Agenda and draft minutes
PDF 241 KBVenue: Woodhatch Place, 11 Cockshot Hill, Reigate, Surrey, RH2 8EF
Contact: Amelia Christopher
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APOLOGIES FOR ABSENCE
To receive any apologies for absence and substitutions. Additional documents: Minutes: Apologies were received from Karen McDowell, Leigh Whitehouse, Fiona Edwards - Tracey Faraday-Drake substituted, Tim De Meyer - Detective Superintendent Dave Bentley substituted, Lisa Townsend, Kate Barker, Jo Cogswell, Sarah Cannon, Clare Curran, Sinead Mooney, Carl Hall, Jason Gaskell, Russell Hills (remote).
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MINUTES OF PREVIOUS MEETING: 14 DECEMBER 2023
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 (14 March 2024).
Additional documents: Minutes: None received.
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Public Questions
The deadline for public questions is seven days before the meeting (13 March 2024).
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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HEALTH AND WELLBEING STRATEGY HIGHLIGHT REPORT
This paper provides an overview of the progress in the delivery of the Health and Wellbeing Strategy (HWB Strategy) as of 19 February 2024. The Highlight Report itself, in a new, more accessible, web friendly format, provides: · An overview of activity against Health and Wellbeing Strategy’s Summary Implementation Plan projects and programmes, describing what has been achieved with the Priority Populations and against the Priorities/Outcomes.
· Identifies new data, insights and challenges that have arisen.
· The progress of the review of the Joint Strategic Needs Assessment (JSNA) chapters.
· Communication activity associated with the HWB Strategy’s Priority Population and Priorities/Outcomes.
Additional documents: Minutes: Witnesses:
Karen Brimacombe, Chief Executive, Mole Valley District Council (Surrey Chief Executives’ Group) (Priority 1 Sponsor) Adam Watkins, ICS Senior Programme Manager - Long Term Planning Delivery, Surrey Heartlands ICB Ruchika Gupta, Clinical Director - Long Term Planning Delivery, Surrey Heartlands ICB Professor Helen Rostill, Deputy Chief Executive Officer, Surrey and Borders NHS Foundation Trust and SRO Mental Health, Frimley ICS (Priority 2 Co-Sponsor) Sara Saunders, Interim Health Integration Policy Lead, Surrey County Council Mari Roberts-Wood, Managing Director, Reigate and Banstead Borough Council (Priority 3 Sponsor) Nikki Roberts, CEO - Surrey Coalition of Disabled People
Key points raised in the discussion:
Priority 1
1. The Priority 1 Sponsor noted that the workshop held in November focused on partnership working in support of Looked After Children to promote healthy weight, an action plan to be developed at March’s workshop. Active Surrey held the Active Schools Conference in November which explored how more positive relationships could be created with children and young people; gender equality was also discussed. The Surrey Anti-Social Behaviour and Community Harm Reduction Partnership had completed a Noxious Smells (cannabis) Framework, which helped partners to work together to stop gangs supplying drugs to neighbourhood dealers. There had also been work on improving information and resources around dementia. The Surrey Joint Carers Programme had co-designed new emotional well-being and mental health services for young carer champions. There were also some funding sources to help improve the health and wellbeing of unpaid carers. 2. The ICS Senior Programme Manager - Long Term Planning Delivery (Surrey Heartlands ICB) detailed the spotlight item: ‘Surrey Heartlands Diabetes Network’: · the vision was to improve the lives of people of all ages living with or at risk of developing diabetes across Surrey Heartlands. · the focus was on prevention and early identification, partnership working was key and included the all-age Diabetes Network to inform strategy and deliver improvement against identified national and local priorities. · topics discussed at January’s Diabetes Network were: diabetes in care homes, the NHS diabetes prevention programme, improving awareness and reach, medicines optimisation. · the Diabetes Network’s meeting later in the week has a spotlight on Learning Disability Mortality Reviews and would look at partners’ work around the impact of diabetes for people with learning disabilities and or autism. Other areas of focus: the digital weight management programme, structured education with a pilot working with people from South Asian communities and work with Diabetes For South Asians (DoSA) and Active Surrey. 3. The Clinical Director - Long Term Planning Delivery (Surrey Heartlands ICB) provided further detail on the spotlight item: · the team was working to get a locally commissioned service for diabetes agreed for the primary care teams, to help improve identification and risk stratification of patients with diabetes, using a proactive register management tool to address the three treatment targets: controlling blood pressure, cholesterol and sugar levels. · working closely with children and young people (CYP), there was a pilot in East Surrey looking at the transition of CYP into ... view the full minutes text for item 5/24 |
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SURREY PHARMACEUTICAL NEEDS ASSESSMENT 2025 - PROPOSED DELIVERY PLAN
The Health and Wellbeing Board has a statutory responsibility to publish and keep up to date a Pharmaceutical Needs Assessment (PNA). In view of the recent changes to pharmaceutical provision, including 16 closures, it is proportionate to reopen the PNA (last published in 2022) to conduct a comprehensive reassessment of pharmaceutical needs. This paper outlines the proposed scope and timeline for agreement by the Board. Additional documents: Minutes: Witnesses:
Louis Hall, Public Health Consultant, Surrey County Council Linda Honey, Director of Pharmacy, NHS Surrey Heartlands
Key points raised in the discussion:
