The Chair welcomed the members of the Board, officers and those watching the webcast to the meeting.

Apologies for absence were received from:

Councillor Kieran Murphy  Wirral Council

Carol Johnson-Eyre  Voluntary, community, faith and social enterprise sector

Dave Bradburn  Director of Public Health, Wirral Council

PRESENT:

Simon Banks  Chair and Place Director, NHS Cheshire and Merseyside

Abel Adegoke  Primary Care

Mark Chidgey  Wirral University Teaching Hospital

Tracy Flute   Public Health, Wirral Council

David Hammond  Wirral Community Health and Care NHS Foundation Trust

Liz Hartley  Childrens Services, Wirral Council

Janelle Holmes  Wirral University Teaching Hospital

Tony Bennett  Wirral Community Health and Care NHS

Foundation Trust

Karen Howell  Wirral Community Health and Care NHS

Foundation Trust

David Jones  Primary Care

Martin McDowell  NHS Cheshire and Merseyside

David McGovern  Wirral University Teaching Hospital

Justine Molyneux  Voluntary, community, faith and social enterprise sector

Cllr Simon Mountney  Wirral Council

Cllr Tony Murphy  Wirral Council

Jason Oxley   Adults Services, Wirral Council

Lorna Quigley  NHS Cheshire and Merseyside

Paul Satoor  Chief Executive, Wirral Council

Kirsteen Sheppard  Healthwatch Wirral

Jean Stephens  Adult Social Care, Wirral Council

Tim Welch  NHS Cheshire and Merseyside

Dr Stephen Wright  Primary Care

Vicki Shaw  Head of Law and Governance, Wirral Council

Mike Jones  Secretary

Members are asked to consider whether they have any relevant interest in connection with any item(s) on this agenda and, if so, to declare them and state the nature of the interest.

The Chair asked for members to declare any interests in any items on the agenda. No interests were declared.

To approve the accuracy on the minutes of the meeting held on 9 March 2023.

Resolved – That the minutes of the meeting held on 9 March 2023 be approved as a correct record.

The Chair reported that no public questions, statements or petitions had been received.

The Chief Executive Office of Wirral University Teaching Hospital introduced this report which detailed the review and refreshing of the unscheduled care improvement programme after Wirral was identified as an outlier in national statistics. The programme had been organised into five supporting projects, each with senior responsible owners. The overall objective of the programme was to reduce the number of hospital inpatients with no criteria to reside (NCTR). The NCTR number did show an improvement from April to May but had deteriorated since. The five supporting projects were established and had agreed supporting metrics, which measured their contribution to the reduction in the overall NCTR numbers. The Care Market Sufficiency and Home First projects were on track against their first month target. The target for increasing throughput in virtual wards was not on track against the first month target.

Resolved – That:

(1)  the update be noted

(2)  the programme approach be endorsed.

The System Project Lead for Home First and the Deputy Chief Strategy Officer for Wirral Community Health & Care NHS Foundation Trust introduced this report which provided an update on progress of full-system implementation of Home First.

Home First was an approach that ensured people could leave hospital or intermediate care wards with support as soon as medically fit to leave, with assessments of long term need happening at home. Wirral had delivered a successful Home First pilot between September 2022 and March 2023, with a planned expansion for all discharges by the end of 2023.

Members asked for reassurance that there continued to be assessments where proposed relatives acting as carers may be frail themselves.

Resolved – That the report and progress made be noted, and the roll out of the Home First approach as part of wider efforts to improve health and care services and long term quality of life and independence for people in Wirral be supported.

The report and appendix may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact jeanstephens@wirral.gov.ukif you would like this document in an accessible format. 

The Assistant Director of All Age Independence & Provider Services introduced this report which sought approval of the Adult Social Care Community Reablement Model. The model was a shared vision and shared purpose, caring for people in the right place with support. The focus was on prevention, identifying people struggling to manage and being less independent. It would enable people to self-care more, minimising hospital stays.

Resolved – That the report and attached target operating model, which was tabled for approval at the Adult Social Care and Public Health Committee on the 13 June 2023, be noted.

The appendix may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact nesta.hawker@nhs.netif you would like this document in an accessible format. 

