Agenda and minutes
PDF 414 KBVenue: Council Chamber, Woodhatch Place, Reigate
Contact: Amelia Christopher
Media
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APOLOGIES FOR ABSENCE
To receive any apologies for absence and substitutions. Additional documents: Minutes: Apologies were received from Dr Russell Hills, Rachael Wardell - Hayley Connor substituted, Clare Curran - Maureen Attewell substituted, Graham Wareham, Fiona Edwards, Jason Gaskell - Cate Newnes-Smith substituted, Borough Councillor Nick Prescot, Professor Claire Fuller, Steve Flanagan.
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MINUTES OF PREVIOUS MEETING: 2 DECEMBER 2021
To agree the minutes of the previous meeting. Additional documents: Minutes: The minutes were agreed as a true record of the meeting.
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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.
Additional documents: Minutes: There were none.
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QUESTIONS AND PETITIONS
Additional documents: |
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Members' Questions
The deadline for Member’s questions is 12pm four working days before the meeting (10 March 2022).
Additional documents: Minutes: None received.
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Public Questions
The deadline for public questions is seven days before the meeting (9 March 2022).
Additional documents: Minutes: None received.
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Petitions
The deadline for petitions was 14 days before the meeting. No petitions have been received.
Additional documents: Minutes: There were none.
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This paper provides an overview of the progress of local shared projects and communications activity supporting delivery of the three Health and Wellbeing Strategy priorities as of 22 February 2022 with the priority population groups, via the latest Highlight Report.
Following a further review requested by the Health and Wellbeing Board and a subsequent small addition to the methodology, a final list of 22 small geographic areas, encompassed by 21 wards (“key neighbourhoods”) is proposed, maintaining the previously agreed initial primary focus on the five wards with the very highest levels of deprivation. Additional documents: Minutes: Witnesses:
Karen Brimacombe - Chief Executive, Mole Valley District Council (Surrey Chief Executives’ Group) (Priority 1 and Priority 3 Sponsor) Professor Helen Rostill - Director for Mental Health, Surrey Heartlands ICS and SRO for Mental Health, Frimley ICS (Priority 2 Sponsor) Dan Shurlock - Head of Design, Empowered and Thriving Communities Lead (SCC)
Key points raised in the discussion:
Priority One
1. The Priority One Sponsor highlighted: · that carers were a priority population across the Health and Wellbeing Strategy, referring to the ‘in the spotlight’ section on the joint report ‘Carers’ Experiences of Hospital Discharge’ published in autumn 2021 by Healthwatch Surrey and Action for Carers. The report highlighted the risks and consequences of poor communication with carers and work with Healthwatch Surrey on sharing carers’ experiences would continue. · outcome one - ‘People have a healthy weight and are active’: - the eighteen-month healthy weight project focusing on Looked After Children was underway. - the Physical Activity Strategy now has a year one implementation plan; a risk related to the resourcing of the Active Surrey team. · outcome three - ‘The needs of those experiencing multiple disadvantages are met’: - the Changing Futures and Surrey Adults Matter programmes continue to prioritise partnership working to create system improvements. - thirty networks had been identified in the mapping of lived experience and peer mentoring with further consultation to follow. - alignment with district and borough councils was taking place. - Surrey County Council was embedding four new assistant social worker posts within Adult Social Care. - a training collaborative through Changing Futures had been formed as well as a whole system strategy for Trauma Informed Culture. · outcome four - ‘Serious conditions and diseases are prevented’: - the Blood Pressure Plus Project was relaunched in December with a focus on areas of deprivation. - a risk identified was the low number of referrals into their Thrive Tribe carers health checks, now being mitigated through communications.
