading_order": 5 }, { "id": "p34.7", "order": 11, "type": "footnote", "bbox": { "l": 35.2699, "t": 331.8531, "r": 50.6256, "b": 304.2587 }, "text": "pag", "attrs": { "block_label": "vision_footnote" }, "reading_order": 6 }, { "id": "p34.8", "order": 12, "type": "footer", "bbox": { "l": 60.7027, "t": 82.7833, "r": 784.5763, "b": 66.7066 }, "text": "Note: Photo for illustrative purposes only. Stock imagery used. Names and details have been changed to protect client confidentiality", "attrs": { "block_label": "footer" }, "reading_order": 7 } ] }, { "document_id": 10838, "page": 35, "width": 841.92, "height": 595.32, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 841.92, "height_pt": 595.32, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 6, "counts_by_type": { "figure": 1, "heading": 1, "text": 4 }, "build_ms": 0, "items": [ { "id": "p35.1", "order": 1, "type": "text", "bbox": { "l": 34.0703, "t": 322.7349, "r": 53.2648, "b": 261.3073 }, "text": "Page 29", "attrs": { "block_label": "aside_text" }, "reading_order": 0 }, { "id": "p35.2", "order": 2, "type": "figure", "bbox": { "l": 52.545, "t": 529.8132, "r": 841.92, "b": 208.518 }, "text": "", "attrs": { "block_label": "image", "embedded_text": "| What have we learnt- A Devon example?" }, "reading_order": 1 }, { "id": "p35.3", "order": 3, "type": "heading", "bbox": { "l": 56.8638, "t": 237.0722, "r": 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120.23438600000003, "r": 472.4253, "b": 103.55113 }, "text": "Devon County Council – Community Transport / Cost of Living: Transport.", "marker": "•", "reading_order": 7 }, { "id": "p43.6.9", "order": 21, "type": "list_item", "bbox": { "l": 18.4747, "t": 96.71644800000001, "r": 547.0441, "b": 80.03319199999999 }, "text": "Devon Public Health – Population Summary, including Breaking Barriers insights (2025).", "marker": "•", "reading_order": 8 } ], "reading_order": 5 }, { "id": "p43.7", "order": 22, "type": "text", "bbox": { "l": 805.2105, "t": 200.3596, "r": 830.1634, "b": 61.1877 }, "text": "Agenda Item", "attrs": { "block_label": "aside_text" }, "reading_order": 6 }, { "id": "p43.8", "order": 23, "type": "text", "bbox": { "l": 808.3296, "t": 57.3484, "r": 829.4436, "b": 42.4714 }, "text": "O", "attrs": { "block_label": "number" }, "reading_order": 7 } ] }, { "document_id": 10838, "page": 44, "width": 842, "height": 595, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 842, "height_pt": 595, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 0, "counts_by_type": [], "build_ms": 0, "items": [] }, { "document_id": 10838, "page": 45, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 18, "counts_by_type": { "footer": 1, "header": 2, "heading": 1, "link": 2, "list": 2, "list_item": 8, "text": 2 }, "build_ms": 2, "items": [ { "id": "p45.1", "order": 1, "type": "header", "bbox": { "l": 393.7474, "t": 831.3403, "r": 552.59, "b": 805.6609 }, "text": "Agenda Item 7", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 0 }, { "id": "p45.2", "order": 2, "type": "header", "bbox": { "l": 52.0678, "t": 770.3817, "r": 242.8229, "b": 726.2227 }, "text": "PH/26/09\nDevon Health and Wellbeing Board\n15 October 2026", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 1 }, { "id": "p45.3", "order": 3, "type": "text", "bbox": { "l": 53.0275, "t": 713.5031, "r": 521.8773, "b": 658.0644 }, "text": "Developing Devon's Neighbourhood Health Plan: Timeline and Principles\nPlease note that the following recommendations are subject to consideration and determination by the Committee before taking effect.", "reading_order": 2 }, { "id": "p45.4", "order": 4, "type": "heading", "bbox": { "l": 52.3077, "t": 638.1448, "r": 193.1546, "b": 620.8653 }, "text": "1) Recommendation", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 3 }, { "id": "p45.5", "order": 5, "type": "text", "bbox": { "l": 52.3077, "t": 602.1457, "r": 175.3988, "b": 587.746 }, "text": "The Board is asked to:", "reading_order": 4 }, { "id": "p45.6", "order": 6, "type": "list", "bbox": { "l": 50.6281, "t": 573.8264, "r": 543.7121, "b": 263.2737 }, "text": "", "attrs": { "item_count": 6 }, "children": [ { "id": "p45.6.1", "order": 7, "type": "list_item", "bbox": { "l": 69.3437, "t": 573.8264, "r": 543.7121, "b": 530.6274 }, "text": "Approve the timeline and principles set out in this paper, including focusing the January 2027 board meeting on achieving the foundation preparations for Neighbourhood Health.", "marker": "1.", "reading_order": 0 }, { "id": "p45.6.2", "order": 8, "type": "list_item", "bbox": { "l": 51.5879, "t": 517.9077, "r": 157.163, "b": 500.6281 }, "text": "Background", "marker": "2)", "attrs": { "block_label": "paragraph_title" }, "reading_order": 1 }, { "id": "p45.6.3", "order": 9, "type": "list_item", "bbox": { "l": 50.6281, "t": 481.6686, "r": 537.4736, "b": 424.3099 }, "text": "This paper sets out what neighbourhood health and neighbourhood