The Chair presented this report which provided an update on the Wirral Health and Care Plan 2023-2024 which developed from the partnership that brought NHS services together with local authorities and other local partners to collectively plan health and care services to meet the needs of the local population. The Health and Care Plan was the collective plan on Wirral, for how the health and care organisations across Wirral will work together to progress with agreed priority areas of work, blending NHS and Wirral Council priorities.

Resolved – That the Wirral Health and Care Plan be endorsed.

The appendix may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact karen.prior@healthwatchwirral.co.ukif you would like this document in an accessible format. 

Representatives of Healthwatch Wirral presented their report which shared the emerging trends and themes gathered from public views and personal experiences relating to health and care. The information collected was sourced from the people who had contacted Healthwatch via email, phone or by using the Feedback Centre, or during community engagement work. Common themes including difficulty arranging GP and dentist appointments, but positive feedback on staff interactions.

Resolved – That the report be noted.

The appendix may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact simon.garner@nhs.net or Sharon.clunn@nhs.net if you would like this document in an accessible format. 

The representative of the Wirral Community Health and Care NHS Trust introduced this report which provided evidence of the impact and improved position that the Trust made whilst delivering services via the Adult Social Care (ASOC) contract and how it has added value having adult social care services provided alongside NHS Healthcare. It also provided evidence that ASOC services had performed well and beyond contract, up to the point of transfer, delivering person-centred, safe support whilst delivering all care on budget and making the required financial efficiencies. In addition it described the joint approach with Wirral Council and specific actions taken to ensure the safe and seamless transfer of the service by 30 June 2023.

Resolved – That the content of the report be noted.

The Chair presented this report which was a highlight report from the Strategy and Transformation Group which was one of the governance and assurance groups which supported the Place Based Partnership Board. It was noted that the Group supported the delivery of plans and ensured that they were focussed on improvement.

Resolved – That the work of the Strategy and Transformation Group be noted and updates be received as a standing agenda item in future.

The Chair presented this report which was a highlight report from the Primary Care Group which was one of the governance and assurance groups which supported the Place Based Partnership Board.

Resolved – That the work of the Primary Care Group be noted and updates be received as a standing agenda item in future.

The Associate Director of Finance, NHS Cheshire and Merseyside

Introduced this report which was a highlight report from the Finance, Investment and Resource Group which was one of the governance and assurance groups which supported the Place Based Partnership Board. It was noted that the intention was to collate plans into one overall plan to understand and monitor savings and cost improvement plans.

Resolved – That the key issues report of the Finance, Investment and Resource Group be noted.

The Associate Director of Finance, NHS Cheshire and Merseyside

Introduced this report which provided a description of the arrangements that had been put in place to support effective integrated commissioning. It set out the key issues in respect of budget and variations to the expenditure areas for agreement and inclusion within the 2022/23 shared “pooled” fund; and risk and gain share arrangements. In 2022/23 Wirral Health and Care partners had chosen to currently jointly pool £249.10m to enable a range of responsive services for vulnerable Wirral residents as well as a significant component of Better Care Funding to protect frontline social care delivery. This paper provided an update to the pooled fund budget, a summary forecast position as at Month 12 to 31st March 2023 and the financial risk exposure of each partner organisation. The report also provided an update on the preparation of the framework partnership agreement under section 75 of the National Health Services Act 2006 relating to the commissioning of health and social care services, which were subject to approval and final sign off by Cheshire and Merseyside Integrated Care Board (ICB) Health and Wellbeing Board. It was noted that there was an overspend on the ICB part of the Fund around continuing health care and subscribing costs.

Resolved – That it be noted that

(1)   the forecast position for the Pool at Month 12 is currently a £9.0m overspend position.

(2)   the shared risk arrangements are limited to the Better Care Fund only, which is reporting a small underspend position.

(3)   the 2022/23 section 75 agreement has been reviewed for sign off. Following the legal review by both parties, the next steps will be at the Cheshire and Merseyside ICB Finance committee and the Adult, Social Care and Public Health Committee for sign off.

(4)   the summary of expenditure of £4.31m on the National Discharge Fund submitted for 2022/23 be noted.

The Head of Legal Services introduced the report of the Director of Law and Governance which detailed the annual work programme of items for consideration by the Wirral Place Based Partnership Board.

It was suggested that an update on children with Special Education Needs and Disabilities be provided, as part of a future highlight report of the Quality and Performance Group.

Resolved: That the work programme be noted.