Agenda and minutes

Health and Wellbeing Board
Thursday, 7 June 2018 1.00 pm

Venue: County Hall, Committee Room C

Contact: Sharmina Ullah 

Items
No. Item

15/18

APOLOGIES FOR ABSENCE

    To receive any apologies for absence and substitutions.

    Minutes:

    Apologies were received from Dr Andy Brooks, Dr Peter Bibawy, Dave Hill, David Munro and Borough Councillor Paul Spooner.

     

    Nicola Airey acted as a substitute for Dr Andy Brooks and Gareth Symonds acted as a substitute for Dave Hill.

     

16/18

MINUTES OF PREVIOUS MEETING: 5 APRIL 2018 pdf icon PDF 246 KB

17/18

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.

     

    The Chairman reminded members to complete new declarations of interest forms to allow records to be up to date.

     

18/18

QUESTIONS AND PETITIONS

18/18a

Members' Questions

19/18

Public Questions pdf icon PDF 95 KB

    The deadline for public questions is seven days before the meeting (Thursday 31 May).

     

    Minutes:

    1. The Board received one public question and a formal response was tabled at the meeting (attached as Annex 1). 

     

    1. It was noted that the response, did not reference s.15 under the Care Act 2014 detailing the Council’s statutory responsibilities.

     

    1. The Strategic Director of Adult Social Care and Public Health highlighted that work was underway to promote the borough and district councils’ role in partnership working under the Care Act. It was further highlighted that Tom Kealey, Head of Health and Wellbeing in Reigate & Banstead Borough Council was leading this development and would be driving it forward on a more formal basis.

     

    1. It was noted to endorse this partnership working the Member Co-Chairman agreed to raise its awareness when attending borough and district joint committee meetings scheduled to take place in September 2018.

     

20/18

Petitions

21/18

BOARD BUSINESS

    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:

     

    Sharmina Ullah, Democratic Services Assistant

     

    Key points raised during the discussion:

     

    1. It was noted that the application for a Darzi Fellow to work on a self-care project that was put forward by the Board at its meeting on November 2017 has been successfully selected.

     

    1. The Board were informed that future correspondence would be managed through the Democratic Services inbox to support efficiency; and that the Health and Wellbeing inbox would be removed and deleted from the server.

     

    1. It was highlighted that the next informal meeting scheduled for 5 July 2018 conflicted with the NHS celebrating its 70 years of service. The Board agreed to cancel this meeting.

     

    Actions/ further information to be provided:

     

    The Democratic Services Assistant to circulate cancellation notice of the Board’s meeting on 5 July 2018.

     

    RESOLVED:

     

    The Board agreed to cancel its next informal meeting on 5 July 2018 and postpone the formal plan workshop to the following meeting on 4 October 2018.

     

22/18

FORWARD PLAN pdf icon PDF 278 KB

    To review and agree the Board forward work program.

     

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Sharmina Ullah, Democratic Services Assistant

     

    Key points raised during the discussion:

     

    1. The Board were informed that the University of Surrey Medical School case study would no longer be presented at its meeting in October as the bid was unsuccessful.

     

    1. It was noted that the Surrey Safeguarding Adults Board Annual Report had been moved to the Board’s meeting in September due to delays with the report publication.

     

    Actions/ further information to be provided:

     

    None

     

    RESOLVED:

     

    The Board reviewed the forward plan and noted the updates.

     

23/18

ACTION REVIEW pdf icon PDF 201 KB

    To review and agree the Board actions tracker.

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

    Sharmina Ullah, Democratic Services Assistant

     

    Key points raised during the discussion:

     

    1. The Board received an amended version of the action tracker and reviewed all the ongoing actions in turn.

     

    A34/17

     

    1. The Clinical Commissioning Groups were reminded to update the CAMHS Transformation Plan published on their websites.

     

    A35/17

     

    1. The Board noted it would receive an update on integrated models of care as part of the improving older adult’s health and wellbeing priority update in December 2018.

     

    A2/18

     

    1. The Board were informed that a letter of thanks had been drafted and sent to Dr David Eyre-Brooks.

     

    A3/18

     

    1. The Board agreed to consider an item on pharmacies and the health and social care system at its forward plan workshop session in October 2018.

     

    A4/18

     

    1. The Board agreed to remove this action from its tracker as sufficient member oversight and engagement was apparent within the Sustainability Transformation Partnerships (STPs)

     

    A5/18

     

    1. The Board noted that information on young carers in Surrey would be circulated to members via email.

     

    A6/18

     

    1. It was further noted by the Board that Tom Kealey had been appointed as the Health and Borough & District representative on the Accommodation with Care and Support Board.

     

    A7/18

     

    1. It was highlighted that an update on the Children’s Health Summit held in May 2018 would be provided in the mental health priority status update relevant to Item 11.

