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 a pecuniary or non-pecuniary interest in connection with any item on the agenda and, if so, to declare it 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

Councillor Chris Jones declared a non-pecuniary interest by virtue of being employed with the Cheshire and Wirral Partnership NHS Foundation Trust.

To approve the accuracy of the minutes of the meeting held on 20 March, 2019.

Resolved - That the accuracy of the Minutes of the Health & Wellbeing Formal Board held on 20 March, 2019 be approved as a correct record.

Verbal update – Phil Davies, Chair HealthWatch

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.

Nicola Allen - NHS England, presented an NHS England Quarterly Report and responded to members questions.

The report outlined the national and regional activities of NHS England and NHS Improvement from March 2019 to June 2019 with specific updates on the priorities of NHS North West.

The report noted that as of 1 April 2019, NHS England and NHS Improvement came together to act as a single organisation. The Boards of both organisations will continue to operate separately, meeting as committees in common with the two Boards sharing an integrated management team.

Following the publication of the NHS Long Term Plan in January 2019, three further supporting publications had been released:

1.  The Interim NHS People Plan: this report sets out how the NHS needs to recruit, retain and develop more staff to meet rapidly growing demand for healthcare.

2.  Long Term Plan Implementation Framework: the framework can be found here: www.longtermplan.nhs.uk The framework summarises the commitments made in the NHS Long Term Plan alongside further information to help local system leaders refine their planning and prioritisation.

3.  Designing Integrated Care Systems in England: This is an overview for all health and care leaders to help them to join forces so they are better able to improve the health of their populations.

More than 99% of practices in England have come together to form more than 1,200 Primary Care Networks (PCNs). GPs will recruit multi-disciplinary teams, including pharmacists, physiotherapists, paramedics, physician associates and social prescribing support workers, allowing family doctors to focus on the sickest patients.

Cheshire and Merseyside NHS England has secured £6million investment for 2018-2020 to support Primary Care Networks.

The PCN initiative comes alongside efforts to recruit more GPs as part of the NHS Long Term Plan. Locally there are several initiatives being pursued:

-  Development of Physician Associate roles with 5 employed on Wirral LIFT.

-  Clinical Pharmacists – an additional 66 (whole time equivalent)

-  Practice Manager Development

-  GP Retention Schemes

The report noted that pathways and services have been developed to stream patients to community pharmacies when they need help with their medicines; this releases capacity in services that previously undertook these services.

Resolved – That the report be noted.

Verbal report – Jacquie Evans, Assistant Director - Integrated Commissioning Programme

Jacqui Evans, Assistant Director, Integrated Commissioning Programme provided the Board with a verbal update on progress and developments across the unplanned care system.

Resolved – That the report be noted.

Simon Banks, Chief Officer, Wirral Health and Care Commissioning and NHS Wirral CCG and Senior Responsible Officer, Healthy Wirral presented an update report on the Healthy Wirral Programme and responded to questions from Members.

The report informed that The Healthy Wirral Programme has 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 we can provide the very best health and social care services when people really need them, as close to home as possible. Delivering this aim requires the Wirral partners to rise to four key challenges:

-  Acting As One – exemplified in actions and behaviours. Delivering net system benefit.

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

-  Clinical sustainability – sustainable, high quality, appropriately staffed, delivered across organisational boundaries.

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

The paper outlined the key actions that have been undertaken to date and the proposed next steps to progress the Healthy Wirral Programme.

Resolved – That the report be noted.

Simon Banks, Chief Officer, Wirral Health and Care Commissioning and NHS Wirral CCG and Senior Responsible Officer, Healthy Wirral presented a report that outlined the Healthy Wirral Operational Plan 2019/20 and a five year Strategic Plan and responded to questions from Members.

The report noted that NHS England published the NHS Long Term Plan on 7^th January 2019. This was accompanied by full planning guidance for 2019/20 setting out “must do” deliverables and financial allocations.

The guidance set out an expectation that one year operational plans for 2019/20 would need to be submitted to NHS England and NHS Improvement by 4th April 2019. Each system is also required to have five year sustainability plans by autumn 2019 that deliver the requirements of the NHS Long Term Plan at a local level.

Resolved – That the report be noted.

Simon Banks, Chief Officer, Wirral Health and Care Commissioning and NHS Wirral CCG and Senior Responsible Officer, Healthy Wirral introduced a report on the Urgent Care Update and responded to questions from Members.

The report noted that as a result of the public consultation, the recommendations for NHS Wirral Clinical Commissioning Group (CCG) Governing Body were to approve all of the following:

A) Implementation of a 24-hour Urgent Treatment Centre (UTC) at the Arrowe Park Hospital Site

B) All-age walk in access in each community hub:

-  Wallasey – Victoria Central Hospital (8am-8pm) reduction of 2 hours from current provision

-  Birkenhead – Birkenhead Medical Centre (8am-8pm) increase of 2 hours from current provision

-  South Wirral – Eastham Clinic (12pm-8pm) no change from current provision

-  West Wirral – UTC at Arrowe Park Hospital Site (24-hours) increase of 10 hours from current provision

C) Changes to Gladstone (formerly Parkfield) and Moreton Minor Injury Units

-   Gladstone (formerly Parkfield) Minor Injury & Illness Unit, New Ferry

-  Moreton Minor Injury & Illness Unit, Moreton Health Clinic, Moreton

Changes to the Minor Injury & Illness Units are in accordance with proposals outlined in the report, notably section 3.3.

