Venue: Committee Room C,, County Hall, Kingston-Upon-Thames, KT1 2DN
Contact: Richard Plummer
Note: MEETING RESCHEDULED FROM 1 MARCH
No. | Item |
---|---|
APOLOGIES FOR ABSENCE
To receive any apologies for absence and substitutions. Minutes: Apologies were received from Dr Charlotte Canniff, Dr Russell Hills, Dr Andy Whitfield and Peter Gordon.
Dr Richard Barnett substituted for Dr Charlotte Canniff and Kate Scribbins substituted for Peter Gordon.
The Chairman informed the Board that Dr Andy Whitfield, Chair of North East Hampshire and Farnham Clinical Commissioning Group (CCG) had stepped down and a replacement would be confirmed after a new chair is appointed. Members expressed gratitude towards Dr Andy Whitfield for his contribution and work on the Board.
It was noted that the CCG Co-Chair will change effective from after this meeting, Co-Chair Helyn Clack thanked Dr Andy Brooks for his professionalism and expertise as Co-Chair and presented him with a departing gift.
|
|
MINUTES OF PREVIOUS MEETING: 7 DECEMBER 2017 PDF 158 KB
To agree the minutes of the previous meeting. Minutes: The minutes were agreed as a true record of the meeting.
The Board agreed that it would be useful going forward to reference the asterix beside members in attendance to indicate that it represents members who were present at the meeting.
|
|
DECLARATIONS OF INTEREST
All Members present are required to declare, at this point in the meeting or as soon as possible thereafter
(i) Any disclosable pecuniary interests and / or (ii) Other interests arising under the Code of Conduct in respect of any item(s) of business being considered at this meeting
NOTES:
• Members are reminded that they must not participate in any item where they have a disclosable pecuniary interest • As well as an interest of the Member, this includes any interest, of which the Member is aware, that relates to the Member’s spouse or civil partner (or any person with whom the Member is living as a spouse or civil partner) • Members with a significant personal interest may participate in the discussion and vote on that matter unless that interest could be reasonably regarded as prejudicial.
Minutes: There were no declarations of interest received.
The Board agreed to do a refresh on members’ interests at its next meeting to accommodate the changes to the Board’s membership. |
|
QUESTIONS AND PETITIONS
There were none. Minutes: There were no questions and petitions received. |
|
Public Questions
The deadline for public questions is seven days before the meeting (29 March 2018).
Minutes: There were none. |
|
To update the Board on any key issues relevant to its areas of work, membership and terms of reference.
The Health and Wellbeing Strategy (2018) is attached for reference and final approval. Additional documents: Minutes: Declarations of interest:
None
Witnesses:
None
Key points raised during the discussion:
Actions/ further information to be provided:
a) Officers to update the membership page of the Joint Health and Wellbeing Strategy.
b) Officers to write to a letter of thanks to Dr David Eyre-Brooks from the Board.
|
|
LETTERS CIRCULATED BY THE BOARD PDF 88 KB
To review letters sent by the co-chairman of the Board between the date of the last meeting and the current date.
Additional documents: Minutes: Declarations of interest:
None
Witnesses:
None
Key points raised during the discussion:
Actions/ further information to be provided:
None
RESOLVED:
The Board reviewed the letters sent by the Co-Chairmen of the Board.
|
|
FORWARD PLAN AND ACTION REVIEW PDF 88 KB
To review and agree the Board forward work program and actions tracker.
Additional documents: Minutes: Declarations of interest:
None
Witnesses: Victoria Heald, Health and Wellbeing Programme Manager
Key points raised during the discussion:
Actions/ further information to be provided:
a) Officers to update the forward work programme and actions tracker.
b) CCGs to publish the updated CAMHS transformation Plan on their websites and inform officers once complete.
c) Officers to contact the University of Surrey’s Medical School following the unsuccessful bid to confirm the case study item on the forward plan in October.
RESOLVED:
The Board reviewed the forward work programme and noted the actions tracker.
|
|
PHARMACEUTICAL NEEDS ASSESSMENT PDF 159 KB
Purpose of
report:
a)
To present the Surrey Pharmaceutical Needs Assessment (PNA),
highlighting key aspects of the PNA including its recommendations
to the Health and Wellbeing Board (HWB) b) To ask the HWB to ratify the PNA following the Chair’s Action to approve publication on 1st April 2018 in accordance with the requirements of the NHS (Pharmaceutical Services and Local Pharmaceutical Services) Regulations 2013. Additional documents: Minutes: Declarations of interest:
None
Witnesses:
Julie George, Public Health Consultant
Key points raised during the discussion:
Actions/ further information to be provided:
Officers to include an item on pharmacies and the health and social care system on the Board’s forward plan.
