Agenda and minutes

Venue: Floral Pavilion, Marine Promenade, New Brighton, CH45 2JS

Contact: Dan Sharples 

Note: Members of the public are encouraged to view the meeting via the webcast, (see below) but for anyone who would like to attend in person, please contact the box office at the Floral Pavilion by telephone on 0151 666 0000, in advance of the meeting. All those attending will be asked to wear a face covering (unless exempt) and are encouraged to take a Lateral Flow Test before attending. You should not attend if you have tested positive for Coronavirus or if you have any symptoms of Coronavirus. 

Webcast: View the webcast

Items
No. Item

1.

Declarations of Interests

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.

Additional documents:

Minutes:

Members were asked to consider whether they had any disclosable pecuniary interests and/or any other relevant interest in connection with any item(s) on this agenda and, if so, to declare them and state what they were.

 

No declarations were made.

2.

Apologies for Absence

Additional documents:

Minutes:

Apologies for absence were received from Nicola Allen, Liz Bishop, Janelle Holmes, Sheena Cumiskey, Louise Healey, Warren Ward and Councillor Tom Anderson.

3.

Minutes pdf icon PDF 76 KB

To approve the accuracy of the minutes of the meeting held on 31 March 2021.

Additional documents:

Minutes:

Resolved – That the accuracy of the minutes of the meeting held on 31 March 2021 be agreed.

4.

Public Questions

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Minutes:

The Chair reported that no questions from either members of the public or Members had been submitted. Nor were there any statements or petitions to receive.

5.

Health and Wellbeing Board Membership pdf icon PDF 79 KB

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Minutes:

Phil McCourt, Director of Law and Governance introduced the report which provided the Board with an overview of its formal membership as contained within the recently revised Wirral Council Constitution, and sought to formalise any co-options to the Board, alongside giving the opportunity to consider its formal membership and operating model and propose any necessary amendments.

 

The Board was advised that the legislation establishing Health and Wellbeing Boards outlined that they should be treated as an ordinary committee of the Council, but that it was individual in that officers of the Council were voting members of the Board. Furthermore, Health and Wellbeing Boards had been established with Leader or Elected Mayor models in mind, therefore with Wirral’s move to a committee system, alongside the forthcoming Integrated Care System, the report afforded the Board the opportunity to review its membership.

 

The Board acknowledged the need to continually review its membership to ensure it was inclusive enough to fulfil the ‘place’ role. It was suggested that the Chairs of local health partners be co-opted to the Board, and that further consideration be given to how the voice of children and young people can be better represented on the Board.

 

Resolved – That

 

1)  the Health and Wellbeing Board membership be noted.

2)  the Chairs of the local NHS Health Foundation Trusts, Chair of the Primary Care Council and the Principal of Wirral Met College be co-opted to the Board.

3)  the removal of reference to the three divisions of the NHS Clinical Commissioning Group from the Health and Wellbeing Board’s Terms of Reference be referred to the Constitution and Standards Committee.

6.

Integrated Care System Project Update pdf icon PDF 116 KB

Additional documents:

Minutes:

Graham Hodkinson, Director of Care and Health introduced the report which provided an update on the proposed strategic changes in the NHS and outlined the implications for the Council of such emerging arrangements.

 

It was reported that the Committee had received an update on the proposals for Integrated Care Partnerships at its last meeting following the publication of the government’s White Paper ‘Integration and innovation: working together to improve health and social care for all’, and since then the proposals had been included within the Queen’s Speech. The report set out the implications of the changes for the Local Authority, which would take the leadership role in the local ‘place’ making arrangements. The Integrated Care Partnership would be made up of Wirral Integrated Commissioning, Wirral Provider Collaborative and Place leadership, where the Health and Wellbeing Board would play a critical role in driving local arrangements.

 

Members highlighted the difficulties in communicating the proposals to residents and sought clearer communications that could be shared with members and residents to mitigate any potential scaremongering. Officer reinforced that until the legislation had been passed, locally colleagues could only attempt to interpret the guidance and therefore there was an issue relating to timing with the communication to the public to ensure it was coherent. Health colleagues sought further information on the concern of residents to develop communications to alleviate those concerns and committed to working with elected members in doing so.

 

It was requested that Board members were kept apprised of any significant developments that occur between Health and Wellbeing Board meeting.

 

Resolved – That the report be noted.

7.

Commissioning Plan pdf icon PDF 114 KB

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Minutes:

Jason Oxley, Assistant Director for Care, Health and Commissioning for People introduced the report of the Director of Care and Health, introducing the Wirral Health and Care Commissioning Single Business Plan for 2021/22, and the key priorities and work streams that underpin it and which would contribute towards delivering better outcomes for Wirral residents.

 

It was reported that Wirral Health and Care Commissioning jointly commissioned all age health and care services for the population of Wirral. The purpose, vision and priorities of the plan were set out to the Board, as well as the background and context including the links to the Joint Strategic Needs Assessment. The key priorities of the plan included tackling health inequalities, enhancing productivity, providing oversight and leadership of the care and health systems and enabling and supporting provider collaboration. Underpinning the plan was the person-centred care approach, which featured in all work streams.

