Agenda item

To agree the action plan for the Children’s Health and Wellbeing Priority as part of the implementation of Surrey’s Joint Health & Wellbeing Strategy.

Witnesses:

Caroline Budden, Deputy Director - Children's, Schools and Families

Dr Liz Rayment, Guildford and Waverley CCG

Helen Atkinson, Acting Director of Public Health

Key points raised during the discussion:

A presentation was given on the action plan for the children and young people’s health and wellbeing priority. The presentation set out nine themes for the improving children’s health and wellbeing: early help, A&E admissions/out of hours services, complex needs, healthy behaviours, mental health, domestic abuse, risky behaviours, shared understanding of need and commissioning for children. For each theme, the presentation set out the current services in place, the outcomes we are trying to achieve and the suggested actions.

1.    In the discussion the following points were raised:

·         A member of the Board pointed out that on slide 12 of the presentation it is quoted a ‘30% overall reduction in A&E attendance for children and young people by 2017’. The member asked how likely it was for this to be achieved. In response it was explained that it would take time to change behaviours but the result would depend on the area this is implemented in. It was further commented that actions around this priority should ideally be implemented before the winter period.

·         A Member of the board felt that more work was needed to be done around A&E attendance figures especially with regards to reducing the numbers of children and young people visiting A&E. It was further commented that examples of how this priority would change things on the ground were needed as the implementation of this priority would differ according to location. 

·         Members of the Board supported the ambition surrounding the priority whilst recognising the importance of getting the governance around agreeing specific actions right.

·         Each CCG committed their support to the strategy and the principles being put in place however some CCG Board Members advised that they might need to consult via their own individual governance structures before they could formally agree the wording of the recommendation as proposed.

·         Board Members discussed a number of options to enable the Board to sign-up to the proposals and the Chairman took a five minute adjournment to enable the wording in the recommendation to be amended to reflect the views expressed by the Board Members. 

·         Members of the Board commented that stakeholders involved with developing the priority should carry on with their good work.

Resolved:

1. The overall aim, lead organisation(s), actions and outcomes of the presentation be endorsed by the Health and Wellbeing Board.

2. Where considered appropriate / necessary, Board Members should hold further discussions within their individual organisations to progress and endorse some of the specific actions within the presentation in their specific areas.

3. The children’s health and wellbeing group will:

·         Be responsible for monitoring the action plan, including the joint commissioning activity when agreed by the commissioning agencies.

·         Develop its membership and engage as appropriate to ensure relevant stakeholders for health and wellbeing are involved in decision making

·         Report back to the Health and Wellbeing Board on progress

Actions/Next Steps

For each constituted agency to be provided with an executive summary of the children and young people’s health and wellbeing priority, plans and recommendation.

For all constituted agencies to take the details of the executive summary back to their governing bodies for approval before final sign off.