health plans are and the role of the Health and Wellbeing Board within these, establishes a broad timeline for their preparation during 2026/27 and 2027/28, and defines guiding principles for the Health and Wellbeing Board to guide their production.", "reading_order": 2 }, { "id": "p45.6.4", "order": 10, "type": "list_item", "bbox": { "l": 51.3479, "t": 411.8302, "r": 338.5604, "b": 394.7906 }, "text": "What are Neighbourhood Health Plans?", "marker": "3)", "attrs": { "block_label": "paragraph_title" }, "reading_order": 3 }, { "id": "p45.6.5", "order": 11, "type": "list_item", "bbox": { "l": 50.6281, "t": 375.8311, "r": 536.5138, "b": 304.3128 }, "text": "In 2026, the Department of Health and Social Care published the Neighbourhood Health Framework, setting out the next steps for the NHS, local government and wider partners to develop neighbourhood health services as part of the 10-year health plan. This relates directly to 'hospital to community' strategic shift in the plan, and also links strongly with the strategic shifts from 'treatment to prevention' and from 'analogue to digital'", "children": [ { "id": "p45.6.5.1", "order": 12, "type": "link", "bbox": { "l": 401.556, "t": 376.205, "r": 524.978, "b": 362.406 }, "text": "Neighbourhood Health", "attrs": { "uri": "https://www.gov.uk/government/publications/neighbourhood-health-framework/neighbourhood-health-framework", "action_type": "/URI" }, "reading_order": 0 }, { "id": "p45.6.5.2", "order": 13, "type": "link", "bbox": { "l": 54, "t": 362.205, "r": 114.006, "b": 348.406 }, "text": "Framework,", "attrs": { "uri": "https://www.gov.uk/government/publications/neighbourhood-health-framework/neighbourhood-health-framework", "action_type": "/URI" }, "reading_order": 1 } ], "reading_order": 4 }, { "id": "p45.6.6", "order": 14, "type": "list_item", "bbox": { "l": 51.108, "t": 291.5931, "r": 515.1588, "b": 263.2737 }, "text": "National guidance has also defined three system levels at which neighbourhood health activities take place. These are:", "reading_order": 5 } ], "reading_order": 5 }, { "id": "p45.7", "order": 15, "type": "list", "bbox": { "l": 69.1037, "t": 250.40200000000004, "r": 539.6331, "b": 84.238 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p45.7.1", "order": 16, "type": "list_item", "bbox": { "l": 69.5836, "t": 250.40200000000004, "r": 539.1532, "b": 190.0755 }, "text": "Neighbourhoods (covering populations of around 30,000 to 50,000 people): where groups of GP practices, NHS community services, social care and other providers to deliver more co-ordinated and proactive care through multi-agency neighbourhood teams. At present these align to Primary Care Networks across Devon", "marker": "•", "reading_order": 0 }, { "id": "p45.7.2", "order": 17, "type": "list_item", "bbox": { "l": 69.1037, "t": 190.0300000000001, "r": 539.6331, "b": 84.238 }, "text": "Places (covering populations of around 150,000 to 350,000 people): where partnerships of health and care organisations on a wider footprint including local government, NHS providers, VCSE organisations, social care providers and others come together to join up the planning and delivery of services, redesign care pathways, engage with local communities and address health inequalities and the social and economic determinants of health. At present these align to Local Care Partnerships in Devon, with further alignment to local authority boundaries desirable.", "marker": "-", "reading_order": 1 } ], "reading_order": 6 }, { "id": "p45.8", "order": 18, "type": "footer", "bbox": { "l": 272.8158, "t": 52.7987, "r": 334.4813, "b": 35.2792 }, "text": "Page 39", "attrs": { "block_label": "number" }, "reading_order": 7 } ] }, { "document_id": 10838, "page": 46, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 19, "counts_by_type": { "footer": 1, "heading": 1, "list": 2, "list_item": 12, "text": 3 }, "build_ms": 2, "items": [ { "id": "p46.1", "order": 1, "type": "heading", "bbox": { "l": 40.7904, "t": 831.1003, "r": 199.873, "b": 805.6609 }, "text": "Agenda Item 7", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 0 }, { "id": "p46.2", "order": 2, "type": "list_item", "bbox": { "l": 69.3437, "t": 769.8960000000001, "r": 540.8328, "b": 694.0635 }, "text": "Systems (covering populations of around 500,000 to 3 million people): where health and care partners come together at scale to set overall system strategy, manage resources and performance, plan specialist services, and drive strategic improvements in areas such as workforce planning, digital infrastructure and estates. This aligns to the Integrated Care Board.", "marker": "•", "reading_order": 1 }, { "id": "p46.3", "order": 3, "type": "text", "bbox": { "l": 51.108, "t": 686.3837, "r": 542.7524, "b": 599.9857 }, "text": "Neighbourhood health plans are local strategic frameworks developed by local government, the NHS, and community partners to integrate