To receive any apologies for absence and
substitutions.
Minutes:
Apologies were received from Dr
Andrew Brooks, Dave Hill, Dr Russell Hills, Dr Peter Bibawy, Dr
Sian Jones, David Munro and Councillor Mel Few.
Nicola Airey substituted for Dr
Andy Brooks, Mark Barratt substituted for Dave Hill, Lorna Hart
substituted for Dr Russell Hills and Lisa Herrington substituted
for David Munro.
The minutes were agreed as a true record of
the meeting.
3318.
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.
3418.
QUESTIONS AND PETITIONS
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3418a
Members' Questions
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The deadline for
Member’s questions is 12pm four working days before the
meeting (6 September 2018).
Minutes:
There were none.
3518.
Public Questions
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The deadline for public questions is seven
days before the meeting (5 September 2018).
Minutes:
There were none.
3618.
Petitions
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The deadline for petitions was 14 days before
the meeting. No petitions have been received.
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:
It was noted that the
CEX group would be considering an appointment for an officer
representative on the Health and Wellbeing Board (HWB) at its
meeting on 14 September 2018 to replace Tom Kealey who had left
Reigate and Banstead Borough Council.
It was further noted
that the Conservative Group would also be meeting on 14 September
2018 and would be nominating a new Mental Health
Champion.
Members
were advised that these new appointments would be confirmed at the
next HWB meeting on 6 December 2018.
The
Chairman informed members that the Board’s next business
meeting was scheduled to take place on 4 October 2018 and would
allow for an opportunity to revisit the Board’s role and
function.
The
Chairman referred to the Board’s terms of reference and
highlighted that membership was not restrictive and the Board may
appoint further representation as it thinks appropriate and asked
the Board to consider extending membership to include
representation from care providers.
Actions/ further information to be provided:
Democratic Services Officer to
circulate a copy of the Board’s terms of reference to members
ahead of the next business meeting on 4 October 2018.
RESOLVED:
The Board were updated on key
issues relevant to its area of work, membership and terms of
reference.
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:
It was
noted that the priority status update report on improving
adult’s health and wellbeing had been deferred to the
Board’s meeting on 6 December 2018.
The
Chairman advised members that the next informal meeting on 4
October would centre on forward planning. This meeting was an
opportunityto think about the areas the
Board needed to focus on and how best to engage the whole system in
securing the best health and wellbeing outcomes for the people the
Board serves.
The
Chairman welcomed members to share any comments or ideas regarding
the forward work plan session on 4 October 2018 outside of the
meeting.
Actions/ further information to be provided:
None
RESOLVED:
The Board reviewed and noted
the forward work programme.
It was
noted that the Board were scheduled to receive an update on
progress and next steps of the integrated models of care and this
would be provided as part of the improving older adults health and
wellbeing priority update in December 2018.
It was
further noted that a presentation on young carers was on the agenda
and action A5/18 could be marked complete.
Purpose of the
report:The Surrey Safeguarding Adults
Board is a statutory board with responsibilities set out in the
Care Act 2014. The Safeguarding Adults Board must produce an annual
report with an overview of activities undertaken during that year
and share with the Local Health and Wellbeing Board.
The Surrey
Safeguarding Adults Board Manager introduced the report,
highlighting key points for the period 2017/18.
It was
noted that the previous year was challenging for the Surrey
Safeguarding Adults Board (SSAB) due to the absence of a Board
Manager which hampered the Board’s ability to fulfil
objectives.
It was
highlighted that the conversion rate of those with safeguarding
concerns had improved from 22% in 2016/17 to 46% in
2017/18.
Members
were informed that discussions with a high number of individuals
(or carers) in relation to the objectives of ‘making
safeguarding personal’ suggested that outcomes were sustained
and continued at a high level.
To promote
collaborative work, it was noted that the SSAB had working
arrangements with the Surrey Safeguarding Children’s Board
and Surrey CYP (Children and Young People).