     

    Actions/ further information to be provided:

     

    None

     

    RESOLVED:

     

    The Board reviewed it action tracker and noted the updates.

     

24/18

SUSTAINABILITY AND TRANSFORMATION PARTNERSHIPS UPDATE pdf icon PDF 180 KB

    Purpose of the report: To discuss progress on the Sustainability and Transformation Partnerships (STPs)

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Nicola Airey, Surrey Heath & East Berkshire CCG

    Dr Elango Vijaykumar, East Surrey CCG

    Dr Sian Jones, Guildford & Waverley CCG

    Dr Charlotte Caniff, North West Surrey CCG

    Dr Russell Hills, Surrey Downs CCG

    Kath Cawley, South West London Health and Care Partnership

     

    Key Points raised during the discussion:

     

    1. The Board received PowerPoint presentations on the Frimley Health STP and the South West London Health and Care Partnership (attached as Annex 2).

     

    1. The Board received verbal updates on key themes for the following Clinical Commissioning Group areas; 

     

    North West Surrey

     

    1. It was reported that the North West Surrey division were working closely with district and boroughs, improving Integrated Care System (ICS) governance, supporting new children’s work stream and were supporting the population by running extending access from 8am to 8pm.

     

    Guildford and Waverley

     

    1. It was noted that the NHS e-referral service in Guildford and Waverley would be going live for the next six months; and that fax and paper referrals would no longer be accepted. It was further noted that work was in development with Primary Care.

     

    Surrey Downs

     

    1. It was stated that the digital strategy for Surrey Downs had gone live in May 2018; and the CCG was also exploring opportunities to work with Primary Care.

     

    Sussex and East Surrey

     

    1. It was reiterated that the alliance formed under the Sussex and East Surrey STP was experiencing challenges and complexities due to the geographical make up and the individual systems. The Sussex and East Surrey representative highlighted that extended access had also been introduced and more appointments had been made available.

     

    1. There was a discussion around public engagement and all STPs informed the Board that although work streams were in place to promote public engagement, this was an area of continuous improvement.

     

    1. The CEO of Surrey Community Action highlighted that support through the voluntary sector could be coordinated to help reach people in isolated areas or situations.

     

    1. Members shared the view that it would be useful for the three STPs to explore further opportunities to work together to promote information sharing and engagement.

     

    Actions/ further information to be provided:

     

    None

     

    RESOLVED:

     

    The Board noted the content of this report.

     

25/18

DOMESTIC HOMICIDE REVIEWS pdf icon PDF 207 KB

    Purpose of the report: This report presents the legislative background of Domestic Homicide Reviews (DHRs), and presents figures outlining the level of domestic abuse in Surrey. The report then details the progress made in improving the process of undertaking a DHR and embedding the learning into practice.

     

    The report includes a summary thematic analysis of learning collated from the reviews competed so far and a status update of DHRs to date.

     

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Lisa Herrington, Head of Policy and Commissioning, Office of the Police and Crime Commissioner

     

    Key points raised during the discussion:

     

    1. The Board were provided with a legislative background on Domestic Homicide Reviews (DHRs), and were presented with figures outlining the level of domestic abuse in Surrey.

     

    1. The Head of Policy and Commissioning informed members of the progress made in improving the process of undertaking a DHR and embedding the learning into practice.

     

    1. The Board were also presented with a summary on thematic analysis collated from reviews completed so far and a status update of DHRs to date.

     

    Actions/ further information to be provided:

     

    None

     

    RESOLVED:

     

    The Board noted the content of this report.

     

26/18

DOMESTIC ABUSE STRATEGY pdf icon PDF 452 KB

    Purpose of the report: To review the Surrey Against Domestic Abuse 2018-2023 - Delivery Plan

     

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Lisa Herrington, Head of Policy and Commissioning, Office of the Police and Crime Commissioner

     

    Key points raised during the discussion:

     

    1. The Board were presented with the Surrey Against Domestic Abuse 2018-23 Delivery plan and noted the following three key priorities;

     

                          i.        Community – to break the silence about domestic abuse within our local communities, and remove the barriers that make it hard for survivors and perpetrators to reach support.

                         ii.        Professionals – to maximise every opportunity to identify and respond to domestic abuse for survivors and perpetrators.

                        iii.        Expert support – to empower specialist expert support to work with survivors, children and perpetrators in a way that achieves safety, with minimum reliance on external resources.

     

    1. It was noted that the Surrey Domestic Abuse Management Board (DAMB) implements the Surrey Against Domestic Abuse Strategy and delivery plan and the Community Safety Board oversee DAMB.

     

    1. Despite having male victims, the strategy recognised domestic abuse as a gendered crime and mentioned comments such as ‘I didn’t feel like mum was safe’. Members raised concerns with this stereotype and suggested that wording could be more wide ranging to reflect the different types of victims.

