Agenda and minutes

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

Contact: Pat Phillips 

Note: New meeting replacing 13 Mar 2019 

No. Item



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 Phil Gilchrist declared a non-pecuniary interest by virtue of being the Appointed Governor: Cheshire and Wirral NHS Partnership Trust


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


MINUTES pdf icon PDF 84 KB

To approve the accuracy of the minutes of the meeting held on 14 November, 2018.


That the accuracy of the Minutes of the Health & Wellbeing Formal Board held on 14 November, 2018 be approved as a correct record.



Verbal update.


Apologies had been received from the Chief Officer at Healthwatch and the Chair of the Committee indicated that this item had been circulated to Board members by email.


Resolved - That the Healthwatch update be deferred to the next meeting of the Health and Wellbeing Board.


Merseyside Safeguarding Adults Board Annual Report 2018 pdf icon PDF 1 MB

Additional documents:


Sue Redmond—Independent Chair, Merseyside Safeguarding Adults Board attended the meeting to present the first Annual Report of the Merseyside Safeguarding Adults Board and responded to members questions.


As part of The Care Act 2014 all Local Authorities had been required to establish a Safeguarding Adults Board (SAB) for their area, to ensure that people who had care and support needs were protected.  The Board operated at a senior level with membership across a wide range of partners and had a statutory responsibility to monitor and evaluate what was done by partner agencies individually and collectively to safeguard and promote the welfare of everyone in the areas covered by the Board


In 2017 Knowsley, Liverpool, Sefton and Wirral Councils had moved from having individual Safeguarding Boards to one combined Board for all 4 areas. This was now known as the Merseyside Safeguarding Adults Board. All partners had agreed that, by coming together and working across the wider footprint, better use could be made of resources therefore providing a more consistent approach by all partners to prevention, training and processes and that a greater impact could be made for local people in raising quality in all services across the area. 


The first annual report of the Merseyside Safeguarding Adults Board looked at what had been done in the first year.  It looked at the work of the sub groups who did much of the work on behalf of the board and detailed some of the actions that had been completed so far. The report also detailed priorities for the coming year and set out the first priority to hear the voice of people who use services and also the voices of the front-line staff who worked with them.


The Director of Adult Care commented on the benefits of bringing the Boards together and noted that this had been both very valuable and cost effective initiative.  On behalf of the Committee the Chair thanked Sue Redmond for the report and presentation and it was;


Resolved – That the report and presentation be noted.


DCS Update : Improvement Board pdf icon PDF 125 KB

Ppoint presentation.


Apologies had been received from the Corporate Director for Children’s Services and the Chair of the Committee indicated that this item had been circulated to Board members by email.


Resolved - That the DCS Update: Improvement Board update be deferred to the next meeting of the Health and Wellbeing Board.




The NHS 10 Year Plan pdf icon PDF 495 KB

Ppoint Presentation – Simon Banks


Simon Banks, Chief Officer, Wirral Health & Care Commissioning, attended the meeting and presented an overview of the NHS Long Term Plan to the Board and responded to Members questions.


The full report was available on the following link;


The Chair thanked Simon Banks for the presentation to the Board and it was;


Resolved – That the presentation be noted.


Healthy Wirral Programme Update pdf icon PDF 529 KB


Simon Banks, Chief Officer, NHS Wirral CCG and Wirral Health and Care Commissioning, presented report that updated Board members on the Healthy Wirral Programme.  The Programme supported the delivery of both Wirral 20/20 pledges in relation to Health and Wellbeing, and the delivery of Health and Wellbeing ambitions within ‘Wirral Together’.


A summary of progress to date in 2018-2019 was provided in Appendix 1 to the report.


It was reported that in common with all health and care systems across Cheshire and Merseyside, Wirral was expected to establish and implement its plans to achieve the best possible health and wellbeing outcomes for its population within the funding available to the system.  The ‘Healthy Wirral’ programme was regarded 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 is 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 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:


  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 progress the Healthy Wirral Programme.


Resolved – That the report be noted.


Public Health : Health Protection A Call to Action pdf icon PDF 110 KB

Additional documents:


Julie Webster, Director for Health and Wellbeing, presented a report that outlined the call to action made of Health and Care Partners to prioritise and work as a system to ensure there were robust health protection arrangements in place and deliver against three identified health protection priorities.


It was highlighted that health protection was a set of functions which acted to protect individuals, groups and populations from the impact of infectious diseases, environmental hazards as well as ensuring emergencies were prepared for and responded to.  The key issues were set out in the report and emphasised that developments in the way the health of individuals, communities and populations were improved must be accompanied by a renewed focus on the basics of how communities were protected from infectious diseases and environmental hazards. In addition, new threats such as antimicrobial resistance and a rise in healthcare associated infections must be adapted and responded to.  Local data had been reviewed and three priorities had been highlighted which were considered to require sustained action across the local health and care system to reduce the burden from health protection issues.  These were set out in the report as;


1)  The development of a system wide approach to Infection Prevention and Control in order to reduce the incidence of healthcare associated infections.

2)  Reducing antimicrobial resistance.

3)  Reducing the variation and uptake of cancer screening and national immunisation programmes.


These priorities provided a targeted focus on key challenges where improvement was required, or needs were greatest., in addition , there would be continued assurance that statutory duties to protect health were discharged and that local organisations were resilient to threats to health through effective planning and preparation as well as being equipped to respond to incidents, outbreaks and emergencies.


The report informed that the Wirral Health Protection Group had responsibility to ensure that Wirral had a robust health protection system which effectively controlled and prevented population level health issues. Multi-agency groups would drive delivery against the three identified priorities. The Wirral Health Protection Group would escalate risks to the Healthy Wirral Executive Directors Group and Healthy Wirral Partners Board as required.


