Agenda and draft minutes

Health and Wellbeing Board - Thursday, 3 December 2020 2.00 pm

Venue: REMOTE, public webcast link: https://www.surreycc.gov.uk/council-and-democracy/councillors-and-committees/webcasts

Contact: Amelia Christopher 

Media

Items
No. Item

33/20

APOLOGIES FOR ABSENCE

    • Share this item

    To receive any apologies for absence and substitutions.

    Additional documents:

    Minutes:

    Apologies were received from Gavin Stephens, Dr Claire Fuller - Dr Charlotte Canniff acted as substitute, and Michael Wilson CBE.

     

34/20

MINUTES OF PREVIOUS MEETING: 10 SEPTEMBER 2020 pdf icon PDF 982 KB

    • Share this item

    To agree the minutes of the previous meeting.

    Additional documents:

    Minutes:

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

     

35/20

DECLARATIONS OF INTEREST

    • Share this item

    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.

36/20

QUESTIONS AND PETITIONS

    • Share this item

    Additional documents:

36/20a

Members' Questions

    • Share this item

    The deadline for Member’s questions is 12pm four working days before the meeting (27 November 2020).

     

    Additional documents:

    Minutes:

    None received.

     

36/20b

Public Questions

    • Share this item

    The deadline for public questions is seven days before the meeting (26 November 2020).

     

    Additional documents:

    Minutes:

    None received.

     

36/20c

Petitions

    • Share this item

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

     

    Additional documents:

    Minutes:

    There were none.

37/20

UPDATE ON COMMUNITY IMPACT ASSESSMENT, LOCAL RECOVERY INDEX AND SOCIAL PROGRESS INDEX pdf icon PDF 420 KB

    • Share this item

    The report provides an update on the Covid-19 Community Impact Assessment (CIA) which explores how communities across Surrey have been affected by Covid-19. The report also provides an update on the Local Recovery Index (LRI, formerly known as the Recovery Progress Index) which is a surveillance tool for monitoring the impact of, and how well Surrey is recovering from, the effects of the Covid-19 pandemic and subsequent lockdown. It is a specific product of the CIA and looks at a range of indicators across four themes: Economy, Health, Society, and Transport and Travel, and forms a subset of the Social Progress Index (SPI). The SPI directly measures societal progress in the areas of Basic Human Needs, Foundations of Wellbeing, and Opportunity at county, borough and district, and ward levels.

     

     

     

     

    Additional documents:

    Minutes:

    Witnesses:

    Rob Moran - Chief Executive, Elmbridge Borough Council (Priority Three Sponsor)

    Dr Naheed Rana - Health Consultant - Intelligence and Insight (SCC)

    Rich Carpenter - Data Scientist - Insights, Analytics and Intelligence (SCC)

    Satyam Bhagwanani - Head of Analytics and Insight (SCC)

    Hayley Connor - Director – Commissioning (SCC)

     

    Key points raised in the discussion:

     

    1.      The Chairman explained that the Community Impact Assessment (CIA) was an excellent piece of work that measured and highlighted the disproportionate impact that Covid-19 has had on Surrey’s communities.

    2.      The Chairman explained that over the coming year, four workstreams would be combined to provide a more comprehensive picture of what was happening across Surrey: the CIA which was currently broken down to borough and district level, the Social Progress Index which included national benchmarks, the Local Recovery Index which was Surrey’s version of SPI and the Health and Wellbeing Strategy metrics which measured key outcomes.

    3.      The Chairman highlighted that partnership work was key to ensure attainment of the Council’s overarching priority that ‘no one is left behind’ as noted in the Community Vision for Surrey in 2030. He outlined the Council’s four strategic priorities of focus for the next five years: ‘tackling health inequality’ - through the four workstreams listed above, ‘growing a sustainable economy so everyone can benefit’ - by supporting local high streets and upskilling residents, ‘enabling a greener future’ - through the Surrey Greener Future Strategy to achieve a carbon neutral future by 2050, and ‘empowering communities’ - by working with partner organisations to increase engagement with residents.

    4.      The Priority Three Sponsor noted that through the recommendations the Board would ensure it would address the findings from the CIA and the Local Recovery Index (LRI) as it was crucial that the priorities aligned with current Covid-19 recovery and future service planning. He praised officers’ work on the intelligence products within the CIA and particularly the Rapid Needs Assessments (RNA) which provided ten in-depth assessments of vulnerable communities; an easy read version was also available on Surrey-I.

    5.      The Health Consultant - Intelligence and Insight (SCC) explained that the aims of the CIA were to explore the impact that Covid-19 has had on health, social and economic elements of Surrey’s communities and to understand the needs and priorities of communities for recovery.

