Agenda and minutes

Apologies for absence were submitted on behalf of Alan Coe (Independent Chair, Wolverhampton Safeguarding Children’s Board), Simon Hyde (West Midlands Police), Linda Lang (University of Wolverhampton), David Laughton (Royal Wolverhampton NHS Trust), Kiran Patel (NHS England) and Councillor Paul Singh.

No notifications of substitutes had been received.

There were no declarations of interest.

[To approve the minutes of the previous meeting (3 June 2015) as a correct record]

Resolved:

            That the minutes of the meeting held on 3 June 2015 be confirmed as a correct record, subject to clarification in regard to paragraph 4 in that it related to the Better Care Fund.

[To consider any matters arising from the minutes of the meeting held on 3 June 2015]

With reference to minute 6, Ros Jervis, Director of Public Health, advised that Professor Kevin Fenton, National Director Health and Wellbeing PHE, had yet to visit the city. Donald McIntosh advised that the recruitment campaign for Chair of Wolverhampton Healthwatch was being repeated due to insufficient response.

[To consider and comment on the summary of outstanding matters]

Resolved:

            That the report which appraised the Board of the current position with a variety of matters considered at previous meetings be received and noted.

[To consider and comment on the items listed on the Forward Plan]

Viv Griffin, Service Director Disability and Mental Health, presented a report which provided an update on items listed in the Forward Plan for the Board.

Resolved:

            That the report be received and noted.

[To consider a report which outlines the content of the guidance received to date, assesses the opportunities and risk of each co-commissioning level and its preferred option of level 2 (Joint Commissioning) for Wolverhampton City Clinical Commissioning Group]

                                                                                                          [Steven Marshall]

Steven Marshall, Director of Strategy & Transformation,  presented a report which outlined the content of guidance received to date, assessed the opportunities and risk of each co-commissioning level and its preferred option of level 2 (joint commissioning) for Wolverhampton Clinical Commissioning Group (CCG).

With regard to table 2.5 (primary care functions), he advised that the financial balance target had now been reached and that the outcome of re-consideration for joint commissioning should be received in August.

Resolved:

            That the report be noted and received.

[To provide a further assurance report to the Health and Wellbeing Board that the CCG continues to consider and reflect on the implications of the Mid Staffordshire NHS Trust reports and system wide change necessary to improve patient safety, clinical effectiveness and patient experience]

                                                                                                          [Manjeet Garcha]

Manjeet Garcha presented a report, which provided a further assurance that the CCG continued to consider and reflect on the implications of the Mid Staffordshire NHS Trust reports and system wide change necessary to improve patient safety, clinical effectiveness and patient experience.  She advised that nursing staff and midwifery revalidation would commence in 2016, that senior leadership programmes had been strengthened and monthly oversight reports would be produced by all providers in terms of safety, effectiveness and experience.  

Resolved:

            That the report be received and a further update, including the findings of the recent and pending (Care Quality Commission) CQC inspections be presented in six months.

[To update the Board on the development of a whole system obesity action plan and associated governance arrangements and to promote an element of challenge to progress and stimulate ideas for contribution across the partnership]

                                                                                                                    [Ros Jervis]

The Director of Public Health presented a report, which provided an update in relation progress made for the Obesity Call to Action on 15 March 2015.  The report included an update on the development of a whole systems obesity action plan and associated governance arrangements, promoting an element of challenge to progress and stimulate ideas for contribution across the partnership. She indicated that nominations were still awaited from some partners in respect of the Programme Board membership, adding that operational leads were needed to champion this cause. It was anticipated that the inaugural meeting of the Board would take place on 18 September 2015.

Resolved:

            That the report be noted and received.

[To receive a PowerPoint presentation in connection with the Public Health Annual Report]

                                                                                                                    [Ros Jervis]

The Director of Public Health made a presentation in regard to ‘Lifestyle Choice – A Prevention Plan for Wolverhampton’, which outlined information on the Prevention Plan Public Health Annual Report and requirements and measures, together with the prevention strategy. The presentation included statistical information drawn from qualitative studies in respect of smoking, obesity, physical inactivity, alcohol exposure, illegal drugs and poor mental health and lifestyle.

