The minutes were agreed as a true record of
the meeting.
3/17
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.
Minutes:
There were none.
4/17
QUESTIONS AND PETITIONS
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There were none.
4/17a
Members' Questions
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The deadline for
Member’s questions is 12pm four working days before the
meeting (3 March 2017).
To
update the Board on any key issues relevant to its areas of work,
membership and terms of reference.
Minutes:
Declarations of interest:
None
Witnesses:
Victoria Heald, Health and
Wellbeing Board Programme Manager
Key
points raised during the discussion:
The Chairman informed
the Board that it was his last meeting as CCG co-chair and that
Claire Fuller, Clinical Lead for Surrey Downs CCG would replace him
as Co-Chair for 2017/18. The Cabinet Member for Wellbeing and
Health thanked the Chairman on behalf of members for his
contribution to the work of the Health and Wellbeing
Board.
The Board
wasinformed that a
recommendation had been received from the Wellbeing and Health
Scrutiny Board requesting that the Health and Wellbeing Board
explore options to identify a named GP for Safeguarding Adults. It
was highlighted that this recommendation was operational in
natureandtherefore
falls outside the scope of the Board. After some discussion it was
agreed to forward the recommendation on to the Director of Quality
and SafeguardingatGuildford and Waverley ClinicalCommissioningGroupfor
them to progress.
The Board
wasinformed that a
request had been received from the Police and Crime Commissioner to
add the Local Criminal Justice Board(LCJB)to the Strategic Oversight Board
Joint Protocol. The Police and Crime Commissioner stated
thatit was important to include the LCJB
within the protocol asone of
Surrey’smajor strategic
boards. The Board
agreedto the
addition of the LCJB to the protocol and indicated that the revised
protocol would be approved at a future meeting.
Actions/ further information to be provided:
To Forward the
recommendation from the Wellbeing and Health
ScrutinyBoard to the Director of Quality and Safeguarding for Guildford
and Waverley CCG for advice(Action Ref: A1/17).
To add the Local
Criminal Justice Board to the Strategic Oversight Board Joint
Protocolfor agreement at a future
meeting(Action Ref:
2/17).
Victoria Heald, Health and
Wellbeing Board Programme Manager
Key
points raised during the discussion:
The Health and
Wellbeing Board Programme Manager introduced the forward plan to
the Board and opened the floor to questions. The Police and Crime
Commissioner highlighted an item that had been previously
considered by the Board regarding the increase of police attendance
to A&E in acute hospitals in Surrey. It was stated that this
issueremainedunresolved and that Surrey Police would like to bring a further
report to the Board tofind a
resolution. The Board noted that there was
ongoing discussion on this matter and
that it had been considered at the local resilience partnership
forum. The Board agreed to explore the possibilities of bringing an
update report toa future
meeting.
Actions/ further information to be provided:
An item on Police
attendance at incidents at Surrey’s acute hospital sites be
considered at a future meeting of the Board (Action
Ref: A3/17).
The item on CCG
Quality Measures scheduled for the Board’s meeting on
Thursday 6 April 2017 to be removed from the Forward Plan.
(Action Ref: A4/17).
An item on Voluntary,
Community and Faith Sector involvement with the Health &
Wellbeing Board to be added to the Forward Plan for the
Board’s meeting on Thursday 6 April. (Action Ref:
A5/17).
RESOLVED:
The Board agreed the
forward work programme for the Health and Wellbeing
Board.
The
Regulatory Committee Manger introduced the
ActionsTracker to the
Board and highlighted that the one action
outstanding on the Tracker had been completed since the agenda
papers for the meeting had been published..
Actions/ further information to be provided:
None
RESOLVED:
The Board agreed to
monitor progress on the implementation of actions from previous
meetings
For the Board to
receive a case study highlighting progress related to health and
social care integration in Surrey.
Minutes:
Declarations of interest:
None
Witnesses:
Lisa Compton, Operations
Director, North West Surrey CCG
Key
points raised during the discussion:
The Officer
introduced the case study and gave a brief summary of the work being donein relation to the BedserLocality Hub and the
supportthat the Hub had provided to local
residents.It was highlighted that the
locality hubs had treated over 1800 patients since opening and that
it was having a positive impact on reducing attendance at
acutehospitals in the
area. Members noted that there had been a
reduction in non-elective activity in Woking as a result of the
Bedser Hub due toincreased provision ofpre-plannedcare. The
Officer presented threespecificcase studies to the Board which allowed members to
see the impact that theHubwere having on
residents.
Membersinquired about thenumber of patients that were being treatedby the Hubandaskedif the locality hubs had
the capacity to treat more. Officers confirmed that around 140
patients were being treated weekly butthatthe Hubhadthe capacity to go up to
160.