The Board
were reminded that it was a statutory responsibility of the SSAB to
undertake safeguarding adult reviews. It was highlighted that the
SSAB received 6 notification of cases during 2017/18.
The Surrey
Safeguarding Adults Board Manager highlighted that the SSAB’s
current and continued work was to raise awareness to support
delivering objectives for next year.
Members
noted the SSAB’s underspend for 2017/18 which was mainly due
to staff vacancies and reduced training spend
Actions/ further information to be provided:
None
RESOLVED:
The Board;
a)Considered the content of the SSAB annual report in
relation to the Health and Wellbeing strategic
priorities.
b)Would notify the SSAB of any areas of concern in
relation to how the SSAB works to keep adults with care and support
free from abuse and neglect.
c)Confirmed that the SSAB strategic plan for 18/19 was
not at odds with the work of the Health and Wellbeing
Board.
4118.
CASE STUDY: SUPPORTING YOUNG CARERS IN HEALTH 2017/18
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The Board will be presented with a short
presentation on Supporting Young Carers in Surrey 2017/18.
Minutes:
Declarations of interest:
None
Witnesses:
Michelle Harper,
Surrey Young Carers Manager
Ron Critcher, Policy
Officer Carers
Key
points raised during the discussion:
The Board
received a PowerPoint presentation on Surrey’s Young Carers,
attached as Annex 1.
Member
raised concerns with GP’s not recognising young carers and
the need to introduce a change of culture to tackle this. The
Director of Planning and Delivery for Surrey Heath CCG assured the
Board that productive work was being carried out in identifying
young carers which involved asking frontline key
questions.
Members
suggested that training should be extended to receptionists and
pharmacies to support identifying young carers.
Actions/ further information to be provided:
None
RESOLVED:
The Board noted the
presentation.
4218.
SUSTAINABILITY AND TRANSFORMATION PARTNERSHIPS UPDATE
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Purpose of the report: To
discuss the progress on the Sustainability and Transformation
Partnerships (STPs).
Minutes:
Declarations of interest:
None
Witnesses:
Dr Elango Vijyakumar, Sussex and East Surrey STP
Nicola Airey, Frimley Health
ICS
Dr Charlotte Caniff, Surrey
Heartlands ICS
Key
points raised during the discussion:
The Board
received PowerPoint presentations (attached as Annex 2) from the
Sussex and East Surrey Sustainability and Transformation
Partnership (STP), Frimley Health Integrated Care System (ICS) and
Surrey Heartlands ICS providing an update regarding partnership
work undertaken since the last meeting on 7 June 2018.
Members
highlighted the missed opportunities with the local planning
process and suggested finding new ways to promote communication to
support this. The Chairman suggested for an item to be added to the
agenda for the forward planning session on 4 October 2018 to allow
a more in depth discussion.
A member of
the public raised concerns with the lack of clear, coordinated
principles across the STP/ICS’s and asked the Board to
consider this going forward.
The
Executive Director of Public Health for Surrey County Council and
Heartlands expressed disappointment by the lack of prevention work
within the Sussex and East Surrey STP.
It was
noted that the voluntary sector were keen to have conversations at
senior level to promote ways of working in partnership.
Actions/ further information to be provided:
None
RESOLVED:
The Board noted the updates
provided by Sussex and East Surrey STP, Frimley Health ISC and
Surrey heartlands ICS.
Purpose of the report: To
update the Health and Wellbeing Board on progress against outcomes
under 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 in March 2018.
Minutes:
Declarations of interest:
None
Witnesses:
Mark Barratt, Interim
Director of Quality Assurance, CSF Commissioning and
Prevention
Diane McCormack,
Associate Director for Children & Learning Disabilities, NHS
Surrey wide
Key
points raised during the discussion:
1.The Board received a presentation (attached as Annex
3) outlining general updates across the Children’s Service,
providing the Board with key headlines in health, SEND, looked
after children, mental health and wellbeing, the Child and
Adolescent Mental Health Services (CAMHS) interim plan and the
Mental Health and Wellbeing Strategy.
