Agenda and draft minutes

Venue: Committee Room 2 - Wallasey Town Hall. View directions

Contact: Fiona Johnstone 

Items
No. Item

1.

Welcome and Apologies

Minutes:

Apologies for absence were received from Councillor J.Green, Mr G.Hodkinson, Director of Adult Social Services, Ms M.Dumba, Area Team NHS England, Mr D Allison, Chief Executive, Wirral University Teaching Hospital, Ms S Cumiskey, CWP and Mr A Cannell, Clatterbridge Centre for Oncology.

2.

MEMBERS' CODE OF CONDUCT - DECLARATIONS OF INTEREST

Members of the committee 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.

 

 

 

Minutes:

Members of the Cabinet are asked to consider whether they had any disclosable pecuniary or non pecuniary interests in connection with any item(s) on this agenda and, if so, to declare them and state the nature of the interest.

 

No such declarations were made.

 

3.

Minutes pdf icon PDF 88 KB

To approve the Minutes of the Health and Well Being Board meeting held on 13 March 2013

Minutes:

RESOLVED:

 

That the accuracy of Minutes of the Health and Wellbeing Board held on 10 July 2013 be approved.

 

 

4.

Puffell Demonstration

To receive a presentation from Dr Phil Jennings and Mr Stuart Jackson

Minutes:

The Board considered a presentation from Ms A.Madden and Ms J.Hampson from Icecreates Ltd regarding Puffell which was a unique social media platform that enabled people to self manage their own health and wellbeing and empowered individuals, groups and communities to making positive changes that impacted their overall wellness and made the most out of their lives.

 

Puffell provided a lot of support and assisted in addressing lifestyle issues such as smoking, alcohol, healthy weight and long-term conditions. Focusing initially on wellness, aspiration and empowerment, Puffell was designed to draw people together and activate positive behaviours and also provide a platform to enable people to connect with friends and family and the wider community to offer support and share progress.

 

Since its launch on 14 June, Puffell had 622 registered users on the system, 244 were following on Facebook and131 on Twitter.

 

Future development of the site would include work and employment, parenting, health checks and adult social care.

 

In relation to Wirral Well, it was reported that Puffell offered an alternative system which allowed people to connect with others not just from Wirral but from all over the country.

 

In response to questions regarding accessibility for specific patients and hard to reach groups and the ability to measure outcomes, it was reported that work was on-going with patient groups to test the system to improve accessibility; the system allowed for users to track their behaviour i.e.: water intake therefore outcomes could be monitored for e.g. weight loss and the system was made available to all, in local libraries and through a developed mobile phone app.

 

RESOLVED:

 

That Ms A.Madden and Ms J.Hampson from Icecreates Ltd be thanked for their informative presentation.

5.

Budget Transfers Section 256 pdf icon PDF 105 KB

To consider the report of Dr Abhi Mantgani and Mr Mike Houghton Evans  

Additional documents:

Minutes:

The Board considered the report of the Director of Adult Social Services and Dr Abhi Mantgani, Chief Clinical Officer, Wirral Clinical Commissioning Group outlining the NHS Operating Framework and the Local Authority Grant settlements for 2013/14 which included funding transfers made from the NHS to local authorities to support social care.

 

Mr Mike Houghton-Evans, Adult Social Services Department and Dr Abhi Mantgani, CCG introduced the report and indicated that an audit/dashboard would be produced in relation to the funding to support Adult Social Care.

 

It was reported that in Wirral, older people were over represented in care homes and under represented in their own homes; this was an issue that needed to be addressed.

 

Dr Mantgani reiterated that resources available were to be utilised to increase capacity.

 

Mr Houghton-Evans indicated that the Chancellor of the Exchequer had recently announced the funding made available, but he expected that expenditure would be carefully monitored by Government.

 

In relation to joint working arrangements, the Urgent Care Board was meeting to discuss this and the joint Chief Executive representatives had met to discuss ways in which totality could be effectively managed going forward.

