Councillors and committees

Agenda and minutes

Venue: Remote

Contact: Amelia Christopher  Email: amelia.christopher@surreycc.gov.uk

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Items
No. Item

2120.

APOLOGIES FOR ABSENCE

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    To receive any apologies for absence and substitutions.

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    Minutes:

    Apologies were received from Rob Moran, Joanna Killian, Gavin Stephens - Carwyn Hughes substituted, Cllr Caroline Reeves - Cllr Julia McShane substituted, and Frances Rutter.

2220.

MINUTES OF PREVIOUS MEETING: 4 JUNE 2020 pdf icon PDF 139 KB

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    To agree the minutes of the previous meeting.

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    Minutes:

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

2320.

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.

     

    Additional documents:

    Minutes:

    There were none.

2420.

QUESTIONS AND PETITIONS

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    Additional documents:

2420a

Members' Questions

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    The deadline for Member’s questions is 12pm four working days before the meeting (4 September 2020).

     

    Additional documents:

    Minutes:

    There were none.

2420b

Public Questions pdf icon PDF 204 KB

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    The deadline for public questions is seven days before the meeting (3 September 2020).

     

    Additional documents:

    Minutes:

    One question had been received from a member of the public. The response was circulated to Board Members and can be found attached to these minutes as Annex A.

     

    No supplementary question was asked.

     

2420c

Petitions

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

     

    Additional documents:

    Minutes:

    There were none.

2520.

SURREY HEALTH AND WELLBEING BOARD MEMBERSHIP REVIEW pdf icon PDF 155 KB

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    Following agreement at the June Health and Wellbeing Board, a subgroup was formed to undertake a review of the membership over July. This report highlights the key proposed changes to membership and representation.

     

    Additional documents:

    Minutes:

    Witnesses:

    Victoria Berry - Policy and Programme Manager – Health and Social Care Integration (H&SCI) (SCC)

     

    Key points raised in the discussion:

    1.   The Chairman noted that initial proposals for a membership review were presented to the Board in June. It had been eighteen months since the Board was last reconstituted, so it was an opportune time to revisit the Board’s membership as presented in the proposed membership changes.

    2.   The Chairman highlighted that:

    -     New members had been invited to this meeting to observe and for approval: Vicky Stobbart to represent Guildford & Waverley ICP and Michael Wilson CBE to represent Crawley, East Surrey and Horsham (CRESH) ICP and Acute Hospitals/Acute Trust Providers.

    -     Officers were working with the Chairman of the Surrey Leaders Group to identify a new District & Borough Leader Representative.

    -     Rachael Wardell had been appointed as the new Executive Director for Children, Families and Lifelong Learning and would be joining Surrey County Council in December.

    -     Matthew Tait had left his role as Joint Accountable Officer at Surrey Heartlands CCG and Dr Claire Fuller had taken over as interim Accountable Officer as well as continuing as Senior Responsible Officer.

    -     The main membership changes were that some Board members had stepped down including the Priority Two Sponsor in which Dr Helen Rostill had expressed her interest and was proposed by a member, one moved to the One Surrey Growth Board and another to become an Associate Member invited to attend as determined by the agenda.

    3.   A Board member queried her proposed change to an Associate Member on behalf of the Chief Housing Officers, noting that it was important to ensure that housing would continue to be represented as many items considered by the Board directly or indirectly related to it and asked on what basis she would be invited to attend going forward. In response, the Chairman explained that agendas would be shared with the Associate Member and officers would then discuss to agree on attendance.

    4.   A Board member asked for clarity on the column titled ‘representing’ - within the table titled ‘Proposed named representation assuming changes’ - as in his case membership on the Board was based on his wider role representing the Voluntary, Community and Faith Sector (VCFS) and not solely that listed organisation for him. In response, the Chairman noted that officers would re-look at the terminology used in the table for all Board members.

    5.   A Board member queried the positions for both the Community Rehabilitation Company (CRC) and for the National Probation Service, as the CRC was due to be subsumed into the National Probation Service (NPS) in April 2021 and whether the CRC role would become an additional NPS post. In response, the Policy and Programme Manager (H&SCI) noted that the membership review sub-group were aware of that change and would keep the matter under review.

    6.   The Policy and Programme Manager (H&SCI) thanked Board members for completing the recent Health and Wellbeing Board Members  ...  view the full minutes text for item 2520.

