Agenda and minutes

Health and Wellbeing Together
Wednesday, 29th March, 2017 12.30 pm

Venue: Committee Room 3 - 3rd Floor - Civic Centre. View directions

Contact: Helen Tambini  01902 554070 Email: helen.tambini@wolverhampton.gov.uk

Items
No. Item

1.

Apologies for absence

Minutes:

Apologies were received from the following members of the Board:

Alistair McIntyre – Locality Director – NHS England (West Midlands) 

Councillor Val Gibson – Cabinet Member for Children and Young People

Councillor Paul Singh – Shadow Cabinet Member for Public Health and Wellbeing

Dr Alexandra Hopkins – University of Wolverhampton

Tim Johnson – Strategic Director – Place

Tracy Taylor – Black Country Partnership NHS Foundation Trust

 

2.

Notification of substitute members

Minutes:

Bhawna Solanki attended on behalf of Dr Alexandra Hopkins.

3.

Declarations of interest

Minutes:

There were no declarations of interest.

4.

Minutes of the previous meeting - 15 February 2017 pdf icon PDF 108 KB

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

Minutes:

That, subject to the amendments referred to below, the minutes of the meeting held on 15 February 2017 be confirmed as a correct record and signed by the Chair:

  • The inclusion of Bhawna Solanki in the list of apologies.

·         The deletion of Chief Supt Jayne Meir from the list of attendees and her inclusion in the list of apologies.

 

5.

Matters arising

[To consider any matters arising]

Minutes:

The Chair thanked the Board for its comments on the Early Years Strategy and confirmed that it had been approved by the Cabinet.

 

Linda Sanders, Strategic Director – People, referred to the Better Care Fund and confirmed that the Council was still awaiting Government guidance and once that had been received the Board would be updated.

 

The Chair referred to the Forward Plan and noted that several reports had been deferred.  He referred to the need to ensure the effective management of the Forward Plan and noted that the issue would be discussed further under the Forward Plan item.   

6.

Sustainability and Transformation Plan (STP) - Update and Local Health and Care System next steps pdf icon PDF 99 KB

[Dr Helen Hibbs, Wolverhampton CCG, David Loughton, Royal Wolverhampton Hospitals NHS Trust and Linda Sanders, Strategic Director - People, to present report]

[TO FOLLOW]

Minutes:

Dr Helen Hibbs, Chief Officer, Wolverhampton Clinical Commissioning Group (CCG), David Loughton, Chief Executive, Royal Wolverhampton Hospital NHS Trust and Linda Sanders, Strategic Director – People presented the report.

 

The Strategic Director – People introduced the item and referred to the work already undertaken by the Transition Board and its evolvement into a Systems Development Board.  She referred to the anticipated announcement by the Head of NHS England, Simon Stevens on Friday, 31 March, outlining future proposals for the health service and the implications that might have for Wolverhampton and the wider Black Country.  She expected that there would be a renewed commitment to Sustainability and Transformation Plans (STPs), moving into a new phase with the appointment of a System Leader for the Black Country to drive change.  Work was already ongoing with the Chief Officer and Chief Executive to ensure that local residents continued to receive the best service possible.  It was vital that the service remained cohesive and resilient.

 

The Chief Officer referred to the ongoing attempts to reorganise the NHS and the difficulties ahead.  Discussions locally had taken place looking at a place-based model of care to tie into the wider Black Country model.  Information relating to the new System Leader post continued to change and it was unclear if an incumbent would take the post.  A joint committee comprising the four Black Country CCGs had held its initial meeting and established several Task and Finish Panels.

 

The Chief Executive referred to the forthcoming great structural changes required to achieve the targeted reductions of £900 million.  During this period of considerable change there was a great opportunity for Wolverhampton to take the lead, with so many significant changes taking place just outside Wolverhampton.

 

The Service Director – Public Health and Wellbeing referred to the uncertain future and the importance of regular dialogue as issues emerged to ensure that appropriate time was given to understand and support the development of the system for local people.

 

The Board was concerned about acute hospital bed provision in the region and sought assurance regarding its future.

 

Steven Marshall, Director of Strategy and Transformation, Wolverhampton Clinical Commissioning Group stated that although significant savings would have to be made and there was a great deal of speculation, there was no plan in place for hospital closures in the area.

 

The Chief Officer confirmed that as part of the STP there would be increased community care and to allow that, resources would need to be released from acute hospital beds.  There would need to be economies, different working practices, and early intervention to allow that to happen.