Julie Webster informed that no single agency could address these challenges in isolation, nor could the Health Protection Group deliver these priorities independently.  In order to deliver the action plans outlined for each of the three health protection priorities it was necessary that all Healthy Wirral Partners renew their focus upon these priorities and commit to action.


Resolved – That;


1  the Call to Action for Healthy Wirral Partners to prioritise and work as a system to ensure robust health protection issues were in place be noted.

2  delivery against the three health protection priorities identified in the report be supported.




Update from the Joint Commissioning Board pdf icon PDF 138 KB

Report to follow.


The Director of Health and Care presented a report that provided an update in relation to progress made in integrated commissioning for Wirral.  The report included an update in relation to the work of the Joint Strategic Commissioning Board and included an update in relation to leadership activity undertaken on behalf of the Board through Wirral Health and Care Commissioning.


The report informed that Wirral Health and Care Commissioning (WHaCC) had been brought together as a strategic partnership between Wirral Council and NHS Wirral Clinical Commissioning Group (CCG) in order to lead the planning and commissioning of health and care services through a single organisation in order to fulfil the statutory health and care functions of the Council and the CCG.  It had also been brought together to enable strategic outcomes to be effectively delivered through a single planning framework and structure.  A Section 75 Agreement under the NHS Act 2006 had been in place to enable integrated commissioning that included formal decision-making arrangements and the pooling of resources to fund services.


In 2018/19 pooled funds had been used to fund social care frontline services as well as to fund jointly commissioned services that were accessed by the population of Wirral such as community equipment services, intermediate care services, adaptations, step-up and step-down services etc.  This key agreement between the Council and the CCG set out how WHaCC worked and what resources were pooled to achieve better outcomes for the public.


The Joint Strategic Commissioning Board (JSCB) had been established in May 2018 as a Committee of Wirral Council Cabinet meeting together as a Committee in Common with the Governing Body Board of NHS Wirral CCG.  The purpose of the Committee in Common was to oversee the commissioning, strategic design and performance management of health and care services in Wirral, based upon commissioning for improved population health, outcomes and quality of service provision.


The report also provided an outline of the duties and responsibilities of the JSCB Cabinet Committee exercising delegated powers of Wirral Council Executive and formulating recommendations for adoption by Wirral Council Cabinet and / or the CCG Governing Body Board, as the case may be.  The Director also highlighted the key achievements and progress and set out key initiatives for 2019/2020.


Resolved – That the report be noted.


Development of Neighbourhoods pdf icon PDF 2 MB



The Director of Health and Care provided the Board with a presentation that gave an update on Wirral Neighbourhoods and responded to members questions.


The presentation included place – based working principles, integrated care systems, place-based care in practice healthy Wirral, the Neighbourhood programme structure and frailty PIC worker impact.


The Healthy Wirral video link was available on the following link;


Resolved – That the report be noted.




NHS Quarterly - Update pdf icon PDF 109 KB


Nicola Allen, Head of Medical, NHS England (Cheshire & Merseyside) & Lead for Service Change Assurance provided an update for the Board regarding the activities and responsibilities of NHS England.  The report outlined the national and regional activities November 2018 to February 2019 together and provided specific updates on priorities of NHS England (Cheshire and Merseyside).


The report informed that as part of closer working arrangements between the two organisations, NHS England and NHS Improvement had announced a new joint senior leadership team - the NHS Executive Group. This would be led by Simon Stevens as the Chief Executive of NHS England, who would lead both organisations. A single, combined post of Chief Operating Officer covering both organisations would be created.  This role would report directly to Simon Stevens. The Chief Operating Officer would, for regulatory purposes, also be the identified Chief Executive of NHS Improvement.  The seven Regional Directors, the National Director of Emergency and Elective Care and the National Director for Improvement would report directly to the new Chief Operating Officer.  Nicola Allen also informed that seven new Regional Directors had also been appointed and joined the NHS Executive Group


The Chair thanked Nicola Allen for providing the update to the Board and it was;


Resolved – That the report be noted.


Unplanned Care - Update pdf icon PDF 221 KB

Additional documents:


Jacqui Evans, Assistant Director, Integrated Commissioning Programme provided the Board with an update on progress and developments across the unplanned care system, overseen by A&E Delivery Board.  Appendix 1 to the report provided a performance overview.


Resolved – That;


1  the update and ongoing priorities overseen by A&E delivery board be noted.

2  the interdependencies of all partners to the resilient delivery of the 4 hour standard be recognised.

3  the improving position, challenges and priorities for 19/20 be noted.



Link - for information only.


The following link was provided for information only.


CWP Forward View Care Group Development pdf icon PDF 1 MB


Suzanne Edwards, Associate Director for Specialist Mental Health and LD, NDD and ABI Cheshire & Wirral Partnership NHS Foundation Trust provided Board members with the CWP Forward View Care Group Development.  The presentation set out the vision of working in partnership to improve health and well-being by providing high quality person-centred care.


Resolved- That the report be noted.




Councillor Phil Gilchrist informed Members that this would be the last meeting of the Board attended by the Leader of the Council – Councillor Phil Davies.  On behalf of the Board Councillor Gilchrist thanked Councillor Phil Davies for acting as Chair to the Health and Wellbeing Board, for his direction, for bringing partners together and enabling the build-up of trust.  Councillor Phil Davies addressed the Board and commented that it had been a delight to act as Chair and that he believed the Board demonstrated an excellent partnership and stated that Members not remaining in individual silos had to be the way forward.  He concluded by offering his best wishes to the Board and thanked Members for their kindness and ability to adopt the spirit of working together.