    6.      The Health Consultant - Intelligence and Insight (SCC) noted that the CIA was composed of five discreet intelligence products using a mixed method approach combining qualitative and quantitative data which interlinked forming a high-level analysis of Surrey’s diverse communities:

    ·         Geographical Impact Assessment (GIA) 

    ·         Temperature Check Survey

    ·         Rapid Needs Assessments (RNA)

    ·         Place Based Ethnography

    ·         Local Recovery Index (LRI)

    7.      The Health Consultant - Intelligence and Insight (SCC) provided an overview of the first national lockdown which began on 23 March 2020 noting that:

    ·         the furlough scheme began on 19 March.

    ·         cases peaked in Surrey between April and May and started to fall towards the end of May.

    ·         there was a greater need for support with 40,000  ...  view the full minutes text for item 37/20

38/20

HEALTH AND WELLBEING STRATEGY HIGHLIGHT REPORT pdf icon PDF 1 MB

    • Share this item

    The Health and Wellbeing (HWB) Strategy is a critical element of delivering Surrey’s overall 2030 Vision. The report describes the status of projects in the Health and Wellbeing Strategy against previously agreed milestones as of October 2020, providing an overview across all the priorities, highlighting progress being made whilst also continuing to recognise where there is a continued and ongoing impact resulting from the COVID-19 pandemic. A brief update on the overall health and wellbeing metrics is provided. Also provided is the outline of the adoption of longer-term oversight of relevant work identified within the Voluntary, Community and Faith Sector (VCFS) strand of the Recovery Coordinating Group.

     

    Additional documents:

    Minutes:

    Witnesses:

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

    Professor Helen Rostill - Director for Mental Health, Surrey Heartlands ICS and SRO for Mental Health, Frimley ICS (Priority Two Sponsor)

    Rob Moran - Chief Executive, Elmbridge Borough Council (Priority Three Sponsor)

     

    Key points raised in the discussion:

    1.      The Priority One Sponsor noted that although the Priority covered a broad area with seven focus areas and thirty-five targeted projects it was progressing. He noted:

    ·         the work within the Priority was overseen by the Prevention Board which was developing positively with increased membership and board members were proactively bringing assistance and working with other Priority leads to join up work and tackle challenges.

    ·         the natural connectivity emerging between focus areas such as focus area 1 concerning excess weight working closely with focus area 5 concerning the incidence of serious conditions and diseases.

    ·         that housing was a major factor, good progress had been made as for example two sites for homelessness cabins in Surrey were being established which would help alleviate winter pressures and some accommodation would be put aside for Covid-19 positive homeless so they could self-isolate.

    ·         that due to Covid-19 several projects on domestic abuse had been accelerated such as the provision of additional domestic refuge capacity. The Priority Board were due to consider a fuller report on focus area 4 on domestic abuse and empowering survivors early next year, as well as reports on focus areas 5 and 6 later next year.

    ·         that Covid-19 brought challenges such as in focus area 3, project 1: ‘tackling fuel poverty, as a Senior Responsible Owner still needed to be identified and he welcomed suggestions; progress had been hindered in other areas but there were signs of those projects picking up momentum.

    2.      Discussing focus area 3 and project area 1 ‘tackling fuel poverty in Surrey’ within Priority One, a Board member noted that there were various schemes across the county for those to donate their Winter Fuel Payment to charity who did not need it, but was struck by the small amount donated with only £19,000 donated last year in Waverley. He asked whether the Board could look into the matter to increase those donations.

    -       In response, the Chairman explained that the Board would take that point away and look to work with charities.

    -       The Priority One Sponsor added that he would look into the matter.

    3.      Discussing focus area 3 and project area 4 ‘supporting people who hoard in Surrey’ within Priority One, a Board member asked for further detail on the matter and whether there was an impact on policing.

    -       In response, the Priority One Sponsor would look to provide more detail.

    4.      The Priority Two Sponsor noted the shift seen concerning mental health in the last few weeks and system partners working closely together. She noted:

    ·           that the Surrey Mental Health Summit 2020 in November energised and renewed commitments to work in partnership to improve outcomes for residents.  ...  view the full minutes text for item 38/20

39/20

SURREY 2030 ECONOMIC STRATEGY STATEMENT AND ONE SURREY GROWTH BOARD UPDATE pdf icon PDF 379 KB

    • Share this item

    This paper forms a summary update of the work on the 2030 Economic Strategy Statement and the One Surrey Growth Board and sets out alignment with the Board’s objectives and specifically Priority 3 of the Health and Wellbeing Strategy: supporting people in Surrey to fulfil their potential by ‘enabling citizens to generate aspirations and fulfil their potential by helping them to develop the necessary skills needed to succeed in life’. Together these pieces of work will directly support SCC’s Strategic Priority to ‘Grow a sustainable economy so everyone can benefit’ whilst also supporting the Priority of ‘Tackling Health Inequality’.   

