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Agenda and draft minutes

Venue: Remote - Informal with officer delegated decisions

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

Items
No. Item

14/21

APOLOGIES FOR ABSENCE

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    To receive any apologies for absence and substitutions.

    Minutes:

    Apologies were received from Rod Brown, Rachael Wardell, Dr Charlotte Canniff, Dr Claire Fuller, Dr Russell Hills, Steve Flanagan, Siobhan Kennedy (Associate Member), Gavin Stephens - Fiona Macpherson substituted, Fiona Edwards - Nicola Airey substituted and Kate Scribbins - Deborah Mechaneck substituted.

     

15/21

HEALTH AND WELLBEING STRATEGY HIGHLIGHT REPORT pdf icon PDF 258 KB

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    This paper provides an overview of the progress of local shared projects supporting delivery of the Health and Wellbeing Strategy within each Priority (1-3) as of April 2021and sets out a draft approach for the review and refresh of the Health and Wellbeing Strategy.

    Additional documents:

    Minutes:

    Witnesses:

     

    Ruth Hutchinson - Director of Public Health (SCC)

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

    Simon Turpitt - Independent Chair, Surrey Safeguarding Adults Board (SSAB)

     

    Key points raised in the discussion:

    1.    The Director of Public Health (SCC) highlighted the new format of the Highlight Reports which provided an overview of the progress made across Priorities One-Three, showed how collaborative working had made a difference and included a spotlight section on key programmes. The intention was to share the Highlight Reports more widely with partners such as through the Healthy Surrey website.

    2.    The Independent Chair (SSCP) provided an update on the report on the two Thematic Reviews that were brought to the Board last September noting that:

    ·         the Thematic Reviews provided a practical understanding of self-harm and suicidal ideations within young people and he welcomed the large amount of activity undertaken since then.

    ·         the Thematic Reviews had been shared extensively across Surrey and commented that any organisations who had not been able to connect with the reviews, that they should contact the SSCP for a briefing.

    ·         that the national Child Safeguarding Practice Review Panel which oversaw case review work for children and young people had expressed an interest in the Thematic Reviews, using them to promote some of the findings nationally raising the profile of the work in Surrey.

    ·         a substantial number of workshops and webinars had been provided to try and ensure that frontline staff were well briefed.

    ·         the SSCP Suicide Prevention Toolbox had been completed which helped frontline workers recognise the early signs and a Self-Harm Protocol was under development.

    ·         although as a result of the Thematic Reviews additional training and staff briefings would be put in place, work would only be effective if it was disseminated across the management level to ensure coaching was in place.

    ·         regarding the Child and Adolescent Mental Health Service (CAMHS) in Surrey there was a safeguarding specific Alliance Reference Group chaired by the Board’s Vice-Chairman which looked at practical experiences from people working in schools, social care and health from a safeguarding perspective.

    ·         he welcomed the collaborative working of the Mental Health Partnership Board (MHPB), through which the safeguarding message was being heard and was being addressed in the system-wide longer-term plans towards a transformation in mental health services for young people in Surrey.

    1. The Independent Chair (SSAB) provided an update on the SSAB noting that:

    ·         the link between the Board, SSCP and SSAB had strengthened which led to interesting dialogue and partnership working.

    ·         the SSAB had finalised its Annual Plan based on the three-year Strategic Plan and it was key to ensure that the SSAB’s voice was heard more widely in Surrey; a communications group had been established which was supported by the Multi-Agency Information Group (MIG) aligning communication messages across Surrey, and a voluntary group had been established.

    ·         a challenge concerning the new Annual Plan was ensuring the support of agencies; recognising resource and time constraints in the system and he reinforced that call for  ...  view the full minutes text for item 15/21

16/21

REVIEW OF THE FINAL DRAFT OF THE COMMUNITY SAFETY AGREEMENT 2021-2025 pdf icon PDF 343 KB

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    The report is provided in accordance with Priority 3 of the Health and Wellbeing Strategy.

