Agenda and minutes

Health and Wellbeing Board
Thursday, 8 December 2016 1.00 pm

Venue: The Boardroom, Woking Borough Council, Civic Offices, Glouester Square

Contact: Andrew Baird or Joss Butler 

Items
No. Item

41/16

APOLOGIES FOR ABSENCE

    To receive any apologies for absence and substitutions.

    Minutes:

    Apologies were received from Nick Ephgrave, Julie Fisher, Ivor Duffy, Dr Elango Vijaykumar, Dr. Charlotte Canniff and John Jory.

     

    Garath Symonds acted as a substitute for Julie Fisher

     

    Deputy Chief Constable Gavin Stephens substituted for Nick Ephgrave.

     

    Dr Heidi Fahy acted as a substitute for Elango Vijaykumar

     

    Sue Robertson acted as a substitute for Charlotte Canniff.

     

    Tom Kealey acted as a substitute for John Jory

     

42/16

MINUTES OF PREVIOUS MEETING: [8 September 2016] pdf icon PDF 146 KB

43/16

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 none.

44/16

QUESTIONS AND PETITIONS

44/16a

Members' Questions

45/16

Public Questions

46/16

Petitions

47/16

BOARD BUSINESS

    To update the Board on any key issues relevant to its areas of work, membership and terms of reference.

    Minutes:

    Witnesses:

     

    Victoria Heald, Health and Wellbeing Programme Manager, Surrey County Council

    Gavin Stephens, Deputy Chief Constable, Surrey Police

     

     

    Key points raised during the discussion:

     

    1. Members were informed that Surrey Police had responded to a high number of calls regarding incidents in hospitals in Surrey. The Police and Crime Commissioner (PCC) had previously requested the Board‘s support in addressing this as it was felt that the number of times police were required to attend A&E could be reduced if a collective effort was made by the healthcare community. The following resolutions were suggested by the Board:

                      i.        the issue to be considered by the Local Health Resilience Partnership to review business continuity processes; and

                     ii.        for the issue to be referred to  the Wellbeing and Health Scrutiny Board for consideration.

    1. Officers presented an update on the Health and Wellbeing Communications Sub-Group and asked the Board members if they felt that there was anything specific that the communications group should be focusing on in 2017. Members suggested that the Health & Wellbeing Board Communications Sub-group link with the STPs communications groups as well as the Community Safety Board to improve information sharing.
    1. Officers informed the Board that Surrey had submitted an application to be a ‘Time to Change Hub’ and that the Board would receive confirmation on whether or not the bid had been successful.
    2. Discussion took place regarding a letter which was sent to the Co-Chairs of the Health & Wellbeing Board from the Surrey and Borders Partnership NHS Foundation Trust (SABP) on proposed changes to inpatient mental health services in North West, Mid and East Surrey. The Board felt it was most appropriate for this to be taken forward by commissioners of these services and would be progressed outside of the meeting.

     

    Actions/ further information to be provided:

     

    1.    For the Letter from the Police and Crime Commissioner regarding police attendance at Surrey’s Acute Hospital Trusts to be considered at the Wellbeing and Health Scrutiny Board.  (Action Ref: A22/16)

    2.     For the Chief Executive, Surrey and Sussex Healthcare NHS Trust to be sent the letter from the Police and Crime Commissioner. Action Ref: A23/16)

    3.    For the Letter from the Police and Crime Commissioner regarding police attendance at Surrey’s Acute Hospital Trusts to be considered at the Local Health Resilience Partnership.  Action Ref: A24/16)

    4.    For the Health and Wellbeing Board Communications Sub-group to link with the STP’s communications groups and the Community Safety Board. (Action Ref: A25/16)

    5.    For the Letter from Surrey and Boarders partnership regarding proposed changes to inpatient mental health services in North West, mid and East Surrey to be sent to the commissioners to acquire an agreed strategy.  Action Ref: A26/16)

    6.    For more detail on the working arrangements between the Community Safety Board and the Health and Wellbeing Board to be included in the protocol between Health and Wellbeing Board, Children and Young People’s Partnership, the Safeguarding Adults and Children Boards. (Actions Ref: A27/16)

     

     

48/16

FORWARD PLAN pdf icon PDF 64 KB

    To review and agree the Board forward work program.