health, social care, and public health services around local populations. Working through Health and Wellbeing Boards, the ICB and local authorities are jointly responsible for producing a statutory Neighbourhood Health Plan for the local authority area and have a statutory duty to have regard to the Plan in exercising their functions.", "reading_order": 2 }, { "id": "p46.4", "order": 4, "type": "text", "bbox": { "l": 51.108, "t": 588.226, "r": 542.2725, "b": 530.1474 }, "text": "During 2026/27 Health and Wellbeing Boards must complete foundational preparations to transition into full implementation of locally owned Neighbourhood Health Plans for the 2027/28 commissioning cycle under the national Neighbourhood Health Framework. Specifically the requirements are to:", "reading_order": 3 }, { "id": "p46.5", "order": 5, "type": "list", "bbox": { "l": 68.8638, "t": 518.633, "r": 541.3127, "b": 336.952 }, "text": "", "attrs": { "item_count": 4 }, "children": [ { "id": "p46.5.1", "order": 6, "type": "list_item", "bbox": { "l": 69.3437, "t": 518.633, "r": 541.3127, "b": 443.2695 }, "text": "Agree neighbourhood footprints and governance arrangements for neighbourhood health, including reviewing board membership and reporting processes to align to new neighbourhood health duties, and establishing governance arrangements which facilitate coordination across the Integrated Care System and engagement with locality partners", "marker": "•", "reading_order": 0 }, { "id": "p46.5.2", "order": 7, "type": "list_item", "bbox": { "l": 68.8638, "t": 443.37, "r": 517.3183, "b": 398.6305 }, "text": "Establish outcomes measures (focusing on local monitoring of core national outcome measures during 2026/27 before defining local outcome measures and objectives during 2027/28) and agree operational delivery targets as required", "marker": "-", "reading_order": 1 }, { "id": "p46.5.3", "order": 8, "type": "list_item", "bbox": { "l": 69.3437, "t": 397.889, "r": 524.9965, "b": 367.1913 }, "text": "Alignment with the Joint Strategic Needs Assessment so neighbourhood health priorities respond to local needs and health inequalities", "marker": "-", "reading_order": 2 }, { "id": "p46.5.4", "order": 9, "type": "list_item", "bbox": { "l": 69.3437, "t": 367.29900000000004, "r": 530.5152, "b": 336.952 }, "text": "Confirmation of how pooled funding arrangements such as the Better Care Fund will be used to align care delivery at a neighbourhood level.", "marker": "-", "reading_order": 3 } ], "reading_order": 4 }, { "id": "p46.6", "order": 10, "type": "text", "bbox": { "l": 51.3479, "t": 328.5522, "r": 474.1285, "b": 298.7929 }, "text": "During 2027/28, each Health and Wellbeing Board will develop a locally owned neighbourhood health plan. This will:", "reading_order": 5 }, { "id": "p46.7", "order": 11, "type": "list", "bbox": { "l": 69.3437, "t": 286.70900000000006, "r": 542.5124, "b": 117.1172 }, "text": "", "attrs": { "item_count": 7 }, "children": [ { "id": "p46.7.1", "order": 12, "type": "list_item", "bbox": { "l": 69.3437, "t": 286.70900000000006, "r": 542.5124, "b": 256.5539 }, "text": "Describe how the three national ‘strategic shifts’ (hospital to community, treatment to prevention and analogue to digital) will be delivered locally", "marker": "-", "reading_order": 0 }, { "id": "p46.7.2", "order": 13, "type": "list_item", "bbox": { "l": 69.3437, "t": 256.119, "r": 524.9965, "b": 226.0746 }, "text": "Explain how neighbourhood health will support wider local goals, including reducing health inequalities and contributing to broader public service reform", "marker": "-", "reading_order": 1 }, { "id": "p46.7.3", "order": 14, "type": "list_item", "bbox": { "l": 69.5836, "t": 225.529, "r": 475.8081, "b": 196.0753 }, "text": "Show how local objectives are informed by the JSNA and other relevant assessments", "marker": "-", "reading_order": 2 }, { "id": "p46.7.4", "order": 15, "type": "list_item", "bbox": { "l": 69.5836, "t": 194.93900000000008, "r": 394.7072, "b": 179.5157 }, "text": "Confirm final neighbourhood geographies for delivery", "reading_order": 3 }, { "id": "p46.7.5", "order": 16, "type": "list_item", "bbox": { "l": 69.5836, "t": 179.24, "r": 459.9718, "b": 163.9161 }, "text": "Set out organisational responsibilities, including who delivers what", "marker": "•", "reading_order": 4 }, { "id": "p46.7.6", "order": 17, "type": "list_item", "bbox": { "l": 69.5836, "t": 163.54100000000005, "r": 436.4574, "b": 148.3165 }, "text": "Define governance and operational partnership arrangements", "marker": "-", "reading_order": 5 }, { "id": "p46.7.7", "order": 18, "type": "list_item", "bbox": { "l": 69.3437, "t": 147.84199999999998, "r": 538.4334, "b": 117.1172 }, "text": "Show how neighbourhood health aligns with other local initiatives (e.g. Best Start Family Hubs, mental health hubs, housing, Pride in Place, employment support).", "marker": "-", "reading_order": 