    Additional documents:

    Minutes:

    Witnesses:

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

    Lisa Townsend - Surrey Police and Crime Commissioner

     

    Key points raised in the discussion:

    1.    The Priority Three Sponsor noted that:

    ·         he was presenting the report on behalf of the new Police and Crime Commissioner for Surrey and paid tribute to the Commissioning and Policy Lead for Community Safety (OPCC) for her work on the report.

    ·         the final draft of the Community Safety Agreement was a manifestation of the merger of the Community Safety Board and the Health and Wellbeing Board in March 2020; combining two statutory responsibilities:

    -       the Board as a partnership doing all it could to reduce crime and disorder, and to coordinate its community safety activity;

    -       to produce a Community safety Agreement.

    ·         the initial draft was received by the Board in March 2021 and it was one of the first of its kind in the country bringing together community safety, and health and social care.

    ·         there were three areas of focus:

    -       protecting our most vulnerable - such as from the risk of abuse and violence.

    -       protecting our communities from harm - such as antisocial behaviour and drug related harm.

    -       empowering communities to feel safe - such as through building community resilience.

    ·         after a period of consultation on the initial draft following the March Board meeting, he highlighted several changes from the positive feedback:

    -       an addition around ‘public space safety’ following the murder of Sarah Everard, highlighting pages 4 and 5 concerning Violence Against Women and Girls (VAWG) - VAWG Strategy was being developed.

    -       regarding information sharing there was a reference to ECINS multi-agency case management system.

    -       more on fire safety to reflect the work of Surrey Fire and Rescue Service (SFRS).

    -       included a table on which partnerships were linked to each of the thematic areas.

    -       reflected more overtly the work of the probation service and the work on multiple disadvantages and their route to crime.

    -       a foreword from the PCC and the Board’s Chairman would be added. 

    Mark Nuti joined the meeting at 10.32am

    ·         he commended the final draft for review and agreement on the basis that it would continue to be embedded and measured through the developing metrics and would be incorporated into the refresh of the Strategy.

    2.    The Police and Crime Commissioner for Surrey thanked the Priority Three Sponsor and the Commissioning and Policy Lead for Community Safety (OPCC) for their work, noting that although newly in post she had been kept briefed on the progress of the draft CSA and looked forward to implementing it.

     

    RESOLVED:

     

    That the relevant Proper Officer(s) in consultation with the Chairman:

     

    1.    The Community Safety Agreement be approved.

    2.    Consideration of the Agreement be ensured and its focus areas fit into the Health and Wellbeing Strategy review and refresh.

     

    Actions/further information to be provided:

    None.

     

17/21

SURREY MENTAL HEALTH PARTNERSHIP BOARD: REVIEW AND IMPROVEMENT PROGRAMME pdf icon PDF 308 KB

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    The report is provided in accordance with Priority 2 of the Health and Wellbeing Strategy.

    Additional documents:

    Minutes:

    The Chairman considered Item 6 (this item) before Item 4

    Witnesses:

    Alan Downey - Independent Chairman, Surrey Mental Health Partnership Board

    Simon Turpitt - Independent Chair, Surrey Safeguarding Adults Board (SSAB)

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

    Graham Wareham - Chief Executive (Interim), Surrey and Borders Partnership NHS Foundation Trust

    Professor Helen Rostill - Director for Mental Health, Surrey Heartlands ICS and SRO for Mental Health, Frimley ICS (Priority 2 Sponsor)

     

    Key points raised in the discussion:

    1.    The Chairman thanked the Independent Chairman (MHPB) for his work, noting his recent interview with BBC Radio Surrey. In response the Independent Chairman echoed his comments made on BBC Radio Surrey that he was impressed by the willingness of all the organisations and individuals involved to make it a success, reiterating that Surrey was unique as a local authority its approach to addressing mental health through prevention and intervention.

    2.    The Independent Chairman (MHPB) highlighted that:

    ·         the report reflected a consensus view that was reached by all members of the MHPB; recognising the challenges faced and the willingness of those involved to be self-critical.

    ·         the recommendations were in priority order beginning with endorsing the recommendations of the MHPB recognising the shift from dealing with the consequences of mental ill-health to a clearer focus on prevention and early intervention.

