Agenda and minutes

Health and Wellbeing Board - Thursday, 9 March 2017 1.00 pm

Venue: Ashcombe Suite, County Hall, Penrhyn Road, Kingston upon Thames KT1 2DN

Contact: Andrew Baird or Joss Butler 

Items
No. Item

1/17

APOLOGIES FOR ABSENCE

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    To receive any apologies for absence and substitutions.

    Minutes:

    Apologies were received from from John Jory and Peter Gordon

     

    Tom Kealey is acting as substitute for John Jory.

     

    Kate Scribbins is acting as a substitute for Peter Gordon

     

2/17

MINUTES OF PREVIOUS MEETING: 8 December 2016 pdf icon PDF 215 KB

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    To agree the minutes of the previous meeting.

    Minutes:

    The minutes were agreed as a true record of the meeting.

3/17

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.

4/17

QUESTIONS AND PETITIONS

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    There were none.

4/17a

Members' Questions

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    The deadline for Member’s questions is 12pm four working days before the meeting (3 March 2017).

     

5/17

Public Questions pdf icon PDF 74 KB

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    The deadline for public questions is seven days before the meeting (2 March 2017).

     

    Minutes:

    One question from Mr Mick Moriarty was received. The question and response was tabled at the meeting and attached as Appendix 1 to these minutes.

     

6/17

Petitions

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    The deadline for petitions was 14 days before the meeting. No petitions have been received.

     

    Minutes:

    There were none.

7/17

BOARD BUSINESS pdf icon PDF 20 KB

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

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Victoria Heald, Health and Wellbeing Board Programme Manager

     

    Key points raised during the discussion:

     

    1. The Chairman informed the Board that it was his last meeting as CCG co-chair and that Claire Fuller, Clinical Lead for Surrey Downs CCG would replace him as Co-Chair for 2017/18. The Cabinet Member for Wellbeing and Health thanked the Chairman on behalf of members for his contribution to the work of the Health and Wellbeing Board.
    2. The Board was informed that a recommendation had been received from the Wellbeing and Health Scrutiny Board requesting that the Health and Wellbeing Board explore options to identify a named GP for Safeguarding Adults. It was highlighted that this recommendation was operational in nature and therefore falls outside the scope of the Board. After some discussion it was agreed to forward the recommendation on to the Director of Quality and Safeguarding at Guildford and Waverley Clinical Commissioning Groupfor them to progress.
    3. The Board was informed that a request had been received from the Police and Crime Commissioner to add the Local Criminal Justice Board (LCJB) to the Strategic Oversight Board Joint Protocol. The Police and Crime Commissioner stated that it was important to include the LCJB within the protocol asone of Surrey’s major strategic boards. The Board agreed  to the addition of the LCJB to the protocol and indicated that the revised protocol would be approved at a future meeting.

     

    Actions/ further information to be provided:

     

    1. To Forward the recommendation from the Wellbeing and Health Scrutiny Board to the  Director of Quality and Safeguarding for Guildford and Waverley CCG for advice(Action Ref: A1/17).
    2. To add the Local Criminal Justice Board to the Strategic Oversight Board Joint Protocol for agreement at a future meeting (Action Ref: 2/17).

     

8/17

FORWARD PLAN pdf icon PDF 64 KB

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    To review and agree the Board forward work program.

     

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Victoria Heald, Health and Wellbeing Board Programme Manager

     

    Key points raised during the discussion:

     

    1. The Health and Wellbeing Board Programme Manager introduced the forward plan to the Board and opened the floor to questions. The Police and Crime Commissioner highlighted an item that had been previously considered by the Board regarding the increase of police attendance to A&E in acute hospitals in Surrey. It was stated that this issue remained unresolved and that Surrey Police would like to bring a further report to the Board to find a resolution. The Board noted that there was ongoing  discussion on this matter and that it had been considered at the local resilience partnership forum. The Board agreed to explore the possibilities of bringing an update report to a future meeting. 

