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

Apologies for absence were received from:

Janelle Holmes    Wirral University Teaching Hospital

Karen Howell    Wirral Community Health and Care Trust

Ali Hughes  Wirral Community Health and Care Trust

Councillor Julie McManus  Wirral Council

Karen Prior  Healthwatch Wirral

PRESENT:

Simon Banks  Place Director, NHS Cheshire and Merseyside (Chair)

Abel Adegoke    Primary Care

Graham Hodkinson    Director of Care and Health, Wirral Council

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

Dr David Jones    Primary Care

David McGovern    Wirral University Teaching Hospital

Justine Molyneux  Voluntary, community, faith and social enterprise sector

Councillor Simon Mountney Wirral Council

Councillor Kieran Murphy  Wirral Council

Lorna Quigley  NHS Cheshire and Merseyside

Paula Simpson  Wirral Community Health and Care Trust

Tim Welch  Cheshire and Wirral Partnership

Simone White  Director of Childrens Services, Wirral Council

Dr Stephen Wright  Primary Care

ALSO PRESENT:

Nesta Hawker  NHS Cheshire and Merseyside

Rachel Daley  Community leader

Natalie Kevitt  programme manager, Wirral Improvement Team

Vicki Shaw  Head of Legal Services, Wirral Council

Mike Jones    Secretary, Wirral Council

The Chair proposed moving item 10 (Neighbourhood Model Update Report) to be heard first. This was agreed. The minutes are in the order of the agenda.

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 of the minutes of the meeting held on 23 November 2023.

Resolved – That the minutes of the meeting held on 23 November 2023 be agreed. 

There were no items on the Action Log.

This PDF may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact Lorna.quigley@cheshireandmerseyside.nhs.uk if you would like this document in an accessible format.

The Associate Director Quality and Safety Improvement  of NHS Cheshire and Merseyside presented this report which provided oversight of the Quality and Performance across Wirral Place since the last reporting period. The report focussed on some key areas of improvement including, Healthcare Associated Infections (HCAI) and Special Educational Needs and Disabilities. The new guiding principles for the safety of patients in Accident and Emergency Departments was noted.

Members questioned the numbers of patients being treated out of Wirral and those outside of Wirral being treated within Wirral. These were clarified though it was noted that the most appropriate treatment may not be limited by geographical boundaries. Members also discussed housing provision and dentistry.

Resolved – That

· the work underway across the system to monitor quality and performance, identifying areas for improvement be noted.

· the further work underway to strengthen the governance around quality and safety across Health and Social Care be noted and endorsed.

· assurance be noted around the robust improvement plans in place to manage specific areas for improvement.

The Chair introduced this report which provided an update on the financial position for the Wirral Place health and care system partners as at the end of October 2023.

Members questioned the deficit and were given the reasons for it and assurance that it was limited to NHS and recovery targets and plans were being developed.

Resolved – That

the report and the specific recommendations in relation to the Pooled Budget, listed below, be noted:

· the forecast reported position for the Pool and the discharge fund as at Month 7 2023/24.

· the shared risk arrangements are limited to the Better Care Fund only, which is reporting a forecast breakeven position.

· the sign off and approval process of the 2023/24 Section 75 agreement.

This PDF may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact Simon.Banks@cheshireandmerseyside.nhs.uk  if you would like this document in an accessible format.

The Chair introduced this report which provided an update on the system management of key strategic risks as identified in the Place Delivery Assurance Framework. Almost all risk scores had been maintained and a Place Risk Register was being developed for presentation to the Board in the future.

Resolved – That

· the work to apply NHS Cheshire and Merseyside’s Risk Management Framework to the Wirral Place Partnership governance arrangements be noted.

· the updated Place Delivery Assurance Framework be approved.

· the inclusion of an additional strategic risk pertaining to Unscheduled Care in the PDAF be endorsed.

· an updated PDAF and a draft Risk Register be presented at the Board meeting scheduled for 21st March 2024.