2620.

SURREY COVID-19 COMMUNITY IMPACT ASSESSMENT pdf icon PDF 197 KB

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    The Community Impact Assessment (CIA) explores how communities across Surrey have been affected by COVID-19, communities’ priorities for recovery, and what support these communities might need in the event of another outbreak. The findings of the research show that COVID-19 has had a disproportionate impact on some communities within Surrey and identifies a risk that inequality between communities is likely to increase. The Board are asked to consider how the findings can be incorporated into the Health and Wellbeing Strategy and used to inform decisions around future service delivery and resource allocation.

     

    Additional documents:

    Minutes:

    Siobhan Kennedy dropped out of the call at 2.52pm then re-joined at 2.58pm

     

    Witnesses:

    Dr Naheed Rana - Consultant - Intelligence and Insights (Public Health SCC)

    Rachel Abbey - Advanced Public Health Information Analyst (SCC)

    Ruth Hutchinson - Director of Public Health (SCC)

    Satyam Bhagwanani - Head of Analytics and Insight (SCC)

     

    Key points raised in the discussion:

     

    1.   The Chairman noted that the Community impact Assessment (CIA) explored the impacts of Covid-19 on communities in Surrey and looked at social deprivation and health inequalities in different locations, communities and ethnic groups across Surrey, highlighting areas of need.

    2.   The Consultant - Intelligence and Insights introduced the report, noting that provisional findings were reported to the Board as the data was still being synthesised - the Board would continue to be updated with further findings.

    3.   She highlighted that the CIA was a result of the Board’s agreement in June to deliver a population health and intelligence response to understand the impact of Covid-19 on Surrey residents, supporting recovery.

    4.   She noted that the (CIA) explored health, social and economic impacts of Covid-19 across Surrey and highlighted groups disproportionately affected helping partners to act preventatively by providing targeted support to communities to mitigate future impacts.

    5.   It was hoped that the CIA would develop into the Joint Strategic Needs Assessment (JSNA) and would inform the Health and Wellbeing Strategy.

    6.   She explained that the CIA was made of five intelligence products: geographical impact assessment, Recovery Progress Index (RPI), temperature check survey, community rapid needs assessments and place based ethnographic research. 

    7.   She outlined that the Rapid Needs Assessmentswas a tool used by agencies in emergency situations to obtain a snapshot as to where resources were most requiredgeographically as well as tomarginalised and vulnerable communities. Ten groups were chosen for the RNA based on the risk of mortality such as those with chronic conditions, those in residential care and individuals from a Black, Asian and Minority Ethnic (BAME) group. Those groups had an eight, four or two-fold higher risk of mortality respectively than average. The vulnerability to socioeconomic impacts was the other criterion for selecting groups and cross-cutting themes emerged across other groups.

    8.   The Advanced Public Health Information Analystsummarised that a mixed method analysis was used for the CIA including stakeholder interviews, prevalence mapping, quantitative and qualitative analysis. Criteria for interview participants were that key informants must be working closely with vulnerable residents and those residents in Surrey must have been able to provide consent.

    9.   The initial findings were that:

    ·      BAME - the Advanced Public Health Information Analystexplained that data blind spots were encountered for the group as ethnicity was not recorded on death certificates and there was no updated information since the 2011 census. The group reported confusion around the messages as they were often not translated into different languages and there was more chance of household transmission due to the higher prevalence of inter-generational households.

    ·      Residential care - Personal Protective Equipment (PPE)  ...  view the full minutes text for item 2620.

2720.

SURREY SAFEGUARDING CHILDREN PARTNERSHIP: THEMATIC REVIEWS OF ADOLESCENT SUICIDE AND SERIOUS CASES pdf icon PDF 129 KB

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    The purpose of this report is to advise the Health and Wellbeing Board (HWB) of the findings arising from two important thematic reviews carried out over the last 12 months by the Surrey Safeguarding Children Partnership (SSCP). The report seeks to gain the support of the Board to achieve a robust multi-agency response in addressing the specific findings, enable development of practiceand influence commissioning priorities.

