Agenda and draft minutes

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

Contact: Pat Phillips 

Items
No. Item

73.

DECLARATIONS OF INTEREST

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.

Minutes:

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.

74.

MINUTES pdf icon PDF 94 KB

To approve the accuracy of the minutes of the meeting held on 17 July, 2019.

Minutes:

Resolved – That the accuracy of the Minutes of the Health & Wellbeing Formal Board held on 17 July 2019 be approved as a correct record.

75.

WIRRAL EVOLUTIONS - ANNUAL REPORT

Presentation – Jean Stephens, Wirral Evolutions.

Minutes:

Jean Stephens, Managing Director, Wirral Evolutions presented the Board with the Annual Report.  Wirral Evolutions had been established in 2015 to provide personalised day services and opportunities for adults with a wide range of learning and physical disabilities.  Jean Stephens set out how this was achieved through a wide range of people centred services and activities across multiple locations in the Wirral.  The presentation set out the foundations of Wirral Evolutions, Governance arrangements, strategic intent, guiding principles and headline statistics.  The report concluded with a series of impact case studies that set out the progress, impact and achievements on the people Wirral Evolutions supports.

 

Jean Stephens set out plans for the future for a ‘service without walls’ with the aim of ‘putting people at the heart of everything we do’.  Members of the Board discussed the report and Jean Stephens responded to members questions regarding what the Health and Wellbeing Board could do to help.  Graham Hodkinson, Director for Health and Care, commented that Wirral Evolutions had come out of what was a Wirral Provided Service – great improvements had been made and shifts made in enabling people to get into employment and to get out into the community.  Councillor Chris Jones indicated that she had spent time with Jean and the service users and was pleased to note that there was now a noticeable culture change with people now moving into employment and volunteering roles.  In response to a question from Dr Faouzi Alam Jean Stephens outlined plans for further integration into the community with the aim to bring meaningful outcomes including confidence, skills and the ability to use money with the intention to have more collaboration around supported pathways.

 

The Chair echoed the comments of Councillor Chris Jones, thanked Jean Stephens for the presentation and it was;

 

Resolved – That the report be noted.

76.

SPECIAL EDUCATIONAL NEEDS AND DISABILITY (SEND) SELF EVALUATION

Presentation – Paul Boyce, Corporate Director for Children Services.

Minutes:

Sue Talbot, Assistant Director, Education, Wirral Council presented the findings of the self-evaluation of Special Education Needs and Disability (SEND) Services.  This had been completed by a number of partners across the borough and was in preparation for a CQC/OFSTED review.

 

The presentation set out the local context of SEND and noted that there had been significant changes in leadership and staffing since the implementation of the 2014 SEND reforms.  The local SEND Population was set out and it was noted that Wirral had good Special Schools and was now intervening earlier.  Sue Talbot set out the synopsis of progress made in Wirral and included areas for development.

 

The Chair thanked Sue Talbot for her presentation, and it was;

 

Resolved – That the findings of the self-evaluation be noted.

77.

LIVERPOOL CITY REGION WEALTH AND WELLBEING PROGRAMME pdf icon PDF 93 KB

Additional documents:

Minutes:

Julie Webster, Director for Health and Wellbeing, introduced Alan Higgins, Head of Programme – Liverpool City Region, Public Health England.  Julie had worked together with Alan and Rachel Musgrave, Consultant in Public Health, on employment and worklessness and getting people back to work in the area and encouraged Board consider the findings of the report with regard to the view that health is an imperative in economic planning and that action to address poor health should be prioritised in economic planning.

 

The appendix to the report contained the Public Health England Productivity and Health report:  Wirral Work and Health profile.  The report stressed that it was imperative that improving health was recognised as a priority for fair economic prosperity in Liverpool City Region.  Data was presented to show the impact of poor health in the city region on productivity and the leading element of that poor health.  The evidence and good practice on what can be done to address poor health in an economic context was reviewed and interventions were proposed under four headings.  The presentation at the meeting summarised the interventions and asked the Board to respond to the report with consideration of whether, and to what extent, the Board has, or would, adopt the position that plans for economic development took on board poor health as a limiting factor and the actions that followed from this position.

 

The Liverpool City Region (LCR) Wealth and Wellbeing Programme had been initiated in July 2018 in an agreement between the council leaders, Combined Authority and Public Health England to specifically address work and economic development as key determinants of population health.  It had progressed through engagement with a wide range of people across the six boroughs in LCR, through development of a public narrative on the issue and through analysis of the productivity gap and review of evidence of what would work to address the issue.