Priority Two
2. The Priority Two Sponsor highlighted: · the continued pressure within mental health services, only one third of people receive support from mental health services; support largely comes from schools, workplaces, families, or from communities. · that focusing on early intervention and prevention and reducing inequality in access was key to the Strategy, noting the work on this by the Public Health team (SCC). · the start of the refresh of the mental health chapter for the Joint Strategic Needs Assessment (JSNA). · item 7 - the refreshed Joint Health and Social Care Dementia Strategy for Surrey (2022-2027) which was well-informed through the insights. · outcome one - ‘People with depression, anxiety and mental health issues have access the right early help and resources’: - the focus this quarter was on children and young people as requested at the December Board. A launch event led by Mindworks Amplified (User Voice) team would be held in May and requested that Board members inform her if they had not received a hold the date invite. - that there was more to do ... view the full minutes text for item 5/22 |
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PRIORITY 1: ECINS CASE MANAGEMENT SYSTEM WITHIN SURREY AND FUTURE FUNDING ARRANGEMENTS
This paper provides an update to the Board on the usage of Empowering Communities Inclusion and Neighbourhood System (ECINS) across the Surrey partnership and seeks support for future funding.
Additional documents: Minutes: Witnesses:
Alison Barlow - Temporary Assistant Chief Constable, Surrey Police Iain Gibbins - ECINS Manager, Surrey Police Rachel Crossley - Joint Executive Director (Public Sector Reform), SCC and Surrey Heartlands ICS Alison Bolton - Chief Executive (OPCC)
Key points raised in the discussion:
1. The Temporary Assistant Chief Constable (Surrey Police) noted that: · Empowering Communities Inclusion and Neighbourhood System (ECINS) in place since 2019, is a secure multi-agency case management system, widely used across the UK by police and partners and brought together case management information relating to individuals across crime, disorder as well as wider health and social care activity for example. · there were wide benefits to partners in the sharing of case management across the ECINS platform, since its introduction there were over 1,200 registered users across Surrey. · the OPCC had funded the licence for ECINS since 2019 and both Surrey Police and the OPCC would share the funding for another year, the licence renewal fee would increase in June 2022 following a favourable deal secured in 2019. · it was hoped that partners would contribute to the licence renewal and the support team based on their percentage usage - or suitable funding formula - from 2023. 2. The Vice-Chairman asked whether for example the Surrey Multi-Agency Safeguarding Hub (MASH) used the ECINS platform. - In response, the Temporary Assistant Chief Constable (Surrey Police) noted that the MASH used its own separate platform but noted that there were various workstreams relating to projects such as Surrey Adults Matter (SAM) - the ECINS Manager (Surrey Police) confirmed the above position on the interoperability of ECINS. 3. The Vice-Chairman sought to understand what the NHS’ engagement and involvement was with the platform and what the implication might be for the NHS in terms of funding going forward. Noting the increase in the licence fee from £40,000 currently to around £90,000 for 2023-24 she asked how that cost compared with other systems on the market. - In response, the Temporary Assistant Chief Constable (Surrey Police) recognised that there were other systems on the market, however ECINS was as a Government pre-approved supplier and was used widely by partners. There were areas in development around the health and wellbeing agenda and Appendix 1 provided an example from a health perspective regarding TinyLife in Northern Ireland. 4. The Chairman sought reassurance that ECINS and the various databases in Surrey would be joined up, noting the Surrey Care Record and the work of Surrey Office of Data Analytics (SODA). - In response, the Joint Executive Director (PSR) (SCC and Surrey Heartlands ICS) explained that the Chairman as Leader of Surrey County Council, had commissioned a Surrey-wide data strategy - sponsored by the Chief Constable of Surrey Police - and that would be reported to the next public Board meeting. - The Joint Executive Director (PSR) (SCC and Surrey Heartlands ICS) explained that as part of that data strategy, all the different systems capabilities were being mapped and evaluated to see where they could be maximised ... view the full minutes text for item 6/22 |
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PRIORITY 2: JOINT HEALTH AND SOCIAL CARE DEMENTIA STRATEGY FOR SURREY (2022-2027)
This Joint Health and Social Care Dementia Strategy for Surrey sets out a consistent, Surrey wide approach to dementia.It is framed around the Well Pathway for dementia and underpinned by reducing inequalities: many of the risk factors for dementia are associated with socio-economic inequality such as living in an area of deprivation and other priority populations as identified by the Health and Wellbeing Board. Oversight of the strategy from the Health and Wellbeing Board will enable change and progress across the system, with a clearer focus on preventing dementia and supporting people with dementia, their carers and families.