    Additional documents:

    Minutes:

    Witnesses:

     

    Simon Hart - Independent Chair of the Surrey Safeguarding Children Partnership (SSCP)

    Amanda Boodhoo - Surrey Wide CCG Associate Director Safeguarding / Designated Nurse Safeguarding Children

    Mrs Mary Lewis - Cabinet Member for Children, Young People and Families (SCC)

     

    Key points raised in the discussion:

     

    1.   The Independent Chair of the Surrey Safeguarding Children Partnership (SSCP) introduced the report, noting that thirteen case reviews were concluding concurrently and that SSCP had also taken the opportunity to consider twelve cases where young people in Surrey had taken their own lives. The SSCP saw it as a unique opportunity to review the substantial amount of information and to ensure the strongest possible partnership response to the findings.

    2.   He noted that whilst usually abuse and neglect would be a trigger for a case review it was often not the characteristic for suicide. Nevertheless, SSCP considered it important to look at all the circumstances in which a young person may die to ensure a comprehensive review as presented through the two thematic reviews.

    3.   The Surrey Wide CCG Associate Director for Safeguarding summarised the key headlines, noting that she had the privileged position of chairing the case review group. It was an invaluable opportunity to gather data pertinent to the deaths of young people in Surrey which benefited from family engagement.

    ·      Thematic Review - Deaths of Children and Young People through probable suicide 2014-2020: the key findings from the twelve deaths of children were presented to the Board.

    -  Significant figures included 45% of children that were open to CAMHS (Child and Adolescent Mental Health Service) and only 50% of those children were known to social care, which meant that those other children were accessing wider universal services. 

    -  Key themes from the review included the ‘impact of Adverse Childhood Experiences’ (ACE) which was high in Surrey in which 83% experienced four or more ACEs. Another theme was the ‘Autistic Spectrum Disorder’ in which 58% of children in the review were categorised under.

    -  One interesting finding that had not been flagged up by national data was the theme of ‘Medication’ or the number of children that had a change in medication, one third had a change or increase four weeks prior to their death.

    -  Other themes were: ‘Gender’, ‘Substance misuse – drug and alcohol’, ‘Management of self-harm’, ‘Schools and further education colleges’ - although a number of children were in school some found it difficult to access the lessons - ‘Multi-disciplinary working within healthcare’ and ‘Social care’.

    ·      Thematic Review - Serious Case Reviews (SCRs) 2016-2020 – Briefing Paper: there were thirteen Surrey Serious Case Reviews, Partnership Reviews and Rapid Reviews. The main finding was that were three key learning domains: the experience of the child, parental issues and practice issues.

    -  Serious Case Reviews would be commissioned when a child who was known to the services in the county died or was seriously harmed.

    4.    The Cabinet Member for Children, Young People and Families commented that the depth of the  ...  view the full minutes text for item 2720.

2820.

HEALTH AND WELLBEING STRATEGY HIGHLIGHT REPORT pdf icon PDF 195 KB

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    This paper describes the status of projects in the Health and Wellbeing Strategy against previously agreed milestones as of July 2020. Given the summary nature of the June report this aims to provide more detail across all the priorities through highlighting progress being made whilst also continuing to recognise where there is a continued impact resulting from the COVID-19 pandemic. This varies between delays, continuing with a different focus, or continuing with a heightened focus or additional activity.

     

    Additional documents:

    Minutes:

    Witnesses:

     

    Rod Brown - Head of Communities and Housing, Epsom and Ewell District Council (Priority One Sponsor)

    Giles Mahoney - Director of Integrated Care Partnerships, Guildford and Waverley CCG (Priority Two Sponsor)

    David Munro - Surrey Police and Crime Commissioner (on behalf of the Priority Three Sponsor Rob Moran)

    Satyam Bhagwanani - Head of Analytics and Insight (SCC)

     

    Key points raised in the discussion:

    1.   The Priority One Sponsor noted that whilst Covid-19 impacted on the priority’s progress, momentum had been regained and in certain instances such as domestic abuse and housing, that impact had accelerated during Covid-19. On occasion there were ownership issues in some focus areas but those were being addressed in conjunction with the Prevention Board.

    2.   The Priority Two Sponsor thanked the Chairman and Board members,noting that he had enjoyed his time on the Board and would continue to keep a close eye on the recovery work and NHS Covid-19 Phase 3 whilst at Surrey Heartlands and Guildford and Waverley ICP. He added that Dr Helen Rostill would be well placed to take over as Priority Two Sponsor. In response, the Chairman thanked Giles on behalf of the Board for his huge contribution on the Board and as Priority Sponsor.