 

Success had been achieved in positioning good work, health and wellbeing for all, as a leading theme in Local Industrial Strategy.  By December 2019 the programme would pull together the different strands of analysis and the views of Boards and others into a framework for progress over the next 18 months.

 

In response to members questions, Alan Higgins commented that in the coming month, the work would aim to encompass the points raised around transport and how the figures filtered down to ward level.

 

The Chair thanked Alan Higgins and it was;

 

Resolved – That the report be noted.

78.

AIR QUALITY IN WIRRAL - STATUS ,PROGRESS AND PRIORITIES pdf icon PDF 172 KB

Minutes:

Members gave consideration to a report of the Director of Health and Wellbeing that provided members of the Health and Wellbeing Board with detail on the current status of air quality in Wirral, its impact on the health of the population and progress to improve it.

 

Rachel Musgrave, Consultant in Public Health attended the meeting to present the report and Victoria Chadderton, Environmental Health Officer, Dr Sam Ghebrehewet, Head of Health Protection and Amanda Cresswell, Chemical and Environmental Specialist, Environmental Public Health Scientist, Centre for Radiation, Hazards (CRCE) Public Health England attended the meeting to support the report and provided members with detail on the current status of air quality in Wirral, its impact on the health of the population and the progress on actions to improve it.

 

The appendix to the report contained the Wirral Audit of Wirral Air Quality actions against PHE recommendations (2019).

 

It was reported that Public Health England (PHE) had identified poor air quality as the largest environmental threat to public health in the UK generating wide-ranging health, social, environmental and economic consequences. Tackling poor air quality was therefore important for Wirral to become a healthier place to live, work and visit as well as a fairer, greener, more productive borough.

 

Whilst recorded air pollution in Wirral did not exceed legal threshold limits and air quality was slowly improving, it was important to continue to take action to improve air quality and to monitor the impact on health and health inequalities. A collaborative approach was critical, and interventions must be sensitive to local context and influences, focused on reducing air pollution at source rather than mitigating the consequences.  

 

Resolved – That;

 

1  the information included within this report be noted and;

 

2  the Health and Wellbeing Board continue to seek regular assurance that partners are taking action to improve air quality across the borough.

79.

2019 PUBLIC HEALTH ANNUAL REPORT - CREATIVE COMMUNITIES pdf icon PDF 129 KB

Additional documents:

Minutes:

Julie Webster, Director for Health and Wellbeing, introduced the Public Health Annual Report (PHAR) 2019 - the independent annual report of the Director of Public Health which was a statutory requirement. The 2019 Report, Creative Communities, explored the role of culture as a means of improving health and wellbeing, presented local examples of these bene?ts and called for everyone in Wirral to be part of a Borough of Culture legacy that would leave everyone happier and healthier.  The PHAR 2019 was attached as an appendix to the report

 

The Director for Health and Wellbeing reported that the Public Health Annual Report was an important vehicle to identify key issues, flag up problems, report progress and inform local inter agency action. The purpose of the PHAR was to draw attention to local issues of importance which had an impact on population health. Since the Council had taken back responsibility for Public Health in 2013 five reports had been published on:

  Social isolation

  Healthy schools and children

  Domestic violence

  The roles of the Council and NHS in promoting health and wellbeing

  Problem gambling

 

Members were informed that the reports had led to action in the reduction of people smoking in the borough to levels below the national average; increased support for people who were feeling socially isolated plus significant activity across a range of partners to highlight and had reduced the damage caused to communities from alcohol abuse and gambling.

 

The 2019 Report sought to influence the developing narrative around social prescribing and how engagement and work with local people could support them to live healthier lives. A comprehensive range of Information and data on the health of the population in Wirral was also available on the Wirral Intelligence Service website and complimented the report.  Next year’s annual report would provide information on the impact achieved from this work.

 

Resolved – That the recommendations of the Public Health Annual Report 2019 be endorsed and that its publication be supported.

80.

HEALTHY WIRRAL - UPDATE pdf icon PDF 133 KB

Additional documents:

Minutes:

The Chair informed the Board that this item had been withdrawn on the request of Simon Banks, Senior Responsible Officer, Healthy Wirral due to purdah and would be discussed at meetings in the New Year.

81.