    ·         it was vital to focus on the next steps concerning the governance arrangements for the nature of the challenges ahead, the Mental Health Delivery Board would assume system-wide leadership and accountability for the delivery of the Improvement Programme and would report to the Board and ICS Board, with a strong recommendation that a strategic programme lead should be appointed.

    ·         it was important to ensure a commitment across Surrey’s organisations, paying tribute to the MHPB members for the work achieved to date, the external advisors who would were involved in the peer-led review and the project team led by the Deputy Chief Executive (SCC) and Chair of SODA.

    ·         following the defining the problem and the solutions, the challenge of implementing the Improvement Programme lay ahead as it would be a transformational shift in the way that mental ill-health and mental wellbeing were tackled within Surrey.

    3.    The Independent Chair (SSAB) noted the enthusiasm of the MHPB which needed to be channelled into its implementation and that it was important to change the dynamic by embracing and understanding mental health across Surrey.

    4.    The Independent Chair (SSCP) noted that the report was refreshing as it offered clarity on areas of concern and reassurance came from recognising the strong partnership agreement committed to the transformational change needed and welcomed the periodic review of the priorities. He hoped that all partners were disseminating the messaging on mental ill-health across their strategic organisations, paying attention to the lived experiences of young people and their families.

    5.      The Chief Executive (Interim) (SABP NHSFT) supported the report and constructive approach taken by the team, noting that the challenge going forward would be ensuring sufficient resources and time,  ...  view the full minutes text for item 17/21

18/21

DIGITAL WORKSTREAMS FOR RESTORATION AND RECOVERY ACROSS THE SYSTEM AND DIGITAL INCLUSION pdf icon PDF 1016 KB

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    The report is provided in accordance with System Capability - Digital, a key system enabler in the Health and Wellbeing Strategy.

     

    Additional documents:

    Minutes:

    Witnesses:

    Katherine Church - Chief Digital Officer (Surrey Heartlands ICS) and Joint Strategic Chief Digital Officer (SCC)

     

    Key points raised in the discussion:

    1.    The Chief Digital Officer (Surrey Heartlands ICS) and Joint Strategic Chief Digital Officer (SCC) introduced the report noting:

    ·         the reasons for the recommendations which included a recognition of the importance of the need for continued partnership working, the focus on transparent citizen engagement, tackling digital exclusion ensuring that no one is left behind and the development of the Digital Inclusion Strategy.

    ·         an overview of the digital ambitions across six workstreams, highlighting the challenge of condensing the focus of the work as digital was a key enabler to many of the transformation programmes across Surrey:

    -       Workstream One - Digital first primary care/healthy neighbourhoods: to further digitise health and social care to deepen citizen engagement, capitalising on virtual consultations, looking at systems for remote modern monitoring around a number of long-term conditions such as diabetes and hypertension for prevention and management, as well as signposting residents to providers.

    -       Workstream Two - Children’s digital programme: governed by the multi-agency Children’s Strategic Group, utilising insights gained last summer from practitioners on the barriers to coordinated working such as disconnectedness of services and information. Key projects included the emotional health and wellbeing programme with the Surrey and Borders Partnership NHS Foundation Trust and integrating health and care records through the Surrey Care Record.

    -       Workstream Three - Adults’ Digital Programme: using integrated technology to enable people to live their best lives, promoting independence through focusing on digital projects such as Enabling You with Technology and supporting the Palliative and End of Life Care (PEoLC) Strategy.

    -       Workstream Four - Shared data and shared records: joining medical and care records across providers in Surrey Heartlands via the Surrey Care Record. Usage and views had increased over ten percent per month and with future savings of time and money, it was an NHS core deliverable with Surrey ahead of the national schedule.

    -       Workstream Five - Digital infrastructure and one public estate: the move to enabling teams to work more closely together such as through joint commissioning across organisations, such as the programme with Surrey County Council’s Digital Infrastructure Strategy. As well as enabling integrated working across estates.