     

    Actions/ further information to be provided:

     

    1. An item on Police attendance at incidents at Surrey’s acute hospital sites be considered at a future meeting of the Board (Action Ref: A3/17).
    2. The item on CCG Quality Measures scheduled for the Board’s meeting on Thursday 6 April 2017 to be removed from the Forward Plan. (Action Ref: A4/17).
    3. An item on Voluntary, Community and Faith Sector involvement with the Health & Wellbeing Board to be added to the Forward Plan for the Board’s meeting on Thursday 6 April. (Action Ref: A5/17).

     

    RESOLVED:

     

    The Board agreed the forward work programme for the Health and Wellbeing Board.

     

9/17

ACTION REVIEW pdf icon PDF 64 KB

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    To review and agree the Board actions tracker.

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Andrew Baird, Regulatory Committee Manager

     

    Key points raised during the discussion:

     

    1. The Regulatory Committee Manger introduced the Actions Tracker to the Board and highlighted that the one action outstanding on the Tracker had been completed since the agenda papers for the meeting had been published..

     

    Actions/ further information to be provided:

     

    None

     

    RESOLVED:

     

    The Board agreed to monitor progress on the implementation of actions from previous meetings

     

10/17

Case Study - Locality Hubs pdf icon PDF 20 KB

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    For the Board to receive a case study highlighting progress related to health and social care integration in Surrey.

     

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Lisa Compton, Operations Director, North West Surrey CCG

     

    Key points raised during the discussion:

     

    1. The Officer introduced the case study and gave a brief summary of the work being done in relation to the Bedser Locality Hub and the support that the Hub had provided to local residents. It was highlighted that the locality hubs had treated over 1800 patients since opening and that it was having a positive impact on reducing attendance at acute hospitals in the area. Members noted that there had been a reduction in non-elective activity in Woking as a result of the Bedser Hub due to increased provision of pre-planned care. The Officer presented three specific case studies to the Board which allowed members to see the  impact that the Hub were having on residents.
    2. Members inquired about the number of patients that were being treated by the Hub and asked if the locality hubs had the capacity to treat more. Officers confirmed that around 140 patients were being treated weekly but that the Hub had the capacity to go up to 160.    
    3. A discussion took place regarding the use of  community patient care to prevent patients from having to be transported to and from locality hubs. Officers highlighted that a community transport provider had been commissioned and that, if needed, patients could be transported to the Hubs in order to be treated. It was highlighted  that this had a positive impact on service users as bringing people together rather than treating them individually prevented patients from feeling socially isolated.
    4. Members sought clarification on  claims that residents would lose access to their GP if they were referred to locality hubs.  Officers confirmed that residents would retain the option to be treated by their GP should they chose to do so.
    5. It was highlighted that residents had given very good feedback on the Bedser Hub which was partly due to the availability of longer appointments.Officers stated that previously patients stayed in one room while doctors moved between them. Feedback then showed that patients did not like this as they were being left on their own on occasion so this was then changed. Feedback was shown to be very important to the Locality Hubs and that they would continue to use it to make improvements.  

     

    Actions/ further information to be provided:

     

    None.

     

    RESOLVED:

     

    The Health and Wellbeing Board agreed to note the case study.

     

11/17

Clinical Commissioning Group Annual Reports and Operating Plans pdf icon PDF 119 KB

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    To agree a process for meeting the Health and Wellbeing Board’s statutory duties in relation to Clinical Commissioning Group annual reports and operating plans.

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Victoria Heald, Health and Wellbeing Programme Manager

     

    Key points raised during the discussion:

     

    1. The Officer introduced the item and briefed members on the recommended approach for considering the annual reports and operating plans for each of Surrey’s six CCGs. A template had previously been sent out asking the CCGs to outline their contributions to the Surrey Joint Health and Wellbeing Strategy over the last year. Members were advised thatthis document would then be circulated to the Board by email for comment prior to the submission of annual reports on 21 April 2017.
    2. Members requested that contact  details for each CCGs be included when the annual reports and operating plans were circulated to allow for feedback to be passed on directly if necessary. Members further requested that any overall strategic feedback arising be passed on to the Health and Wellbeing Programme Manager.

     

    Actions/ further information to be provided:

     

    None.