    3.   On behalf of the Priority Three Sponsor, the Surrey Police and Crime Commissioner explained that as a result of the Board’s merger with the Community Safety Board in March 2020, work was underway to integrate the Community Safety Agreement with the Health and Wellbeing Strategy through a new third focus area. A task and finish group had been set up to oversee that work and was chaired by the Community Safety Policy and Commissioning Lead (OPCC).

    4.   Concerning Priority Three, the Head of Analytics and Insight provided an update on the Social Progress Index (SPI) and the Recovery Progress Index (RPI). He informed the Board that:

    -  A workshop on the SPI was run pre-Covid-19 with partners across Surrey and the result was the identification of three-hundred indicators. Those indicators were cross referenced with various strategies including the Health and Wellbeing Strategy and those partners were invited back to refine the indicators which later formed the SPI.

    -  Due to Covid-19 work had been paused but had picked up over the past few months including work on the RPI which was a surveillance tool for monitoring how well Surrey was recovering from the pandemic and it formed part of the Community Impact Assessment (CIA).

    -  The RPI was a focused subset of the SPI and measured the broad impact of Covid-19 in surrey through five dimensions: economy, health, place, society and infrastructure. There would be a rank and score for each dimension as well as a combined overall rank and score for each of the eleven district and boroughs in Surrey for the RPI and further down to ward level for the SPI. The RPI was updated quarterly and the high-level results were presented in the CIA item.

    -  A Covid RPI dashboard was  ...  view the full minutes text for item 2820.

2920.

HEALTH AND WELLBEING COMMUNICATIONS PRIORITIES pdf icon PDF 123 KB

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    The Health and Wellbeing Board communications sub-group has produced a draft Communications Plan to support the work of the board over the next six to nine months.

    The Plan, which outlines three priority areas of focus, is intended to ensure a coordinated approach across the system building on strong partnership working that has already developed. The Plan is intended to reflect the COVID-19 context and align with and complement programmes within the Health and Wellbeing Strategy.

     

    Additional documents:

    Minutes:

    Witnesses:

    Andrea Newman - Director of Communications and Engagement (SCC)

    Giselle Rothwell - Associate Director of Communications and Engagement, Surrey Heartlands CCG

     

    Key points raised in the discussion:

    1.   The Director of Communications and Engagement introduced the report and noted that the Health and Wellbeing Board Communications Group had for the last six months been co-chaired with the Associate Director of Communications and Engagement, Surrey Heartlands CCG. She added that some of the work had been initiated before Covid-19 and so had been re-visited with a Covid-19 focus.

    2.   She highlighted that the Health and Wellbeing Board Communications Plan contained three broad areas. Firstly, ‘Transforming Health and Social Care for residents; secondly, ‘Addressing the consequences and ‘hidden harms’ of Covid-19’; and thirdly, ‘Promoting testing, self-care and acting early to protect your health’.

    3.   She explained that the Group had been predominantly tactical in its approach focusing on winter and summer orientated communications campaigns, so both co-chairs set about lifting the Group to a more strategic level by coordinating work into the Surrey Local Resilience Forum’s Strategic Coordinating Group (SCG) and the Multi-Agency Information Group (MIG), as well as aligning the Plan with Surrey’s Local Outbreak Control Plan.

    4.   She emphasised that work was aligned with NHS and Department of Health and Social Care advice and locally the three workstreams had been assigned a communications workstream lead with tactical communications groups that sat below, a winter flu sub-group had been established and there was a communications planning grid put in place - reassuring Board members of the work were being undertaken in the next six to nine months.

    5.   Regarding the second communications priority area of ‘hidden harms’ she noted that suicide prevention, and mental health and wellbeing were broadly captured in the Plan but the clear emphasis on young people as discussed in Board member feedback on the items concerning the Surrey Safeguarding Children Partnership’s thematicreviews and the CIA was useful and she would look to link in the Plan with those areas.   

    6.   The Associate Director of Communications and Engagement commented that it was important to work in partnership harnessing colleagues across communications, and health and social care to drive forward the work collectively.

