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.

Members were asked if they had any pecuniary or non-pecuniary interests in connection with any application on the agenda and, if so, to declare them and state the nature of the interest.

Councillor Chris Jones declared a personal interest by virtue of her employment with the Cheshire and Wirral Partnership NHS Foundation Trust.

Dr Sue Wells declared a non-pecuniary interest by virtue of being a partner in a medical practice.

Apologies were received from Councillor Phil Gilchrist, Fiona Johnstone, Director of Strategy & Partnerships, Graham Hodkinson, Director for Health & Care, Simon Banks, Chief Officer, NHS Wirral CCG and Wirral Health & Care Commissioning, Phil Davies, Healthwatch, Wirral, Councillor Bernie Mooney, Janelle Holmes, CEO Wirral University Teaching Hospital NHS Foundation Trust, Karen Howell, CEO Wirral Community NHS Foundation Trust, Chief Superintendent Ian Hassall, Merseyside Police, Dr Maggie Atkinson, Independent Chair, WSCB and Paul Boyce, Director for Children’s Services.

To approve the accuracy of the minutes of the meeting held on Wednesday, 18 July 2018.

That the accuracy of the Minutes of the Health & Wellbeing Formal Board held on18 July 2018 be approved as a correct record.

Julian Eyre, Healthy Wirral Programme Manager, attended the meeting to present a Healthy Wirral update to the Board and responded to members questions.  The report set out the ‘Healthy Wirral’ programme as the prime system-wide programme to deliver sustainable and affordable long-term changes to the way that the health and wellbeing of the Wirral Population was supported.

The Healthy Wirral Programme had identified a mission of ‘Better health and wellbeing in Wirral by working together’ with the clearly stated aim to enable all people in Wirral to live longer and healthier lives by taking simple steps to improve their own health and wellbeing. By achieving this together the report set out how the very best health and social care services could be provided when people really needed them, as close to home as possible. Delivering this aim required the Wirral partners to rise to four key challenges set out in the report;

•  Acting As One - exemplified in actions and behaviours.

•  Clinical sustainability - sustainable, high quality, appropriately staffed, organisationally agnostic services.

•  Improving population health - delivering the Healthy Wirral outcomes around better care and better health using a place based approach.

•  Financial sustainability - managing with our allocation, taking cost out, avoiding costs, delivering efficiency and better value.

The report outlined the key actions that had been undertaken to date and the proposed next steps to be taken to progress the Healthy Wirral Programme.  Members were informed that The Healthy Wirral programme had continued to make good progress against key objectives and details were provided of the priority areas that had been progressed as of October 2018.  Appendix 1 to the report provided a Summary of Healthy Wirral programme work streams and Appendix 2 provided the Healthy Wirral Memorandum of Understanding.

David Eva, Independent Chair, Healthy Wirral, commented that in order for the Healthy Wirral Programme to succeed partners had to work together.  Dr Sue Wells commented that it was beginning to feel different as people began to start to work together.

Resolved – That;

1  the report be noted and supported.

2  a more detailed report on Neighbourhood work be brought back to a future meeting of the Health & Wellbeing Board.

Jason Oxley, (Assistant Director - Health and Care Outcomes)/ Helena Dennett (Head of Inspection, Adult Social Care North West Region, Care Quality Commission).

Representatives from the CQC – Helena Dennett, Head of Inspection, Adult Social Care, NW Region, Nick Kerswell, Head of Regional Engagement and Catherine Challinor, Inspection Manager attended the Health & Wellbeing Board to present the annual report ‘The state of health care and adult social care in England 2017/18’ that had been presented to Parliament.

Members of the Board were also provided with a presentation on Older people's pathway Wirral Local Authority that focused on the care for older people (aged 65+) living in the local authority.  It was explained that local authority comparator areas were drawn from 15 local authorities that were most similar to Wirral. 

The Chair of the Committee thanked the representatives from the CQC for a helpful presentation and it was;

Resolved – That;

1  the report be noted.

2  the CQC presentation slides ‘CQC Local System Data Summary: Older people's pathway Wirral Local Authority’ be circulated to members of the Health & Wellbeing Board.