Additional documents: Minutes: Witnesses:
Kate Scribbins - Chief Executive, Healthwatch Surrey Dr Sophie Norris - GP Wonersh Surgery Mental Health and Dementia Clinical Lead for Guildford and Waverley ICP (NHS Surrey Heartlands CCG) Jane Bremner - Head of Commissioning Mental Health (Adult Social Care) (SCC)
Key points raised in the discussion:
1. The Chief Executive, Healthwatch Surrey noted that: · the insights gathered through Healthwatch Surrey were of people who had gone through the experience of a dementia diagnosis, where timely and ongoing information through the right channel was vital. · there was positive feedback on Dementia Navigators who signposted individuals to support services including informal support groups whose provision relied on a few volunteers. · areas for improvement were the inconsistent access to Dementia Navigators and people felt shocked at the lack of information and support that they were given within primary care. · three key recommendations followed from those findings and had been taken forward: - build access to Dementia Navigators; - undertake a strategic overview of the support groups; - empower primary care to signpost effectively. 2. The GP (Wonersh Surgery) and Mental Health and Dementia Clinical Lead for Guildford and Waverley ICP (NHS Surrey Heartlands CCG) noted that: · co-production on the Dementia Strategy and engagement with those with dementia and their carers and loved ones was hugely important. · there were more than 10,000 people living with dementia across Surrey, with many more people yet to be diagnosed. · the Dementia Strategy Action Board sought to bring together various interrelated workstreams such as care homes, frailty, end of life and learning disability care. · the Dementia Strategy Action Board met bi-monthly and co-produced the Dementia Strategy with Surrey and Borders Partnership (SABP), Alzheimer’s Society, Age UK, service user groups and Healthwatch Surrey. · the Dementia Strategy identified that people with dementia were a health inequality group and sought to ensure they are not left behind in discussions around commissioning and mental health for example. · the Dementia Strategy was based on the mental health for dementia care pathway which is an NHS framework and has five components: preventing well, diagnosing well, living well, supporting well and dying well; not just solely focusing on dementia diagnosis rates. · through working in partnership, localised recommendations for Surrey had been drawn up, alongside a clear action plan with target dates. 3. The Head of Commissioning Mental Health - Adult Social Care (SCC) welcomed comments on how Board members could provide support to develop a programme of work particularly around prevention. 4. A Board member commented that in her capacity as Cabinet Member for Adults and Health (SCC) she had been involved in ensuring that the Dementia Strategy went through the scrutiny process and was sent to relevant partners - feedback had been positive and had been incorporated. She thanked the three item presenters for their work, including the work of Healthwatch Surrey ensuring that the voices of those with dementia were heard and thanked the informal groups across Surrey such as DayBreak Respite Care in Spelthorne. 5. The Vice-Chairman commended the ... view the full minutes text for item 7/22 |
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PRIORITY 3: POLICE AND CRIME PLAN FOR SURREY 2021-2025 AND COMMUNITY SAFETY
This report introduces the Police and Crime Plan for Surrey 2021-2025 to the Health and Wellbeing Board. The report also considers the opportunities for the Police and Crime Commissioner for Surrey and the Board to work together and consider how community safety is represented going forward.