     

     

     

     

    Additional documents:

    Minutes:

    Witnesses:

    Dawn Redpath - Director for Economy and Growth (SCC)

     

    Key points raised in the discussion:

    1.      The Chairman explained that the Surrey 2030 Economic Strategy Statement and One Surrey Growth Board supported the Council’s strategic priority of the Council for the next five years of ‘growing a sustainable economy so everyone can benefit’.

    2.      The Director for Economy and Growth (SCC) hoped that the work would be the start of an ongoing relationship between the Board and the work within Surrey's 2030 Economic Strategy Statement, linking health with the economy to fulfil all four of the Council strategic priorities, particularly supporting ‘growing a sustainable economy so everyone can benefit’ which has a direct impact on ‘tackling health inequality’.

    3.      The Director for Economy and Growth (SCC) reinforced the link between the economy and the wider determinants of health, noting that the socio-economic determinants of health such as housing and social inclusion were linked to having higher levels of income and more importantly good quality employment, which was vital for mental health and wellbeing.

    4.      The Director for Economy and Growth (SCC) noted that economic responses focussed on the quality of employment opportunity, skills and inclusion. The links between the economy and health could be seen geographically through a place-based approach as for example in pockets of deprivation health was poorer and there was higher economic inactivity and unemployment. It was vital to reduce unemployment and to ensure good quality employment in response to zero hours contracts and the gig economy, ensuring that individuals were not left behind in terms of a higher requirement of digital skills and access to digital services. She added that economic responses could also be thematic, for example looking at people with low level mental health or anxiety.

    5.      The Director for Economy and Growth (SCC) noted that Surrey Future Economy Commission chaired by Philip Hammond commissioned research from ARUP and the University of Surrey in 2019. The findings highlighted Surrey’s comparative economic advantage, as well as challenges such as in the aviation sectors and high levels of unemployment, an unbalanced economy due to an ageing population and inability to retain young talent, structural issues relating to housing affordability, transport, and access to digital infrastructure. Action needed to happen on a whole-Surrey basis, to be a driver of the local, regional and UK economy.

    6.      The Director for Economy and Growth (SCC) explained that the Surrey 2030 Economic Strategy Statement brought together five areas of focus underpinned by the Surrey Future Economy Commission’s findings:

    ·           growing the leading edge - by encouraging innovation, capitalising on the number of large multinational companies which provide 50% of employment to Surrey.

    ·           a whole-Surrey approach to quality places - place-based approach, create new hyper local places in line with the CIA’s findings of supporting local services and revitalising town centres.

    ·           improving connectivity for the next generation - ensuing that the digital infrastructure is fit for purpose.

    ·           green economic ambitions - capitalising on the green sector in Surrey by using  ...  view the full minutes text for item 39/20

40/20

BUILDING YOUR FUTURE HOSPITALS (BYFH) PROGRAMME

    • Share this item

    The Health and Wellbeing Board is to receive a verbal update on the ‘Building Your Future Hospitals’ (BYFH) programme led by Epsom and St Helier University Hospitals NHS Trust and is the next phase of the NHS Improving Healthcare Together 2020-2030 (IHT) programme following the approval of the Decision-Making Business Case by the IHT Committees in Common on 3 July 2020.

     

    Additional documents:

    Minutes:

    The Chairman considered Item 10 (this item) before Item 8

    Witnesses:

    Daniel Elkeles - Chief Executive, Epsom and St Helier University Hospitals NHS Trust

     

     

    Key points raised in the discussion:

     

    1.    The Chief Executive, Epsom and St Helier University Hospitals NHS Trust explained that extensive planning had been undertaken since July when the NHS Surrey Heartlands and NHS South West London Clinical Commissioning Groups made their decision to build a new emergency care hospital in Sutton; adding that in a subsequent review the Independent Reconfiguration Panel found no reason to contradict the choice of Sutton. 

    2.    The Chief Executive, Epsom and St Helier University Hospitals NHS Trust noted that work was on track to submit the business case by the end of December to the Department of Health and Social Care, NHS and HM Treasury for completing the refurbishment of Epsom Hospital, the refurbishment of St Helier Hospital and for the new specialist emergency care hospital at Sutton. Part of the business case would look at co-locating nephrology services currently divided between St George’s Hospital and St Helier Hospital; with intended public engagement on the business case between January to March if approved at national level. 

