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

Apologies for absence were received from:

Karen Howell, Chief Executive, Wirral Community Health Care NHS Foundation Trust

Alison Hughes, Director of Corporate Affairs, Wirral Community Health and Care NHS Foundation Trust

Justine Molyneux, Voluntary, Community, Faith and Social Enterprise sector representative

Karen Prior, Healthwatch Wirral

Gareth Prythech, Chief Executive, Wirral Council for Voluntary Services

Paul Satoor, Chief Executive, Wirral Council

Kirsteen Sheppard, Healthwatch Wirral

PRESENT:

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

Dr Abel Adegoke  Primary Care Representative

Dave Bradburn  Director of Public Health, Wirral Council

Jo Chwalko  Chief Operating Officer, Wirral Community Health and Care NHS Foundation Trust

Graham Hodkinson  Director of Care and Health, Wirral Council

Janelle Holmes  Chief Executive, Wirral University Teaching Hospital NHS Foundation Trust

Carol Johnson-Eyre  Voluntary, Community, Faith and Social Enterprise representative

Dr David Jones  Primary Care Representative

Councillor Julie McManus Wirral Council

Councillor Simon Mountney Wirral Council

Councillor Kieran Murphy  Wirral Council

Tim Welch  Chief Executive, Cheshire and Wirral Partnership NHS Foundation Trust

Simone White  Director of Childrens Services, Wirral Council

Dr Stephen Wright  Primary Care Respresentative

ALSO PRESENT:

Julian Eyre  Wirral Improvement Team

Martin McDowell  NHS Cheshire and Merseyside

David McGovern   Wirral University Teaching Hospital Foundation Trust Lorna Quigley  NHS Cheshire and Merseyside

Zel Rodgers  Wirral Council for Voluntary Services

Deborah Smith   Wirral University Teaching Hospital NHS Foundation Trust

Vicky Shaw  Head of Legal Services, 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 of the minutes of the meeting held on 25 January 24.

Resolved – That the minutes of the meeting held on 25 January 2024 be agreed.

There were no items on the action log.

The PDF below 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 Associated Director of Quality and Safety Improvement presented this report which informed the Board of the outcome of Phase One of the Review of Intermediate Care Services in Wirral (“the Review”). The Review had been undertaken by the commissioners of the services, NHS Cheshire and Merseyside and Wirral Council. The report identified that there were disparities in the Intermediate Care Services that were both commissioned and provided by the organisations in several areas including performance, length of stay outcomes and staffing models. The Clatterbridge Intermediate Care Centre (CICC) delivered a good service and within the original specification. This service could be improved further to reflect the changes to both patient and system changes over the period of the contract. The other two contracts had been Elderhome and Leighton Court, which had been extended to their maximum extent and were scheduled to cease on 31 March 2024. The review looked at national standards as well as patient experience as rported by Healthwatch Wirral, and a CQC inspection. Phase Two was still under consideration regarding specifications.

Resolved – That

1. the report be noted.
2. the action that has been taken as below be noted:

·  The cessation of the contract with Elderhome and Leighton Court beyond 31st March 2024

·  Phase Two of the Review will involve Commissioners agreeing a service specification for the CICC. In developing this specification, the following issues will be considered:

This PDF may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact alison.hughes29@nhs.net if you would like this document in an accessible format.

The Director of Corporate Affairs for Wirral University Teaching Hospital NHS Foundation Trust presented this report which followed a report to the Board in July 2023 presenting the first draft of the Wirral Place Governance Manual. Since then, further work had been completed by the Place Governance Group members to review the Terms of Reference of the groups supporting the Board and version 2 of the Governance Manual had been developed and was provided for approval. It would be reviewed over the forthcoming 12 months with substantial changes brought to the Board for approval. 

Members suggested minor changes.

The Chair outlined the arrangements for the Chairing of the Board which followed informal discussions. The Voluntary, Community, Faith and Social Enterprise sector would act as Chair for the 2024/25 Municipal Year with the Place Director in support. All other arrangements would be brought forward by a year, with NHS Trusts Chairing in 2027/28.

