The Chair welcomed everyone and read the webcast notice.

PRESENT:

Councillor Jean Robinson   Chair

Abel Adegoke    Primary Care

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

Dave Bradburn    Director of Public Health Wirral Council

Libby Eastleigh    Magenta Living

Councillor Phil Gilchrist    Wirral Council

Councillor Jeff Green     Wirral Council

David Hammond  Wirral Community Health and Care

Elizabeth Hartley    Children’s Services, Wirral Council

Graham Hodkinson    Director of Adults and Care, Wirral Council

David Morgan    Merseyside Police

Councillor Amanda Onwuemene Wirral Council

Matthew Swanborough    Wirral University Teaching Hospital

Councillor Sue Powell-Wilde   Wirral Council

Kirsteen Sheppard    Healthwatch Wirral

Mark Thomas   Merseyside Fire and Rescue

Apologies for absence were received from:

·  Paula Basnett, Wirral Chamber of Commerce

·  Louise Healey and Adrian Jones, Department for Work and Pensions

·  Sir David Henshaw, Chair of Wirral University Teaching Hospital

·  Janelle Holmes, Wirral University Teaching Hospital

·  Karen Howell, Chief Executive Wirral Community Health and Care

·  David Hughes, Director of Regeneration and Place, Wirral Council

·  Paul Satoor, CEO, Wirral Council

·  Isla Wilson, Cheshire and Wirral Partnership

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.

There were no declarations of interests.

To approve the accuracy of the minutes of the meeting held on 7 December 2023.

Resolved: That the minutes of the meeting of the Health and Wellbeing Board on 7 December 2023 be agreed as a correct record.

No questions, statements or petitions were received.

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

The Senior Public Health Manager and a Wirral Community Health and Care NHS Foundation Trust representative presented the report of the Director of Public Health which was the 2nd report in the rolling quarterly ‘deeper dive’ session for each of the priority areas. Priority 2 focussed on strengthening health and care action to address differences in health outcomes against the priority’s game changer ‘cardiovascular disease (CVD) prevention’. It was emphasised that the actions were adaptable over time depending on changing circumstances and outcomes, and the focus was on actions with the greatest impact. It aligned with the NHS prevention pledge to avoid admissions and illness by focussing on issues such as a healthy living environment and engaging in publicity and engagement campaigns.

Members asked about the methods of engaging different sectors including those less digitally accessible.

Resolved: That

1. the implementation plan for the Priority 2 and the associated ‘game changer’ CVD Prevention be acknowledged.

2. the strategic direction of this game changer be supported.

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

The Director of Place at NHS Cheshire and Merseyside presented the report of the Director of Public Health which set out the latest position on NHS Planning Guidance 2024/25 and the refresh of Cheshire and Merseyside Health and Care Partnership’s Integrated Care Strategy and NHS Cheshire and Merseyside’s Joint Forward Plan. It also set out the approach being taken in Wirral by NHS Cheshire and Merseyside with Place partners to refresh the Wirral Health and Care Plan 2023-24 for the 2024-25 operational planning year. It was noted that the NHS guidance for 24/25 had not been received.

Members questioned the involvement of elected Members in the processes.

Resolved: That

1. the progress made on the refresh of Cheshire and Merseyside Health and Care Partnership’s Integrated Care Strategy and NHS Cheshire and Merseyside’s Joint Forward Plan as set out in paragraphs 3.2.1 to 3.2.8 of this report be noted.

2. the approach being taken to update the Wirral Health and Care Plan for the planning year 2024-25, which is being overseen by the Wirral Place Based Partnership Board as set out in paragraphs 3.3.1 to 3.3.4 of this report be supported.

The Head of Integrated Services presented the report of the Director of Public Health which summarised the mandatory Quarter 3 (Q3) report submitted to National Health Service England (NHSE) on 7 February 2024. It provided data to demonstrate that there have been no changes to the capacity and demand assumptions as set out in Wirral’s 2023/25 Better Care Fund (BCF) plan. It demonstrated continued compliance with the requirements of the BCF fund and that the NHSE outcomes for 2023/25 had been met. It was noted that workshops were to take place to examine the data in more detail.