 

With regard to schemes undertaken in the previous year, it was commented these needed to be evaluated to ensure that they had satisfactory outcomes.

 

It was commented that assurances were needed with regard to the sustainability of new services, there was a need for them to prove that they could provide continuity to ensure appropriate future planning.

 

The Chair raised his concern regarding the re-ablement provision in particular, the timescales, in response, Dr Mantgani indicated that this should be implemented by 1 January 2014, and was hoping that there would be fast responses; however, this would take time to implement fully.

 

Mr Houghton-Evans commented that in relation to intermediate care services in Wirral, this needed to go back to basis starting at people’s own homes; Re-ablement services needed to be re-designed and the funding identified. Work was being undertaken to design an alternative model in August 2013 with a view to implementation with immediate effect.

 

RESOLVED: That

 

(1)  the report be noted;

 

(2)  progress on the re-enablement agreement be monitored; and

 

(3)  the Director of Adult Social Services and the Chief Clinical Officer, Wirral CCG be requested to submit an update report to the September 2013 meeting regarding the re-enablement provision and a dashboard/Audit in relation to Adult Social Services.

 

 

 

 

 

 

6.

Spending Review 2013 pdf icon PDF 53 KB

To consider the report of the Strategic Director – Families and Wellbeing

Additional documents:

Minutes:

The Board considered the report of the Strategic Director – Families and Welling updating Members on the outcomes of the announced Government Spending Review and the impacts on health and social care.

 

Ms Clare Fish, Strategic Director, Families and Wellbeing indicated that there was a major focus on early intervention and for the Council this was working progress.

 

The Chair indicated that the letter received from the Department for Communities and Local Government was very vague and gave no clear indication as to how the money was to be accessed, timescales and plans for the future.

 

Ms Fiona Johnstone, Director of Public Health/Head of Policy and Performance indicated that the Council needed to start planning and working on this in readiness for 2015, there was a need to ensure that Wirral had a robust, sustainable system going forward.

 

It was commented that the section 256 agreement was the first step, and assurances were needed to ensure pooled resources were working as hard as individual budgets.

 

Initial assessments had been improved, to allow patient information to travel with patients through their care journey.

 

There was a need to get the model of care right and use resources wisely. The Chair commented that a clearer vision was needed as to what an integrated Health and Social Care service would look like.

 

Ms Johnstone indicated there was a need to understand the challenges ahead and discussions needed to be held as to what the communities needs were.

 

The Chair requested that an item be put on the agenda to enable the Board to discuss what the vision was for an integrated service

 

RESOLVED:

 

That the outcome of the Spend Review be noted. 

 

 

7.

Long Term Conditions Integration Programme pdf icon PDF 231 KB

To consider the report of Dr Abhi Mantgani and Mr Mike Houghton Evans

Additional documents:

Minutes:

The Board considered the report of the Director of Adult Social Services which provided an overview of the Long Term Conditions Integrated Programme Boards function, membership, governance arrangements and vision for the future and informed of the application submitted expressing interest to becoming an Integration Pioneer.

 

Mr M Evans, Head of Integration/Joint Commissioning reported that he was pleased with the work of the Programme Board regarding the Pioneer Project.

 

The outcome of the bid will be known over the summer.

 

The Chair indicated that as Wirral had been approved as a community budgets council, with this there was a need to ensure a joint approach in our submission.

 

RESOLVED:

 

The joint working underway to improve health and social care through the integration programme be noted and the bid to become a ‘Health and Social Care Integration Pioneer’ be supported. 

8.

Dementia Strategy pdf icon PDF 55 KB

To consider the report of Dr Abhi Mantgani

Additional documents:

Minutes:

The Board considered the report of the CCG updating on the Dementia Strategy

 

The Wirral Dementia Strategy Group had been working to devise a Wirral Dementia Strategy that set out how Wirral commissioners and providers would work together over the coming three years to meet the requirements of the National Dementia Strategy.