Additional documents: Minutes: Witnesses:
Lisa Townsend - Police and Crime Commissioner for Surrey Alison Bolton - Chief Executive, Office of the Police and Crime Commissioner for Surrey (OPCC)
Key points raised in the discussion:
1. The Police and Crime Commissioner for Surrey noted: · her thanks to the Commissioning and Policy Lead for Community Safety (OPCC) for putting together the report. · that the Police and Crime Plan for Surrey 2021-2025 was published in early December, it had been widely consulted on and it was resident focused. · the importance of the priority on: ‘Preventing violence against women and girls in Surrey’, which was high up on the national agenda. · the priority on: ‘Protecting people from harm in Surrey’, which included dealing with vehicle theft. · that partnership work with the Health and Wellbeing Board and in other forums across the county was vital in order to deliver a Surrey that is safe and feels safe for all of its residents. · that whilst crime and policing were important to her role, so too was commissioning whereby working with partners was crucial on areas around prevention and safety, working with Board members, East Surrey Domestic Abuse Service (ESDAS), or Women's Aid. · that the Deputy PCC had a responsibility over youth and prevention work, which ran through the entire plan - rather than being a specific priority. · that she was the national lead for mental health and custody for the Association of Police and Crime Commissioners (APCC) - mental health ran through the entire Plan and the OPCC was working with Women's Aid. · that value for money also ran through the entire Plan. · the intention for a biannual meeting to agree the community safety strategic direction - with the inaugural meeting to happen in May - a forum to consider community safety in detail. · that it is an evolving Plan and encouraged Board members to engage with the OPCC on areas of focus and improvement. 2. A Board member echoed the PCC’s call for support from Board members, particularly regarding the sections on ‘together we will’. 3. The Chairman noted that the Board considered the draft Plan at its last meeting. 4. The Chairman stressed that partnership working was key to delivering the Plan and the Board would continue to consider the opportunities for greater collaboration with the PCC and community safety partners. 5. The Chairman asked that the details of the upcoming biannual meeting be shared with Board members. RESOLVED:
1. Noted the report and the Police and Crime Plan for Surrey 2021-2025. 2. Would continue to consider the opportunities for greater collaboration with the Police and Crime Commissioner for Surrey and community safety partners. 3. Endorsed the proposal to hold a biannual meeting to agree the community safety strategic direction.
Actions/further information to be provided: 1. The details of the upcoming biannual meeting will be shared with Board members.
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HEALTH AND SOCIAL CARE INTEGRATION WHITE PAPER OVERVIEW
The Government published the Health and Social Care Integration White Paper “Joining up care for people, places and populations” on 9 February 2022. The white paper sets out the government’s ambition to accelerate the delivery of joined-up health and social care at ‘place’ level. In the white paper there are proposals for a single accountable person, shared outcomes, and ambitions for increasingly pooled NHS and social care budgets at ‘place’ level. The white paper asks a series of questions about the approach to the proposals at place level. Feedback from the Board will inform a response on behalf of the system.
Additional documents: Minutes: Witnesses:
Louise Inman - Health Integration Policy Lead (SCC)
Key points raised in the discussion:
1. The Health Integration Policy Lead (SCC) noted that: · the White Paper published on 9 February set out the Government's ambitions to accelerate the delivery of joined up health and social care at place level - comparatively in England, Surrey was fairly advanced in the integration of health and social care. · the proposals include a single accountable person for place, place level governance arrangements and a review of pooled budgets and a shared outcomes framework by April 2023. · the White Paper also included other enablers of integration around workforce - such as creating more opportunities for staff to switch between health and care career paths, funding to develop care certificates and the introduction of integrated skills passports - digital and data - such as around shared care records, digital social care records for at least 80% of CQC registered providers, a population health management platform by 2025 and a suite of standards for Adult Social Care to ensure consistent information. · Annex 1 set out a number of questions about the proposals in the White Paper with a response due on 7 April 2022, Board members are to submit any views in relation to best practice and any risks, to the report author - Health Policy Advisor (SCC) in the next ten days. 2. The Chairman noted that the White Paper was a large piece of work, alongside an upcoming Health Inequalities White Paper and the Health and Care Bill, and discussions around section 83 of funding of Adult Social Care. 3. The Chairman noted that it was vital for the health system, local government and other partners to work more efficiently together - recognising the increased centralisation in some areas such as the creation of a national data centre and the focus on the individual through individual care plans - such as through the new Integrated Care Systems and their respective Integrated Care Boards and Integrated Care Partnerships.