6 } ], "reading_order": 6 }, { "id": "p46.8", "order": 19, "type": "footer", "bbox": { "l": 261.0586, "t": 52.7987, "r": 322.4842, "b": 35.2792 }, "text": "Page 40", "attrs": { "block_label": "number" }, "reading_order": 7 } ] }, { "document_id": 10838, "page": 47, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 24, "counts_by_type": { "footer": 1, "header": 1, "heading": 2, "list": 1, "list_item": 2, "table": 1, "table_cell": 14, "text": 2 }, "build_ms": 4, "items": [ { "id": "p47.1", "order": 1, "type": "header", "bbox": { "l": 393.9873, "t": 830.6203, "r": 552.1102, "b": 806.1408 }, "text": "Agenda Item 7", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 0 }, { "id": "p47.2", "order": 2, "type": "heading", "bbox": { "l": 51.3479, "t": 769.4217, "r": 391.348, "b": 752.3821 }, "text": "4) Timeline for Devon Health and Wellbeing Board", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p47.3", "order": 3, "type": "text", "bbox": { "l": 51.3479, "t": 733.4226, "r": 543.4722, "b": 690.2236 }, "text": "Based on the requirements of Neighbourhood Health Plans outlined in section 2 above, the following table sets a broad timeline, aligned to Devon Health and Wellbeing Board meeting dates, when relevant actions will be undertaken.", "reading_order": 2 }, { "id": "p47.4", "order": 4, "type": "table", "bbox": { "l": 52.5476, "t": 680.3838, "r": 514.9189, "b": 477.1087 }, "text": "", "attrs": { "block_label": "table", "n_rows": 7, "n_cols": 2, "integrity": { "cells_checked": 14, "cells_flagged": 1, "flags": [ { "row": 2, "col": 1, "coverage": 0.53, "text": "Board Meeting focused on achieving foundational preparation…" } ] } }, "children": [ { "id": "p47.4.1", "order": 5, "type": "table_cell", "bbox": { "l": 144.45, "t": 632.3960000000001, "r": 222.497926, "b": 621.128 }, "text": "Board Meeting", "attrs": { "row": 0, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 0 }, { "id": "p47.4.2", "order": 6, "type": "table_cell", "bbox": { "l": 144.45, "t": 675.384, "r": 187.794, "b": 664.128 }, "text": "Activity", "attrs": { "row": 0, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true, "column_header": true, "header_source": "pdf" }, "reading_order": 1 }, { "id": "p47.4.3", "order": 7, "type": "table_cell", "bbox": { "l": 59.65, "t": 646.8960000000001, "r": 132.358, "b": 635.628 }, "text": "October 2026", "attrs": { "row": 1, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 2 }, { "id": "p47.4.4", "order": 8, "type": "table_cell", "bbox": { "l": 144.45, "t": 646.8960000000001, "r": 361.241999, "b": 635.628 }, "text": "Approval of timeline and principles paper", "attrs": { "row": 1, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 3 }, { "id": "p47.4.5", "order": 9, "type": "table_cell", "bbox": { "l": 59.65, "t": 632.3960000000001, "r": 132.369902, "b": 621.128 }, "text": "January 2027", "attrs": { "row": 2, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 4 }, { "id": "p47.4.6", "order": 10, "type": "table_cell", "bbox": { "l": 283.7332, "t": 629.565, "r": 514.9189, "b": 604.1556 }, "text": "Board Meeting focused on achieving foundational preparations for Neighbourhood Health Plans setting actions to be achieved by March 2026", "attrs": { "row": 2, "col": 1, "rowspan": 1, "colspan": 1 }, "reading_order": 5 }, { "id": "p47.4.7", "order": 11, "type": "table_cell", "bbox": { "l": 59.65, "t": 589.8960000000001, "r": 113.685804, "b": 578.628 }, "text": "April 2027", "attrs": { "row": 3, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 6 }, { "id": "p47.4.8", "order": 12, "type": "table_cell", "bbox": { "l": 144.45, "t": 589.8960000000001, "r": 479.958329, "b": 564.628 }, "text": "Establishment of regular ICB and Locality reports to Health and Wellbeing Board on neighbourhood health developments", "attrs": { "row": 3, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 7 }, { "id": "p47.4.9", "order": 13, "type": "table_cell", "bbox": { "l": 59.65, "t": 561.396, "r": 111.022, "b": 550.128 }, "text": "July 2027", "attrs": { "row": 4, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 8 }, { "id": "p47.4.10", "order": 14, "type": "table_cell", "bbox": { "l": 144.45, "t": 561.396, "r": 489.341438, "b": 536.128 }, "text": "Initiation of detailed work on production of Neighbourhood Health Plan", "attrs": { "row": 4, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 9 }, { "id": "p47.4.11", "order": 15, "type": "table_cell", "bbox": { "l": 59.65, "t": 532.896, "r": 132.369902, "b": 507.12800000000004 }, "text": "October 2027\nJanuary 2028", "attrs": { "row": 5, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true }, "reading_order": 10 }, { "id": "p47.4.12", "order": 16, "type": "table_cell", "bbox": { "l": 144.45, "t": 532.896, "r": 503.345241, "b": 493.12800000000004 }, "text": "Progress update on development of Neighbourhood Health Plan\nPresentation and discussion of draft