Agenda and minutes

Health and Wellbeing Together
Wednesday, 16th October, 2019 12.30 pm

Venue: Committee Room 3 - Civic Centre, St Peter's Square, Wolverhampton WV1 1SH

Contact: Shelley Humphries  Tel: 01902 554070 email: shelley.humphries@wolverhampton.gov.uk

Items
No. Item

1.

Apologies for absence

Minutes:

Apologies were received from David Loughton, Sally Roberts, Chief Superintendent Andy Beard and Steven Marshall.

2.

Notification of substitute members

Minutes:

Andrew Wolverson attended for Emma Bennett, Kuli Kaur Wilson attended for Lesley Writtle and Dr Ranjit Khutan attended for Dr. Katherine Birch.

3.

Declarations of interest

Minutes:

Dr Ranjit Khutan, University of Wolverhampton declared an interest in his capacity as a member of the Healthwatch Advisory Board.

4.

Minutes of the previous meeting pdf icon PDF 330 KB

[To approve the minutes of the previous meeting as a correct record.]

Minutes:

Resolved:

That the minutes of the meeting of 10 April 2019 be confirmed as a

correct record and signed by the Chair.

5.

Matters arising

[To consider any matters arising from the minutes of the previous meeting.]

Minutes:

In respect of Minute 8, it was reported that Supporting Individuals and Families with No Recourse to Public Funds training sessions had taken place and had been well received. It was noted that further sessions would be planned if requested.

 

In respect of Minute 10, it was noted that Brendan Clifford, Black Country DAS was leading on developing and embedding the health and wellbeing dimension in all polices and taking this forward.

6.

Health and Wellbeing Together Forward Plan 2019 - 2020 pdf icon PDF 355 KB

[To receive the Health and Wellbeing Together Forward Plan 2019 - 2020.]

Minutes:

Madeleine Freewood, Development Manager presented the Health and Wellbeing Together Forward Plan 2019 – 2020.

 

It was noted that the Health and Wellbeing Executive Group meeting would need to be rescheduled and that Democratic Services would contact members in due course to advise of the new date and time.

 

It was noted that the Black Country Strategic Child Death Overview Panel Development (CDOP) Update would be deferred to a later date.

 

Resolved:

  1. That details of the rescheduled Health and Wellbeing Together Executive Group meeting be forwarded to members.
  2. That the Black Country Strategic Child Death Overview Panel Development Update would be deferred to a later date.

3.    That the Health and Wellbeing Together Forward Plan 2019 – 2020 be noted.

7.

Health and Wellbeing Together Strategy Meeting – Outcomes and Next Steps pdf icon PDF 313 KB

[To receive the Health and Wellbeing Together Strategy Meeting Outcomes Report and endorse the next steps.]

Minutes:

Madeleine Freewood, Development Manager presented the Health and Wellbeing Together Strategy Meeting – Outcomes and Next Steps report and highlighted salient points. The report outlined a summary of the discussions that took place as part of the Health and Wellbeing Together strategy meeting held on 3 July 2019.

 

It was reported that the main focus of the discussions was the Living Well theme of the Joint Health and Wellbeing Strategy and a number of recommendations had been made under the Workforce, City Centre and Embedding Prevention Across the System priority areas.

 

It was noted that, also included as part of the Strategy Day, a presentation was delivered providing an overview of the opportunities for health and social care offered by 5G technology and the plans to use the City as a testbed.

 

The report provided a summary of the recommendations for all these priority areas and it was reported that work had commenced to drive these actions forward. The report sought endorsement from Board members in support of these actions.

 

Professor Steve Field CBE, Royal Wolverhampton NHS Trust agreed that the Strategy Day had been interesting and requested that future strategy meeting invitations be extended to other colleagues from RWT wishing to engage and contribute. Dr Helen Hibbs MBE, Wolverhampton CCG added that the CCG would be happy to feed into any of the work programmes sitting underneath.

 

It was debated how to share the work plan with partners and a mini conference was suggested.

 

It was noted that there was a model that had worked well in Bradford, sharing information at a locality level. As Wolverhampton was a City, it could be taken ward by ward and work could be linked with Councillors. It was noted that Wolverhampton had previously been viewed as three localities; south east, north east and south west.

 

It was also reported that a meeting had been set up with partners and Council officers to further explore the possibilities of 5G technology for the future of health and social care in the City.

 

Resolved:

1.    That the Health and Wellbeing Together Strategy Meeting Outcomes and Next Steps as outlined in section 3.0 of the report be endorsed by Health and Wellbeing Together.

 

8.

Public Health Annual Report 2019 pdf icon PDF 272 KB

[To receive the Public Health Annual Report 2019.]

Additional documents:

Minutes:

John Denley, Director of Public Health presented the Public Health Annual Report 2019 and highlighted salient points. It was outlined that the Director of Public Health’s Annual report was a professional statement about the health and wellbeing of their local communities and a statutory requirement. The report aimed to inform both professionals and members of the public about key issues in the City, identify current priorities and highlight required action for the improvement and protection of the health of the local population. It was noted that the report had been produced in line with the aims and priorities that ran through the Public Health Vision 2030, Wolverhampton Council Plan 2019 – 2024 and the Health and Wellbeing Strategy 2018 - 2023.

 

It was highlighted that emphasis had been placed on using what had been successful in the last Annual Report and building on ways to further improve this year’s report.