    -       Workstream Six - Digital inclusion: recognising that all of the programmes above would only deliver their benefits if Surrey’s residents had the digital skills they needed to fully participate - currently 200,000 residents in Surrey were digitally excluded. Research over the past six months to identify those individuals would be used through a programme identifying localised services, working with several large-scale partners in the voluntary sector.

    ·         there were gaps to be addressed in the development of the Digital Inclusion Strategy, which would be collated in a detailed action plan to come back to the September Board.

    1. A Board member asked whether work was underway concerning digital safety and security, focusing on addressing online health misinformation.

    -       In response the Chief  ...  view the full minutes text for item 18/21

19/21

A RENEWED VISION FOR DATA: DRIVING INSIGHT-LED DECISION MAKING, DEMAND MANAGEMENT AND PERFORMANCE TO IMPROVE OUTCOMES pdf icon PDF 823 KB

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    The report is provided in accordance with System Capability - Intelligence, a key system enabler in the Health and Wellbeing Strategy.

     

     

    Minutes:

    Witnesses:

    Nicola Kilvington - Director of Insight, Analytics and Intelligence (SCC)

    Fiona Macpherson - Temporary Assistant Chief Constable, Surrey Police

    Dr Naheed Rana - Public Health Consultant (SCC)

    Richard Carpenter - Data Scientist (SCC)

     

    Key points raised in the discussion:

    1.    The Director of Insight, Analytics and Intelligence (SCC) introduced the report which was in three parts: the renewed vision for data across Surrey, the Joint Strategic Needs Assessment and the Surrey Index.

    2.    The Temporary Assistant Chief Constable (Surrey Police) emphasised the importance of the work noting that the response to the pandemic over the past year highlighted what could be achieved when organisations worked in partnership; recognising the work of the Surrey Local Resilience Forum. She added that in relation to the report, the work of each organisation across Surrey when combined would make a difference to people's lives, noting the support of the work by the Chief Constable and Surrey Police.

    3.    The Director of Insight, Analytics and Intelligence (SCC) outlined the work on the Intelligence system capability, noting that:

    ·         data and insights were integral to the Health and Wellbeing Strategy and highlighted the close connections with the work and the digital workstreams.

    ·         data played a large role in helping to inform the response to the pandemic, the vaccination effort and the recovery work utilising the insights of the CIA on widening inequalities faced by certain communities in Surrey.

    ·         the first set of recommendations sought to build on the collaborations forged to date, including the work of the Surrey Office of Data and Analytics (SODA), the Surrey Care Record and Population Health Management; and to seek further consideration around how data from more partners can be included within the shared datasets, to be led by the Chief Constable (Surrey Police) on behalf of the wider system to develop a longer term vision and road map to progress the shared intelligence ambitions and outcomes.

    4.   The Public Health Consultant (SCC) outlined the work on the refresh of the Joint Strategic Needs Assessment (JSNA) noting that:

    ·         producing a JSNA was a statutory responsibility of the Board, in March 2020 the Board agreed an approach and principles in relation to implementing the JSNA which were presented in the report.

    ·         the JSNA continued to support the Health and Wellbeing Strategy, and the refresh learnt from the insights of the RNAs and the CIA, through a partnership-driven and resident evidence-based approach it was vital that the JSNA remained responsive to evolving needs of the population and was embedded into the wider system.

    ·         the refresh would be overseen by the JSNA Operational Oversight Group with system-wide representation, which would agree a workplan for 2021/2022 and beyond. Over a series of new chapters and revised chapters there would be an in-depth look at the insights gained form the RNAs and CIA, focusing on groups that were disproportionately affected by the pandemic - the insights used from the Surrey Index would help develop the refreshed JSNA.

    5.    The Data Scientist (SCC) provided an update on  ...  view the full minutes text for item 19/21

20/21

ADDRESSING WIDER DETERMINANTS OF HEALTH INEQUALITIES IN SURREY: POVERTY pdf icon PDF 267 KB

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    The report is provided in accordance with Priority 3 of the Health and Wellbeing Strategy.