Resolved:

      That the presentation be received and that a report be presented to a future meeting on the seventy recommendations being addressed by the partner organisations.

[To consider a report on a proposal to increase capacity within CAMHS commissioning across Wolverhampton City Council and Wolverhampton Clinical Commissioning Group. This will deliver a dedicated whole systems project across CAMHS Tiers 1 – 4 that will deliver a sustainable model into 2020/21, deliver QIPP in the short, medium and longer term, deliver to the key strategic drivers and ambitions of Future in Mind and transform lives of the children and young people of Wolverhampton]

                                                                                                              [Sarah Fellows]

Sarah Fellows, Mental Health Commissioning Manager, presented a report which outlined recommendations in respect of a proposal to increase capacity within CAMHS Commissioning across NHS Wolverhampton Clinical Commissioning Group and City of Wolverhampton Council. This aimed to deliver a dedicated whole systems project across short, medium and longer term, deliver the key strategic drivers and ambitions of Future in Mind and transform the lives of the children and young people in the city.  Close work would be undertaken in connection with schools, both in terms of curricular and extra-curricular activities, in order to deliver this agenda.

The Chair suggested that, in future, links be provided rather than producing lengthy documents for circulation with the agenda papers.

Responding to questions, the Service Director Disability and Mental Health advised that the GEM Centre focussed around special educational rather than mental health needs and that, as part of the Headstart programme, work was being undertaken with eighteen schools including special schools, adding that engagement with children, parents and carers was vital.

Resolved:

            That the report be received and the recommendations regarding a proposal to increase capacity within CAMHS Commissioning across NHS Wolverhampton Clinical Commissioning Group and City of Wolverhampton Council be endorsed.

[To consider the Equality Impact Analysis undertaken in respect of the Joint Strategy for Urgent and Emergency Care for patients using services in Wolverhampton to 2016/17]

                                                                                                          [Steven Marshall]

The Director of Strategy & Transformation presented a report which provided information on action taken following the equality analysis report on the Joint Strategy for the Provision of Emergency and Urgent Care in Wolverhampton. 

Resolved:

            That the steps taken by the Clinical Commissioning Group to implement recommendations in the equality analysis document be noted and that a further update be presented in February 2016.

[To receive a report on the development and progress of the Better Care Fund, in particular the Intermediate Care and Primary and Community Care workstreams, to appraise the Board of the next steps and to secure continuing support from the whole Health and Social Care Economy to facilitate the successful delivery of the Better Care Programme]

                                                                                      [Viv Griffin / Steven Marshall]

The Director of Strategy and Transformation presented a report which briefed the Board on the development and progress of the Better Care Fund and, in particular, the Intermediate Care and Community Care workstreams.  The report appraised the Board of next steps and sought continuing support from the whole Health and Social Care Economy to facilitate the successful delivery of the Better Care programme.

Resolved:

            That the report be received and noted.

[To receive feedback from the following Sub Groups]

(i) Children’s Trust Board (Cllr Val Gibson)

(ii) Integrated Commissioning and Partnership Board (Linda Sanders)

Councillor Gibson tabled a paper briefly detailing the work of the Children Trust Board April 2014 to March 2015 and, in so doing, apologised that the minutes of the last meeting had not been circulated with the agenda. 

The Strategic Director, People presented the minutes of the Integrated Commissioning and Partnership Board held on 11 June 2015.

Resolved:

a)    That the Annual Report of the Wolverhampton Children Trust Board be received.

b)    That a full report be presented to a future meeting.

c)    That the minutes of the Integrated Commissioning & Partnership Board held on 11 June 2015 be received.

d)    That an update be presented to the next meeting on the mental health and dementia interface.

Jeremy Vanes drew attention to the many changes in the provider sector and undertook to circulate relevant information form the Association of Foundation Trusts and Trusts (NHS Providers).