Agenda and minutes

Health and Wellbeing Board
Thursday, 7 March 2019 1.00 pm

Venue: Ashcombe Suite, County Hall, Kingston upon Thames, Surrey KT1 2DN. View directions

Contact: Ben Cullimore 

Items
No. Item

1/19

Apologies for Absence

    To receive any apologies for absence and substitutions.

     

    Minutes:

    Apologies were received from Dr Andy Brooks, Ruth Colburn Jackson, Fiona Edwards, Joanna Killian, Russell Hills, Sue Littlemore and Simon White.

     

    Robert Morgan acted as a deputy for Dr Andy Brooks, Dr Peter Bibawy acted as a deputy for Ruth Colburn Jackson, Dr Helen Rostill acted as a deputy for Fiona Edwards, Helen Atkinson acted as a deputy for Joanna Killian, Dr Jonathan Richards acted as a deputy for Russell Hills, and Liz Uliasz acted as a deputy for Simon White.

2/19

Minutes of the Previous Meeting: 6 December 2018 pdf icon PDF 109 KB

3/19

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:

    Dr Jonathan Richards declared pecuniary interests in Dorking Health Care and Brockwood Pharmacy.

4/19

Questions and Petitions

4/19a

Members' Questions pdf icon PDF 62 KB

4/19b

Public Questions

4/19c

Petitions

5/19

Action Review pdf icon PDF 52 KB

    To review and agree the Board’s action tracker.

    Minutes:

    Key points raised during the discussion:

     

    1.    It was noted that there was one outstanding item on the Action Tracker but that actions were yet to be added from the previous meeting on 6 December 2018. These were included on an updated version (attached as Annex 2).

     

    Actions/further information to be provided:

     

    None.

     

    Resolved:

     

    1.    The Board reviewed and noted the Action Tracker.

6/19

Surrey Health and Wellbeing Board Terms of Reference pdf icon PDF 71 KB

    For the Board to note changes and approve the terms of reference.

    Additional documents:

    Minutes:

    Witnesses:

     

    Tim Oliver, Chairman of the Health and Wellbeing Board

    Amy Morgan, Policy and Programme Manager (Health and Social Care Integration)

     

    Key points raised during the discussion:

     

    1.    The Cabinet Member for Children, Young People and Families noted that her role was not included in the Terms of Reference’s membership list, and the Chairman informed the Cabinet Member that there was to be some flexibility with regards to Cabinet Member representation on the Board.

    2.    A discussion was had about representation from district and borough councils after the Leader of Mole Valley District Council asked whether the Board thought the number of representatives included was adequate. The Chairman spoke about the two leaders and chief executives now included on the Board and expressed his belief in this being a reasonable representation.

    3.    Responding to a question from the Cabinet Member for Adults and Public Health, the Housing Advice Manager for Guildford Borough Council informed the Board that she was the new representative from the Surrey Chief Housing Officers Association.

     

    Actions/further information to be provided:

     

    None.

     

    Resolved:

     

    1.    The Board approved the Terms of Reference.

7/19

Draft Surrey 10 Year Health and Wellbeing Strategy pdf icon PDF 327 KB

    To ask board members to formally review the Draft Surrey 10 year Health and Wellbeing Strategy as part of the engagement period running from 28 February 2019 and 27 March 2019.

     

    Additional documents:

    Minutes:

    Witnesses:

     

    Tim Oliver, Chairman of the Health and Wellbeing Board

     

    Key points raised during the discussion:

     

    1.    The Chairman briefed the Board on the background to the Strategy and highlighted its key strategic aims. He explained that the idea behind the Strategy was to tie in the NHS 10 Year Plan, the Surrey 2030 Vision and the Social Care Green Paper into a county-wide, multi-organisational plan of action, and that the priorities contained within it had been agreed by all of the partners who had taken part in its formulation.

    2.    The Chairman went on to talk about the engagement process, which was not a formal consultation but engaged Surrey residents in commenting on the three priorities and target groups set out in the Strategy. He also highlighted the fact that the Board’s role was to make sure that the Strategy’s aims were implemented in a way that allowed residents to witness a demonstrable improvement, and that the implementation process remained transparent and accountable throughout.

    3.    A discussion was had about the collaboration between organisations in the production of the document, with Board Members expressing their satisfaction with the levels undertaken.

