Agenda and minutes

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

Contact: Dan Sharples, Democracy Business Manager  Tel: 0151 666 3791 Email:  danielsharples@wirral.gov.uk

Media

Items
No. Item

41.

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 of the Board were 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.

 

No declarations of interests were made.

42.

Apologies for Absence

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Minutes:

Apologies for absence were received from Councillor Tom Anderson, Karen Prior, Janelle Holmes, Sir David Henshaw, Karen Howell, Sue Higginson, Mike Maier, Matthew Swanborough, Louise Healey and Dr Paula Cowan.

43.

Minutes

To approve the accuracy of the minutes of the meeting held on 3 November 21.

 

Additional documents:

Minutes:

Resolved – That the minutes of the meeting held on 3 November 2021 be agreed.

44.

Public and Member Questions

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Minutes:

The Chair reports that no public questions, statements or petitions had been submitted.

45.

Experiences of the Pandemic by Children and Young People with Special Educational Needs and Disabilities (SEND) pdf icon PDF 107 KB

Additional documents:

Minutes:

The Director of Children, Families and Education introduced the report which provided a summary of the experiences of children and young people with Special Education Needs and Disabilities (SEND) during the COVID-19 pandemic and the impact on the future needs and priorities for young people. It was outlined that some of the Wirral’s young people had put together a production, which provided a visual and first-hand account of the issues young people with SEND had faced during the Covid-19 pandemic.

 

Following the performance, the Chair expressed her thanks to the young people for their contribution and outlined that the colleagues around the table recognised how challenging the pandemic had been for young people with SEND.

 

Resolved – That

 

(1)  the feedback from young people with Special Educational Needs and Disabilities (SEND) around their experiences of the pandemic and the information contained in the report be noted.

(2)  the Health and Wellbeing Board continues to engage with young people through the Youth Partnership and other forms of engagement, ensuring that the views of children and young people are considered and encouraged.

(3)  the Health and Wellbeing Board engages in the development of the Participation and Engagement Strategy and receive a final version of the Strategy for review and endorsement.

46.

WORKING WITH THE COMMUNITY, VOLUNTARY AND FAITH SECTOR pdf icon PDF 269 KB

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Minutes:

The Chair of the Community, Voluntary and Faith (CVF) Sector introduced a report which provided the Community, Voluntary and Faith Sector Coming Together Plan, which was the culmination of research and discussion across the CVF sector. It was reported that the Plan was intended to be the sector’s way of expressing what was important to it, with ambitious aspirations not necessarily within the gift of the sector and therefore the support of the Board was sought for its content, including the four key pillars. The report also detailed the role the sector would play in the forthcoming Integrated Care System developments with it being a key partner in forming and delivering services.

 

Members across the board welcomed the collaborative approach taken by the sector and the desire to increase co-production and prevention. It was noted that the guidance on the establishment of the Integrated Care System recognised the sector as a body in itself and that there would be benefit in sharing the plan with the Integrated Care Board.

 

It was proposed by Simon Banks, seconded by Councillor Yvonne Nolan that the Place Delivery Group be requested to consider the Wirral Community, Voluntary and Faith Sector Coming Together Plan and give views on how the sector could be worked into the future governance of place. The motion was put and agreed by assent. It was therefore –

 

Resolved – That

 

(1)  support and cooperation be provided to enable further engagement and coproduction, to design and bring forward a detailed proposal for consideration in March 2022.

(2)  partners be encouraged to engage to support the principles of this plan and to develop its implementation further, including identification of investment required to deliver sustainable action.

(3)  the establishment of a cross sector working group be endorsed whose role will be to coproduce a place-based partnership charter which would set out the necessary agreed behaviours to build strong relationships and of which uniformity would aid integration, with a representative sought from each partner with senior responsibility for implementation of the charter within their own organisation.

(4)  the Place Delivery Group be requested to consider the Wirral Community, Voluntary and Faith Sector Coming Together Plan and give views on how the sector could be worked into the future governance of place.

47.

ADDER PROJECT pdf icon PDF 142 KB

Additional documents:

Minutes:

The Senior Public Health Manager introduced a report of the Director of Public Health which provided an update on progress in delivery of the Wirral ADDER (Addiction, Diversion, Disruption, Enforcement and Recovery) Accelerator programme. The Committee was reminded that most areas of the country had received funding for one year, Wirral had since received a further year of funding and following the spending review this may be extended further.

 

Members were taken through a detailed presentation by the Detective Superintendent Lisa Mahon, outlining the impact the ADDER funding had made, which detailed the links between deprivation and drug related crime and the enforcement activity that had been ongoing, including information on the advancement of community sentencing which when appropriate diverted people away from custodial sentencing into mental health or drug support. It was reported that there had already been early case studies of people breaking the pattern of repeated criminal behaviour through these interventions.

 

Andrew Cass, Wirral Change Grow Live Services Manager provided a further update to the Committee on the impact the funding had made on the Wirral Ways to Recovery programme, with the growth of the Community Integration Team and the advancement of the proven ‘Through the Gate’ support offer. The specific projects that had benefited from the funding included additional support for women in probationary services with drug misuse problems, as well as the clinical interventions in partnerships with organisations such as Cheshire and Wirral Partnership and Wirral University Hospital Trust to provide additional mental health support and respiratory care caused by drug harm. Further detail was also provided on the Community Pharmacy and outreach programmes.