    3.    The Chief Executive, Epsom and St Helier University Hospitals NHS Trust noted that the refurbishment of Epsom Hospital was moving at pace with two more large construction projects to start in January, that the design for the new specialist emergency care hospital at Sutton was exciting with a proposal to have curved walls in order to deliver 70% single rooms with the challenge of being the first carbon neutral hospital in the world as well as being a fully digital building.

     

    RESOLVED:

    That the Health and Wellbeing Board noted the verbal update on the ‘Building Your Future Hospitals’ (BYFH) programme.

    Actions/further information to be provided:

     

    1.    The Board will continue to keep an eye on the progress of the ‘Building Your Future Hospitals’ (BYFH) Programme.

     

41/20

SURREY SAFEGUARDING ADULTS BOARD ANNUAL REPORT 2019/2020 pdf icon PDF 263 KB

    • Share this item

    The Surrey Safeguarding Adults Board (SSAB) is a statutory multi-agency Board with responsibilities set out in the Care Act 2014. The Board is chaired by an Independent Chair, Simon Turpitt. There is a statutory duty for the Safeguarding Adult’s Board to publish an Annual Report and disseminate to various parties, of which the Health and Wellbeing Board is one.

     

    Additional documents:

    Minutes:

    Witnesses:

    Mrs Sinead Mooney - Cabinet Member for Adults and Health (SCC)

    Simon Turpitt - Independent Chair, Surrey Safeguarding Adults Board

     

    Key points raised in the discussion:

    1.    The Cabinet Member for Adults and Health (SCC) explained that the Surrey Safeguarding Adults Board (SSAB) was a statutory multi-agency board with responsibilities set out in the Care Act 2014.

    2.    The Cabinet Member for Adults and Health (SCC) commended the SSAB for their work over the last year noting the improved format and presentation of the data gathered from key partners, acknowledging that it had been a busy year for the SSAB dominated in final months by Covid-19. The report highlighted the responsiveness of agencies in Surrey to keep safeguarding adults in the forefront of the work done in the county and she would continue to work closely with the SSAB to ensure improved safeguarding responses.

    3.    The SSAB Independent Chair noted that the annual report was a review of 2019/20 before Covid-19 and its significant impacts. He highlighted the continual increase in safeguarding referrals and a significant increase in Section 42 reports over the last year.

    4.    The SSAB Independent Chair highlighted that although referrals and Section 42 reports decreased due to Covid-19, they had since increased which showed that firstly, understanding of the need for safeguarding was continually improving and agencies were more responsive to that; and secondly, there were more vulnerable individuals out there and people under more pressure as demonstrated by the rise in domestic abuse referrals, scams and an increase in deaths due to Covid-19 in vulnerable individuals with care and support needs.

    5.    The SSAB Independent Chair noted that having heard the earlier discussions, he noted that it was vital for the SSAB to be more closely aligned with the Health and Wellbeing Board more so than presenting an annual report. The CIA and the Surrey Mental Health Summit 2020 highlighted that linkages needed between partners needed to be strengthened and suggested an informal session next year to further explore critical data sources and better processes to reduce the number of people requiring safeguarding.

    6.    The SSAB Independent Chair thanked all partners and organisations that supported the SSAB, noting improved partnership working over the last year including with the Surrey Safeguarding Children Partnership (SSCP) and that awareness needed to be raised on what safeguarding adults was as opposed to the safeguarding children model.

    7.    The SSAB Independent Chair noted the format of the annual report was made simpler to read and sought feedback on areas missing or which needed to be improved. He stressed that safeguarding was a concern for all and welcomed further Board collaboration to ensure it remained a priority for the Board.

    8.    A Board member noted that although there had been an increase in the number of cases reported, at the same time there had been a drop in the percentage reported by families and asked for an explanation on the importance of increasing knowledge and awareness amongst families of the  ...  view the full minutes text for item 41/20

42/20

COVID-19 RECOVERY PLANNING - SURREY HEARTLANDS pdf icon PDF 546 KB

    • Share this item

    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, supplementing the attached slides.

    Additional documents:

    Minutes:

    Steve Flanagan – CEO, CSH Surrey and Chair of ICS Recovery Board (Representative, North West Surrey Integrated Care Partnership and Community Provider voice)

     

    Key points raised in the discussion:

    1.      The Representative, North West Surrey Integrated Care Partnership and Community Provider voice noted the progress made in restoration and recovery since the last update to the Board in September and was impressed with the presentations and discussions made in previous items which highlighted key interlinkages and partnership work. 