A
discussiontook placeregardingthe use of community patient care to prevent
patients from having tobetransportedto and fromlocalityhubs. Officers highlighted that a
community transport provider had been commissioned and
that,if
needed,patients could
be transported to the Hubsin orderto be treated. It washighlightedthat this had a positive impacton service usersas bringing people
together rather than treating them individually prevented patients
from feeling socially isolated.
Members
sought clarification on claims that
residents would lose access to their GP if they were referred
tolocalityhubs. Officers confirmed that residents wouldretain the option to be treated by their GP should
they chose to do so.
It was
highlighted that residents had given very good feedback on
theBedserHub which was partly due to theavailability oflonger appointments.Officers stated
that previously patients stayed in one room while doctors moved
between them. Feedback then showed that patients did not like this
as they were being left on their own on occasion so this was then
changed. Feedback was shown to be very important to the Locality
Hubs and that they would continue to use it to make
improvements.
Actions/ further information to be provided:
None.
RESOLVED:
The Health and Wellbeing Board
agreed to note the case study.
To agree a process for meeting
the Health and Wellbeing Board’s statutory duties in relation
to Clinical Commissioning Group annual reports and operating
plans.
Victoria Heald, Health and
Wellbeing Programme Manager
Key
points raised during the discussion:
The Officer
introduced the item and briefed members on the recommended approach
for consideringthe annual reports and
operating plans foreach of Surrey’s
six CCGs.Atemplate had previously been
sentoutaskingthe CCGsto outline their
contributions to the Surrey Joint Health and Wellbeing
Strategyoverthe last
year.Members were advised
thatthis document would
then be circulated to the Board by email for comment prior
tothesubmission of
annual reports on 21 April 2017.
Members
requested thatcontactdetailsfor
eachCCGs be includedwhen the annual reports and operating plans were
circulatedto allow for feedback to be passed
ondirectlyif
necessary.Members further requested
thatany overall strategic feedbackarisingbe passed on to the
Health and Wellbeing Programme Manager.
Actions/ further information to be provided:
None.
RESOLVED:
It was agreed that the
Health and Wellbeing Board:
fulfil the requirements of the Health and Social Care Act (2012)
by agreeing to the recommended approach to considering the annual
reports of each of Surrey’s six Clinical Commissioning
Groups; and
fulfil the requirements of the Health and Social Care Act (2102)
by agreeing to the recommended approach to considering the
operating plans of each of Surrey’s six Clinical
Commissioning Groups.
The purpose of this
report is to update the Health and Wellbeing Board on progress
against the improving children’s health and wellbeing
priority within the Joint Health and Wellbeing Strategy. An update
is provided to the Board every six months with the last coming in
September 2016. This report also seeks the Board’s approval
for the Surrey Children and Young People’s Partnership Joint
Commissioning Strategy 2017-22 – One page summary.
Julie Fisher, Deputy Chief Executive, Surrey County
Council
Sarah Parker, Director for Commissioning: Children (Surreywide)
Key
points raised during the discussion:
The Deputy Chief
Executive introduced the item and explained that the report focused
on some of the key achievementsin relation
to the improving children’s health and wellbeing
strategysince thelastupdate in September 2016.The Boardwas informed that, a key next step for the
Surrey Children and Young People’s Partnership Board was to
develop an outcomes framework with clearperformance indicators through the joint commissioning
strategy.
Members notedthatOfstedhad undertaken
a monitoring visit of SCCinJanuary 2017and had expressed their
viewthat SCC nowunderstands what ‘good’ looks like and that the
worknecessary toimproveChildren’s
Service had been identified. Officers
highlighted that the next Ofsted visit
wouldtake placein
April2017andthat this wouldinclude an assessment
of SCC’s provision in relation toLooked After Children. Memberswere
further advisedthat the Community
HealthServices contract had been awarded to a new provider which woulddeliverspeech and language therapy for children,this contact would
becommencein April
2017.
Emotional wellbeing
and sexual health services were stressed as a key priority for
residents and communities in Surrey andMembershighlighted that the performance
of the CAMHS and integrated sexual health service contracts needed
to be monitored closely The Board was informedthattheHealth
Related Behaviour questionnaire circulated annually to
childrenin Surrey provided excellent
insights into whether the right services were being commissioned
and that it would beappropriatefor the outcomes beconsidered
by the Boardin the future.
Membersinquired as to whethera
review ofSurrey’sMultiAgencySafeguardingHubwould be
undertaken to evaluate its progress. The Deputy Chief Executive
confirmed that a review was currently ongoing and would be looking
at the decision making process and its thresholds.
A member of the
public asked for clarification on when the transfer of the
Integrated Sexual Health Services (ISHS) contract wouldtake. The Board stated that the
contracts were
stillbeing compiled andthata date could
not yet be confirmedon when the service
would be transferred. Confirmation was then
soughtas to whether staff within theISHS teamwouldstill be employedafter 1 April 2017towhich the Board confirmed thatthey would.The Board agreed
that it should have had bettercommunication
with the publicin regard tothis contract.