Neighbourhood Health Plan for Devon", "attrs": { "row": 5, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true, "merged_continuation": true }, "reading_order": 11 }, { "id": "p47.4.13", "order": 17, "type": "table_cell", "bbox": { "l": 59.65, "t": 489.896, "r": 123.022, "b": 478.62800000000004 }, "text": "March 2028", "attrs": { "row": 6, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 12 }, { "id": "p47.4.14", "order": 18, "type": "table_cell", "bbox": { "l": 144.45, "t": 489.896, "r": 498.677852, "b": 478.62800000000004 }, "text": "Publication of Final 2027/28 Neighbourhood Health Plan for Devon", "attrs": { "row": 6, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true }, "reading_order": 13 } ], "reading_order": 3 }, { "id": "p47.5", "order": 19, "type": "heading", "bbox": { "l": 52.0678, "t": 449.7493, "r": 142.0466, "b": 432.7097 }, "text": "5) Principles", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 4 }, { "id": "p47.6", "order": 20, "type": "text", "bbox": { "l": 51.3479, "t": 413.2702, "r": 494.5237, "b": 384.4709 }, "text": "The following guiding principles are recommended to guide the development of the Neighbourhood Health Plan for Devon:", "reading_order": 5 }, { "id": "p47.7", "order": 21, "type": "list", "bbox": { "l": 68.8638, "t": 372.002, "r": 541.0728, "b": 87.3579 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p47.7.1", "order": 22, "type": "list_item", "bbox": { "l": 69.3437, "t": 372.002, "r": 539.1532, "b": 252.234 }, "text": "Wider Partnership and Prevention Focus: rather than being an NHS-specific plan, neighbourhood health plans should set out how the NHS, local authorities and wider community partners can work together to improve the health of the population. As such they should focus on the shift from treatment to prevention, reducing health inequalities, and partnership work on the building blocks of health such as transport, housing, skills and regeneration. Establishing mechanisms for the Health and Wellbeing Board to engage with wider community partners and involve them in the co-design of neighbourhood health will be vital", "reading_order": 0 }, { "id": "p47.7.2", "order": 23, "type": "list_item", "bbox": { "l": 68.8638, "t": 252.06600000000003, "r": 541.0728, "b": 87.3579 }, "text": "Multi-Levelled: Neighbourhood health objectives may be defined by or be specific to different geographic 'levels' across the wider system. Certain priorities and outcome measures and high priority groups (such as those experiencing frailty, end of life, or specific long-term conditions), will be defined nationally. More locally, priorities may also emerge at ICB, place (locality or local authority) or neighbourhood levels, consistent with local priorities, populations and need. Finally within the 30-50,000 'neighbourhoods' used for neighbourhood health plannings, health inequalities will exist between communities and population groups, requiring the identification of priority areas and groups within the broader neighbourhood. For neighbourhood health plans to work effectively they will need to be consistent work at these multiple levels", "marker": "-", "reading_order": 1 } ], "reading_order": 6 }, { "id": "p47.8", "order": 24, "type": "footer", "bbox": { "l": 272.8158, "t": 52.7987, "r": 333.0417, "b": 35.5192 }, "text": "Page 41", "attrs": { "block_label": "number" }, "reading_order": 7 } ] }, { "document_id": 10838, "page": 48, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 8, "counts_by_type": { "caption": 1, "figure": 1, "footer": 1, "header": 1, "list": 1, "list_item": 3 }, "build_ms": 1, "items": [ { "id": "p48.1", "order": 1, "type": "header", "bbox": { "l": 41.0304, "t": 831.1003, "r": 199.873, "b": 805.9009 }, "text": "Agenda Item 7", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 0 }, { "id": "p48.2", "order": 2, "type": "list", "bbox": { "l": 68.8638, "t": 769.8960000000001, "r": 539.3931, "b": 409.4303 }, "text": "", "attrs": { "item_count": 3 }, "children": [ { "id": "p48.2.1", "order": 3, "type": "list_item", "bbox": { "l": 69.1037, "t": 769.8960000000001, "r": 538.6733, "b": 620.1453 }, "text": "Evidence and Intelligence Led: Neighbourhood Health plans should be informed by evidence and intelligence, to ensure they target local need, reduce health inequalities and support evidence-based interventions. The JSNA should inform this, making use of recent developments to JSNA tools to support neighbourhood health planning (see appendix 1) and ongoing development to address emerging priorities and reporting requirements. Both qualitative and quantitative data and evidence should inform the establishment of local priorities and interventions. Ensuring robust and effective data sharing exist between the NHS, local authorities and wider community partners to support new statutory duties around neighbourhood health will also be critical", "reading_order": 