    7.   The Chairman praised the work on communications, noting that it felt more cohesive across the Surrey system.

     

    RESOLVED:

    The Health and Wellbeing Board supported the proposed communications plan and would endorse the approach within their respective organisations.

     

    Actions/further information to be provided:

    The Director of Communications and Engagement would look to integrate the feedback from Board members in relation to the items on the Surrey Safeguarding Children Partnership thematic reviews and the Community Impact Assessment on the emphasis on young people in relation to suicide prevention and mental health and wellbeing into the Communications Plan to develop the second priority area of ‘hidden harms’.

3020.

SURREY LOCAL OUTBREAK ENGAGEMENT BOARD pdf icon PDF 227 KB

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    In response to the NHS Test and Trace Service, launched on 28 May 2020 which is designed to control the rate of reproduction of Covid-19 by reducing the spread of the infection; as part of their local arrangements councils are expected to have a member-led, typically by the Leader of the authority, COVID-19 Local Outbreak Engagement Board.

     

    The Surrey Local Outbreak Engagement Board (LOEB) was formally constituted by County Council on 7 July 2020 as a formal sub-committee of the Surrey Health and Wellbeing Board and its Terms of Reference are included.

     

    Additional documents:

    Minutes:

    Witnesses:

    Ruth Hutchinson - Director of Public Health (SCC)

     

    Key points raised in the discussion:

    1.   The Director of Public Health highlighted the rapidly changing climate in relation to Covid-19, noting the Prime Minister of the United Kingdom’s announcement last night on the ‘rule of six’. Surrey’s Local Outbreak Control Plan was a dynamic document updated at least every two weeks via the Council’s website.

    2.   She commented that the public Local Outbreak Engagement Board and officers’ Health Protection Operational Group (HPOG) continued to review the escalation framework in line with Surrey’s Local Outbreak Control Plan (LOCP) and the NHS Test and Trace Communications Plan for Surrey, looking at who would be communicated with and when in response to positive cases reaching a certain level.

    3.   She highlighted the Surrey COVID-19 weekly intelligence summary which was updated every Monday and provided various website links to the granular data available in the public domain.

    4.   The Chairman reinforced the simple messages of hand washing, wearing face coverings and social distancing, adding that although Surrey was just below the national average on the number of cases - apart from a few districts and boroughs - it was important not to be complacent.

     

    RESOLVED:

     

    The Board noted the Terms of Reference for the Surrey Local Outbreak Engagement Board.

     

    Actions/further information to be provided:

    None.

     

3120.

COVID-19 RECOVERY PLANNING - SURREY HEARTLANDS

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    The Health and Wellbeing Board is to receive a verbal update on COVID-19 recovery planning in relation to Surrey Heartlands Health and Care Partnership’s Recovery Strategy.

    Additional documents:

    Minutes:

    Witnesses:

    Steve Flanagan - Representative, North West Surrey Integrated Care Partnership and Community Provider voice

    Key points raised in the discussion:

    1.   The representative of North West Surrey ICP and Community Provider voice provided a verbal update:

    -  Regarding restoration, he took interest in a previous Board member’s comment on the importance of citizen voice regarding the Community Impact Assessment.

    -  Acute services and colleagues in Accident & Emergency were seeing almost winter levels of patients and primary care colleagues were also busy as the general public were access health services again.

    -  There was a challenge in standing up services again particularly in diagnostics and endoscopy, with further support potentially from the private sectors on those areas.

    -  Regarding recovery, since his last update to the Board in June the eight workstreams were fully resourced and running with non-executive director support. Different areas were moving at different paces with updates provided to the Recovery Board, which recently approved the workstream on care home activity to be stood down as it was moving towards business as usual.

    2.    There were challenges to the development of some workstreams due to resources being focused in areas outlined in the move to Phase 3 of NHS response to Covid-19 since August towards restoration and recovery.

    3.    The Chairman invited Board members to the first meeting of the Surrey Heartlands Health and Care Partnership System Boardon21 October at 9am.

     

    RESOLVED:

     

    The Board noted the verbal update.

     

    Actions/further information to be provided:

     

    None.

     

3220.

DATE OF THE NEXT MEETING

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    The next meeting of the Health and Wellbeing Board will be on 3 December 2020.

    Additional documents:

    Minutes:

    The next meeting of the Health and Wellbeing Board will be on 3 December 2020.