1. The Vice-Chair explained that the purpose of the Pharmaceutical Needs Assessment (PNA) is to describe gaps in current and future service provision related to access and need, and to describe how the community pharmacies can contribute to addressing the health needs of the local population. Every three years the full PNA must be refreshed, Surrey in the past eighteen months had experienced a significant number of pharmacy closures, sixteen. The cumulative impact of those closures on Surrey residents was a concern, particularly the Priority Populations and Key Neighbourhoods. 2. The Public Health Consultant (SCC) noted that: · the number of closures was unprecedented, there had been four closures in the previous cycle. Measuring the impact of the closures had been challenging, thanked the Board for their patience. · the decision to reopen the full PNA provided a clean slate to respond to questions around pharmaceutical need. · the legislation stated what must be included in the PNA in terms of current and future need, and whether the provision of services was sufficient. · the provision of services concerned access and availability, the location of pharmacies, how long it takes for people to walk or drive to a pharmacy, the opening times and what services were provided. How those services were delivered and the quality of those was not in scope. · the overall purpose of the PNA was to inform those people looking to enter the pharmaceutical market, highlighting the gaps in provision to be filled. · regarding the measures to understand pharmaceutical needs, the report outlined the key intelligence sources, welcomed other sources being shared. · data and intelligence was not just about figures, but also about understanding residents’ perspective around access and availability, looking at the Priority Populations and mitigating against digital exclusion. Linking with Healthwatch Surrey, the VCSE Alliance and communications teams to work out how to capture that perspective through surveys and consultation. · in line with national guidance it takes a year to complete the PNA, the team was working through a series of steps and their specified timescales. 3. The Chair noted that Europeans use their pharmacy in the first instance, which triages and provides key services. It would be useful to have comparative data about how communities in France for example are served by their pharmacy. Stressed the need to gather the right information in the PNA as pharmacies played a crucial role in channelling people to the right place and treating patients in line with the national Pharmacy First scheme. Queried how much money would need to be spent to communicate the benefit of using pharmacies in the first instance. The Director of Pharmacy (NHS Surrey Heartlands) explained that it would take time to build the public’s confidence in Pharmacy First being the right approach, noted challenges to its delivery such as the abuse suffered by pharmacists and workforce issues. 4. A Board member noted that ... view the full minutes text for item 6/24 |
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SURREY HEARTLANDS SYSTEM PLANNING: JOINT FORWARD PLAN UPDATE 2024
National guidance requires that Joint Forward Plans are refreshed and republished each year in March. As the initial plan was published less than a year ago, in June 2023, we have conducted a ‘light touch’ refresh for March 2024, retaining the existing format, whilst taking the opportunity to strengthen and update three areas which were less developed last summer: Prevention, Provider Collaboratives and Sustainability & Productivity. The Joint Forward Plan supports the Health and Well-being Strategy Outcomes and the 3 Ambitions of the Integrated Care Strategy and their delivery.
Additional documents: Minutes: Witnesses:
Dr Charlotte Canniff, HWB Vice-Chair and Joint Chief Medical Officer, Surrey Heartlands ICS Sue Robertson, Associate Director of Strategic Planning and Integrated Assurance, Surrey Heartlands ICS
Key points raised in the discussion:
1. The Joint Chief Medical Officer (Surrey Heartlands ICS) and Vice-Chair noted that the Surrey Heartlands Joint Forward Plan (JFP) was first published in June 2023 following a broad stakeholder engagement piece, the national guidance required JFPs to be refreshed annually in March. This year, the JFP had been through a light touch refresh strengthening key areas. 2. The Associate Director of Strategic Planning and Integrated Assurance (Surrey Heartlands ICS) noted that: · Surrey Heartlands ICS was fortunate to have a one-to-one relationship with the Board, that made developing its Integrated Care Strategy easier. · the JFP was part of the delivery plan for the Integrated Care Strategy, which using the Health and Well-Being Strategy Priorities as the golden thread, had identified the three ambitions around: prevention, integration and working together differently. · there were many contributors across various sectors to the original JFP and refresh ensuring a comprehensive view. Additional information was condensed into fact files around specific interest areas. · Surrey Heartlands ICS had broadened its JFP across non-health sectors. · Surrey and Borders Partnership (SABP) colleagues had reviewed and provided comments on the JFP and helped to update some case studies. · the Board was asked to provide an updated opinion on the JFP. · the Chief Executive, Healthwatch Surrey helped create the summary version using helpful insights. · areas strengthened in the light touch refresh: a fact file on prevention had been developed, and more detail had been included on the provider collaboratives in the health service. There was a discussion underway about a broader primary care community-based collaborative. · the aim was to get it published by the end of March. 3. A Board member queried whether the JFP linked back to the United Surrey Talent Strategy around the workforce. The Associate Director of Strategic Planning and Integrated Assurance (Surrey Heartlands ICS) confirmed that link.