 

Jeremy Vanes, Chair, Royal Wolverhampton Hospital NHS Trust stated that the Trust Board had spent time trying to prepare for future changes.  The emphasis would be on sustaining health improvements rather than structure and although any changes would be orchestrated nationally, it would have to be delivered locally.

 

The Strategic Director – People referred to a press statement which had been drafted and asked the Board for  ...  view the full minutes text for item 6.

7.

Health and Wellbeing Board - Forward Plan 2016/17 pdf icon PDF 55 KB

[Ros Jervis, Service Director – Public Health and Wellbeing, to present Forward Plan]

Additional documents:

Minutes:

Ros Jervis, Service Director – Public Health and Wellbeing introduced the report.

 

The Service Director – Public Health and Wellbeing referred to the letter from the Chair circulated to all members of the Board regarding proposed changes to how agendas for future meetings were set to ensure a strong strategic focus was maintained.  It was proposed to establish an Agenda Group of core members which would meet a month before each meeting and members of the Board were encouraged to feed through any ideas which would be considered by that Group.  Feedback to the proposals had been positive so far and any additional feedback was welcomed.

 

The Chair confirmed that there would be quarterly meetings and a development day in October.  The Agenda Group would allow more effective planning for future agendas.

 

The Board referred to the forthcoming announcement by Simon Stevens on future proposals for the health service and suggested that an update report to reflect any possible impact from that statement on the Sustainability and Transformation Plan (STP) should be submitted to the next meeting in June.

 

Alan Coe, Chair of the Wolverhampton Safeguarding Board referred to how the phasing of the Safeguarding Boards would fit into the Plan and the Board suggested that those timings should also be considered.

 

Resolved:

1.    The Board approved the current Forward Plan.

2.    The Board requested a report on the STP detailing any updates in response to the forthcoming announcement from the Head of NHS England to be submitted to the next meeting of the Board in June.

3.    The Board consider the timings for the phasing of the Safeguarding Boards into the STP at an appropriate time.

 

8.

NHS Capital Programme - Updates

[Dr Helen Hibbs, Wolverhampton Clinical Commissioning Group, to present report]

[TO FOLLOW]

Minutes:

A request had been received prior to the meeting for the report title to be changed to Estates Update and for the report to be deferred to the next meeting.

 

Resolved:

1.   That the report title be changed to Estates Update.

2.   That the item be deferred to the next meeting of the Board in June.

 

9.

Evaluation Feedback on Living Well, Feeling Safe Event pdf icon PDF 82 KB

[Ros Jervis, Service Director – Public Health and Wellbeing and David Watts, Service Director – Adults, to present report]

 

Additional documents:

Minutes:

Ros Jervis, Strategic Director – Public Health and Wellbeing and David Watts, Service Director – Adults presented the report.

 

The Service Director – Public Health and Wellbeing introduced the report and stated that the event had proved extremely successful in engaging with both partners, community groups and local residents and had been very well received, with considerable positive feedback.  Suggestions had also been received for any future events and it was important not to lose momentum and to consider the way forward.

 

The Service Director – Adults referred to the importance of engaging at a local level and working with local communities.  The event had also highlighted local knowledge which had added valve to the event.  In future events could be themed to target problems highlighted in specific areas.

 

The Board referred to large community events held annually in various locations, including Durham but considered that, smaller, more frequent, localised events were more beneficial as local communities and neighbourhoods could relate to them more.  It was also important that the impetus between events was not lost, which could happen when annual events were held.

 

Alan Coe, Chair of Wolverhampton Safeguarding Board stated that it was important to help the socially isolated who were prone to vulnerability and it would be helpful to identify what local people found helpful when such events were held and any input from Stephen Dodd from the Wolverhampton Voluntary Sector Council would be advantageous.

 

Chief Supt Jayne Meir, West Midlands Police referred to the Active Citizens Funding of £80,000 to be awarded to community groups towards crime prevention and resilience and it was hoped in the future to become increasingly involved in community activities.

 

The Service Director – Public Health and Wellbeing confirmed that the Steering Group was Chaired by Stephen Dodd and a representative from the Police would be invited to the next meeting on 12 April. 

 

In answer to a question regarding GP involvement, the Service Director – Public Health and Wellbeing confirmed that the Clinical Commissioning Group was well engaged and help would be given to improve engagement with GPs.

 

Resolved:

1.      The Board noted the feedback from the Living Well, Feeling Safe Event.

2.      The Board receive a range of options for further events at a future development session.