     

    Actions/ further information to be provided:

     

    None

     

    RESOLVED:

     

    The Board noted the content of this report.

     

27/18

MENTAL HEALTH PRIORITY STATUS UPDATE pdf icon PDF 102 KB

    Purpose of the report: The purpose of this report is to provide an update on the CAMHS interim plan and outstanding actions from the completed Emotional Wellbeing and Adult Mental Health strategy and give an overview of the new mental health delivery plans led by each of the three Sustainability and Transformation Partnership across Surrey.

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

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

    Garath Symonds, Assistant Director of Commissioning & Prevention

     

    Key points raised during the discussion:

     

    1. The Board were reminded that officers attended a Children’s health summit in May to discuss how to tackle the current issues challenging the service in relation to the CAMHS contract.

     

    1. It was highlighted that the CAMHS Interim Plan was developed to address the lengthy waits currently being experienced by children and young people. It was further highlighted that the plan also sought to improve ways of working across the system and identified five priorities to work towards.

     

    1. It was noted that both outstanding actions (perinatal mental health and education delivered to GPs on mental health) relating to the Emotional Wellbeing and Adult Mental Health Strategy have now been progressed.

     

    1. Members agreed that there were areas of the CAMHS contract that was working well, however shared the view that there were better ways of working.

     

    1. Members were informed that the three Sustainability Transformation Partnerships in Surrey had mental health as one of their priorities and were drafting plans to deliver these. It was noted that further reports to demonstrate progress could be provided at a later date. 

     

    Actions/ further information to be provided:

     

    None.

     

    RESOLVED:

     

    The Board were asked to;

     

    a)    Note the updates from CAMHS, perinatal mental health and GP Education.

     

    b)    Note the establishment and progress of the mental health workstreams within each STP across Surrey and look to receive reports in the future of their progress.

28/18

DEVELOPING A PREVENTATIVE APPROACH PRIORITY STATUS UPDATE pdf icon PDF 410 KB

    Purpose of the report: To provide the Health and Wellbeing Board (HWBB) with an update on progress against the ‘Developing a Preventative Approach’ priority in the Joint Health and Wellbeing Strategy since the Board’s last update in December 2017.

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

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

     

    Key points raised during the discussion:

     

    1. The Board received a presentation providing an update on progress against the ‘Developing a Preventative Approach’ priority in the Joint Health and Wellbeing Strategy since the last update in December 2017 (attached as Annex 3).

     

    1. To improve public awareness in developing a preventative approach, members suggested further signposting to be made available, advising one message to be communicated from all practices.

     

    Actions/ further information to be provided:

     

    None.

     

    RESOLVED:

     

    The Health and Wellbeing Board were asked to;

     

           Endorse delivery mechanism of ‘Developing Preventative approach’ – through ICSs

    MEAM

           Formally agree Multiple Disadvantaged Steering Group is accountable to H&WBB

           Support and advocate the Multiple Disadvantage Steering Group’s ambition for a system-wide solution

           Nominate an executive sponsor from one of Surrey CCGs to join executive sponsors from SCC, the police and the PCCC for the Multiple Disadvantaged Project

    Alcohol

           Support the alcohol prevention ‘DrinkCoach’ launch in own organisation and promote Don’t Bottle it Up

           Endorse Surrey-wide buy-in to DrinkCoach pilot to ensure residents can access skype based alcohol support

     

29/18

COMMUNICATION AND ENGAGEMENT UPDATE pdf icon PDF 322 KB

    Purpose of the report: To update the Health and Wellbeing Board on activity and progress relating to communications and engagement, to receive support from Board Members for overcoming current challenges and to secure endorsement for the next steps.

    Additional documents:

    Minutes:

    Declarations of interest:

     

    None

     

    Witnesses:

     

    Tom Gurney, Director of Communications and Engagement, Central Sussex and East Surrey Commissioning Alliance

     

    Key points raised during the discussion:

     

    1. It was noted that the report was on progress made on communications and engagement since December 2017.

     

    1. The Director of Communications and Engagement provided the Board with a campaign activity update which included the winter 2017/18 campaign and upcoming campaign activity for 2018.

     

    1. It was highlighted that the Health and Wellbeing Board Communications and Engagement Sub-group were proposing to update the Terms of Reference and membership to reflect a wider remit and extended membership to include providers.

     

    1. The Board agreed to receive continuous six- monthly formal reports on communication and engagement.

     

    Actions/ further information to be provided:

     

    None.

     

    RESOLVED:

     

    It was recommended that the Health and Wellbeing Board noted;

     

    a)    note the progress made on communications and engagement since December 2017,

    b)    identify solutions to key challenges, and

    c)    note and agree the proposed new way of working for the Communications and Engagement Sub-group

30/18

DATE OF THE NEXT MEETING