Officers provided the
Board with a detailed summary on Beacon, a
means of accessing CAMHS. It was explained
that Beacon is an organisation that provides parents a front door
to services and allow for support to be given and open lines of
communication with professionals.
To
update the Health and Wellbeing Board on progress against the
Improving Older Adults’ Health and Wellbeing priority within
the Joint Health and Wellbeing Strategy. The report will also
provide members with the Better Care Fund quarterly returns for the
quarters 1 and 2 of 2016/17.
Helen Atkinson,
Strategic Director of Adult Social Care and Public Health, Surrey
County Council
Dr Yvonne Collins,
North West Surrey CCG
Melanie Nunn, Surrey
County Council
Sarah Wimblett, Surrey Heath CCG
Key
points raised during the discussion:
The Board
received a presentation on Surrey’s new Dementia Strategy and
were informed that lots of work had been done to increase awareness
of dementia.Efforts had alsoconcentrated ondementia prevention by publicising healthy
living approaches. Officers explained that by reducing alcohol
intake, not smoking and exercising regularlythe probability of being diagnosed with dementiawouldbedrastically reduced.
Officers also highlighted thatathirdof people withdementiain Surreywere undiagnosed and that work
was being done to improve this diagnosis rate. Officershighlightedthe importance of
patientsexperience by
ensuring that that when people are diagnosed that they are referred
on to the right support and always had access to support in their
journey.
Clarity was
sought on theclosure of the Alzheimer's
Society’s St Mary's Day Centre in Byfleet.Members were advised that better community support
for those with dementia had significantly reduced the need for
services that St Mary’s Day Centre
provided.Evidenceshowsthatdementia patients and their families prefer to
access services provided in the community.
Officers confirmed that they would be working with localdistrict and borough councilstounderstandhow
this will affect the provision of services for those with
dementia.
A member of
the public ask for clarification on the content of the Improving
Older Adults’ Priority Update at the meeting. This led to
further discussion on how it would be beneficial for the Board to
have therole of district and borough
councils displayed moreprominentlyin the
priority update reports.
A member of the publicasked
whether it was believedthat there was enough
education ondementiato ensure thatresidents would beable to recognise the symptoms. Officers agreed that this was
very important and that they did believe that the overall knowledge
of the disease was improving. It was stated that there was a
dementia awareness project being run by the
Alzheimer’sSociety which aimedto work with local businesses to improve theunderstanding andrecognition of the
disease.
Actions/ further information to be provided:
None.
RESOLVED:
The
Health and Wellbeing Board is asked to:
i.note the progress made towards the outcomes of the
Improving Older Adults’ Health and Wellbeing priority of the
Joint Health and Wellbeing Strategy;
ii.note the Surrey Better Care Fund returns for
quarters one and two 2016/17.
iii.endorse the next steps for the Improving Older
Adults Health and Wellbeing priority; and
iv.receive an update on this priority in six
months’ time.
The
Health and Wellbeing Board has enabled cooperation between health
and social care in Surrey to become a natural objective in the
approach to the care of Surrey residents. There is a vibrant
voluntary, community and faith sector (VCFS) in the county and
joining this sector to statutory providers would be of benefit to
the entire community.
The Clinical Lead
for Surrey Downs CCG introduced the item and explained that the
objective was to allow the Voluntary, Community and Faith Sector
(VCFS) to be better integrated with the Health and Wellbeing Board.
It was confirmed that a l report would beconsidered atthe Health and Wellbeing Board private meetingon 6 Aprilto discuss and agree
the specific role of theVCFSin relation tothe Health and
Wellbeing Board.
The Board
discussed theimportance of the VCFS and the role it plays in improving
thequality
of life for many Surrey residents depends on the5,000VCFSorganisations which operate in
Surrey.
The Board discusseda model usedbyRunnymede Borough Council whichhadenabled theCouncil to coordinate
more effectively with theVCFSaround the
commissioning ofservices.
A change to the
recommendations was agreed to add the word ‘further’ to
the second recommendation so it reads ‘explores how this
large and diverse sector can be further integrated
into the care of Surrey residents’.
A member of the publicin attendance at
the meetingstated that the VCFS was a very large sectorwitha lot to offer to Surrey residents.
It would, however,needsomefundingto support
administration.
The Board agreed the
recommendations and confirmed that further discussion would be had
at the next Health and Wellbeing Board private meeting.
Actions/ further information to be provided:
None.
15/17
Public Engagement Session
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A chance for members of the public in
attendance at the meeting to ask any questions that they may
have.
Minutes:
No additional questions were asked under this
item.
16/17
DATE OF THE NEXT MEETING
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The next meeting of the Health and Wellbeing
Board will be on 2 June 2017 at the Chantries, Guildford Borough Council Offices.
Minutes:
The Board noted that its next meeting would be
held on 1 June 2017.