0 }, { "id": "p48.2.2", "order": 4, "type": "list_item", "bbox": { "l": 69.3437, "t": 620.178, "r": 538.6733, "b": 515.0278 }, "text": "Establishing Critical Success Factors: Critical success factors are the essential elements, conditions and activities required to achieve defined objectives. This includes the use of project management principles to establish specific and measurable goals, clarify the roles and responsibilities of different organisations and partners, and ongoing monitoring and refinement. Establishing critical success factors within the neighbourhood health plan will be vital and aligns with an evidence and intelligence led approach", "marker": "-", "reading_order": 1 }, { "id": "p48.2.3", "order": 5, "type": "list_item", "bbox": { "l": 68.8638, "t": 515.133, "r": 539.3931, "b": 409.4303 }, "text": "Integration in the Commissioning Cycle: The commissioning cycle refers to the process by which local services are commissioned and planned through the assessment of need, setting of priorities, planning and procuring of services and the monitoring of quality and outcomes, on an ongoing, cyclical basis as set out in figure 1 below. It is vital that the neighbourhood health plan are embedded in the commissioning cycle of health and care organisations and for that the Board is assured that this direct alignment is in place.", "marker": "-", "reading_order": 2 } ], "reading_order": 1 }, { "id": "p48.3", "order": 6, "type": "caption", "bbox": { "l": 52.3077, "t": 401.0305, "r": 245.7022, "b": 387.1108 }, "text": "Figure 1, The Commissioning Cycle", "attrs": { "block_label": "figure_title" }, "reading_order": 2 }, { "id": "p48.4", "order": 7, "type": "figure", "bbox": { "l": 53.0275, "t": 374.3911, "r": 354.6366, "b": 71.0383 }, "text": "", "attrs": { "block_label": "image" }, "reading_order": 3 }, { "id": "p48.5", "order": 8, "type": "footer", "bbox": { "l": 261.0586, "t": 52.7987, "r": 322.7241, "b": 35.0392 }, "text": "Page 42", "attrs": { "block_label": "number" }, "reading_order": 4 } ] }, { "document_id": 10838, "page": 49, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 17, "counts_by_type": { "footer": 1, "header": 1, "list_item": 1, "text": 14 }, "build_ms": 1, "items": [ { "id": "p49.1", "order": 1, "type": "header", "bbox": { "l": 394.2273, "t": 831.1003, "r": 552.3501, "b": 806.1408 }, "text": "Agenda Item 7", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 0 }, { "id": "p49.2", "order": 2, "type": "list_item", "bbox": { "l": 51.5879, "t": 741.1024, "r": 256.2597, "b": 725.0228 }, "text": "Conclusion and Next Steps", "marker": "6)", "attrs": { "block_label": "paragraph_title" }, "reading_order": 1 }, { "id": "p49.3", "order": 3, "type": "text", "bbox": { "l": 51.108, "t": 705.3432, "r": 535.794, "b": 619.4253 }, "text": "The Health and Wellbeing Board will play a critical role in the design and delivery of neighbourhood health plans, directing the local strategic shifts from hospital to neighbourhood, from treatment to prevention, and from analogue to digital. This paper has outlined neighbourhood health plans and related requirements, set out a timeline for Board activities through to March 2028, and proposed principles to guide the development of a neighbourhood health plan for Devon.", "reading_order": 2 }, { "id": "p49.4", "order": 4, "type": "text", "bbox": { "l": 51.8278, "t": 607.1856, "r": 536.2739, "b": 563.9866 }, "text": "Recommendation: The Board is asked to approve the timeline and principles set out in this paper, including focusing the January 2027 board meeting on achieving the foundation preparations for Neighbourhood Health.", "reading_order": 3 }, { "id": "p49.5", "order": 5, "type": "text", "bbox": { "l": 52.3077, "t": 551.5069, "r": 219.5484, "b": 534.9473 }, "text": "7) Options / Alternatives", "reading_order": 4 }, { "id": "p49.6", "order": 6, "type": "text", "bbox": { "l": 51.5879, "t": 516.7077, "r": 186.1962, "b": 500.8681 }, "text": "Nil", "reading_order": 5 }, { "id": "p49.7", "order": 7, "type": "text", "bbox": { "l": 51.8278, "t": 487.4284, "r": 399.9859, "b": 470.8688 }, "text": "8) Consultations / Representations / Technical Data", "reading_order": 6 }, { "id": "p49.8", "order": 8, "type": "text", "bbox": { "l": 53.0275, "t": 451.9093, "r": 68.8638, "b": 437.7496 }, "text": "Nil", "reading_order": 7 }, { "id": "p49.9", "order": 9, "type": "text", "bbox": { "l": 52.0678, "t": 423.3499, "r": 168.2004, "b": 406.3103 }, "text": "9) Strategic Plan", "reading_order": 8 }, { "id": "p49.10", "order": 10, "type": "text", "bbox": { "l": 51.3479, "t": 386.8708, "r": 537.4736, "b": 329.2722 }, "text": "Neighbourhood Health Plans and the identification of priorities relating to three strategic shifts (from hospital to community, from treatment to prevention, and from analogue to digital) and addressing health inequalities and the wider determinants of health