     

    RESOLVED:

     

    It was agreed that the Health and Wellbeing Board:

     

    1. fulfil the requirements of the Health and Social Care Act (2012) by agreeing to the recommended approach to considering the annual reports of each of Surrey’s six Clinical Commissioning Groups; and

     

    1. fulfil the requirements of the Health and Social Care Act (2102) by agreeing to the recommended approach to considering the operating plans of each of Surrey’s six Clinical Commissioning Groups.

     

12/17

Joint Health and Wellbeing Strategy Priority Status Update: Improving Children's Health and Wellbeing pdf icon PDF 151 KB

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    The purpose of this report is to update the Health and Wellbeing Board on progress against 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 coming in September 2016. This report also seeks the Board’s approval for the Surrey Children and Young People’s Partnership Joint Commissioning Strategy 2017-22 – One page summary.

     

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Julie Fisher, Deputy Chief Executive, Surrey County Council

    Sarah Parker, Director for Commissioning: Children (Surreywide)

     

     

    Key points raised during the discussion:

     

    1. The Deputy Chief Executive introduced the item and explained that the report focused on some of the key achievements in relation to the improving children’s health and wellbeing strategy since the last update in September 2016. The Board was informed that, a key next step for the Surrey Children and Young People’s Partnership Board was to develop an outcomes framework with clear performance indicators through the joint commissioning strategy. 
    2. Members noted thatOfsted had undertaken a  monitoring visit of SCCin January 2017 and had expressed their view that SCC nowunderstands what ‘good’ looks like and that the work necessary to  improve  Children’s Service had been identified. Officers highlighted that the next Ofsted visit would take place in April 2017 and that this  would include an assessment of SCC’s provision in relation to Looked After Children. Members were further advised that the Community Health Services contract had been awarded to a new provider which  would deliver speech and language therapy for children,this contact would be commence in April 2017.
    3. Emotional wellbeing and sexual health services were stressed as a key priority for residents and communities in Surrey and Members highlighted that the performance of the CAMHS and integrated sexual health service contracts needed to be monitored closely The Board was informed that the Health Related Behaviour questionnaire circulated annually to children in Surrey provided excellent insights into whether the right services were being commissioned and that it would be appropriate for the outcomes be considered by the Board in the future.
    4. Members inquired as to whether a review of Surrey’s Multi Agency Safeguarding Hub would be undertaken to evaluate its progress. The Deputy Chief Executive confirmed that a review was currently ongoing and would be looking at the decision making process and its thresholds.
    5. A member of the public asked for clarification on when the transfer of the Integrated Sexual Health Services (ISHS) contract would take. The Board stated that the contracts were still being compiled and that a date could not yet be confirmed on when the service would be transferred. Confirmation was then sought as to whether staff within the ISHS team wouldstill be employed after 1 April 2017 to which the Board confirmed that they would. The Board agreed that it should have had better communication with the public in regard to this contract.
    6. Officers provided the Board with a detailed summary on Beacon, a means of accessing CAMHS. It was explained that Beacon is an organisation that provides parents a front door to services and allow for support to be given and open lines of communication with professionals. 

     

    Actions/ further information to be provided:

     

    1. The briefing on Beacon to be circulated to  ...  view the full minutes text for item 12/17

13/17

Joint Health and Wellbeing Strategy Priority Update: Improving Older Adults' Health and Wellbeing pdf icon PDF 156 KB

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    To update the Health and Wellbeing Board on progress against the Improving Older Adults’ Health and Wellbeing priority within the Joint Health and Wellbeing Strategy. The report will also provide members with the Better Care Fund quarterly returns for the quarters 1 and 2 of 2016/17.