Members questioned the information for them to sign off and the  difficulty of achieving sign off with Committee and Government timescales was discussed.

The Chair proposed an amendment for recommendation (4) to state: that delegated authority be given to the Director of Care and Health to approve the year-end BCF report in consultation with chair of the Health and Wellbeing Board.

This was seconded by Councillor Jeff Green.

Resolved: That

1. it be noted that there is continued compliance with the requirements of the BCF fund and that (NHSE) outcomes for 2023/25 have been met.

2. it be noted that there are no changes to the capacity and demand assumptions included in the 2023/25 BCF plan.

3. the mandatory joint (with NHS Wirral Integrated Care Board (ICB)) Q3 BCF submission be approved.

4. delegated authority be given to the Director of Care and Health to approve the year-end BCF report in consultation with chair of the Health and Wellbeing Board.

5. the information provided enable the Health and Wellbeing Board to influence the deployment of BCF services within the lifespan of this plan (2023/25) and future plans.

6. it be noted that the current position does not pose a risk to the Section 75 Agreement.

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

The representative of Healthwatch Wirral presented the report of the Director of Public Health which shared emerging trends and themes gathered from public views and personal experiences relating to health and care. The information was sourced from the people who had contacted Healthwatch via email, phone or by using the Feedback Centre, or during community engagement work. It was noted that the content was shared with service providers and that sample sizes were relatively small but the content of them was the focus. Common themes included communication challenges and concerns about ADHD medication.

Resolved: That the report 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 julian.eyre@nhs.netif you would like this document in an accessible format. 

The Director of Place at NHS Cheshire and Merseyside presented the report of the Director of Public Health which presented the delivery dashboard for the programmes within the Wirral Place Health and Care Plan which provided an oversight of the whole programme portfolio, provides a monthly narrative update and Red Amber Green rating of overall programme delivery, benefits, risks, and issues.

Resolved: That the overview of the delivery and oversight of the Health and Care Plan programmes to the Wirral Place Based Partnership Board as set out in this report 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 julian.eyre@nhs.net if you would like this document in an accessible format.

The report of the Director of Public Health was considered which detailed the bid to fund the WorkWell programme which was an early-intervention work and health support and assessment service, providing holistic support to overcome health-related barriers to employment, and a single, joined-up gateway to other support services.

Wirral Place had been supported by Cheshire and Merseyside Integrated Care Board (ICB) to submit a bid in partnership with Knowsley Place. This is in recognition of the specific economic and population challenges faced by each borough, but also of their work in creating effective partnerships across all sectors. The outcome of the grant application would be known in early April 2024 with a delivery plan required by 31st June 2024 and an aim to have mobilised the service by October 2024.

Resolved: That this report 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 michaeljones1@wirral.gov.uk if you would like this document in an accessible format.

The Head of Legal Services presented the report of the Director of Law and Governance which provided an update of the review of the Board’s formal membership as contained within the Wirral Council Constitution

Any amendments were to be recommended to Wirral Council’s Constitution and Standards Committee and then to Wirral Council before implementation. Organisations which had not attended 50% of meetings had been written to and a variety of responses had been received. Some were yet to respond.

Members indicated that those who had not responded be removed from the membership but could be co-opted in the future.

Resolved: That the amendments to the Constitution detailed in Appendix 2 to the report be recommended to Constitution and Standards Committee.

The Head of Legal Services presented the report of the Director of Law and Governance which gave the proposed work programme.

It was noted that the revised Health and Care Plan would be submitted.

The Chair and Members then took the opportunity to thank the outgoing Director of Care and Health for his service and support as this was his last meeting of the Board before his retirement. 

Resolved: That, subject to an additional item on the Wirral Plan, the Health and Wellbeing Board work programme for the remainder of the 2023/24 municipal year be noted.