RESOLVED:
The Board approved the PNA publications on 1 April 2018 and supported the following recommendations;
Recommendations 1
a) Recognise the potential for population growth with large scale housing developments b) Partners to consider how to improve access to enhanced services in rural and deprived areas c) Improve signposting to existing pharmaceutical services d) Improve inter-professional contact
Recommendation 2
Local Clinical Commissioning Groups and the STPs should consider the findings and recommendations of this PNA in the course of their on-going work to improve the health of the local population, implement the GPFV and improve urgent and unplanned care services.
|
|
SUSTAINABILITY AND TRANSFORMATION PARTNERSHIPS UPDATE PDF 134 KB
Purpose of the report: To update the Health and Wellbeing Board on progress on the Sustainability and Transformation Partnerships affecting Surrey. Minutes: Declarations of interest:
None
Witnesses:
Dr Andy Brooks, Frimley Health
STP
Key points raised during the discussion:
Actions/Further information to be provided:
The Board to consider member oversight and engagement within STPs.
|
|
PRIORITY STATUS UPDATE: IMPROVING OLDER ADULT'S HEALTH AND WELLBEING PDF 290 KB
Purpose of the report: Performance Management/Policy Development and Review Minutes: Witnesses: Dr Andy Brooks, Clinical Chair, Surrey Heath CCG Helen Atkinson, Strategic Director for Adults and Health
Key points raised during the discussion:
a) A 5% increase in the proportion of older adults still at home 91 days after discharge from hospital (from 2012/13 – 2016/17). b) A 12% reduction in permanent admissions to care homes (from 2014/15 to 2016/17). c) The proportion of Surrey adults (all ages who had an inpatient experience of health services that would recommend to friends and family increased from 92% to 97% from 2014 to 2017. d) Dementia diagnosis have improved by 14% across Surrey from 2014 to 2017. e) Surrey has maintained a non-elective admission rate consistently below that of England overall, f) Delayed Transfer of Care (DTOC) from hospital have reduced by 17% in Surrey compared to a 62% increase across England. g) An 8.8% rise in the number of carers registered with GP practices in 2017/18.
|
|
PRIORITY STATUS UPDATE: IMPROVING CHILDREN'S HEALTH AND WELLBEING PDF 207 KB
Purpose of the report: Performance Management/Policy Development
The purpose of this report is to update the Health and Wellbeing Board on progress against the outcomes under the ‘improving children’s health and wellbeing’ priority within the Joint Health and Wellbeing Strategy. An update is provided to the Board every six months with the last in September 2017. Minutes: Declarations of interest:
None
Witnesses:
Rose Durban, Interim Director for Children, Schools and Families Garath Symonds, Strategic Director for Commissioning and Prevention Diane McCormack, Director of Commissioning, Guildford and Waverley CCG
Key points raised during the discussion:
Actions/ further information to be provided:
The Board to receive an update report in relation to the Health Summit at its meeting in May 2018.
For a letter to be written to the Commissioners in relation to the CAMHS contract expressing the Boards views.
RESOLVED:
The Board noted and approved the following recommendations;
1) Note areas where progress has been made against the 'improving children's health and wellbeing' priority, specifically in relation to DfE recognition of the substantial progress in SEND services to date.
2) Note areas where progress has been more limited or where we are yet to see the impact of work for children, such as childhood immunisation rates, tier 3 perinatal mental health services and breastfeeding at 6-8 weeks.
3)
Note areas where better data and analysis has
highlighted more stubborn challenges, specifically in relation to
initial and review health assessments for looked after children and
waiting times for paediatric and therapy services for vulnerable
children, where we will need to develop a different approach to
improve timely access to these services for children. 4) Note the significant concerns in relation to demand and clinical risk within the jointly commissioned child and adolescent mental health service (CAMHS) and the proposed next steps.
5) Receive a further update in relation to progress to clinical risk within the CAMHS service at the next board meeting.
6) Receive a further update for the 'improving children's health and wellbeing' priority against the new set of outcomes, in six months' time.
|
|
COMMUNICATING INFORMATION THROUGH THE HOSPITAL DISCHARGE JOURNEY PDF 195 KB
Purpose of the report: To highlight patient experience of hospital discharge. Additional documents: Minutes: Declarations of interest:
None
Witnesses:
Kate Scribbins, CEO Healthwatch
Key points raised during the discussion:
Actions/further information to be provided:
None
RESOLVED:
The Board noted the content of the report.
|
|
DATE OF THE NEXT MEETING
The next public meeting of the Health and Wellbeing Board will be on 7 June 2018. Minutes: The next meeting of the Health and Wellbeing Board will be held on 7 June 2018.
|