RESOLVED:
1. Noted the Joint Forward Plan 2024 update and its alignment with Surrey’s Health and Wellbeing Priorities and strategic approach, and the related Surrey Heartlands Integrated Care Strategy. 2. Would provide an opinion statement of the plan. 3. Noted that the next annual update of the plan will be provided in March 2025.
Actions/further information to be provided:
None.
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The paper sets out the governance review of the Health and Wellbeing Board and Surrey Heartlands Integrated Care Partnership/Integrated Care Board; noting that as the focus on achieving greater alignment at all levels of delivery and strategic oversight increases, it is imperative to review and assess how the component parts are working to enable this. Reviewing governance functions so they are efficient and effective, reduce duplication and maintain focus on delivery for residents, particularly those experiencing health inequalities, will ensure that Surrey is well positioned to deliver against its clear strategic aims and implement its delivery plans.
Additional documents: Minutes: Witnesses:
Phill Austen-Reed, Principal Lead - Health and Wellbeing, Surrey County Council
Key points raised in the discussion:
1. The Chair explained that the proposals in the report sought to rationalise the membership and way the Health and Wellbeing Board (HWB), Surrey Heartlands Integrated Care Partnership (SHICP) and Integrated Care Board (SHICB) operate to avoid repetition. Noted that the proposals were sensible, however the representation of the organisations on the HWB needed to be addressed. 2. The Principal Lead - Health and Wellbeing (SCC) noted that: · the Health and Social Care Act 2012 established HWBs; ICPs and ICBs were established in 2022. · there had been an opportunity to align the ICP and HWB in coterminous areas however that route was not chosen due to Surrey’s unique geography with two Integrated Care Systems (ICSs), Surrey Heartlands ICS had a one-to-one relationship with the HWB whilst Frimley ICS cut across five HWBs. · following the establishment of the ICP and ICB over the past eighteen months, it had been recognised that the agendas of those bodies and the HWB contained similar topics and memberships. · the Chairs of the HWB, SHICP and SHICB had discussed how to make those bodies more efficient and the proposals sought to address that through the HWB and SHICP to meet on the same day in three parts: business ‘in common’, HWB specific business such as community safety, and SHICP specific business; and the SHICB to meet that same day. · it was proposed that the HWB and SHICP membership be streamlined addressing the issue of the same organisations being represented on both bodies by different people; the level of representation would be protected. · officers were working more closely together to align agendas. · the aim of the proposals was around improving the oversight and assurance of the delivery of the Health and Well-Being Strategy and Integrated Care Strategy, and other strategies/areas, enabling more collaborative strategic direction setting and collective decision making, better alignment around the governance, and ensuring more efficient communication. 3. A Board member noted that the number of places given to the VCSE Alliance had improved partnership working, the VCSE Alliance had benefited from having that closer relationship to decision-making; the addition of a Carers System Representative had also been crucial. Stressed the need to maintain the diversity of perspectives through the membership. 4. A Board member noted the alignment between the Integrated Care Strategy’s three ambitions - particular the first ambition around prevention - with the Health and Well-Being Strategy. Noted that despite the complexity of the five HWBs within Frimley ICS’s geography, there was a good working relationship between those directors of public health to cross-reference. For example, Frimley ICP’s membership and key themes were cross-referenced with SHICP. 5. A Board member welcomed the deduplication, however noted that it was important to have clarity in the governance arrangements of how Frimley ICS fits into the equation, offered support in understanding that. 6. A Board member welcomed the reduction in the number of meetings and aligning agendas, ... view the full minutes text for item 8/24 |
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INTEGRATED CARE SYSTEMS (ICS) UPDATE
The Board is asked to note the update provided on the recent activity within the Surrey Heartlands Integrated Care System (ICS), and Frimley Health and Care ICS regarding the Integrated Care Partnerships and Integrated Care Boards against the Health and Wellbeing Strategy.
Additional documents: Minutes: The Chair explained that the reports from Surrey Heartlands ICS and Frimley Health and Care ICS were included for information.
RESOLVED:
Noted the update provided on the recent activity within the Surrey Heartlands Integrated Care System (ICS), and Frimley Health and Care ICS regarding the Integrated Care Partnerships and Integrated Care Boards against the Health and Wellbeing Strategy.
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DATE OF THE NEXT MEETING
The next meeting of the Health and Wellbeing Board will be on 19 June 2024. Additional documents: Minutes: The date of the next public meeting was noted as 19 June 2024.
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