RESOLVED:
Noted that the Integration White Paper is in line with Surrey’s ambitions to integrate health and local government services where doing so will help improve outcomes for our residents and deliver the Community Vision for Surrey by 2030.
Actions/further information to be provided: 1. Board members will submit any views in relation to best practice and any risks regarding the White Paper, to the report author - Health Policy Advisor (SCC) in the next ten days.
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REVIEW OF HEALTH AND WELLBEING BOARD MEMBERSHIP
This paper proposes changes to the Health and Wellbeing Board membership to come into effect between April and September 2022. These are proposed in order to reflect the changing structure of the local Integrated Care Systems (ICSs) along with other developments such as the recognition for stronger representation from the Voluntary, Community & Social Enterprise (VCSE) sector once the VCSE alliance is formed.
Additional documents: Minutes: Witnesses:
Phill Austen-Reed - Principal Lead – Health and Wellbeing (SCC)
Key points raised in the discussion:
1. The Principal Lead - Health and Wellbeing (SCC) introduced the report and provided context to the recommendations which sought to ensure that the Board’s membership would reflect the evolution within the system. 2. The Principal Lead - Health and Wellbeing (SCC) requested that if there were any additional changes that can be incorporated over the next few months, Board members were to contact the Health and Wellbeing team (SCC). 3. The Chairman noted possible future changes to the Board’s membership with the move into the new statutory Integrated Care Systems (ICSs). He clarified that the Health and Wellbeing Board owns Surrey’s Health and Wellbeing Strategy, the Integrated Care Board (ICB) would lead on the health aspects and the Integrated Care Partnership (ICP) would lead on the partnership aspects of the Strategy. 4. The Chairman noted that as the overarching body it was vital that the Health and Wellbeing Board has the right representation from organisations.
Karen Brimacombe left the meeting at 3.29 pm
RESOLVED:
The Board considered and approved the proposed developments and changes to membership:
1. Once established, VCSE alliance to nominate three representative members to the board (this would increase membership by two, enabling rotation depending on board business and content). 2. Following changes in structures and roles at Surrey Heartlands ICS, the following approach to ensuring appropriate membership is proposed alongside its formal establishment in July 2022: a. Engage current board members representing “place based partnerships” to explore and ensure appropriate representation of each partnership and appropriate links to the Integrated Care Partnership as that develops recognising the dual representative role of some existing members. b. Confirm strategic clinical input and role of Vice-Chairman will continue through role of Surrey Heartlands Chief Medical Officer from 1 July when current clinical chair role will end. 3. Confirmed representation for mental health via membership of the newly appointed Chief executive of SABP (Graham Wareham) and the chair of the Mental Health Delivery board (Helen Rostill) in the continued role of priority two sponsor. 4. Confirmed representation from probation is through Head of Probation Delivery Unit (Jason Halliwell) along with provider representation continuing through Deputy Director of community interventions, interventions alliance (Carl Hall), following the ending of the Community Rehabilitation Company in 2021. 5. Confirmed new membership to Cabinet Member for Community Protection to reflect community safety function of the board following the 2020 merger and recent creation of portfolio.
Actions/further information to be provided: 1. Board members will raise any additional changes with the Health and Wellbeing team (SCC) to the Board’s membership that can be incorporated over the next few months.
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INTEGRATED CARE SYSTEMS (ICS) UPDATE
The Board is to receive a verbal update on the development of the Integrated Care Systems (ICS) - Surrey Heartlands and Frimley - including the Integrated Care Board (ICB) and the Integrated Care Partnership (ICP).
