There were no apologies for absence.

There were no declarations of interests.

Resolved -

That the minutes of the meeting of the Joint Strategic Commissioning Board held on 12 November 2019 be agreed as a correct record and signed by the Chair.

The Chief Officer of Wirral Health and Care Commissioning and NHS Wirral Clinical Commissioning Groupprovided the update to the Board.

The 5 Year Strategy described ambitions and key strategic priorities to achieve the Healthy Wirral vision of enabling all people in Wirral to live longer and healthier lives. The report shared the draft strategy and noted suggested changes or developments.

The Appendix was a high-level summary for the following years on developing neighbourhoods, families, planned and unplanned care, mental health and learning disabilities. There would be further work on medication optimisation to avoid waste and maximise the benefit from them.

Members commented on the link with the Wirral Plan. The Plan has a focus on Housing, regeneration, transport and access to services, which will all have an impact on the Strategy.

Resolved –

That the approach in the draft strategy be endorsed and the progression to completion and publication be supported.

The Chief Finance Officer, NHS Wirral CCG and Wirral Health & Care Commissioning, introduced this report which provided a description of the arrangements to support effective integrated commissioning.  It set out the key issues in respect of:

a) the expenditure areas that are included in the 2019/20 shared (“pooled”) fund

b) the current and future risk and gain share arrangements.

Members noted that there was a forecasted balance in the current financial year.

Resolved –

That this report, including the financial position at 31^st October 2019, be noted.

The Director for (Adult) Care and Health presented the report which provided an update on the progress made against the 2019-20 Business Plan for Wirral Health and Care Commissioning (WHCC). The outcomes and targets related to the delivery of key areas of activity for WHCC and linked directly to the Healthy Wirral System Operating Plan 2019-20. The vast majority of the activity had been delivered against the plan, however there were three targets that had not been delivered, concerning: Development and agreement to an integrated procurement policy; Development and agreement to a single contract management policy and process; and Improvement in the reduction of numbers of long stay patients in both the community and acute trust. Mitigating actions have been identified and these were set out in the report.

Members questioned the lack of clinical support or NHS providers such as the clinical senate, although they were reassured that relationships were developing and CCG commissioning officers had been driving it so far.

Resolved – That

(1)  the update on the significant progress made against the priorities that were agreed on 28 May 2019 be noted. 

(2)  the update of significant progress since 28 May 2019 including the mitigating actions against the targets rated red be noted.

(3)  it be noted that Mitigating actions have been identified to bring delivery back on track.

The Director of Commissioning for Wirral CCG presented this report. Through Wirral Health and Care Commissioning (WH&CC), Wirral Council 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.  Proposed adult and older people population priorities going forward were alcohol and falls, both of which were above the national average in the Wirral.

Officers were thanked for the work. The longer-term plan was to extend the focus from older people to adults and then to young people.

Resolved: That the contents of this report be noted.