    Minutes:

    Witnesses:

    Michael Coughlin - Deputy Chief Executive (SCC) and Chair of SODA

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

     

    Key points raised in the discussion:

     

    1.    The Deputy Chief Executive (SCC) and Chair of SODA noted that:

    ·         the report set out the evidence demonstrating the strong relationship between poverty and poor health, and conversely the impact that poor health could have on an individual’s income.

    ·         poverty was a key wider determinant of health to which many parts of Surrey were not immune as highlighted through the Surrey Index and Surrey-i.

    ·         economic pressures had been exacerbated by Covid-19 through the lockdowns, furloughing and redundancies, often interrelated with issues in relation to rent affordability, debt, Universal Credit and in some cases addiction and mental health issues.

    ·         the worrying uptake in free school meals, the prevalence of food banks, and the delivery of food parcels were all indicative of the extent in the extremes of poverty felt by some people.

    ·         emotive feedback was received at the Mental Health Summit through individual’s testimonies experiencing poor mental health. Similarly with poverty, the most powerful imperative to act came from having the awareness and understanding of the lived experience of individuals, families, and communities.

    ·         in terms of health impacts of poverty they were most acutely felt by children in the early stages of life, leaving impacts that potentially last throughout a lifetime, noting the importance of the recent Surrey County Council motion on child poverty.

    ·         the table in the report set out a number of initiatives in Surrey aimed at mitigating the effects of poverty, it was evident that solutions to resolve poverty had been more difficult to identify and the recommendations sought to identify the causes of poverty; linking in with the work on the refresh of the Health and Wellbeing Strategy incorporating poverty into Priority Three with the need to ensure deliverables and engaging with those with lived experiences. 

    ·         it was vital to review best practice across Surrey and nationally, a working group would be established to support the delivery of the action plan.

    Jason Gaskell left the meeting at 11.31am

    2.    The Priority Three Sponsor:

    ·         paid tribute to colleagues for their work on the report and noted that thirteen years after the last economic recession and having had up to £10 billion worth of public investment in the county every year, the report showed that poverty was increasing across the country and all ages, and had been exacerbated by Covid-19.

    ·         echoed the Chairman’s opening remarks recognising the real poverty experienced by large numbers of residents in the county, and so it was vital to align poverty with health inequalities.

    ·         noted that the challenge going forward was how to move from the insights into real action that would make a positive difference to people's lives, he welcomed its inclusion in Priority Three and the momentum going forward from the upcoming refresh of the Strategy.

    3.    Referring to recommendation five the Chairman queried what the timescale would be for the Board  ...  view the full minutes text for item 20/21

21/21

SURREY CARERS STRATEGY 2021-24 pdf icon PDF 235 KB

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    The report is provided in accordance with Priorities 1-3 of the Health and Wellbeing Strategy.

     

    Additional documents:

    Minutes:

    Witnesses:

     

    Sue Tresman - Independent Carers Lead, Surrey Heartlands Integrated Care System

    Adam Watkins - Senior Joint Carers Lead (Carer Contingency Planning), Surrey Heartlands Integrated Care System

    Anna Waterman - Head of Commissioning for Disabilities, Autism and Carers (SCC)

     

    Key points raised in the discussion:

    1.    The Independent Carers Lead (Surrey Heartlands ICS) highlighted:

    ·         the inclusive working model across Surrey and its Integrated Care Partnerships (ICPs), working with carers in developing the Strategy to ensure that their experiences arising from living and caring for family members were at the heart of the Strategy and the development of support services for carers across Surrey.

    ·         her role in overseeing the ongoing governance and evaluation of the objectives of the Strategy through the Carers Strategic Partnership Board and proposed commissioning arrangements.

    ·         the new Senior Commissioning Manager for Carers (SCC).

    2.    The Senior Joint Carers Lead (Carer Contingency Planning) (Surrey Heartlands ICS) explained that:

    ·         the Strategy presented a joint vision for unpaid carers across the system, in which carers should be recognised, valued and supported both in their caring role and as an individual; that carers would be respected as partners in care, that they would have a strong voice that influences improvement and would equally be able to access the support they needed in the way that worked best for them.