     

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

    Helen Atkinson, Strategic Director of Adult Social Care and Public Health, Surrey County Council

    Dr Yvonne Collins, North West Surrey CCG

    Melanie Nunn, Surrey County Council

    Sarah Wimblett, Surrey Heath CCG

     

    Key points raised during the discussion:

     

    1. The Board received a presentation on Surrey’s new Dementia Strategy and were informed that lots of work had been done to increase awareness of dementia. Efforts had also concentrated on dementia prevention by publicising healthy living approaches. Officers explained that by reducing alcohol intake, not smoking and exercising regularly the probability of being diagnosed with dementia would be drastically reduced. Officers also highlighted that a third of people with dementia in Surrey were undiagnosed and that work was being done to improve this diagnosis rate. Officers highlighted the importance of patients experience by ensuring that that when people are diagnosed that they are referred on to the right support and always had access to support in their journey.
    2. Clarity was sought on the closure of the Alzheimer's Society’s St Mary's Day Centre in Byfleet. Members were advised that better community support for those with dementia had significantly reduced the need for services that St Mary’s Day Centre provided. Evidence shows that dementia patients and their families prefer to access services provided in the community. Officers confirmed that they would be working with local district and borough councilsto understand how this will affect the provision of services for those with dementia.
    3. A member of the public ask for clarification on the content of the Improving Older Adults’ Priority Update at the meeting. This led to further discussion on how it would be beneficial for the Board to have the role of district and borough councils displayed more prominently in the priority update reports.  
    4. A member of the public asked whether it was believed that there was enough education on dementia to ensure that residents would be able to recognise the symptoms. Officers agreed that this was very important and that they did believe that the overall knowledge of the disease was improving. It was stated that there was a dementia awareness project being run by the Alzheimer’s Society which aimed to work with local businesses to improve the understanding and recognition of the disease. 

     

    Actions/ further information to be provided:

     

    None.

     

    RESOLVED:

     

    The Health and Wellbeing Board is asked to:

     

              i.       note the progress made towards the outcomes of the Improving Older Adults’ Health and Wellbeing priority of the Joint Health and Wellbeing Strategy;

             ii.       note the Surrey Better Care Fund returns for quarters one and two 2016/17.

            iii.       endorse the next steps for the Improving Older Adults Health and Wellbeing priority; and

           iv.       receive an update on this priority in six months’ time.   

     

14/17

Role of the Voluntary, Community and Faith Sector in the Health and Wellbeing pdf icon PDF 134 KB

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    The Health and Wellbeing Board has enabled cooperation between health and social care in Surrey to become a natural objective in the approach to the care of Surrey residents. There is a vibrant voluntary, community and faith sector (VCFS) in the county and joining this sector to statutory providers would be of benefit to the entire community.

     

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

    Dr Claire Fuller, Clinical Lead, Surrey Downs CCG

     

    Key points raised during the discussion:

     

    1. The Clinical Lead for Surrey Downs CCG introduced the item and explained that the objective was to allow the Voluntary, Community and Faith Sector (VCFS) to be better integrated with the Health and Wellbeing Board. It was confirmed that a l report would be considered at the Health and Wellbeing Board private meeting on 6 Aprilto discuss and agree the specific role of the VCFS in relation to the Health and Wellbeing Board.
    2. The Board discussed  the importance of the VCFS and the role it plays in improving the quality of life for many Surrey residents depends on the 5,000 VCFS organisations which operate in Surrey.
    3. The Board discussed a model used by Runnymede Borough Council which had enabled the Council to coordinate more effectively with the VCFS around the commissioning of services.
    4. A change to the recommendations was agreed to add the word ‘further’ to the second recommendation so it reads ‘explores how this large and diverse sector can be further integrated into the care of Surrey residents’.
    5. A member of the public in attendance at the meeting stated that the VCFS was a very large sector with a lot to offer to Surrey residents. It would, however, need some funding  to support administration.
    6. The Board agreed the recommendations and confirmed that further discussion would be had at the next Health and Wellbeing Board private meeting. 

     

    Actions/ further information to be provided:

     

    None.

     

15/17

Public Engagement Session

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    A chance for members of the public in attendance at the meeting to ask any questions that they may have.

    Minutes:

    No additional questions were asked under this item.

16/17

DATE OF THE NEXT MEETING

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    The next meeting of the Health and Wellbeing Board will be on 2 June 2017 at the Chantries, Guildford Borough Council Offices.

    Minutes:

    The Board noted that its next meeting would be held on 1 June 2017.