2.Members commented on the report and asked that
officers focus on the whole of Surrey and not just ‘Surrey
Heartlands’ to promote efficiency across the
service.
3.Members further suggested that future reports from
the Children’s Service should provide more context to allow
readers to analyse the data, providing an assurance that as a
system, delivery of outcomes was being fulfilled. The Executive
Director of Public Health indicated that Tableau was a platform
that presented this data and could be shared with the Board at a
future date.
4.Despite the report demonstrating improvements in
process, Members recommended as a Board going forward to work
collectively to support and drive change.
Actions/ further information to be provided:
The Board to receive tableau
data on targets and outcomes relating to performance in
Children’s Service.
RESOLVED:
The Board;
a)Took note of the strategic and intensive changes
taking place in the Surrey County Council Children, Families and
Learning Directorate that aims to improve outcomes for children
across the system.
b)Reviewed the Children and Young People’s
Mental Health Paper and support recommendations.
c)Noted the ongoing challenges being faced by the
directorate and its partners including initial health assessments
and dental checks for looked after children and the transformation
required for SEND services.
d)Agreed to receive a further update for the
‘improving children’s health and wellbeing’
priority against the new set of outcomes, in six months’
time.
Purpose of the
report:This is a supplementary report to
the Improving Children’s Health and Wellbeing update report,
to specifically address children and young people’s mental
health and wellbeing in Surrey.
Minutes:
Declarations of interest:
None
Witnesses:
Mark Barratt, Interim Director
of Quality Assurance, CSF Commissioning and Prevention
Diane McCormack, Associate
Director for Children & Learning Disabilities, NHS Surrey
wide
Key
points raised during the discussion:
1.The Chairman made the following introductory
comments;
·Demand for some mental health services
has significantly increased during the last two years and in
particular children and young people requiring diagnosis of ADHD
(attention deficit hyperactivity disorder) and ASD (autism spectrum
disorder). Surrey County Council has been working in partnership
with NHS Clinical Commissioning Group leaders and Surrey and
Borders Partnership to address the lengthy waits that have
developed and were on target to see all children and young people
on the waiting list for CAMHS services by 5 October
2018.
·The work to ensure that services were
sustainable going forward so children and young people were able to
receive timely treatment required a whole system approach involving
health, social care, education, and the voluntary
sector.
·An independent review of services,
commissioned by Surrey County Council, CCGs and Surrey and Borders
Partnership, had been undertaken this
summer which found that CAMHS services were strong in parts such as
the crisis, urgent, hope and eating disorders services, however
overall capacity was too low for the number of
referrals.
·There would be a meeting today to
discuss the findings of the review and to start planning the way
forward together.
·Surrey and Borders Partnership would
continue to provide CAMHS Services during the course of their
contract and it was acknowledged the significant work that has
taken place this summer to address the numbers of children and
young people waiting for assessment
2.The Interim Director of Quality and Assurance, CSF
Commissioning and Prevention informed the Board that the service
were in week 12 of the CAMHS Interim Plan which was due to end on
21 September 2018. It was highlighted that waiting lists/referrals
had shown improvements and five workstreams had been developed to address these
issues.
3.Members were pleased to see children and young
people at the front and centre of engagement in relation to the
Children and Young People’s Mental Health Charter and queried
whether engagement was extended to children and young people who
struggled to access the service. TheAssociate Director for Children & Learning Disabilities,
assured the Board that engagement levels were far-reaching. It was
explained that going forward the Joint Children and Young
People’s Mental Health and Wellbeing Strategy would include
schools.
4.Members reiterated that parts of the CAMHS contract
had performed well and consideration should be placed in the
message being portrayed to children and young people.