D) Dressings

-  It is proposed to develop a specific planned/bookable dressing service within the West Wirral/Moreton area to ensure continuity of service for residents.

The report noted that Gladstone Minor Injury and Illness Unit & Moreton Minor Injury and Illness Unit were to be replaced with access to urgent GP/Nurse appointments in local GP practices.

The report stated that in reaching the decision for the recommendations, a full quality and equality impact assessment has been completed which provide full details of considerations and mitigations.

Resolved – That the report be noted.

Verbal report – Lorna Quigley (NHS Wirral CCG)

Paul Boyce, Corporate Director for Children Services gave a verbal update regarding feedback on the CQC Review of Services for Looked After Children and Safeguarding in Wirral – May 2019 and responded to questions from Members.

The full report is available on the following link;

www.cqc.org.uk/sites/default/files/20190701_clas_wirral_final_report.pdf

Resolved – That the presentation be noted.

Jacqui Evans, Assistant Director, Integrated Commissioning Programme gave a presentation (available under Appendix 2 in the Agenda Pack) and responded to questions from Members.

The full report is available on the following link;

https://democracy.wirral.gov.uk/documents/s50060240/Report.pdf

Resolved – That:

1  the report be noted

2  Members supported the recommendation to delegate authority to the Director of Care and Health with the Chair of Health & Wellbeing Board to formally approve the final BCF submission, in order to comply with the mandated timescales for formal submission to NHSE. 

Verbal update – Graham Hodkinson, Director for (Adult) Care & Health

Graham Hodkinson, Director for (Adult) Care & Health gave a verbal update to the Health & Wellbeing Board on Neighbourhoods and Networks and responded to questions from Members.

Resolved – That the report be noted.

Presentation – Dr Elspeth Anwar, Consultant in Public Health

Dr Elspeth Anwar gave a presentation to Members of the Health & Wellbeing Board on the Reducing the Strength project and responded to questions from Members.

The presentation referred to initiatives designed to tackle the problems associated with street drinking by removing the sale of low price, high strength alcohol products through voluntary agreements with local retailers. The Reducing the Strength initiative started in 2015 and is funded by Wirral Public Health and delivered by Wirral Environmental Health Team.

It was noted that the project has won a Best Project Award from the Chartered Institute of Environmental Health as well as a Phoenix Futures Award.

Resolved – That the presentation be noted.

Jason Oxley, Assistant Director Health and Care Outcomes provided an update and responded to questions from Members of the Board regarding progress made in commissioning services for people with Learning Disabilities with a specific focus on the implementation of the Transforming Care Programme (TCP) priorities in Wirral.

The update noted that the Transforming Care Programme (TCP) has taken a lead from social care to take a person-centred approach. It describes the need to develop alternative support for people with a learning disability in order that they can move on from Clinical and Institutional environments to receive the support that they need to live independently in their own homes and within their own communities.

The full report is available on the following link;

https://democracy.wirral.gov.uk/documents/s50060189/Report%20TCP%20Update.pdf

Resolved – That the report be noted.

Presentation – Paul Boyce, Corporate Director for Children Services

Paul Boyce, Corporate Director for Children Services gave a presentation on improvements in Children’s Services and responded to questions from Members of the Board.

The presentation covered the service’s next steps following OFSTED and CQC inspections, readiness for inspection for SEND, inclusion and special schools, Short breaks and residential respite, The Youth Offer, Safer Wirral-Domestic Abuse and Anti-social behaviour, Community and Family Matters and Partnership for Children.

Resolved – That the presentation be noted.

Presentation – Sue Talbot, Assistant Director Education

Sue Talbot, Assistant Director Education School Commissioning gave a presentation and responded to questions from Members of the Board.

The presentation laid out the new responsibilities of the 2014 Act, the services’ plans for the next 12 months, the current issues and risks facing services for SEND children and young people and highlighted that there will be a SEND inspection of the council.

Resolved – That the presentation be noted.

Presentation – Carly Brown, Assistant Director, Modernisation & Support, Children’s Services

Apologies had been received from Carly Brown, Assistant Director Modernisation & Support, Childrens Services who had prepared a presentation on Wirral Together for Children Young People and Families. Paul Boyce, Corporate Director for Children Services summarised the presentation and responded to questions of the Board.

It was noted that a copy of the presentation was available in the meeting Agenda Pack.

Resolved – That the presentation be noted.

Link for information only

https://www.cheshireandmerseysidepartnership.co.uk/

Link for information only

https://www.cheshireandmerseysidepartnership.co.uk/

The date of the next formal Board meeting is Wednesday 13 November, 2019 at 3:00pm in Committee Room 2 Town Hall, Wallasey.

The Chair noted that due to changes in personnel and an increase in the number of politicians on the Health and Wellbeing Board he had asked the Director for Health and Wellbeing to make contact with the LGA to schedule a development session in the Autumn.

The date of the next formal Board meeting is Wednesday 13 November, 2019 at 3:00pm in Committee Room 2 Town Hall, Wallasey.