 

The Board discussed the changing demographic of drug users following the major issues with heroin in the 1980s, and the increase in prevalence of misuse of prescribed medication. The work of the programme was commended and its contribution to the wider health of the population recognised.

 

Resolved – That the contents of the report on the progress made in delivering the Wirral ADDER (Addiction, Diversion, Disruption, Enforcement and Recovery) Accelerator programme be noted.

 

48.

RESTORATION AND DEVELOPMENT OF NHS SERVICES AFTER COVID-19 pdf icon PDF 145 KB

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Minutes:

The Chief Officer, NHS Wirral Clinical Commissioning Group (CCG) introduced the report which provided an overview of the restoration and development of NHS services after Covid-19. The Board was advised that the report had been produced a number of weeks earlier when there was less prevalence of the Omicron variant. There had since been a focus on maximising the vaccine programme, retaining the integrity of emergency pathways, ensuring timely discharges, and also ensuring services were provided to the people most in need. The capacity to deliver vaccines had tripled with it running 12 hours a day, 7 days a week with new treatments learned about during the second wave being utilised.

 

The Board heard how cancer care waiting times had reduced in Wirral with waiting times reducing prior to the recent announcement on increased Covid-19 safety restrictions. There had been increased demand on mental health services since Covid-19, with young people’s services under particular pressure. The CCG remained focused on expanding the primary care capacity, retaining extended access for general practice, reducing inappropriate attendance at hospital and reducing the length of stay for those requiring treatment. It was reported that underpinning all of the work was a willingness of partners to continue to work collaboratively across the system.

 

Access to GP services was raised, particularly in relation to face to face appointments, where it was reported that Wirral had good patient access rates when compared to England with a higher number of appointments than pre-pandemic, but further information would be provided on what proportion of those was face to face.

 

Resolved – That the report be noted.

49.

Healthwatch Wirral Quarterly Report pdf icon PDF 207 KB

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Minutes:

The Chair reported that the Chief Executive of Healthwatch Wirral had passed her apologies and read out a statement on her behalf, which outlined the issues patients were facing in accessing NHS dentistry services and using e-consult. The update also detailed the work of Healthwatch to support the winter plans by providing a Discharge Community Coordinator role, working with ‘Link’ workers within hospitals and also providing extra support for people once they are home.

 

It was proposed that the specific feedback for provider organisations be fed back into the Provider Collaborative work through the Healthy Wirral Partnership.

 

Resolved – That the report be noted.

50.

INTEGRATED CARE SYSTEM UPDATE pdf icon PDF 161 KB

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Minutes:

The Director of Care and Health introduced the report which provided an update on the development of Wirral’s Place-based Partnership as part of the Integrated Care System. The report detailed the purpose and objectives of the Partnership, and it was outlined that more of the specific details in relation to the governance of the Partnership such as its membership was yet to be agreed and would be reported back to a future Board meeting.

 

Resolved – That the report be noted.

51.

JOINT STRATEGIC NEEDS ASSESSMENT DEVELOPMENT pdf icon PDF 512 KB

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Minutes:

The Public Health Strategic Commissioning & Support Senior Manager introduced the report of the Director of Public Health which outlined Wirral’s Joint Strategic Needs Assessment current position and workplan. It was reported that Health and Wellbeing Boards have a statutory duty to oversee the production of a Joint Strategic Needs Assessment, which was a process to identify the current and future health and wellbeing needs of a population in a local authority area.

 

The Board received a presentation which outlined how the data and intelligence was stored by Wirral Intelligence Service and how it could be found and interrogated to better understand the needs of Wirral, including its use in the Covid-19 response.

 

Resolved – That

 

(1)  the Health and Wellbeing Board provides oversight for the annual Joint Strategic Needs Assessment workplan and supports the development of a workplan for 2022/23 focussed on the wider determinants of health and reducing health inequalities.

(2)  the Health and Wellbeing Board contributes to the production of the Joint Strategic Needs Assessment to ensure all partners are working collectively in Wirral using the same intelligence to support joint decision making.

52.

Work Programme pdf icon PDF 82 KB

Additional documents:

Minutes:

The Head of Legal Services introduced the report of the Director of Law and Governance which provided the Board with its current work programme and gave opportunity to propose additional items for consideration at future meetings.

 

It was moved by Councillor Yvonne Nolan, seconded by Simon Banks, that the item on Wirral NHS Clinical Commissioning Group finances that was yet to be scheduled be reframed to an item on the Pooled Fund arrangements for the Integrated Care System and be submitted to the next scheduled meeting. The proposal was agreed by assent. It was therefore –

 

Resolved – That

 

(1)  the work programme be noted.

(2)  the item on Wirral NHS Clinical Commissioning Group finances that was yet to be scheduled be reframed to an item on the Pooled Fund arrangements for the Integrated Care System and be submitted to the next scheduled meeting.