Declarations of interest:
None
Witnesses:
Victoria Heald, Health and
Wellbeing Programme Manager, Surrey County Council
Andrew Baird, Regulatory
Committee Manager, Surrey County Council
Key
points raised during the discussion:
- Members noted that
Russell Hills had been appointed to replace Claire Fuller as Surrey
Downs Clinical Commissioning Group’s (CCG) representative on
the Health and Wellbeing Board. Clive Smitheram and Paul Spooner had also been appointed
to represent the District and Borough Councils along with John Jory
on the Board.
- Members were reminded that at the Health and Wellbeing Board
meeting on 6 July 2017, the Board voted in favour of appointing a
Member to the Board from among Surrey’s large and important
Voluntary, Community and Faith Sector (VCFS). It was agreed that Jason Gaskell / Michael
Cannon would be appointed to represent Surrey Community Action
which would speak on behalf on the entirety of the VCFS in the County.
- The Board had
previously agreed that each Transformation Partnership (STP) would
appoint someone to represent them on the Board. Due to the large
membership of the Board, it was agreed that STPs should be asked to appoint their
representative from among the existing members on the Board. It was
therefore agreed that the following members would act as
representatives for each STP:
·
Frimley Health and Care STP – Andy
Brooks
·
Surrey Heartlands STP – David Eyre-Brook,
Charlotte Canniff and Russell Hills
·
Sussex and East Surrey – To be
confirmed
It
was noted that mechanisms would be developed to ensure that there
is an effective and efficient flow of information between the Board
and the STP governance bodies.
-
Information was given on
Surrey’s Tobacco Control Strategy which had seen some
significant developments over the past three months with a number
of initiatives being launched to reduce the burden of preventative
disease which arises from smoking and to tackle challenges caused
by the sale of illicit tobacco. A briefing was circulated to all
Board Members outlining some of these initiatives and is attached
to these minutes an Annex 1.
- The Board were informed that NHS England had launched a
consultation on developing national guidance for CCGs in an effort
to align local prescribing practices. Specifically, NHS England had
identified 18 medicines which were routinely prescribed for
patients that were either clinically ineffective, unsafe, not cost
effective or where a clinically proven alternative is available.
The guidance, developed in consultation with an expert working
group, aimed to standardise the approach across CCG areas for
prescribing these medicines. It was agreed to recirculate
national guidance for CCGs on aligning local
prescribing practices to the Board.
- Members noted that Surrey County Council’s Public Health
Team had produced a Place-Based Health Profiles for Surrey which
would be available from September 2017. These Health Profiles
combine the high level data provided by the Joint Strategic Needs
Assessment (JSNA) with detailed
evidence from localised geographical areas to provide detailed
insights and evidence into the health of the population within
specific CCG areas. The Health Profiles had been produced since
2013 but for the first time included an electronic dashboard to
enable health and social care commissioners and providers to
utilise the available evidence as effectively as possible. The
Board would receive a comprehensive overview of Place-Based Health
Profiles at its informal meeting in October.
- The Board were
informed that Epsom and St Helier University NHS Trust were about
to begin an engagement process relating to the planned changes to
services. Members of the Board
supported the engagement and were asked to encourage residents to
feed into the consultation. A Member of
the Board raised concern that the geographical area of the
consultation had missed vital parts of the community, in
particular, the Southeast of the County including Reigate &
Banstead, north Mole Valley communities of
Bookham and Fetcham and Tandridge
localities. The Board agreed to send a letter to the Chief
Executive of Epsom & St. Helier University Hospitals NHS Trust
to communicate these concerns.
- The
Co-Chairs of the Health & Wellbeing Board had received a letter
from members of the Stanwell, Ashford, Staines, Shepperton, Egham
(SASSE) GP Locality Work expressing
some concerns about the reconfiguration of the sexual health
services contract. Members noted that the co-chairs responded to
the letter highlighting that the scrutiny of such services is the
responsibility of the Adults and Health Select Committee and
referred the author to the Chairman of the committee.
- A Member
of the Board suggested it would be beneficial for letters that were
sent and received by the Health and Wellbeing Board to be circulate
to Board Members for their information which the Board
agreed.
- A resident
suggested that VCFS organisations that
feed into the services at Epsom & St Helier should also be
consulted during the engagement process of the planned changes to
services. Members of the Board stated that
the engagement process could be further discussed at the Health and
Wellbeing forwarded planning session in October.
Actions/ further information to be provided:
1.
Officers to email Members reminding them to submit
agenda item ideas for the Health & Wellbeing Board Forward
Planning Meeting in October (Actions Ref: A14/17)
2.
Officers to recirculate national guidance for CCGs
on aligning local prescribing practices (Action Ref:
A15/17)
3.
County Councillor for Guildford North to receive an
electronic version of the public consultation flyer produced by
Epsom & St Helier University Hospitals NHS Trust (Action Ref:
A17/17)
4.
The Co-Chairs of the Health & Wellbeing Board to
send a letter to the Chief Executive of Epsom & St Helier
University Hospitals NHS Trust requesting that the geographical
scope of communications around the consultation be extended.
(Action Ref: A18/17)
5.
Board Members to be sent copies of the letters
received by the Co-Chairs and the responses provided to these
letters. (Action Ref: A19/17)