 

The Strategy would be a public-facing and an iterative document that would be updated on at least a quarterly basis, and provided any member of the public or professional colleague with a current position of Wirral’s progress against national and local plans to improve the care of people with Dementia.

 

An investment plan would be developed alongside the Strategy, which would highlight any areas that would require additional investment in order to move forward. 

 

The Strategy represented a joint approach to dementia planning between commissioners, and health and social care providers.  Its development, and its future monitoring, would be overseen by the Dementia Strategy Group, which comprised of representatives from a wide range of stakeholders.

 

Ms Johnstone welcomed the emerging strategy and stressed the need to address and understand this aspect of work, which could be significant to the Council and the Board and requested that that the CCG provided further updates and a report detailing future planning if the need increased.

 

RESOLVED:

 

That the Dementia Strategy be noted. 

 

 

9.

Disabled Children's Charter pdf icon PDF 51 KB

To consider the report of the Director of Children’s Services

Additional documents:

Minutes:

The Board considered the report of the Director of Children’s Services informing of the Disabled Children’s Charter and requesting that the Board consider signing up to its commitments.

 

RESOLVED:

 

(1)  That the report be noted; and

 

(2)  the Chair on behalf of the Health and Wellbeing Board and the Council sign up to the Disabled Children’s Charter.

10.

NHS England - Update pdf icon PDF 250 KB

To consider an update report from Moira Dumma, Area Director, Cheshire Warrington & Wirral Area Team, NHS England

 

To be presented by Andrew Crawshaw

 

Minutes:

The Board considered the report of the Area Director, Cheshire Warrington and Wirral Area Team, NHS England providing an update on NHS England’s Business Plan and recent activities.

 

Members indicated that this was an excellent report which gave a good overview and provided a better understanding of NHS England’s role.

 

The Chair indicated that the transfer of the Healthy Child Programme back to local government by 2015 was of particular interest to the Council and it was hoped that there was a transitional approach being taken over the next 18 months.

 

RESOLVED:

 

That the update report from NHS England be noted.

11.

Implications of the Proposed Care Bill pdf icon PDF 102 KB

To consider the report of the Strategic Director – Families and Wellbeing

Minutes:

The Board considered the report of the Strategic Director, Families and Wellbeing providing details of a policy briefing note summarising the key points of the Care Bill and its potential implications for Wirral.

 

RESOLVED:

 

That the policy briefing note summarising key points of the Care Bill and its potential implications for Wirral be noted.

 

12.

Winterbourne View pdf icon PDF 70 KB

To consider the report of the Strategic Director – Families and Wellbeing

To be presented by Chris Beyga

 

Minutes:

The Board considered the report of the Director of Adult Social Services providing an update with regards to Winterbourne View.

 

The report indicated that, two years ago, a Panorama programme provided a shocking illustration of the vulnerability of people in hospitals like Winterbourne View.  As a result the Department of Health had set up a programme for change and through this the Government had given a mandate to the NHS Commissioning Board which stated that:

 

 “The NHS Commissioning Board’s objective is to ensure that CCGs work with local authorities to ensure that vulnerable people, particularly those with learning disabilities and autism, receive safe, appropriate, high quality care. The presumption should always be that services are local and that people remain in their communities; we expect to see a substantial reduction in reliance on inpatient care for these groups of people.” 

 

In summary, this meant:

 

  • all current placements would be reviewed by 1 June 2013, and everyone inappropriately in hospital would move to community-based support as quickly as possible, and no later than 1 June 2014;

 

  • by April 2014 each area would have a locally agreed joint plan to ensure high quality care and support services for all children, young people and adults with learning disabilities or autism and mental health conditions or behaviour described as challenging, in line with the model of good care.

 

RESOLVED:

 

That report be noted 

13.

