Agenda and minutes

Part Public/Private Health and Wellbeing Board, Health and Wellbeing Board
Thursday, 2 October 2014 1.00 pm

Venue: Committee Room C, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions

Contact: Huma Younis  020 8213 2725 Email:

No. Item





    To agree the minutes of the previous meeting.


    ·         On page 6, point number 4 of the minutes, to include the word ‘positively’ at the end of the sentence so the sentence reads ‘ children and adults autism teams were actively working positively’.  The Chairman explained that discussions around ‘transition’ would come up again during the meeting.

    ·         Under paragraph 1 of the Public Engagement Session a member of the board stated that district and boroughs had more to offer in terms of delivering the BCF and hence support from district and boroughs should be taken up.

    ·         Under the Healthwatch Surrey item, a member of the board asked for clarification around point number 3 and specifically around the reference to an increase in follow ups.



    ·         That the minutes of the Health and Wellbeing Board held on 4 September 2014, subject to amendments, be agreed as a correct record of the meeting.







Members' Questions


Public Questions




Forward Work Plan pdf icon PDF 72 KB

    To consider the Board’s Forward Work Programme and confirm the agenda for the next meeting on 6 November 2014.



    Key points raised during the discussion:


    Ø  The Chairman explained that both the JHWS priority update on Promoting emotional wellbeing & mental health and the update on the joint commissioning strategy for children’s emotional wellbeing and mental health would be coming to the next meeting on 6 November. When considering both items it was important to consider the transition phase between both services.  



Update on Mental Health Crisis Care Concordat pdf icon PDF 29 KB

    This paper demonstrates the progress that has been made towards redesigning mental health crisis responses in Surrey as part of the Emotional Wellbeing and Mental Health plan which is one of the five Surrey Health and Wellbeing Strategy priorities.

    Additional documents:




    Ross Hartley, Director of Partnerships, North East Hampshire and Farnham CCG


    Donal Hegarty, Senior Manager, Adult Social Care Commissioning, Surrey CC


    Diane Woods, Associate Director Commissioning Adult Mental Health & Learning Disability, North East Hampshire and Farnham CCG



    Key points raised during the discussion:


    1.    A short presentation was introduced to the board. It was agreed that there had been firm commitment from all the partners involved in getting the concordat off the ground. Achievements to date and the plans going forward were covered. It was explained that a two year action plan had been agreed.


    2.     It was explained that one of the leading factors allowing for the successful delivery of the concordat had been the ongoing work of the crisis care concordat delivery group which included a number of service users and carers on its’ membership. The group was planning to hold two workshops which would give service users the opportunity to feedback to stakeholders on current work on the concordat, therefore any changes are informed by the ‘consumer experience’ It was further explained that the delivery group had allowed for service users to put forward changes to current mental health protocols.


    3.    The officer from Adult Social Care Commissioning explained that there were 5 voluntary sector providers which had been appointed to provide peer and carer support services across the whole of Surrey. Work had been ongoing with the voluntary sector providers over the last 12 months to help come up with local solutions.


    4.    The officer from Adult Social Care Commissioning described some key achievements to date, including the enthusiasm and commitment from Surrey Police, an improvement in working practices and most notably a reduction of use of police cells for people detained under Section 136 of the Mental Health Act.



    5.    Members of the board agreed it was good to see that dates had been included in the action plan and ongoing work would need to be done to ensure actions were being monitored. The Board would like to see more quantifiable objectives in the plan and measured outcomes in future updates.


    6.    Members welcomed the establishment of safe havens but asked that key staff in district and boroughs be made aware of the location of these. It was explained that some safe havens had not been identified as of yet, once the locations for these were identified, colleagues would be informed.


    7.    A member advised the board that the set up of safe havens in Croydon had been positive and would be a good point of reference for Surrey.


    8.    It was explained that work was being done with CAMHS around children’s mental health.


    9.    It was explained that a majority of the actions in the action plan had been led by the Police who were a crucial partner in the strategy. Work was being done with senior leaders in the police to ensure actions were being implemented.


    10.  A strategic leaders group would be set up to ensure work on the crisis care  ...  view the full minutes text for item 64/14


Annual Public Health Report 2014 pdf icon PDF 41 KB

    The purpose of the paper is to present Part 2 of the 2014 Annual Public Health Report (APHR).


    (A copy of the APHR will be made available at the meeting)

    Additional documents:




    Helen Atkinson, Director for Public Health


    Key points raised during the discussion:


    1.    The Director for Public Health presented Part one of the 2014 Annual Public Health Report (APHR). Whilst part one of the report focused on the biggest risk factors for ill health and early death, part two focused on the wider determinants of health which included air quality, seasonal health and unintentional injuries.


    2.    A member of the board commented that both Runnymede and Spelthorne had the highest rate of air pollution in the county and queried why they had not been included as part of the AirAlert pilot. It was explained that the pilot had been based on voluntary support from areas rather than need. The member asked for clarification on whether these areas had been notified of the pilot.


    3.    It was suggested that CCGs could help with combating air pollution through forwarding patient data and supporting the county council with its transport strategy. Forwarding patient data would strengthen Public Health’s evidence when making its strategic argument.