will support the ongoing development and delivery of the Devon County Council Strategic Plan.", "reading_order": 9 }, { "id": "p49.11", "order": 11, "type": "text", "bbox": { "l": 53.2675, "t": 316.7925, "r": 257.4595, "b": 300.7129 }, "text": "10) Financial Considerations", "reading_order": 10 }, { "id": "p49.12", "order": 12, "type": "text", "bbox": { "l": 50.3881, "t": 281.9933, "r": 218.8285, "b": 267.3536 }, "text": "Nil", "reading_order": 11 }, { "id": "p49.13", "order": 13, "type": "text", "bbox": { "l": 53.2675, "t": 252.714, "r": 232.5053, "b": 236.6344 }, "text": "11) Legal Considerations", "reading_order": 12 }, { "id": "p49.14", "order": 14, "type": "text", "bbox": { "l": 53.2675, "t": 216.9548, "r": 69.1037, "b": 203.9952 }, "text": "Nil", "reading_order": 13 }, { "id": "p49.15", "order": 15, "type": "text", "bbox": { "l": 53.5074, "t": 188.6355, "r": 526.1963, "b": 156.4763 }, "text": "12) Environmental Impact Considerations (Including Climate Change, Sustainability and Socio-economic)", "reading_order": 14 }, { "id": "p49.16", "order": 16, "type": "text", "bbox": { "l": 51.8278, "t": 136.7968, "r": 542.0325, "b": 107.5174 }, "text": "The development of neighbourhood health in Devon and particularly the shifts to community settings and prevention has scope to positively contribute to climate change targets.", "reading_order": 15 }, { "id": "p49.17", "order": 17, "type": "footer", "bbox": { "l": 273.0558, "t": 52.7987, "r": 334.4813, "b": 35.2792 }, "text": "Page 43", "attrs": { "block_label": "number" }, "reading_order": 16 } ] }, { "document_id": 10838, "page": 50, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 8, "counts_by_type": { "footer": 1, "header": 1, "heading": 2, "link": 1, "text": 3 }, "build_ms": 0, "items": [ { "id": "p50.1", "order": 1, "type": "header", "bbox": { "l": 41.0304, "t": 831.3403, "r": 199.873, "b": 805.9009 }, "text": "Agenda Item 7", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 0 }, { "id": "p50.2", "order": 2, "type": "heading", "bbox": { "l": 51.8278, "t": 769.6617, "r": 251.4609, "b": 752.3821 }, "text": "13) Equality Considerations", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 1 }, { "id": "p50.3", "order": 3, "type": "text", "bbox": { "l": 50.868, "t": 733.6626, "r": 530.0353, "b": 690.2236 }, "text": "A focus on health inequalities is at the core of Neighbourhood Health planning along with the identification of higher risk groups in the population in relation to protected characteristics, geography, inclusion health and socio-economic status.", "reading_order": 2 }, { "id": "p50.4", "order": 4, "type": "heading", "bbox": { "l": 51.8278, "t": 677.0239, "r": 316.2456, "b": 660.9443 }, "text": "14) Risk Management Considerations", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 3 }, { "id": "p50.5", "order": 5, "type": "text", "bbox": { "l": 51.3479, "t": 641.2648, "r": 540.8328, "b": 612.2255 }, "text": "The approach described is seeking to address and number of risks that will emerge through consideration of properties and populations.", "reading_order": 4 }, { "id": "p50.6", "order": 6, "type": "text", "bbox": { "l": 51.5879, "t": 599.2658, "r": 315.2859, "b": 542.1471 }, "text": "Contact(s) for enquiries:\nName: Simon Chant, Consultant in Public Health\nTelephone: 01392 383000\nEmail: simon.chant@devon.gov.uk", "children": [ { "id": "p50.6.1", "order": 7, "type": "link", "bbox": { "l": 90.674, "t": 557.501, "r": 238.94, "b": 543.702 }, "text": "simon.chant@devon.gov.uk", "attrs": { "uri": "mailto:simon.chant@devon.gov.uk", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 5 }, { "id": "p50.7", "order": 8, "type": "footer", "bbox": { "l": 261.0586, "t": 53.0387, "r": 322.7241, "b": 35.0392 }, "text": "Page 44", "attrs": { "block_label": "number" }, "reading_order": 6 } ] }, { "document_id": 10838, "page": 51, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 21, "counts_by_type": { "footer": 1, "header": 2, "heading": 1, "link": 2, "list": 1, "list_item": 5, "text": 9 }, "build_ms": 1, "items": [ { "id": "p51.1", "order": 1, "type": "header", "bbox": { "l": 393.7474, "t": 831.3403, "r": 553.3099, "b": 805.6609 }, "text": "Agenda Item 8", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 0 }, { "id": "p51.2", "order": 2, "type": "header", "bbox": { "l": 52.3077, "t": 770.1417, "r": 242.8229, "b": 726.4627 }, "text": "PH/26/10\nDevon Health and Wellbeing Board\n15 October 2026", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 1 }, { "id": "p51.3", "order": 3, "type": "text", "bbox": { "l": 51.5879, "t": 713.2631, "r": 419.1814, "b": 694.5435 }, "text": "Growing Up in Devon, Annual Public Health Report 2026", "reading_order": 2 }, { "id": "p51.4", "order": 4, "type": "text", "bbox": { "l": 51.3479, "t": 687.8237, "r": 484.4461, "b": 658.5444 }, "text": "Please note that the following recommendations are subject to consideration