    2.      The Representative, North West Surrey Integrated Care Partnership and Community Provider voice outlined the response to the letter ‘Third Phase of NHS response to Covid-19’ in which the focus was on restoring services lost through wave one of the pandemic. Covid-19 had developed and strengthened partnership work across acute colleagues, community services as well as primary and social care; and the work on Surrey Heartlands’ Phase 3 plans was led by the Chief Executive of Royal Surrey County Hospital NHS Foundation Trust and the Recovery Director Surrey Heartlands ICS.

    3.      The Representative, North West Surrey Integrated Care Partnership and Community Provider voice highlighted that Surrey Heartlands was being recognised nationally on its restoration response as for example its elective services were back up and running above target at 89% of pre-pandemic levels. The challenges encountered were on the diagnostic side with teams now working more effectively together and endoscopy was a challenge at the start of the year although it was now operating at 125% of its target.

    4.      The Representative, North West Surrey Integrated Care Partnership and Community Provider voice provided updates from the two workstreams which had a significant overlap with the Health and Wellbeing Strategy:

    ·         Emotional Wellbeing - led by the Chief Executive, Surrey and Borders Partnership, as well as the Director for Mental Health, Surrey Heartlands ICS and SRO for Mental Health, Frimley ICS (Priority Two Sponsor); particularly as Covid-19 significantly impacted on mental health.

    ·         Equalities and Health Inequalities (formally known as ‘Hidden Harm’) - led by the Director of Public Health (SCC), the Surrey Heartlands ICS Director of Children's and Learning Disabilities Services and the and the Clinical Chair, Surrey Downs ICP; using the work of the CIA and other intelligence workstreams to identify and reduce multiple inequalities. 

    5.    The Representative, North West Surrey Integrated Care Partnership and Community Provider voice noted the lessons learnt so far including the:

    ·         challenge of getting partners to work together more to ensure a system first approach which was more of a challenge for the recovery side which focussed on long-term fixes - which had subsequently improved.

    ·         challenge concerning the governance of the Surrey Heartlands ICS Recovery Programme and alignment with statutory powers.

    ·         benefit of harmonising more back office activity such as finance, IT, and personnel amalgamating services across Surrey Heartlands for financial efficiency towards the betterment of healthcare. 

    6.      The Chairman commended the groundwork made regarding both the practicalities of restoration and recovery and the partnership work.

    7.      The Chairman noted NHS England and NHS Improvement’s ‘Integrating Care:  ...  view the full minutes text for item 42/20

43/20

SURREY LOCAL OUTBREAK ENGAGEMENT BOARD - UPDATE pdf icon PDF 295 KB

    • Share this item

    The report and verbal update provides a quarterly update on the Surrey Local Outbreak Engagement Board, a formal sub-committee of the Surrey Health and Wellbeing Board. The LOEB is a member-led Board created in response to the COVID-19 pandemic, which leads the engagement with local communities and is the public face of the local response in the event of an outbreak.

     

     

     

    Additional documents:

    Minutes:

    Witnesses:

     

     Sinead Mooney - Cabinet Member for Adults and Health (SCC)

     

     Key points raised in the discussion:

    1.    The Cabinet Member for Adults and Health (SCC) as the Surrey Local Outbreak Engagement Board (LOEB) Chairman noted that the LOEB last met on 20 November and had a both constructive and interactive meeting, receiving six public questions and a number of supplementary questions which were broad in range covering lateral flow tests, the impact of the pandemic on the economy and transitioning out of lockdown.

    2.    The LOEB Chairman noted the insightful update on Covid-19 Surveillance as the intelligence was key to identify areas of concern and ensure prompt action continued to be taken. The LOEB also received updates on the Covid-19 Local Outbreak Control Plan covering areas such as the local tracing partnership, Covid Marshals as well as care homes and winter pressures; from Spelthorne Borough Council on Covid Champions as well as an update on the Local Outbreak Control Communications Plan which was dynamic all and responsive to Covid-19 trends.

    3.    The LOEB Chairman thanked all that took part in the LOEB and looked forward to the upcoming year and further positive work.

    RESOLVED:

    That the Health and Wellbeing Board noted the report and verbal update on the work of the Surrey Local Outbreak Engagement Board.

     Actions/further information to be provided:

     None.

     

44/20

DATE OF THE NEXT MEETING

    • Share this item

    The next meeting of the Health and Wellbeing Board will be on 4 March 2021.

    Additional documents:

    Minutes:

    The next meeting of the Health and Wellbeing Board will be on 4 March 2021.