    4.    Traffic related issues were seen as having an impact on air pollution. Looking at redesigning roads could help to lower the negative impacts of air pollution.


    5.    Queries were raised around the ‘falls strategy’ and what actions were being taken to ensure follow ups were being carried out. A member of the board reminded the board that there was money available through GP’s to prevent falls and encouraged them to use it.


    6.    It was explained that priority frontline staff were reimbursed for flu vaccinations. Whether flu vaccinations would be made available for staff would depend on an organisations health policy.


    7.    It was commented on the need to ensure wider partnership links were being made with stakeholders and district and boroughs as part of the prevention agenda.




    The Surrey Health and Wellbeing Board,

    a)    Endorsed the findings from the APHR and supported the recommendations being included in the development of the Prevention Priority Plan.

    b)    Agreed to receive the next APHR for 2015/16 next year.



    Actions/Next Steps:


    For a further Prevention item to be brought back to the board in June 2015.



JHWS priority update: Improving children's health and wellbeing pdf icon PDF 35 KB

    Following on from the meeting of the Health and Wellbeing Board on 13th March 2014, this report summarises progress against the aims and outcomes for improving children’s health and wellbeing, 6 months on. It provides a detailed status update on delivery against the workstreams identified by Surrey Children and Young People’s Partnership and commissioning priorities for the Children’s Health and Wellbeing Group.

    Additional documents:




    Nick Wilson, Director for Children, Schools and Families, Surrey County Council


    Dr Clare Stevens, Clinical Lead for Children, Guildford and Waverley CCG



    Key points raised during the discussion:


    1.    The presentation was introduced by the Director for Children, Schools and Families. The presentation reported on performance against partnership priorities using a RAG rating system. In relation to early help, there had been a decrease in referral rates in child protection as referrals were now being made directly into services in the community. Greater focus was needed on domestic abuse and the impacts this had on the family. It was explained that commissioning had been altered to better match the needs of local areas.


    2.    It was commented that there was a greater declaration of domestic abuse and mental health issues once people had been referred into the Supporting Families Programme.


    3.    Some members argued that head teachers had found it hard to engage with families through CAMHS. The Director for Children, Schools and Families felt that the TaMHS (Targeted Mental Health in Schools) had made a difference to how mental health was dealt with in schools and that wider members of school staff have responsibilities around CAMHS, not just head teachers.    


    4.    It was recognised that although the service had a healthy behaviour agenda in place, it was proving a challenge for people to accept this. A healthy agenda was already in place for schools.


    5.    A member of the board asked for unaccompanied asylum seeker children to be included as a risk under safeguarding looked after children.  





    The Surrey Health and Wellbeing Board,

    a)    Noted the progress and successes towards actions to improve children’s health and wellbeing


    b)    Agreed to a further progress report in 6 months.


    Actions/Next Steps:


    For a progress report to be bought back to the board in 6 months.



The Surrey Better Care Fund plan pdf icon PDF 32 KB

    The purpose of this item is to formally note Surrey's Better Care Fund (BCF) plan following its submission to NHS England. Surrey’s BCF plan will be presented on the day following the approval process agreed at the Health and Wellbeing Board on 4 September 2014.




    Additional documents:




    Susie Kemp, Assistant Chief Executive, Surrey County Council


    Key points raised during the discussion:


    1.    The report was introduced by the Assistant Chief Executive who explained that due to various deadlines, it had been difficult to share all draft copies of the BCF (Better Care Fund plan) with partners. The Assistant Chief Executive thanked colleagues from both the CCG’s and adult social care for helping to put the BCF plan together. Positive feedback had been received from independent consultants, commissioned at a regional level, on the submitted plan. Importantly, the BCF was not dealing with new money but rather looking at efficient ways of spending existing funds for all partners involved.


    2.    It was explained that social care leads had been appointed for each area within Surrey to ensure alignment with clinical commissioning group areas.


    3.    To ensure Surrey achieved its targets, some of the metrics in the Surrey BCF plan were kept lower than national targets.


    4.    It was recognised that a great amount of work would need to be done to ensure the BCF plan was read to implement from 1 April 2015. Officers were thanked for all their hard work in putting the BCF plan together.


    5.    The impacts on residents and the workforce was recognised as a key issue resulting from the implementation of the BCF. Working with HR representatives, work would be done to ensure the workforce is made a key priority.


    6.    The Healthwatch representative stated that he was impressed with the work that had been done on the Surrey BCF plan. Healthwatch had agreed to restructure operations to revolve around the Surrey CCG landscape. Although good work was being done with CCG’s, it was recognised that some more work needed to be done to for Healthwatch to engage better will all CCG’s.


    7.    It was commented that implementing the BCF plan would be a challenging process that would put some CCG’s in deficit next year. All partners had a long way to go before any changes could be delivered.


    8.    The Chairman thanked the Assistant Chief Executive, the Director for Public Health and the Strategic Director for Adult Social Care, along with their teams for all their hard work.





    The Surrey Health and Wellbeing Board,

    a)    Noted the Better Care Fund plan for Surrey;


    b)    For an update to be bought back to the board in December 2014.




Public Engagement Session