Agenda and draft minutes

Venue: Committee Room 1 - Wallasey Town Hall. View directions

Contact: Christine Morley, Senior Democratic Services Officer  Tel. 0151 666 3820, email:  christinemorley@wirral.gov.uk

Media

Items
No. Item

39.

Welcome and Apologies for Absence

Additional documents:

Minutes:

The Chair welcomed the members of the Board, officers and those watching the webcast to the meeting.

 

Dave Bradburn, Director of Public Health, Wirral Council

Mark Greatrex, Chief Executive, Wirral Community Health and Care NHS Foundation Trust

Janelle Holmes, Chief Executive, Wirral University Teaching Hospital NHS Foundation Trust

David McGovern, Director of Corporate Affairs, Wirral University Teaching Hospital NHS Foundation Trust

Paul Satoor, Chief Executive, Wirral Council

 

 

BOARD MEMBERS:

Carol Johnson-Eyre   Voluntary, Community, Faith and Social Enterprise representative (Chair)

Dr Abel Adegoke   Primary Care representative

Simon Banks   Place Director (Wirral), NHS Cheshire and Merseyside

Jo Chwalko   Director of Integration, Wirral Community Health and Care NHS Foundation Trust and Wirral University Teaching Hospital NHS Foundation Trust (representing the latter organisation)

Elizabeth Hartley   Director of Children, Family and Education, Wirral Council

Alison Hughes   Director of Corporate Affairs, Wirral Community Health and Care NHS Foundation Trust

Cllr Julie McManus   Wirral Council

Cllr Kieran Murphy   Wirral Council

Cllr Simon Osborne   Wirral Council

Sayyed Osman   Director of Adults, Health and Strategic Commissioning, Wirral Council

Karen Prior   Healthwatch Wirral

Gareth Prytherch   Voluntary, Community, Faith and Social Enterprise sector representative

Tim Welch  Chief Executive, Cheshire and Wirral Partnership NHS Foundation Trust

Stephen Wright  Primary Care representative

 

ALSO PRESENT:

Natalie Kevitt  Wirral Improvement Team

Martin McDowell  Associate Director of Finance (Wirral), NHS Cheshire and Merseyside

Lorna Quigley  Associate Director of Quality and Safety Improvement (Wirral), NHS Cheshire and Merseyside

Vicki Shaw  Head of Legal Services, Wirral Council

Mike Jones   (Secretary)

 

40.

Declarations of Interest

Members are asked to consider whether they have any relevant interest in connection with any item(s) on this agenda and, if so, to declare them and state the nature of the interest.

 

Additional documents:

Minutes:

The Chair asked for members to declare any interests in any items on the agenda.

 

Carol Johnson Eyre declared an interest in item 7 (Wirral Health and Care Plan Programme Delivery Dashboard) as a provider of services.

 

41.

Minutes of Previous Meeting

The minutes of the meeting held on 26 September 2024 will be brought to the next meeting when finalised.

Additional documents:

Minutes:

It was noted that the minutes from the previous meeting had not been finalised and would be brought to a future meeting.

42.

Action Log

Additional documents:

Minutes:

There were no items on the action log.

43.

Place Finance Report incorporating Pooled Fund Update pdf icon PDF 177 KB

The PDF file may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact martin.mcdowell@cheshireandmerseyside.nhs.uk if you would like this document in an accessible format.

Additional documents:

Minutes:

The Associate Director of Finance introduced this report, which updated the Board on the financial position for the Wirral Place health and care system partners, as at the end of August 2024. The report noted that the system had an actual reported deficit of £29.5m compared with a planned year-to deficit of £18.1m.  Demand continued to outstrip the ability to respond within budget but no reductions in service had taken place. The Pooled Fund budget for 2024/25 was £302.71m.  As at Month 5, the reported forecast of the pooled fund was in line with the plan. 

 

Members were concerned that preventative work in communities may be reduced which increased risk of incre3ased demand in the future. It was noted that other areas such as primary care and local authorities, were in a similar situation and processes were being examined to reduce inefficiencies.

 

Resolved – That

·  the Wirral system position as at Month 5 2024/25 be noted.

·  the forecast reported position for the Pooled and Discharge Fund as at Month 5 2024/25 be noted.

·  it be noted that the shared risk arrangements were limited to the Better Care Fund only, which was forecasting a breakeven position.

·  the sign off and approval process and progress of the 2024/25 Section 75 agreement which was scheduled to complete by October 2024 be noted.

44.

Quality and Performance Report pdf icon PDF 135 KB

The PDF file may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact lorna.quigley@cheshireandmerseyside.nhs.uk if you would like this document in an accessible format.

