Members of the Board are asked whether they have any personal or prejudicial interests in connection with any application on the agenda and, if so, to declare them and state the nature of the interest.

Members were asked if they had any pecuniary or non-pecuniary interests in connection with any application on the agenda and, if so, to declare them and state the nature of the interest.

Councillor Phil Gilchrist declared a non-pecuniary interest by virtue of being the Appointed Governor: Cheshire and Wirral NHS Partnership Trust

Councillor Chris Jones declared a personal interest by virtue of her employment with the Cheshire and Wirral Partnership NHS Foundation Trust.

Dr Sue Wells declared a non-pecuniary interest by virtue of being a partner in a medical practice and Medical Officer at West Kirby Residential School 

Apologies were received from Councillor Phil Davies, Fiona Johnstone, Acting Director of Strategy & Partnerships, Simon Banks, Chief Officer, Wirral CCG, Ms Sheena Cumiskey, Cheshire and Wirral NHS Partnership Trust, Annette Roberts, Community Action Wirral, Phil Davies, Healthwatch Wirral, Chief Superintendent Ian Hassall, Merseyside Police, Gary Oakford, Mersey Fire and Rescue, Karen Howell, CEO Wirral University Teaching Hospital, NHS Foundation Trust, Janelle Holmes, (deputy for David Allison) Executive Chief Operating Officer, WUTH and Julie Webster, Acting Director of Health and Wellbeing.

To approve the accuracy of the minutes of the meeting held on 15 March, 2017.

Resolved – That the accuracy of the Minutes of the Health and Wellbeing Formal Board held on 15 March, 2017 be approved as a correct record.

Presentation.

Members of the Board received a presentation from Elaina Quesada, Strategic Commissioning Manager, Childrens, Young People and Families around SEND – Happy, safe, achieving : only the best for our children.  The presentation introduced key headlines to explain the joined up working and commissioning across Education, Health and Social Care and highlighted that this was subject to inspections from the CQC and Ofsted. The report outlined the links to the key strategies – Children and Young People Strategy, All Age Disability Strategy and Schools Strategy. Details were provided about the Healthy Wirral better Health Programme: Improving Outcomes for Children & Young People – supporting C&YP with special educational needs/disabilities. The presentation also provided details of the proposal to link to the all Age Disability group and the two groups set up to steer SEND agenda  The report concluded with the Next Steps/5 Key Priorities that were identified as : -

·  Ensure strategic SEND Board is established with key decision makers to steer development and improvement

·  All partners and stakeholders have signed up to a common vision and strategy for SEND

·  Establish joint commissioning arrangements around SEND across adults and children’s and across Education, Health and Social Care

·  Creating a system that prepares children and young people for adulthood and independence

·  Information available to children, young people, parents and professionals accessible and effectively communicated via the Local Offer

Elaina Quesada concluded the presentation by responding to Members questions and informed members that an update and key evaluation would be brought to a later meeting of the Board.

Andy Thomas (Head of Assurance and Delivery) attended the meeting on behalf of NHS England and provided the Health and Wellbeing Board with an update regarding the activities and responsibilities of NHS England. The report outlined the national and regional position together with specific updates on priorities that the Local NHS England Teams were responsible for progressing.

In the area of Strategy and Planning for Mental Health - Test sites for new models of care - it was reported that NHS England had announced a new tranche of sites to test new approaches to delivering mental health services with the intention of reducing the number of people who need to travel long distances for care. Eleven new sites would be tasked with reducing the number of people who received in-patient hospital treatment and for those who did need more intensive care, that this was available closer to home. The pilot sites, made up of NHS mental health trusts, independent sector and charitable organisations would work together, sharing a local budget, to effectively reorganise services in their area to provide the best care for patients.

The report also referred to the area of Mental Health – Digital Innovation - NHS England had announced new funding for seven mental health trusts to enable these organisations to pioneer world-class, digital services to improve care for patients experiencing mental health issues. This would include, for the first time, all key professionals involved in a patient’s care having access to real-time records, from triage and initial assessment, through to admissions or referrals, as well as transfer between services and follow up care.

The trusts would also develop remote, mobile and assistive technologies to empower patients to manage their conditions and enable family and carers to provide the best possible support. This was all part of the NHS’ plan to harness technology to improve services and become more efficient.

With reference to Primary care: General Practice Infrastructure it was reported that NHS England was currently reviewing bids for investment through the multi-million pound Estates and Technology Transformation Fund (ETTF) to accelerate the development of infrastructure to enable the improvement and expansion of joined-up out of hospital care for patients. Wirral had submitted a substantial proposal and it was anticipated that a decision would be communicated by the end of July.