Actions/ further information to be provided:
None
RESOLVED:
The Board;
a)Noted progress to date on addressing performance
issues through the CAMHS Interim Plan.
b)Noted emerging conclusions from the Joint
Independent review which will inform future commissioning
options.
c)Provided strategic oversight and approval of the
emerging principles for the Joint Children and Young People’s
Mental Health and Wellbeing Strategy, including the Children and
...
view the full minutes text for item 4418.
Purpose of the report: The
following document describes the ambition of Surrey health and care
providers and commissioning organisations to develop Personal and
Population Health Intelligence that considers the Wider Determinants of Health.
Helen Atkinson,
Executive Director, Public Health – SCC and
Heartlands
Key
points raised during the discussion:
The Board
were presented with a commitment statement that described the
ambition of Surrey health and care providers and commissioning
organisations to develop personal and Population Health
Intelligence that considers the wider determinants of
health
It was
noted that the commitment statement would be updated to include
xxxxx.
Purpose of the report: The
Annual Report 2017-2018 reports on effectiveness of safeguarding
and child protection practice by partner agencies in Surrey and is
presented to Health and Wellbeing Board for information.
ThePartnership Support Manager advised Members that the
Surrey Safeguarding Children Board (SSCB) Annual Report would be
signed off at the Full Board on 24 September 2018.
It was
noted that the appointment of a new Chairman on the SSCB allowed
the Board the opportunity to have a refreshed and renewed focus to
improve safeguarding in Surrey with a commitment to improving
outcomes for children.
It was
highlighted as part of the re-focussing, the Board had approved
changes to its sub groups and as a result there was little on the
forward plan.
Members
noted the SSCB’s ongoing work linked with the Improvement
Board, tasked to undertake key pieces of work to understand more
about areas of concern.
ThePartnership Support Manager talked through the
SSCB’s priorities and advised how this would be delivered
across the next eighteen months. The Board noted the business plan
to support this which would be managed and monitored through the
SSCB Business Group.
Actions/ further information to be provided:
None
RESOLVED:
The Health and Wellbeing
Board;
a)Considered the content of the Surrey Safeguarding
Children Board Annual Report in relation to the Health and
Wellbeing strategic priorities.
b)Notified the SSCB of any areas of concern in
relation to how the SSCB works to ensure that agencies work
together to safeguard children.
c)Confirmed that the SSCB strategic plan for 201/19 is
not at odds with the work of the Health and Wellbeing
Board.
Kate Scribbins, Chief
Executive, Healthwatch
Surrey
Key
points raised during the discussion:
It was
noted that Healthwatch Surrey was a
local independent champion for service users, families and carers
across health and social services.
TheBoard received a PowerPoint presentation (attached
as Annex 4) on the work carried out by Healthwatch Surrey during the period
2017/18.
TheChief Executive of Healthwatch Surrey informed the Board that the role
of Healthwatch Surrey involved
providing information and signposting advice about local services.
Furthermore Healthwatch Surrey was a
critical friend to system partners, sharing information and
contributed to all five Health and Wellbeing Board strategic
priorities.
It was
highlighted that Healthwatch Surrey
were also responsible for providing NHS complaints advocacy
services.
The Chief
Executive stated that Healthwatch
Surrey had ambitions to spread ambassador roles more widely across
Surrey and endorse ambassador roles within the Frimley Health ICS
and Sussex and East Surrey STP.
Actions/ further information to be provided:
None
RESOLVED:
The Health and Wellbeing
Board;
a)Noted and endorsed the Annual Report.
b)Would promote this Annual Report and the role and
services of Healthwatch within their
organisations.
c)Would promote the engagement of local people and
service users, and the involvement of patients as partners in
service development, as widely as possible across the system as
integration and change develops.
d)To maximise all opportunities to make best use of
Healthwatch’s insight and
expertise in engaging with local people, so that the whole system
benefits from hearing more, and sharing what we hear.
4818.
DATE OF THE NEXT MEETING
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The next meeting of the Health and Wellbeing
Board will be on 6 December 2018.
Minutes:
The Board noted that its next meeting would be
held on 6 December 2018.
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