Additional documents: Minutes: Witnesses:
Dr Charlotte Canniff - Vice-Chairman of the HWB / Clinical Chair, Surrey Heartlands CCG
Key points raised in the discussion:
1. The Vice-Chairman noted that the latest Surrey Heartlands ICB report had been shared with Board members and included an update on Covid-19 incident management, Surrey Heartland’s three main priorities: ongoing response to the Covid-19 pandemic, the recovery and restoration of its services and supporting the health and wellbeing of its workforce. 2. Representatives from Frimley ICS were not in attendance so no update from Frimley ICS was provided - Board members had been sent a report.
RESOLVED:
The Board noted the verbal update on the development of the Integrated Care System (ICS) - Surrey Heartlands - including the Integrated Care Board (ICB) and the Integrated Care Partnership (ICP).
Actions/further information to be provided: None.
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SURREY LOCAL OUTBREAK ENGAGEMENT BOARD - UPDATE
The Board is to receive a verbal update on the work of the Surrey Local Outbreak Engagement Board (LOEB), which is a 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 / LOEB Chairman (SCC) Ruth Hutchinson - Director of Public Health (SCC) Rachel Crossley - Joint Executive Director (PSR), SCC and Surrey Heartlands ICS
Key points raised in the discussion:
1. The Surrey Local Outbreak Engagement Board (LOEB) Chairman noted that: · the Government had published its ‘Living with COVID-19’ plan on 21 February 2022 which included the timeline for removing restrictions including: on 1 April the use of the NHS COVID Pass would no longer be recommended in certain settings; free symptomatic and asymptomatic universal testing for the general public in England would no longer be provided; working safely guidance would be replaced. · information on the UK COVID-19 Public Inquiry launched by Government was available on the independent website. · Surrey’s Local Outbreak Management Plan (LOMP) had been updated as a result of the national policy changes. · the intention was to hold the final meeting of the LOEB in April - to discuss living with Covid-19 - to be reviewed later in the year. 2. The Director of Public Health (SCC) emphasised the importance of the LOMP in light of the increase in Covid-19 rates in the last week and following the change in regulations. She explained that the system was preparing to incorporate Covid-19 into business as usual whilst being prepared to react to a case surge. 3. The Chairman asked whether the Surrey Local Resilience Forum (LRF) was undertaking work on lessons learnt from Covid-19 and outbreak management. - In response, a Board member explained that there was a previous lessons learnt exercise and a paper was taken to the executive board last week. - The LOEB Chairman suggested that an item be added on the LOEB agenda for the April meeting on lessons learnt - the Chairman agreed. - The Joint Executive Director (PSR) (SCC and Surrey Heartlands ICS) explained that many organisations including health and Surrey County Council were looking at the terms of reference around the UK COVID-19 Public Inquiry, whereby feedback on lessons learnt could be incorporated. 4. The Chairman asked whether there would be any further guidance on Covid-19. - In response, the Director of Public Health (SCC) explained that the guidance remained the same for self-isolation and the legal restrictions had been lifted which would be challenging with the changes to testing. 5. The Chairman asked whether there would be a fourth Covid-19 jab and how that would be distributed. - In response, the Vice-Chairman noted that it had been confirmed that there would be a fourth Covid-19 jab - second booster - in spring, which would be six months after the initial booster for patients aged over 75 and those most clinically vulnerable. The roll out would be through the current model of local and mass vaccination sites and community pharmacies.
RESOLVED: That the Board noted the verbal update on the work of the LOEB. Actions/further information to be provided: 1. An item will be added on the LOEB agenda for the ... view the full minutes text for item 12/22 |
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DATE OF THE NEXT MEETING
The next meeting of the Health and Wellbeing Board will be on 15 June 2022. Additional documents: Minutes: The date of the next public meeting was noted as 15 June 2022.
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