This PDF file may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact julian.eyre@nhs.netif you would like this document in an accessible format. 

The Programme Manager, Wirral improvement Team introduced this report which presented the performance dashboard for the programmes within the Wirral Place Health and Care Plan. The dashboard structure had been developed with the Strategy and Transformation Group (STG), and the live dashboard was reviewed by the STG on a monthly basis, where programme Senior Responsible Officers (SRO’s) attended. The report aimed to provide the Board with information and assurance on the progress of the Programmes associated with the Wirral Health and Care plan 2023-24. The Dashboard demonstrated that neighbourhood working was developing, along with Cardio Vascular Disease work and a Children’s pathway. There had been a change of scope from learning disabilities to all age disability and autism. Other projects had progressed to - integrated housing, estates and sustainability, workforce.

Resolved – That this report which provides assurance on the delivery and oversight of the Health and Care plan programmes be noted.

This PDF file may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact james.barclay1@nhs.net if you would like this document in an accessible format. 

The Programme Manager, Wirral improvement Team presented this report which provided information and assurance on the work of the Unscheduled Care Improvement Programme for Wirral. The significant reduction in patients with No Criteria to Reside in hospitals was noted, which was partially down to the development of Home First as an alternative to hospital treatment, but there was still concern at ambulance turnaround times. It was noted that the acuity of ailments had increased in the previous few years, and that Sir John Bolton was reviewing Intermediate Care and the results would be presented to a future Board meeting.

Resolved – That this update be noted.

This PDF may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact nesta.hawker@cheshireandmerseyside.nhs.uk if you would like this document in an accessible format.

The Associate Director of Transformation and Partnerships (Wirral), NHS Cheshire and Merseyside and the Chief Executive, The Positivitree  presented this report which provided an update on the development and implementation of the Wirral Neighbourhood Model which is one of the guiding priorities within the Wirral Health and Care Plan for 2023/24. It was emphasised how community led it was and was intended to tackle the wider determinants of health. There were two Trailblazer neighbourhoods as a pilot with intention to roll it out to the remaining 7 neighbourhoods by the end of 2024 but development would be at the speed of the neighbourhoods. There was funding but the partnership bodies involved had not yet defined the programmes. The scope was kept broad but realistic and was not proscribed by wider strategies.

Resolved – That the update given on the progress to date of the development and implementation of the Wirral Neighbourhood Model be noted.

The Chair introduced this report which provided an update on the work of the Finance and Investment Group.

Resolved – Thatthe work of the Finance and Investment Group be noted and updates continue to be received as a standing agenda item.

The Chair introduced this report which provided an update on the work of the Primary Care Group (PCG).

Resolved – Thatthe work of the Primary Care Group be noted and updates continue to be received as a standing agenda item.

The Associate Director Quality and Safety Improvement, NHS Cheshire and Merseyside introduced this report which detailed the agenda and discussion at the meeting of the Quality and Performance Group held on 30th November 2023. It was noted that Terms of Reference had been reviewed and would be brought to a future meeting.

Resolved – That:

• the work underway across the system to monitor quality and performance, identifying areas for improvement, be noted.

·  the assurance around the robust plans in place to manage specific areas for improvement be noted.

The Chair introduced this report which provided an update on the work of the Strategy and Transformation Group.

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

There were no questions from the public or members and no petitions or statements.

The Head of Legal introduced this report which presented the future work programme of the Board.

Additional items were suggested including:

• A ‘state of the sector’ report concerning the Wirral Community, Voluntary and Faith sector, including topics such as staff, volunteers, localities, assets and partnerships.
• Planning for 2024/25
• The normal journey of a patient to identify potential improvements and efficiencies.

Resolved – That, subject to changes noted above, the work programme for the Wirral Place Based Partnership Board for the remainder of the 2023/24 municipal year be noted.

There was no other business.

10am on 25 January 2024

10am on 22 February 2024

10am on 21 March 2024

10am on 25 January 2024

10am on 22 February 2024

10am on 21 March 2024