Resolved – That the Wirral Place Governance Manual V2 be approved, recognising that by nature it remains a dynamic document and further updates or revisions will be reported to the PBPB as appropriate.

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

The Wirral Council for Voluntary Services Development Manager presented this which gave the results from a review of the Voluntary, Community, Faith and Social Enterprise (VCFSE) sector commissioned by NHS Cheshire & Merseyside, in partnership with the VCFSE sector. The Review 2023 contained information on the profile of the sector, sector workforce, the main activities of the sector, community assets and partnership working. It analysed partnership working, current challenges, future activity and measuring impact. It also contains subregional and place-based summary reports and outlined 6 opportunities, which were:

1. NHS and VCFSE links.

2. Increasing VCFSE resilience through identified investment. 

3. Voluntary sector in supply chains.

4. Extend NHS workfoece development to create opportunities for the VCFSE workforce

5. Commissioning of social value in Place.

6. Unlock capacity in NHS estates.

Members noted that it was a difficult time for the sector as employers made redundancies and costs increased but their contribution was acknowledged and welcomed. It was noted that the sector was more flexible and responsive than the public sector.

Resolved – That the report be noted, and Wirral CVS be asked to work with Place partners to develop an action plan in response to the opportunities in the report.

This PDF file 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 Associated Director of Quality and Safety Improvement 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 (SEND), including a model for SEND diagnosis and support which was being consulted on with the intention of implementation in May 2024.

Members stressed the opportunity to link with other initiatives around SEND issues and recognising it can affect the future life opportunities for children and young people.

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 received around the robust improvement plans in place to manage specific areas for improvement.

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

The Associate Director of Finance and Performance for NHS Cheshire and Merseyside presented this repot which provided an update on the financial position for the Wirral Place health and care system partners as at the end of December 2023.

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 9 2023/24.
• that the shared risk arrangements are limited to the Better Care Fund only, which is reporting a forecast breakeven position.
• the 2023/24 Section 75 agreement is signed and sealed.

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

The Programme Director, Wirral Improvement Team presented this report which presented the performance dashboard for the programmes within the Wirral Place Health and Care Plan 2023-24.

Members queried the way ratings were depicted.

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

The PDF file below 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 Chief Executive, Wirral University Teaching Hospital, in their capacity as Senior Responsible Officer for the Unscheduled Care Programme, presented this report.  The report provided information and assurance on the work of the Unscheduled Care Improvement Programme for Wirral, which aimed to optimise patient flow across the whole of Wirral, with the measure being the ‘No Criteria To Reside’ patients, which had reduced from 270 to 100, changing Wirral from an outlier with high figures to one of the better performing areas.

Member discussed the patient experience in admissions and how to avoid admissions by using other services.

Resolved – the update be noted.

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

The Senior Responsible Officerfor Wirral Health and Care Workforce presented the report which provided an update on the progress of the Workforce Enabling Programme within the Wirral Place Health and Care Plan 2023-24, including the priorities.

Members commented how a focus on 18- to 24-year-olds was important, and that the application process may be daunting for applicants.

Resolved – That the report which provides assurance on the delivery and oversight of the workforce programmes be noted.

The Chair presented this report which provided an update on the work of the Strategy and Transformation Group (STG).

Resolved – That the work of the Strategy and Transformation Group be noted

The purpose of this report was to provide the Wirral Place Based Partnership Board with an update on the work of the Primary Care Group (PCG).

Resolved – That the work of the Primary Care Group be noted.

The purpose of this report was to update Wirral Place Based Partnership Board of the discussion and outcomes of the meeting of the Quality and Performance Group held on 25th January 2024.

Resolved – That

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

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

There were no public questions, statements or petitions received.

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

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

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

One Member raised an issue from a resident and asked about services to be provided when a doctor’s surgery became an acute respiratory care hub.

This was answered with an explanation that the hubs were operated by a particular practice, utilising specific grant money, in Winter 2022/2023 and Winter 2023/2024. Attendance was reported as being low.

10am on 21 March 2024

10am on 7 May 2024

10am on 20 June 2024

10 am on 21 March 2024

10 am on 9 May 2024