 

The Annual Report outlined the themes of Starting and Developing Well, Healthy Life Expectancy and Healthy Ageing, with the underlying theme of System Leadership. It included what challenges had been faced and what plans were in place to address these challenges. To illustrate place-based health, an infographic profile of each ward had been produced which provided a red, amber, green rating and a brief, concise narrative explaining what the statistics for each ward meant for its residents. 

 

It was noted that the focus concentrated on conditions that resulted in poor health or making unhealthy choices and addressing them as early as possible to ensure a healthy progression through life. It was important to gain an understanding of why healthy lifestyles and life expectancy differed throughout the City and how health inequalities could be overcome.

 

It was highlighted that the next steps would be to focus on partnership working, build upon work already ongoing and work on all areas that could be influenced.

 

Poor quality housing was thought to be a contributing factor in terms of issues such as damp in properties causing respiratory and other health problems, for example. Obesity was also highlighted as an issue that may perhaps be attributed to poor education on making healthy lifestyle choices.

 

It was noted that a correlation existed between wards with highest outcomes in age and life expectancy and dissatisfaction with their neighbourhood area and it was queried why this should be.

 

In response to poor quality housing in the private sector, it was thought to be of great concern and it was queried by Councillor Wendy Thompson whether private landlords were being held to account and whether Serco had become involved. It was noted that they had in some cases however Councillor Ian Brookfield offered to investigate this and respond.

 

It was noted that the information represented would prove useful in future for the primary care networks as they developed. It was felt the information was well-represented and offered a clear understanding of the health of the population rather than just outlining the delivery of care.

 

It was noted that links  ...  view the full minutes text for item 8.

9.

Black Country and West Birmingham STP Five-year Plan

[To receive a presentation on the Black Country and West Birmingham STP Five-year Plan.]

Minutes:

Dr Helen Hibbs MBE delivered the presentation on the Black Country and West Birmingham STP Five-year Plan. It was outlined that in June 2018, the Prime Minister had made a commitment that the Government would provide the National Health Service (NHS) with funding over five years with an average increase of 3.4% per year. The NHS were asked to develop a long-term plan outlining its ambitions for improvement over the next decade and plans to meet them over the five-year period of funding.

 

The presentation provided details around commitments to the population, the NHS system and its workforce to support the overall vision of Working Together to Improve the Health and Wellbeing of Local People. The presentation outlined the challenges of maintaining a high quality of service to address complex health and wellbeing challenges, whilst resolving the financial challenges to sustain this. As there was a fixed amount of money, the solution lay in developing new ways of working within this budget.

 

It was noted that the key priorities were:

  • Working to reduce health inequalities and improving health outcomes
  • Ensuring Wolverhampton and the Black Country is an attractive area in which to work
  • Working together to create sustainable community, workforce and health care system

 

The key principles were identified as:

  • Creating a culture of stewardship (doing things together, shared responsibility)
  • Health and social care acting as one
  • All services working together as a network, delivering care and treatment around an identified need
  • Providing local people with the information and support to empower them to optimise their own health and wellbeing
  • Taking a collective responsibility for delivering our Long-Term Plan.

 

Board members were asked to think about how they could contribute and if they had any thoughts on the role of people and communities in delivering this plan.

 

The plan was commended for the inclusion of a mental health element.

 

It was thought that commissioning services locally was preferable and commissioning geographically only when appropriate. It was noted that it was important to keep Wolverhampton services and resources local.

It was also stated that ensuring there were good social care providers within communities was a priority.

 

Resolved:

That the presentation on the Black Country and West Birmingham Sustainability and Transformation Partnership (STP) Five-Year Plan be received.

10.

Co-production Charter pdf icon PDF 152 KB

[To endorse the Co-production Charter for the City.]

Additional documents:

Minutes:

Resolved:

That the Co-production Charter report be deferred to the next meeting of Health and Wellbeing Together.

11.

Better Care Fund 2018-2019 Annual Report pdf icon PDF 413 KB

[To receive an update on the progress made towards delivery of the Better Care Fund programme during 2018-2019.]

 

Minutes:

David Watts, Director of Adult Services presented the 2018 – 2019 Better Care Fund Annual Report and highlighted salient points. The report provided Health and Wellbeing Together with an update on the progress made towards the delivery of the Better Care Fund (BCF) programme during 2018 – 2019.

 

The report outlined that the programme was a Government initiative that encompassed the NHS and local government and sought to integrate health and care services. It was noted that the programme was designed to enable people to manage their own health and wellbeing and live independently in their communities for as long as possible.

 

It was noted that there had been plans to submit proposals to Cabinet for an increase in Extra Care beds, which would mean a significant investment but was anticipated to reap benefits.

 

It was reported that robust partnership arrangements had been put in place to keep the plan on target. This included four main workstreams that oversaw mental health, child and adolescent mental health services (CAMHS), adults and community and dementia.

 

Becky Wilkinson, Head of Service – Adult Improvement noted that, when working at NHS England, of the 14 BCF plans that were submitted, Wolverhampton’s was one of the plans that had really stood out. The Wolverhampton BCF programme had been commended for strong collaboration between partners and for a robust plan.

 

Resolved:

That the update on the progress made towards the delivery of the Better Care Fund Programme during 2018 – 2019 be received.

12.

Substance Misuse Partnership Update and Licensing Policy Consultation pdf icon PDF 384 KB

[To endorse the Substance Misuse Partnership’s system approach to tackling substance related harm.]

Minutes:

Resolved:

That the Substance Misuse Partnership Update and Licensing Policy Consultation report be deferred to future meeting.