    ·         the Strategy set out system-wide ambitions and commitments, whilst also being place-based and aligned to local provision.

    ·         a Young Carers Strategy focusing on the needs of young carers was in its advanced stage of development and would be aligned with the Strategy to ensure an all-ages approach to unpaid carers.

    ·         the Strategy had been driven by a process of ongoing engagement with ICPs, Borough and District Councils, the Voluntary, Community and Faith Sector (VCFS) and other community groups, as a shared set of values and priorities was a key enabler to achieving consistency across the system - normalising the work of unpaid carers across the system.

    ·         delivery of the Strategy would be monitored through the system-wide action plan and local action plans under development.

    ·         a joint ‘carers dashboard’ was being developed, with work underway through the Carers Strategic Partnership Board, with the creation of a Carers Co-production Action Group being explored.

    ·         in response to feedback, a citizen-friendly document would be developed, and an Easy Read version has been commissioned.

    ·         subject to the Strategy’s approval, communications teams would work on a launch plan which would include key messaging through other media such as short videos.

    3.    The Head of Commissioning for Disabilities, Autism and Carers (SCC) noted that:

    ·         the carers budget in Surrey was allocated out of the Better Care Fund - £6.5 million - pooled across health and social care, the spending was monitored by the Carers Strategic Commissioning Group and the Carers Strategic Partnership Board.

    ·         going forward to realise the commitments set out in the Strategy it was vital to ensure robust governance across the system-wide action plan and local action plans.

    ·         contracts and grant agreements for a range of commissioned  ...  view the full minutes text for item 21/21

22/21

SURREY LOCAL OUTBREAK ENGAGEMENT BOARD - UPDATE

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    The Board is to receive a verbal update on the work of the Surrey Local Outbreak Engagement Board (LOEB), which is 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.

    Minutes:

    Witnesses:

     

    Ruth Hutchinson - Director of Public Health (SCC)

    Sinead Mooney - Cabinet Member for Adults and LOEB Chairman (SCC)

     

    Key points raised in the discussion:

     

    1.    The Director of Public Health (SCC) noted that:

    ·         Covid-19 infection rates had begun to slowly rise in the past few weeks as a result of the easing of the national lockdown and the rise in infections from the Gamma and Delta Variants of Concern (VOCs); data on the more prevalent Delta VOC was shared through the weekly COVID-19 Intelligence Summary report.  

    ·         current areas of concern included Reigate and Banstead with rates rising in the 10-19 age group although the overall rate was around 60 per 100,000 population which was significantly lower than previous rates; rates were also rising in Epsom and Ewell.

    ·         The vaccination message remained vital as there were still residents eligible to get their vaccination, noting the importance of the Equalities, Engagement and Inclusion Group.

    2.    The Surrey Local Outbreak Engagement Board (LOEB) Chairman noted that:

    ·         LOEB members continued to be regularly informed of key updates from the Public Health team (SCC) and the Communications team (SCC) and the LOEB continued to engage positively with residents.  

    ·         the Community (COVID) Champions programme was progressing well and reached across most of the county.

    ·         the LOEB continued to take its steer from its regional and national level equivalents and partners, keeping a close eye on the pandemic in the county.

     

    RESOLVED:

     

    The Board noted the verbal update on the work of the Surrey Local Outbreak Engagement Board.

     

    Actions/further actions to be provided:

    None.

     

     

23/21

DATE OF THE NEXT MEETING

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    The next meeting of the Health and Wellbeing Board will be on 9 September 2021.

    Minutes:

    The Chairman thanked all Board Members for their work across the system and contributions to the Board, noting the challenge of Covid-19 recovery and Surrey’s ambitious plans to improve the health and wellbeing of its residents.

     

    It was noted that a date for the proposed informal public meeting in July to discuss the refresh of the Health and Wellbeing Strategy would be confirmed in due course.

     

    The date of the meeting was noted as 9 September 2021.

     

 

  • Updated: 16 Sep 2021

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