Additional documents:

Minutes:

The Associate Director of Quality and Safety Improvement introduced a report providing oversight of the Quality and Performance across Wirral Place since the last reporting period. The report focussed on the key area of improvement including Healthcare Associated Infections (HCAI). It was noted that there had been positive increases in several areas, even though some were still below national average and faced increased demand. Sustaining improvements was seen as a challenge and basic hygiene and wellbeing campaigns would help rates.

 

Resolved – That:

·  the work underway across the system to monitor quality and performance, identifying areas for improvement, be noted

·  the further work underway to strengthen the governance around quality and safety across Health and Social Care be noted and endorsed.

·  assurance be received around the robust improvement plans in place to manage specific areas for improvement.

45.

Wirral Health and Care Plan Programme Delivery Dashboard pdf icon PDF 153 KB

The PDF file may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact Julian.eyre@nhs.net if you would like this document in an accessible format.

 

Additional documents:

Minutes:

A representative of the Wirral Improvement Team introduced the report which was to present the performance dashboard on the progress of the programmes associated with the Wirral Health and Care Plan 2024-25. The overall Red Amber Green (RAG) rating for the Health and Care Plan in September was green, with two programmes in the portfolio reporting Red, three reporting Amber and the rest reporting Green. The exceptions were highlighted along with progress on them.

 

Members queried some issues and noted the potential for budget issues to affect programmes and plans.

 

Resolved – That this report, which provides assurance on the delivery and oversight of the Health and Care plan programmes, be noted.

46.

Unscheduled Care Improvement Programme Update pdf icon PDF 440 KB

The PDF file may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact james.barclay1@nhs.net if you would like this document in an accessible format.

Additional documents:

Minutes:

The Director of Integration, Wirral Community Health and Care NHS Foundation Trust and Wirral University Teaching Hospital NHS Foundation Trust introduced this report, which provided the Board with information and assurance on the work of the Unscheduled Care Improvement Programme for Wirral. It was reported that good progress had been made with the refresh of the 2024/25 Unscheduled Care Improvement Programme structure. It was noted that new ways of working, such as Virtual Wards, had proved positive developments.

 

Members discussed the projects and work being undertaken.

 

Resolved - That the update be noted and the changes set out via the refresh of the programme be endorsed.

47.

Wirral Health and Care Plan: Workforce Programme Update pdf icon PDF 128 KB

The PDF file may not be suitable to view for people with disabilities, users of assistive technology or mobile phone devices. Please contact Julian.eyre@nhs.net if you would like this document in an accessible format.

 

Additional documents:

Minutes:

No appropriate officer could attend to present this report.

 

Resolved – the Workforce Programme Update be deferred to a future meeting.

48.

Quality and Performance Group Report pdf icon PDF 130 KB

Additional documents:

Minutes:

The Associate Director of Quality and Safety Improvement introduced this report which provided an update on the discussion and outcomes of the meeting of the Quality and Performance Group held on 5th September 2024.

 

Members discussed the effects of anti-biotic prescriptions on identified ailments and the importance of communicating programme messages.

 

Resolved – That:

• the work underway across the system to monitor quality and performance, identifying areas for improvement, be noted.

• assurance be received around the robust plans in place to manage specific areas for improvement.

• the effective use of data to understand population health need and improve equality and access to services be noted.

49.

Primary Care Group Report pdf icon PDF 132 KB

Additional documents:

Minutes:

The Place Director (Wirral) introduced this report which provided an update on the work of the Primary Care Group.

 

Resolved: That the work of the Primary Care Group be noted.

50.

Finance and Investment Group Highlight Report pdf icon PDF 104 KB

Additional documents:

Minutes:

The Associate Director of Finance (Place) introduced this report which provided an update on the work of the Finance and Investment Group (FIG). 

 

Resolved – That the work of the Finance and Investment Group be noted.

51.

Strategy and Transformation Group Highlight Report pdf icon PDF 121 KB

Additional documents:

Minutes:

The Place Director (Wirral) introduced this report which provided an update on the work of the Strategy and Transformation Group (STG). He highlighted the changing service models referred to in the report, and how they could be adopted to help identify people in need before they required intervention or a higher-level service.

 

Resolved – That the report be noted.

52.

Public Questions, Statements and Petitions

Additional documents:

Minutes:

There were no Questions, Statements and Petitions received.

53.

Wirral Place Based Partnership Board Work Programme pdf icon PDF 110 KB

Additional documents:

Minutes:

The Chair introduced this report, which detailed the annual work programme of items for consideration by the Wirral Place Based Partnership Board.

 

Resolved – That the report be noted.

54.

Any Other Business

Additional documents:

Minutes:

There was no other business.

55.

Future Meetings:

10am on 21 November 2024

10am on 19 December 2024

10am on 23 January 2025

10am on 20 February 2025

10am on 27 March 2025

Additional documents:

Minutes:

Future scheduled meetings were:

10am on 21 November 2024

10am on 19 December 2024

10am on 23 January 2025

10am on 20 February 2025

10am on 27 March 2025