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

Apologies for absence were received from:

Dave Bradburn, Director of Public Health, Wirral Council. Elspeth Anwar attended on his behalf.

Janelle Holmes, Wirral University Teaching Hospital. David McGovern, Director of Corporate Affairs attended.

Karen Prior, Healthwatch. Kirsteen Sheppard attended.

Tom Pharoah, Clatterbridge Cancer Centre NHS Foundation Trust

Paul Satoor, CEO, Wirral Council

Karen Howell, Wirral Community Health and Care NHS Trust. Ali Hughes attended.

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 12 January 2023.

Resolved – That the minutes of the meeting held on 12 January 2023 be approved as a correct record.

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

The Business Development & Volunteer Manager from Healthwatch Wirral presented the report of the Chief Executive Officer of Healthwatch Wirral 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 Wirral via email, phone, by using the Feedback Centre, or during community engagement work. It was noted that Healthwatch Wirral had some statutory duties and were allowed to enter some premises and had some specific projects locally and nationally. It was also noted that they replied to patients about concerns where appropriate.

Members praised the work and collaboration which was undertaken by Healthwatch Wirral, and the suggestion was made that tertiary care be included.

Resolved – That the report be noted.

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

The Modernisation Office (Leisure) presented the report of the Director of Neighbourhood Services which provided an update on the Sport and Physical Activity Strategy following a report to the Health and Wellbeing Board on 28 July 2022, which resolved for the Board to take forward the actions to link the Sport and Physical Activity Strategy with local Place work. The opportunities for mutual advantage were outlined, with the strategy aiming to urge people to be more active, which in turn benefitted their health with reduced weight issues and often reduced medication. The aim to move away from leisure centres to community-based provision was noted, with the possibility of reaching different sectors of the population. It was hoped that referrals from health services could be built into the system too as the overall cost of support and care may be reduced.

Members were supportive and offered suggestions and collaboration.

The Chair suggested that the recommendations be strengthened to reflect the links with local Place work. This was moved by Councillor Mary Jordan and seconded by Abel Adegoke.

Resolved – That the update provided by the Director of Neighbourhoods be noted and the work of the Sports and Physical Activity Strategy be linked to the local Place work.

The appendices to this item may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact cmicb-wi.intouch@nhs.net if you would like this document in an accessible format. 

The Partnerships and Transformation Manager – Mental Health (Wirral Place) presented the quarterly update report of the Head of Mental Health Commissioning (Wirral Place) for the Wirral Dementia Strategy 2022-2025. This was a joint strategy across the health and social care system which aimed to improve the quality of dementia care across the borough. Delivery of the Wirral Dementia Strategy 2022-2025 workplan was facilitated through the Wirral Dementia Strategy Board. The links with other sources of contact with clients were noted – GPs, housing organisations – along with the moves toward Dementia Friendly Borough status. Future priorities were to be set by the Wirral Dementia Strategy Board.

Members noted the importance of gathering information from people with lived experience.

Resolved – That the update report be noted.

Decision making on this item is reserved for the Joint Strategic Commissioning Board Sub-Committee.

The appendix to this item file below 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. 

Councillor Yvonne Nolan took the position of Chair of the Joint Strategic Commissioning Board Sub-Committee.

The Place Director and the Director of Adults, Health and Strategic Commissioning presented their report which set out: the purpose of the Adult Social Care Discharge Fund; how the resources had been allocated; the conditions attached to the funding; and how this had been applied in Wirral. They described how the funding was being used to improve hospital through flow with initial targeted funding used to buy bed capacity through to the end of March 2023 then a ‘Home First’ approach which was the strategic objective, where hospital admissions were avoided and people were released from hospitals sooner with care packages. Future objectives included focussing on residential and nursing settings.

The Joint Strategic Commissioning Board Sub-Committee resolved that

(1)   the Adult Social Care Discharge Fund submission be noted. This was approved by the Director of Adult Social Care and Health, Wirral Council in consultation with the Place Director, NHS Cheshire and Merseyside on the delegated authority of the JSCB Sub-Committee.

(2)   a further update report on the application of and outcomes from the Adult Social Care Discharge Fund be brought to a future meeting of the Joint Strategic Commissioning Board and Wirral Place Based Partnership Board.

Place Director Simon Banks took the position of Chair.

The appendices to this item may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices.?Please contact Louise.morris6@nhs.net if you would like this document in an accessible format. 

The Associate Director of Finance & Performance at NHS Cheshire and Merseyside presented this report which provided an update to the pooled fund budget, a summary forecast position as at Month 8 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 would be subject to approval and final sign off by Cheshire and Merseyside Integrated Care Board (ICB).

Resolved – That it be noted that

(1)   the forecast position for the Pool at Month 8 is currently a £8.4m overspend position. This is due to CCG / ICB Wirral Place pool commissioned services overspend of £8.6m offset by an underspend on Local Authority Health and Care commissioned services of £0.2m. The ICB Wirral Place holds the financial risks on the £8.6m overspend.

(2)   the shared risk arrangements are limited to the Better Care Fund only, which is reporting a forecast break-even position.

The appendices to this item 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 Place Director for Wirral presented his report which outlined the key messages from December 2022 guidance from NHS England on the priorities and operational planning guidance for 2023/24. There were 14 priorities in the planning guidance and four workshops had been planned to develop a delivery plan for 2023/24. There were also Place delivery priorities including primary care, work around community health services and mental health and there was a need to develop a neighbourhood approach and medicines optimisation.

Resolved – That

(1)   the NHS priorities and planning guidance for 2023/24 be noted.

(2)   the work that is underway to develop a Wirral response as part of the planning for 2023/24 and beyond be supported.

(3)   an update on this work be received at future meetings, including a Wirral Place Health and Care Delivery Plan when this is completed.

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

Additional items were suggested which were items on Dentistry, Home First and the Primary Care Network.

Resolved – Subject to additional items on Dentistry, Home First and the Primary Care Network, the work programme be noted.