The Board were informed that NHS England was currently consulting on proposals for Congenital Heart Disease Services. The consultation had opened on 9th February 2017 & closed on 17th July 2017.

Within the area of Delivery and Assurance - CCG Improvement and Assessment Framework it was reported that for the year-end 2016/17 ratings for CCGs (measured against the CCG Improvement and Assessment Framework) were expected to be published before the end of July. Publication of results would be on MyNHS and NHS England website

The report included the area of Operational Delivery & Resilience and it was noted that moving into Quarter 2 of 2017/18 NHS England was emphasising focussed attention on delivery of 4 clinical priorities within  ...  view the full minutes text for item 5.

Report to follow.

Graham Hodkinson, Director for Health & Care presented a report of Jacqui Evans, Wirral Council and Andrew Cooper, CCG on 17/19 Better Care Fund (BCF) Submissions and responded to members questions. The report advised Health & Wellbeing Board members with regards to progress & current position of the BCF & the requirements for 17/19 submission.  Appendices to the report contained an update on the position, Wirral BCF Headlines 2016/17 and a breakdown of Better Care Fund Schemes 2017-18.  It was reported that the final guidance had been received on 7 July 2017.

Resolved – That;

1.  the contents of the report be noted.

2.  the ‘virtual sign off’ of the BCF submission, given timescales outlined in the report be approved.

Verbal report.

Members were informed that regrettably there was no one from Wirral University Teaching Hospital to present the verbal report as expected.  As this had been notified Members including Graham Hodkinson, Director for Health & Care had contributed to an update during discussion of Minute 5 NHS Quarterly Update report.

Members gave consideration to a  report of Fiona Johnstone, Acting Director of Strategy & Partnerships regarding Changes to the National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2016 in relation to Pharmacy consolidations (mergers).  This provided NHS pharmacy businesses the opportunity to apply to consolidate the services provided on two or more sites onto a single site. This potential request required the H&WBB to respond and provided a view as to whether this would, or would not leave a gap in local provision. The report set out the approach to provide this response to NHS England in a timely manner. Appendices to the report provided Pharmaceutical Regulation Changes Dec 2016 and the proposed approach in Supplementary Statement and Proposed Consolidations.  Rachel Musgrave, Consultant in Public Health, attended the meeting and outlined the report to the Board.

The report requested that members note the changes to Pharmacy consolidations (mergers) in National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2016 and endorse the proposal as it set out an approach to managing the H&WBB responses to any potential Wirral provider consolidation requests submitted to NHS England.  The report proposed that a group of up six H&WBB members would be identified that would be contacted if, or when, NHSE provide details of a proposed pharmacy contract change.  The proposed six H&WBB members were the Chair of H&WBB; Wirral CCG Accountable Officer, Representative from HealthWatch; Director for Children’s Services, Director for Health & Care, and Director for Health & Wellbeing (DPH)  This nominated group would be asked to review the initial evidence related to the request, provided by the Director for Public Health, for their added local insight and considered view as to how the H&WBB should respond to the submitted pharmacy contract change request received by NHSE.  This considered view would in turn be collated and circulated electronically for ratification by all board members in the required timeframe before a final local HWBB response was sent to NHSE.  The results of any NHSE deliberations would then be reviewed by H&WBB for any further action and recorded on the PNA in the relevant timeframe.

Resolved – That;

1.  the changes to Pharmacy consolidations (mergers) in National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2016 be noted.

2.  the proposal, as set out in the report as an approach to managing the H&WBB responses to any potential Wirral provider consolidation requests submitted to NHS England, be endorsed.

3.  that the Chair of the Health and Wellbeing Board, Councillor Phil Davies be advised of the Boards decision.

As an AOB to the meeting Suzanne Edwards, Service Director Cheshire & Wirral Partnership NHS Foundation Trust (Deputy for Sheena Cumiskey) addressed the Board and referred to the tragic incident that had taken place on the motorway bridge, the Coroner’s regulation 28 to look at street furniture on motorway bridges and the work around suicide prevention on ‘hot spot’ areas. It was requested that the Chair of the Health and Wellbeing Board write to the Highways Agency.  Suzanne Edwards said she would provide further information to enable this to the Chair of the Board to enable this.

Resolved – That the Chair of the Health and Wellbeing Board be requested to write to the Highways Agency and that the necessary information be provided by Suzanne Edwards, Director Cheshire & Wirral Partnership NHS Foundation Trust.

The date of the next formal Board meeting is Wednesday, 15 November 2017 at 4.00pm in Committee Room 1, Town Hall, Wallasey.

The date of the next formal Board meeting is 15 November, 2017 at 4.00pm in Committee Room 1, Town Hall, Wallasey.