Longer Lives - Update pdf icon PDF 143 KB

To consider the report of the Director of Public Health/Head of Policy and Performance

 

(To be presented by Julie Webster)

Minutes:

The Board considered the report of the Director of Public Health/Head of Policy and Performance indicating that the Longer Lives report, published by Public Health England on the 11th June 2013 reported on the number of people who had died under the age of 75 in each local authority area between 2009 and 2011. It also provided data on the main causes of these early deaths – cancer, heart disease and stroke, lung disease and liver disease.

 

The report indicated that overall, the report showed Wirral in common with other parts of the country categorised as ‘more deprived’ as having a higher than average rate of premature death.

 

The report provided advice to commissioners and individuals on action to take to improve health outcomes.

 

The information in the report reflected the findings of the Joint Strategic Needs Assessment and action to tackle premature deaths was being taken forward via local strategies and action plans e.g. Health and Wellbeing Strategy, Alcohol Strategy, Clinical Commissioning Group Commissioning plan.

 

The Chair raised concern regarding the figures for premature death in relation to liver disease and alcohol and asked if an analysis report could be provided highlighting the action plan for tackling this issue. In response, Ms Johnstone indicated that this was discussed at the recent meeting of the Policy and Performance, Families and Wellbeing Committee who wanted to look at this as part of their work programme, and agreed to provide at report to a future meeting.

 

RESOLVED:

 

That the report be noted.

 

14.

Pioneer Bid pdf icon PDF 65 KB

To consider the report of the Director of Public Health/Head of Policy and Performance

 

(To be presented by Julie Webster)

 

Additional documents:

Minutes:

The Board considered the report of the Dir of Public Health/Head of Policy and Performance updating on the System Leadership programme which was a ground-breaking collaboration between Public Health England, National Skills Academy for Social Care, NHS Leadership Academy, Virtual Staff College, Local Government Association and the Leadership Centre, that enabled areas to create system wide change through leadership collaboration and development. Together these partners had pooled resources to assemble a fund of over £1m to support up to 30 places in this breakthrough project (see Appendix A).

 

Wirral had submitted an application, at the end of May, to support the development of a local Food Plan (see Appendix B). This application was successful (see Appendix C). As a result Wirral would receive a package of support, including the time of an experienced leadership development enabler (equivalent to one day per week) to support the development of the Food Plan whilst advancing leadership in Wirral to the benefit of residents. As part of this programme Wirral would also have access to further varied support including:

 

  • learning networks hosted by the King’s Fund
  • participation in Future Vision – a national leadership development programme
  • access to the knowledge-hub where information from the across the places would be shared
  • a number of free consultancy days from a limited range of private sector partners
  • participation in the Commissioning Academy.

 

A launch event was held in London on 28th June 2013, at which Wirral had a presence, detailed within Appendix D to the report. Further information regarding the local programme would be provided to the DPH and Wirral Chief Executive via the national programme lead within the next few weeks.

 

The Chair congratulated the Director and her team on the work undertaken on this and thanked them for their hard work in putting the bids together.

 

RESOLVED:

 

That the report be noted.

15.

The Health and Wellbeing Improvement Support Partnership - Offer of Support pdf icon PDF 53 KB

To consider the report of the Director of Public Health/Head of Policy and Performance

 

 

Additional documents:

Minutes:

The Committee considered the report of the Director of Public Health/Head of Policy & Resources updating on the Local Government Association and the Department of Health have produced a prospectus of support for the development of Health & Wellbeing Boards.

 

The report detailed the prospectus and the submission made to take up the offer of Peer Challenge support for the Board, these were attached as Appendix A and B to the report.

 

 

RESOLVED:

 

That the report be noted.

16.

Date of Next Meeting

The Formal Board meeting is to be held on Wednesday 13 November 2013 at 4:00pm, The Nightingale Room, Old Market House

Minutes:

The next meeting of the Formal Health and Wellbeing Board will be held on Wednesday 13 November 2013 at 4:00pm, The Nightingale Room, Old Market House.