     

    Additional documents:

    Minutes:

    Witnesses:

     

    Victoria Heald, Health and Wellbeing Programme Manager, Surrey County Council

     

    Key points raised during the discussion:

     

    1. The Health and Wellbeing Board Programme Manager introduced the forward plan to the Board. The Board agreed to add an additional item to the agenda for the Board meeting in January to facilitate wider discussion regarding consultation and engagement with patients in light of the developing Sustainability and Transformation Plans (STPs).

     

    Actions/ further information to be provided:

     

    1. For an item to be presented on the improvement of consultation and engagement with residents at the January Health and Wellbeing Board meeting.  (Action Ref: A28/16)

     

    RESOLVED:

     

    The Board noted and agreed the Forward Work Programme

     

49/16

ACTION REVIEW pdf icon PDF 64 KB

    To review and agree the Board actions tracker.

    Additional documents:

    Minutes:

    Witnesses:

     

    Andrew Baird, Regulatory Committee Manager, Surrey County Council

     

    Key points raised during the discussion:

     

    1. In relation to action A15/16, Members were informed that a research paper from University College London on peer support working with mental health patients would be published in 2017 which would be circulated to the Board. 

     

    Actions/ further information to be provided:

     

    None.

     

    RESOLVED: That;

     

    the Health and Wellbeing Board noted the Actions Tracker.

     

50/16

Sustainability & Transformation Plans and Commissioning Intentions pdf icon PDF 132 KB

    To update the Health and Wellbeing Board on the progress of the NHS Sustainability and Transformation Plans and to fulfil the Board’s duty of the Health and Social Care Act (2012) to ensure that commissioning intentions are aligned to the Surrey Joint Health and Wellbeing Strategy.

     

    Additional documents:

    Minutes:

     

    Witnesses:

    Bob Peet, Surrey Heartlands STP

    Giselle Rothwell, Surrey Heartlands STP

    Michael Wilson, Surrey Heartlands STP

    Geraldine Hoban, Sussex and East Surrey STP

    Dr Andy Brookes, Frimley Health and Care STP

     

    Key points raised during the discussion:

     

    Strategic Transformation Plans

     

    Surrey Heartlands

    1. Members were briefed on the areas which the Surrey Heartlands STP covered and the 850,000 people living within the region. It was explained that Surrey Heartlands STP was made up of 11 constituent organisations whose leaders came together to form the Surrey Heartlands Transformation Board. The challenges that Surrey Heartlands faced included the increased demand of health and social care due to the population living much longer and the stresses that this put on the system. Going forward the STPs plans were to continue to provide high quality services and to work to make them sustainable over the next five years. It was explained that a holistic model on mental health would be introduced and that the strategies and pressures on the entry point to the system would be improved. The Board were informed of the devolution plans of the Surrey Heartlands STP  which would bring together the commissioning of health and social care services and would ensure that decision-making and accountability in relation to the delivery of health and social care services took place at a local level.
    2. The Board asked what changes would be made in terms of patient engagement and what changes patients would see to the delivery of health and social care services going forward. Officers responded by explaining that representatives would be looking at developing more focused pathways through the system. The acute hospitals would also be working with patients to use previous experiences to develop and enhance  services in the future.
    3. A discussion was had around the benefit of using local services rather than sending patients out of the county to receive treatment. Officers made clear that STPs were place based systems of care and that they would be looking to commission services that would enable patients to be treated locally.

     

    Sussex and East Surrey 

    1. Officers provided an overview of the various stakeholders and localities covered by the Sussex and East Surrey STP. Members were shown figures demonstrating the forecast funding  without change in the delivery of health and social care services in the Sussex & East Surrey STP area. Officers stated that they wanted to implement an integrated place-based plan which would create a system of care that was more proactive and, where possible would help service users to regain independence. Members were further told about a Clinical Reference Group that would cover the entirety of the STP area to promote consistency and ensure that the different models of care used across the STP were compatible.
    2. The Board sought confirmation that engagement would  take place with the Council as a commissioner of social care services. After some discussion it was explained that there would be communities of practise involving integrated social care models in each local area that would be delivered and  ...  view the full minutes text for item 50/16

51/16

Surrey Safeguarding Adults Board Annual Report 2015 - 2016 pdf icon PDF 129 KB

    The Surrey Safeguarding Adults Board Annual Report 2015/16 sets out the Surrey Safeguarding Adults Board’s progress in implementing its strategic priorities. It is a statutory duty under the Care Act 2014 for Surrey Safeguarding Adults Board to produce an Annual Report and this has been presented to Surrey County Council’s Cabinet. The Annual Report is presented to the Health and Wellbeing Board to support its priority to safeguard the population of Surrey.