Members of the Board gave consideration to a report of Jason Oxley, Assistant Director, Health & Care Outcomes, that provided information on the approach that was being taken by Wirral Health and Care Commissioning to the commissioning of care and support services for people with a learning disability and/or autism in Wirral.

It was reported that Wirral had put in place a programme of work to achieve a greater range of support options for people with a learning disability. This would increase choice and control and would improve wellbeing and independence for people.

The report also informed the Board that the commissioning activity underway supports the national Transforming Care Programme agenda which aims to ensure that people with a learning disability or autism are not inappropriately admitted to hospital and, where they are, they are discharged as soon as they are well enough. With the right range of supported accommodation services, people who become unwell can often be supported to remain in their own homes and natural communities and to receive the support that they need closer to home.

It was reported that both the Council and the Clinical Commissioning Group had budget pressures and had recognised that services could be more effectively commissioned to enable independence.

This report described the commissioning approach that would provide a broader range of support services to meet the needs of people with a learning disability and that would contribute towards the delivery of the Wirral Plan pledges.  Jason Oxley also informed the Board of Extra Care Housing for people with a learning disability.

Resolved – That the report be noted.

Report and presentation.

Alan Higgins, Head of Programme, Liverpool City Region, Public Health England attended the meeting and presented a report that outlined how the City Region was developing a Wealth and Wellbeing Programme with the support of Public Health England.

The Board were informed that the focus of the work was on addressing health related worklessness and how the health and care sector could link with the regeneration agenda.

It was reported that the Wealth and Wellbeing programme was in a unique position to bridge the gap between health and economic agendas. It would focus on building bridges across the health and employment/skills agendas, linking portfolios in boroughs, translating relevant policy across the portfolios and developing a compelling narrative to drive change.

The report highlighted that it was essential that the LCR programme fit closely with work in each of the LCR boroughs on work and health.  The purpose of the presentation was to set out the scope of the LCR programme, align it with work in Wirral and to ask the Health and Wellbeing Board to identify further opportunities to work together on this agenda.

Resolved – That;

1  the report be noted.

2  a progress report be brought back to the Health & Wellbeing Board in 6 months’ time.

The full report is provided by the following link;

http://www.wirralsafeguarding.co.uk/wp-content/uploads/2018/10/WSCB-Annual-Report-2017-18-5.pdf

Presentation.

David Robbins, Business Manager, Wirral Safeguarding Children Board, attended the meeting and presented the WSCB Annual Report 2017-2018 which was a multi-agency document with the key issues identified by the independent chair, Maggie Atkinson.

The full report was report was available on the following link;

http://www.wirralsafeguarding.co.uk/wp-content/uploads/2018/10/WSCB-Annual-Report-2017-18-5.pdf

Resolved – That;

1  the report be noted.

2  a report providing the new arrangements for the Multi-agency Safeguarding Arrangements from September 2019 be brought to a future meeting of the Health and Wellbeing Board.

Nicola Allen, Head of Medical, NHS England (Cheshire & Merseyside) & Lead for Service Change Assurance provided a report to the Health & Wellbeing Board with details of the activities and responsibilities of NHS England. This report outlined national and regional activities for the period August to October 2018 together with specific updates on priorities that the Local NHS England Teams were responsible for.

Resolved – That the report be noted.

The Health and Wellbeing Board gave consideration to a report of Healtwatch.  The report provided the quarterly update as at November 2018 and highlighted the National Awards hosted by HW England.  At the HW England Conference in September HW Wirral was the Winner in the “Providing Information and Advice when it is needed”.  Healthwatch had been shortlisted from 170 nominations, over 5 categories.  In the Info Bank Healthwatch had spoken with over 12,000 individuals last year, signposting and supporting them with concerns about health and care provision on Wirral. 

Resolved – That the report be noted.

For information

https://www.cheshireandmerseysidepartnership.co.uk

The following link was provided for information;

https://www.cheshireandmerseysidepartnership.co.uk

The date of the next formal Board meeting is Wednesday, 13 March, 2019 at 4:00 pm in Committee Room 1 Town Hall, Wallasey.

The date of the next formal Board meeting is Wednesday, 20 March 2019 at 4:00 pm in Committee Room 2 Town Hall, Wallasey.