DEMENTIA STRATEGY pdf icon PDF 115 KB

Additional documents:

Minutes:

Members gave consideration to a report of Nesta Hawker, Director of Commissioning, attached as an appendix to the report, that provided an updated Dementia Strategy for 2019-2022 for members information.  The report informed that Dementia was one of four key priority areas within the Healthy Wirral Mental Health Programme. As part of the dementia workstream, one of the main objectives was to update and refresh the Wirral Dementia Strategy for 2019-2022.

 

In November 2018, an engagement exercise had taken place with people with dementia, carers, families and people who worked with people with dementia.  The aim of the exercise had been to understand people’s experiences of dementia on Wirral, from pre-diagnosis to end of life, and areas where the health and care system were working well, and areas where improvement was needed. Over 200 people had been spoken to as part of this engagement, and the feedback received from participants had helped shape the Strategy alongside the local Dementia Strategy Board and national documentation.  The strategy was structured around NHS England’s “Well Pathway for Dementia” which was based on NICE guidelines.

 

Major areas of focus within the strategy included healthy lifestyle promotion to prevent people from developing dementia, redesigning secondary care dementia services, improving post-diagnostic support, developing dementia friendly communities and services, and promoting the importance of early end of life planning to ensure that people’s end of life care wishes were known.  Members were advised that currently, 5 task and finish groups had been formed with representatives from NHS Trusts, primary care, social care and third sector organisations to begin work on the strategy objectives.

 

The Wirral Dementia Strategy had been signed off by the Dementia Strategy Board on 22nd August 2019 and by the Mental Health Programme Board on 2nd October 2019.  The aim was to publish the strategy in November 2019.

 

Resolved – That;

 

1  the report be noted.

2  any comments on the strategy be made to Nesta Hawker, Director of Commissioning, Wirral Health and Care Commissioning.

82.

OLDER PERSONS FRAMEWORK pdf icon PDF 134 KB

Additional documents:

Minutes:

Members gave consideration to a report of Nesta Hawker, Director of Commissioning, that provided an updated Dementia Strategy for 2019-2022 for members information.  The Wirral Older People Outcomes Baseline 2019 was attached as an appendix to the report.  Members were informed that Improving health outcomes and reducing inequalities remained the focus and overall goal of the Healthy Wirral programme assurance.  Through Wirral Health and Care Commissioning (WH&CC), Wirral had aligned its strategic priorities with the key health needs and health outcomes that needed to be delivered around better care and better health.

 

WH&CCs priority was to focus on older people, and the document provided high level baseline data against the first Wirral wide outcomes framework for older people.  This was also underpinned by operational analytical reporting across the Healthy Wirral workstreams.  The report set out that in this area, work was ongoing to establish and agree a comprehensive approach to health and care intelligence, ensuring data was harnessed to make better informed decisions across the whole Wirral system.  WH&CC would work with providers to understand how they their services would be focussed and interventions to improve the benchmark position. 

 

Resolved – That;

 

1  the report be noted.

2  any comments on the strategy be made to Nesta Hawker, Director of Commissioning, Wirral Health and Care Commissioning.

83.

CHESHIRE & MERSEYSIDE HEALTHCARE PARTNERSHIP

Minutes:

The following link was provided for members information: -

 

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

84.

PARTNER UPDATES FOR NOTING pdf icon PDF 101 KB

1  Healthwatch – Karen Prior, Chief Officer Healthwatch (Presentation).

2  NHS – Update -  Nicola Allen, Head of Medical Directorate, NHS (Report).

Minutes:

a)  Healthwatch

 

The verbal update for Healthwatch was deferred to the next meeting of the Health and Wellbeing Board as Karen Prior, Chief Officer, Healthwatch, had been unable to attend the meeting due to illness.

 

b)  NHS England

 

An update was submitted by Nicola Allen, Head of Medical Directorate, NHS England and NHS Improvement – North West for members information.  The aim of the report was to update Wirral Health and Wellbeing Board regarding the activities and responsibilities of NHS England and NHS Improvement. The report outlined the national and regional activities July 2019 to October 2019 together with specific updates on priorities of NHS North West.

 

Resolved – That the report be noted.

85.

Date of Next Meeting

The date of the next formal Board meeting is Wednesday, 11 March, 2020 at 4pm in Committee Room 2 Town Hall, Wallasey.

Minutes:

The date of the next meeting of the Health and Wellbeing formal Board would be Wednesday, 11 March, 2020 at 4pm in Committee Room 1, Town Hall, Wallasey.