The minutes were agreed as a true record of
the meeting.
43/16
DECLARATIONS OF INTEREST
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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
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There were none.
Minutes:
There were none.
44/16a
Members' Questions
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The deadline for
Member’s questions is 12pm four working days before the
meeting (2 December 2016).
Minutes:
There were none.
45/16
Public Questions
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The deadline for public questions is seven
days before the meeting (1 December 2016).
Minutes:
There were none.
46/16
Petitions
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The deadline for petitions was 14 days before
the meeting. No petitions have been received.
Minutes:
There were none.
47/16
BOARD BUSINESS
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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
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.
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.
Officers informed the
Board that Surrey had submitted an application tobe a‘Time to Change
Hub’ and that the Board would receive confirmation on whether
or not the bid had been successful.
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)
Victoria Heald, Health and
Wellbeing Programme Manager, Surrey County Council
Key
points raised during the discussion:
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:
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
Andrew Baird, Regulatory
Committee Manager, Surrey County Council
Key
points raised during the discussion:
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.
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.
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.
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. Officersresponded 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.
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
Officers
provided an overview of the various stakeholders and
localitiescovered bythe 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.
The Board
sought confirmation that engagement would take place withthe 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
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.
Simon Turpitt, Independent Chair, Surrey Safeguarding
Adults Board
Key
points raised during the discussion:
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 includedworking
withCheckatradeto ask its member
organisations to register any safeguarding concerns they may
havealongsideother 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.
The Board questioned
how SSAB planned to engage hard to
reach groups to ensure thatvulnerable adults
in certain communitiesare 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.
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.
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.
Garath Symonds, Assistant
Director of Commissioning and Prevention, Children, Schools and
Families, Surrey County Council
Key
points raised during the discussion:
Officersintroduced 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 wasfurtherinformed 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.
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.
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.
Officersinformed
the Board that they believed the Ofsted
result would be improved in the next 12 to 18 months.
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:
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)
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
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An opportunity for any members
of the public to ask any further questions relating to items
discussed at today’s meeting.
Minutes:
No additional questions were asked under this
item.
54/16
DATE OF THE NEXT MEETING
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The next meeting of the Health and Wellbeing
Board will be on 9 March 2016.
Minutes:
The Board noted that its next meeting would be
held on 9 March 2017.
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