    4.    The Chief Executive of Healthwatch Surrey asked whether the Board could assure that there had been enough engagement with the public and whether the rest of the Members were clear on the metrics to be used and the timeframe for their development. In response, the Chairman said that the Strategy was not a completed piece of work but instead would change as it was implemented. Regular reviewing and public engagement would make sure the Strategy continued the meet residents’ needs.

    5.    The Director of Public Health informed the Board about a process of metric development that would be undertaken throughout the summer and autumn of 2019 as the Strategy moved into its next stage. Members also heard about the development of a performance dashboard, and that work would be done with stakeholders to provide an overview of performance.

    6.    The Cabinet Member for Children, Young People and Families asked about the aspirations behind the targets and noted that, in some instances, those included in the Strategy were lower than what was being achieved at that moment in time. The Cabinet Member was informed by the Senior Responsible Officer for Surrey Heartlands that the targets related to obesity and depression levels were typographical errors and would be corrected.

    7.    Responding to a question about the engagement undertaken with district and borough councils and the extent to which this would continue throughout the Strategy’s implementation period, the Chairman told the Board that he saw such engagement as a key area of focus. He went on to inform Members that conversations would be had with district and borough leaders about how best to discuss issues relating to the Strategy. This point was echoed by the Head of Housing and Community and the Director of Integrated Care Partnerships.

    8.    The Police and Crime Commissioner welcomed the Strategy but expressed his disappointment at  ...  view the full minutes text for item 7/19

8/19

A Thriving Community of Children and Young People in Surrey: A Strategy for Their Emotional Wellbeing and Mental Health pdf icon PDF 204 KB

    To approve and endorse: A thriving community of children and young people in Surrey. A strategy for their emotional wellbeing and mental health 2019 – 2022.

    Additional documents:

    Minutes:

    Witnesses:

     

    Julia Cramp, Children’s Services Consultant (Children, Families and Learning)

     

    Key points raised during the discussion:

     

    1.    The Executive Director for Children, Families and Learning introduced the Strategy and explained the background to its development. The Children’s Services Consultant discussed the Strategy’s development process and the way in which it offered a clear vision that was spread across all of the relevant agencies. She also requested the opportunity to present at a future Board meeting in order to give an update on the work that had been done during the transformation period outlined in the Strategy. Responding to a question about the timeframe of the Strategy, the Children’s Services Consultant then informed the Board that it covered the period 2019-2022.

    2.    The Cabinet Member for Children, Young People and Families welcomed the Strategy and stated that the Surrey Youth Cabinet voted in 2016 that mental health was one of the biggest issues facing young people. She also discussed the increase in central government funding for mental health and asked how the Council may be able to request a share of that money. In response, the Children’s Services Consultant spoke about the work being undertaken with CCGs to make sure that funding was used to help implement the Strategy. The Executive Director for Children, Families and Learning added that social media has an impact on many of the issues outlined in the Strategy and told the Board that the department was aiming to invest money in early intervention in schools.

    3.    The Police and Crime Commissioner welcomed the report and spoke about the issue of children who go missing due to emotional and mental health problems. He discussed the improvement in coordination amongst partners in recent years but told the Board that more work needed to be done before the problem could be reduced to a manageable level.

    4.    The Chief Executive of Healthwatch Surrey discussed the Strategy’s governance model and asked what the Board would see and at what point. She also questioned what the key milestones of the performance indicators were and who had ownership of performance management. The Board then heard from the Children’s Services Consultant that discussions were underway regarding the governance of the model and what needed to be done to make sure the right partners were included throughout the transformation process.

    5.    Referring to the third recommendation outlined in the report, the Chairman spoke about there being an expectation that the Board would help drive the Strategy forward and continue to offer its recommendations and advice as the transformation process progressed.

     

    Actions/further information to be provided:

     

    1.    For the Board to inform Children’s Services of what they wished to see in the Strategy and how success could be best measured.

     

    Resolved:

     

    The Board:

     

    1.    Agreed to sign off the Strategy.

    2.    Approved the request to present a new model for service delivery detailing the future vision for Children and Young People’s Emotional Wellbeing and Mental Health Services at a future Health and Wellbeing Board meeting.  ...  view the full minutes text for item 8/19

9/19

Surrey Suicide Prevention Strategy pdf icon PDF 158 KB

    To ask board members to formally review and sign of the Surrey Suicide Prevention Strategy.