and determination by the Committee before taking effect.", "reading_order": 3 }, { "id": "p51.5", "order": 5, "type": "heading", "bbox": { "l": 52.3077, "t": 638.1448, "r": 193.1546, "b": 621.1052 }, "text": "1) Recommendation", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 4 }, { "id": "p51.6", "order": 6, "type": "text", "bbox": { "l": 52.0678, "t": 602.3857, "r": 175.8786, "b": 587.986 }, "text": "The Board is asked to:", "reading_order": 5 }, { "id": "p51.7", "order": 7, "type": "list", "bbox": { "l": 51.5879, "t": 574.0664, "r": 534.8342, "b": 528.9474 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p51.7.1", "order": 8, "type": "list_item", "bbox": { "l": 68.8638, "t": 574.0664, "r": 534.8342, "b": 559.1867 }, "text": "Note the publication and recommendations of the new Annual Public Health Report.", "marker": "1.", "reading_order": 0 }, { "id": "p51.7.2", "order": 9, "type": "list_item", "bbox": { "l": 51.5879, "t": 546.227, "r": 156.9231, "b": 528.9474 }, "text": "Background", "marker": "2)", "attrs": { "block_label": "paragraph_title" }, "reading_order": 1 } ], "reading_order": 6 }, { "id": "p51.8", "order": 10, "type": "text", "bbox": { "l": 50.6281, "t": 509.7479, "r": 534.3543, "b": 438.4696 }, "text": "One of the statutory duties of the Director of Public Health is production of an independent annual report which provides an overview of the health status of the local population, highlights key health issues, and outlines public health priorities and actions for the year ahead. Each annual report in Devon is themed around an important health and wellbeing topic.", "reading_order": 7 }, { "id": "p51.9", "order": 11, "type": "text", "bbox": { "l": 51.108, "t": 425.9899, "r": 486.6056, "b": 397.1906 }, "text": "Current and previous Annual Public Health Reports for Devon can be found here: https://devon.cc/APHR", "children": [ { "id": "p51.9.1", "order": 12, "type": "link", "bbox": { "l": 54, "t": 412.103, "r": 174.721, "b": 398.304 }, "text": "https://devon.cc/APHR", "attrs": { "uri": "https://devon.cc/APHR", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 8 }, { "id": "p51.10", "order": 13, "type": "list_item", "bbox": { "l": 51.5879, "t": 383.7509, "r": 495.7234, "b": 366.9513 }, "text": "Growing up in Devon, the Annual Public Health Report for 2026", "marker": "3)", "attrs": { "block_label": "paragraph_title" }, "reading_order": 9 }, { "id": "p51.11", "order": 14, "type": "text", "bbox": { "l": 50.6281, "t": 347.5117, "r": 532.9147, "b": 262.3138 }, "text": "The Annual Public Health Report for 2026 was published in October 2026 and is entitled 'Growing up in Devon in 2026: the opportunities and challenges'. It explores the experiences and voices of children and young people in Devon, their aspirations for the future, how different their experiences can be, and how this shapes their health and wellbeing. The report makes a number of recommendations to improve these experiences and ensure that young voices are heard.", "reading_order": 10 }, { "id": "p51.12", "order": 15, "type": "text", "bbox": { "l": 51.8278, "t": 249.5941, "r": 427.0996, "b": 235.1944 }, "text": "The current report can be accessed here: https://devon.cc/APHR2026", "children": [ { "id": "p51.12.1", "order": 16, "type": "link", "bbox": { "l": 277.455, "t": 250.004, "r": 424.871, "b": 236.205 }, "text": "https://devon.cc/APHR2026", "attrs": { "uri": "https://devon.cc/APHR2026", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 11 }, { "id": "p51.13", "order": 17, "type": "list_item", "bbox": { "l": 51.8278, "t": 221.7547, "r": 219.7883, "b": 204.9551 }, "text": "Options / Alternatives", "marker": "4)", "attrs": { "block_label": "paragraph_title" }, "reading_order": 12 }, { "id": "p51.14", "order": 18, "type": "text", "bbox": { "l": 52.3077, "t": 185.5156, "r": 69.8236, "b": 171.8359 }, "text": "Nil", "reading_order": 13 }, { "id": "p51.15", "order": 19, "type": "list_item", "bbox": { "l": 52.0678, "t": 157.6763, "r": 399.9859, "b": 141.3566 }, "text": "Consultations / Representations / Technical Data", "marker": "5)", "attrs": { "block_label": "paragraph_title" }, "reading_order": 14 }, { "id": "p51.16", "order": 20, "type": "text", "bbox": { "l": 52.7876, "t": 121.1971, "r": 69.3437, "b": 107.9974 }, "text": "Nil", "reading_order": 15 }, { "id": "p51.17", "order": 21, "type": "footer", "bbox": { "l": 272.8158, "t": 52.7987, "r": 334.7213, "b": 35.2792 }, "text": "Page 45", "attrs": { "block_label": "number" }, "reading_order": 16 } ] }, { "document_id": 10838, "page": 52, "width": 595.3, "height": 841.9, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 595.3, "height_pt": 841.9, "engine": "paddleocr_vl", "source_run_id": 10949, "item_count": 16, "counts_by_type": { "footer": 1, "header": 1, "heading": 1, "link": 1, "list_item": 3, "text": 9 }, "build_ms": 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