     

    Additional documents:

    Minutes:

    Witnesses:

    Simon Turpitt, Independent Chair, Surrey Safeguarding Adults Board

     

    Key points raised during the discussion:

     

    1. Officers introduced the report and highlighted some key points surrounding its duties. It was highlighted that one duty was for the Surrey Safeguarding Adults Board (SSAB) to ensure all partners meet their required training in Safeguarding. It was further explained that SSAB had a responsibility to ensure that key contacts and information was publicised to residents. Members of the SSAB had also been working together to maximise opportunities to register safeguarding concerns which included working withCheckatrade to ask its member organisations to register any safeguarding concerns they may have alongside other initiatives to spread awareness of vunerable adults so they can register safeguarding concerns. A number of areas of improvement were highlighted to the Board which included improvements in the use of data as well as engagement from GPs in Safeguarding processes.
    2. The Board questioned how  SSAB planned to engage hard to reach groups to ensure that vulnerable adults in certain communities are not missed by safeguarding protocols.  Officers acknowleded that this had been a challenge but stated that SSAB had been working to engage hard to reach and faith groups.
    3. Members discussed the potential for considering SSAB’s Annual Report earlier in the year. The Board agreed that the next SSAB Annual Report should be considered earlier in the year.

     

    Actions/ further information to be provided:

     

    For the Surrey Safeguarding Adults Board Annual Report 16-17 to be considered by the Health and Wellbeing Board at a more appropriate time with the earlier report for reference. (Action Ref: A29/16)

     

    RESOLVED: That:

     

    1.         The Board noted the attached Surrey Safeguarding Adults Board Annual Report 2015/16; and

    2.        the Board agreed to identify any opportunities for the Surrey Safeguarding Adults Board and the Health & Wellbeing Board to work jointly to achieve shared priorities.

     

52/16

Surrey Safeguarding Children's Board Annual Report 2015 - 2016 pdf icon PDF 149 KB

    To present the Surrey Safeguarding Children Board Annual report 2015 – 16 to the Health and Wellbeing Board. The Annual Report is presented to the Health and Wellbeing Board to support its priority to safeguard the population of Surrey.

     

    Additional documents:

    Minutes:

    Witnesses:

    Garath Symonds, Assistant Director of Commissioning and Prevention, Children, Schools and Families, Surrey County Council

     

    Key points raised during the discussion:

     

    1. Officers introduced the report and gave a brief summery of the Surrey Safeguarding Children’s Board’s (SSCB) key responsibilities. The Officer explained that  SSCB’s annual report gave detailed information on the performance of the system for safeguarding children in Surrey. The Board was further informed that a previous Ofsted report had judged Children’s services, as well as other partner agencies, as inadequate although feedback from inspectors suggests that a steady progress was being made. The relationship between practitioners and the child/family and how this could been supported was a key focus for SCC to improve the support it provided for vulnerable children. 
    2. Members stressed the importance of GPs completing level 3 training in Children’s Safeguarding and asked if it was possible to obtain data on how many GPs had this qualification.
    3. The Board discussed future Ofsted inspections and it was highlighted that the next inspection would take place in January 2017 with a focus on child sex exploitation and missing children. Officers  informed the Board that they believed the Ofsted result would be improved in the next 12 to 18 months.
    4. The Assistant Director of Commissioning and Prevention agreed to return to the Health and Wellbeing Board to speak about the Multi-Agency Safeguarding Hub (MASH) at a time determined by the Board.  

     

    Actions/ further information to be provided:

     

    1. To obtain data from the Children’s Safeguarding Board regarding the number of GPs with Level 3 training in Children’s Safeguarding to be shared with the Health and Wellbeing Board (Action Ref: A30/16)

     

    1. For the Assistant Director of Commissioning and Prevention to return to the Health and Wellbeing Board to speak about The Multi-Agency Safeguarding Hub in under a year. (Action Ref: A31/16)

     

    RESOLVED:

     

    The Health and Wellbeing Board noted the Surrey Safeguarding Children’s Board Annual Report 2015 - 16

     

53/16

Public Engagement Session

54/16

DATE OF THE NEXT MEETING