 

Resolved – That the report be noted.

8.

Prevention pdf icon PDF 109 KB

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Minutes:

Elizabeth Hartley, Assistant Director: Early Help and Prevention introduced the report of the Director for Children, Families and Education, which provided the Board with an overview of the proposed prevention approach, including a Prevention Policy Statement and Prevention Framework. In addition, the report detailed the Breaking the Cycle programme, which sought to demonstrate how a collaboration of preventative activity could maximise opportunity and lead to better outcomes for people, services, and organisations.

 

It was reported that the Prevention Policy Statement was intended to make a clear commitment from the Council to early intervention and prevention, whilst the framework provided structure and guidance on taking preventative approaches, defining the different levels of prevention and setting out 6 foundations for preventative approaches, these were:

 

  • Strategic Leadership
  • Place-based Approach
  • Strengths-based Approach
  • Equity
  • Whole-system Approach
  • Co-production

 

The intention was to create a suite of preventative programmes, one of which was the Breaking the Cycle programme. This programme intended to bring together a range of interventions working towards similar outcomes, and would work with people dealing with factors associated with deprivation such as drug abuse and risk of homelessness to give them priority access to catalyst projects, and eventually would be used to ask wider agencies to work differently with this cohort of people to provide support in a more suitable way.

 

Colleagues around the table were welcoming of the approach and it was suggested that the work ongoing in partner organisations around prevention and tackling health inequalities could align with that taking place within the Council. It was widely acknowledged that a system wide approach to early intervention and prevention would bring about the most benefits to the population of Wirral.

 

Resolved – That the report be noted.

9.

Youth Offer pdf icon PDF 140 KB

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Minutes:

Elizabeth Hartley, Assistant Director: Early Help and Prevention introduced the report of the Director for Children, Families and Education providing the Board with an overview of proposals to implement an equitable, consistent, branded, neighbourhood youth offer for universal, open access provision.

 

The Board was advised that in Summer 2019 a review of youth provision in Wirral took place, including a consultation in which approximately 3,000 young people took part it. A report went to Cabinet in February 2020 where four proposals were approved, the fifth proposal relating to the delivery of youth clubs was deferred for further development, and the report before the Committee presented the revised arrangements for youth clubs which had since been approved by Children, Young People and Education Committee.

 

The report detailed the current youth offer and outlined the strengths of the offer which would be retained in the new model including a mixed economy of provision and a qualified and experienced workforce. The report also detailed the weaknesses the new offer would need to overcome including an inequitable offer across the borough, impact of staff absence on delivery and lack of consistent brand and quality assurance. Details of the proposed new offer were presented to the Board, which would use the neighbourhood model to provide a consistent offer, developing a service brand and set of standards with young people, using a quality assurance framework to ensure consistency, and introducing a set of key performance indicators for collective impact.

 

It was suggested that collaboration with the Primary Care Networks and Young Healthwatch would be beneficial to the Youth Offer and colleagues undertook to make those links.

 

Resolved – That the report be noted.

10.

Tackling Health Inequalities Through Regeneration pdf icon PDF 134 KB

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Minutes:

Rachael Musgrave, Assistant Director: Consultant in Public Health introduced the report of the Director of Public Health which outlined the Council’s collaborative investment to address health related worklessness and improve social, economic and health outcomes.

 

It was reported that good employment protects health and that there were lots of challenges with health issues associated with unemployment. The pandemic had highlighted the need to focus on work to support people to enter the job market with good quality jobs, therefore the report outlined the work that had taken place to address these issues.

 

The report included data around unemployment and Universal Credit claimants, which showed that there were 31,352 people in Wirral claiming Universal Credit, of which 11,131 were in employment. Concerns were raised around the levels of in-work poverty, alongside the significant number of long-term claimants being as a result of mental health issues and the worsening effect the pandemic will have had on them. The importance of regeneration as a benefit to the wellbeing of the population was also highlighted, and the significance of the strong links between the Public Health and Regeneration teams within the Council was reinforced. Members discussed the development of a Poverty Strategy for Wirral in order to tackle these issues and all of the issues that people affected by poverty experience.

 

Resolved – That the report be noted.

11.

Work Programme pdf icon PDF 82 KB

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Minutes:

Dan Sharples, Principal Democratic Services Officer introduced the report of the Director of Law & Governance, which provided the Board with its current work programme and gave opportunity to propose additional items for consideration at future meetings.

 

The Chair outlined that the community organisation Community Voice had organised a Community, Voluntary and Faith Sector Reference Group, which involved over 50 organisations from the sector which had recently met and would regularly feed into the Health and Wellbeing Board. The Chair requested that the reports that had been produced from its initial meetings be circulated to Board members.

 

Further items suggested for consideration at future meetings included a regular report from Healthwatch on the emerging feedback from the health sector, and an item on the restoration and development of health services following the Covid-19 pandemic.

 

Resolved – That

 

1)  The Health and Wellbeing Board work programme be noted.

2)  A quarterly update from Healthwatch be added to the standing items.

3)  A report on the restoration and development of health services following the Covid-19 pandemic be added to the work programme.