     

    Additional documents:

    Minutes:

    Witnesses:

     

    Maya Twardzicki, Public Health Lead

    Nanu Chumber-Stanley, Public Health Development Worker

     

    Key points raised during the discussion:

     

    1.    The Director of Public Health introduced the Strategy and informed the Board that it was the department’s response to the national work that had recently been undertaken.

    2.    The Board heard from the Public Health Lead, who spoke about the consultation period that had taken place during the summer of 2018. She explained how an extensive consultation process had resulted in 200 responses being received, and these then helped formulate the draft version of the Strategy that was further amended after being taken to the Surrey-based CCGs.

    3.    The Cabinet Member for Adults and Public Health welcomed the Strategy but questioned whether it could be signed off by the Board before a lead organisation had been agreed, as outlined in Priority 4 (‘Reduce attempted suicide and self harm – especially amongst children and young people’). In response, the Public Health Lead informed the Board that this was to be a representative from the Children and Young People services. She went on to say that a first meeting was had with the Suicide Prevention Partnership early in March 2019 and that the Commissioning Manager had named someone with children and mental health in their brief who would take the lead going forward. At the Partnership meetings, there would also be representation from the Children and Adolescent Mental Health Services provider organisation, Surrey and Borders Partnership NHS Foundation Trust.

    4.    A discussion was had about recognising the signs of mental illness at the earliest possible stage. In response to a question about the possibility of training being provided so that those signs could be better spotted, the Public Health Development Worker told Board Members about suicide prevention training sessions that were delivered not only to families of those people that struggled with mental illness but also people who work in the wider community, from sectors such as retail, banking and security services.

     

    Actions/further information to be provided:

     

    None.

     

    Resolved:

     

    The Board:

     

    1.    Approved the Strategy.

    2.    Approved the request to commit partners to the joint delivery of the Strategy.

    3.    Agreed to provide strategic oversight of the implementation of the Strategy and hold partner organisations to account for their contribution to the delivery of the actions and recommendations contained within.

10/19

Pharmaceutical Needs Assessment: Supplementary Statement and Update pdf icon PDF 82 KB

    The Surrey Health and Wellbeing Board (HWB) is responsible for delivering a Pharmaceutical Needs Assessment (PNA) every three years. The PNA was last published in 2018, but the PNA Steering Group reviews annually to ensure no substantive changes are required. The attached report provides a supplementary statement to the 2018 PNA which the PNA Steering Group recommends the Board approves.

     

    Additional documents:

    Minutes:

    Witnesses:

     

    Julie George, Public Health Consultant

     

    Key points raised during the discussion:

     

    1.    The Public Health Consultant outlined the background to the Pharmaceutical Needs Assessment (PNA) supplementary statement and explained to the Board that it was required that a new PNA be produced outside of the usual three-yearly cycle if circumstances changed sufficiently. As this was not the case, only a supplementary statement was needed and the Board were asked to note their approval of it.

    2.    A discussion was had about population growth and the supply of pharmacies, with this being one of the changes that can result in a new PNA needing to be produced. The Clinical Chair of North West Surrey CCG asked whether any predictive analysis was mapped with regards to housing growth in order to try and gauge what increases in population may occur over the coming years, and the Public Health Consultant informed the Board that the PNA Steering Group had looked at new housing developments and whether these required pharmacies to be opened to ensure access. The Steering Group primarily concentrated on large-scale developments due to the impacts they have on access, but the officer acknowledged the tension between the PNA that looked at the present requirements and what may happen in the future.

    3.    The Leader of Guildford Borough Council raised the issue of long delays relating to the one pharmacy located in Ash and was told that it was NHS England’s responsibility and complaints needed to be escalated to them. He was also informed that the Surrey public health team would be happy to advise on the process.

    4.    Responding to a question about pharmacy closures, the Public Health Consultant informed the Board that there had not been as many as had been feared due to the changes to the pharmacy funding arrangements, and the minimal amount of changes meant that no gaps in access had been identified.

     

    Actions/further information to be provided:

     

    None.

     

    Resolved:

     

    1.    The Board approved the PNA supplementary statement.

11/19

Date of Next Meeting