To receive apologies for absence and notification of any substitutions.

Apologies for absence were received from Dr Julian Povey, Rachel Wintle, Jane Randall-Smith, Jan Ditheridge, David Coull, Mandy Thorn, Mike Brandreth, Joyce Barrow and Mike Ridley.

Adelle Wilkinson substituted for Jane Randall-Smith (Healthwatch, Shropshire).

Members are reminded that they must not participate in the discussion or voting on any matter in which they have a Disclosable Pecuniary Interest and should leave the room prior to the commencement of the debate.

Members were reminded that they must not participate in the discussion or voting on any matter in which they had a Disclosable Pecuniary Interest and should leave the room prior to the commencement of the debate.

To approve as a correct record the minutes of the previous meeting held on 26 February 2016, which will follow.

Contact Karen Nixon Tel: 01743 257720.

Subject to ‘Councillor’ being deleted from Brigid Stacey’s prefix, it was

RESOLVED That the minutes of the meeting held on 26 February 2016 be approved as a correct record and signed by the Chairman.

Arising thereon;

At minute 69 c) It was confirmed that since Paul Tulley had left, this work would be picked up by Dr Julie Davies and Fiona Ellis.  They proposed to report back to the board via the Children’s Trust

At minute 70 e) It was confirmed that this work would be included in the Annual Safeguarding Report (Andy Begley).

To receive any questions, statements or petitions from the public, notice of which has been given in accordance with Procedure Rule 14.

Two public questions were received from Mr David Sandbach.  A copy of each question was circulated at the meeting (copies attached to the signed minutes) and Mr David Evans provided the following verbal responses at the meeting on behalf of the CCG;

Question 1 – Re. Price Waterhouse Cooper (PWC) report

Mr Evans said the PWC report contained some commercially sensitive material.  A redacted version was being prepared and this would be published in the next week or so.

The Chairman welcomed this, saying she felt it was important for the detail to be made public; the work done by PCW should be transparent.

Question 2 - Re. the success of operational arrangements over the Easter period

Mr Evans confirmed that both sites had been full and that challenges had been the greatest during the week after.  An Easter Review was currently being undertaken and he was happy to send a copy of this report to Mr Sandbach when this had been concluded.

By way of a Supplementary Question Mr Sandbach asked if a risk assessment was being arranged further to stories in the local press about ambulances being piled up outside the Princess Royal.  Mr Evans confirmed this was being undertaken with the Ambulance Service and it would be reported back to the Health and Wellbeing Board in due course.

A presentation will be made.

Contact Jayne Randall-Smith or Irfan Ghani Tel 01743 253969.

A presentation was given by Jayne Randall, Drug and Alcohol Lead, Drug and Alcohol Action Team, Shropshire Council, on the draft Alcohol Strategy for 2016-2019 (copy attached to the signed minutes).

The Chair said that this work sat comfortably under the cross-cutting theme of the Health and Wellbeing Board and that it would be sensible to expand this and take the work forward.  The CCG also welcomed this work and commented that through the Better Care Fund more could be done to promote better engagement and increase the profile.

In conclusion, it was agreed that not one organisation could tackle this.  A multi-agency strategy would be required to broaden this out.  Therefore other partners input would be welcome going forward.

RESOLVED:

a)    That the aims and objectives as presented for the Alcohol Strategy 2016-2019 be approved in principle.

b)    That alcohol be considered as a future strategic priority for the Health and Wellbeing Board.

c)     That the delivery of the strategy through partnership working be supported.

A report will follow.

Contact Sam Tilley, Head of Partnerships and Planning Tel 01743 277545.

A report presenting the Better Care Fund (BCF) narrative plan and activity and finance template to the Health and Wellbeing Board for final consideration and approval was received by the Board (copy attached to the signed minutes).  It also considered Quality Premium as part of the BCF and a presentation was also made to the Board which covered NHSE requirements, the Narrative Plan, Funding, Schemes, Metrics and the next steps.

Unfortunately due to time constraints, the local authority had not been able to have much input this time round with Quality Premium.  This was flagged up to health partners and they assured that they would look at measures earlier next year to ensure there was a more timely input.

The Board did have some specific concerns it wished to raise with NHS England and therefore it was agreed that NHS England be invited to the next formal meeting of the Board so that issues could be raised with them directly.

A discussion ensued about the Better Care Fund and the STP and it was suggested that the BCF be re-positioned within the STP to influence changes within the whole system.  The informal joint meeting between Shropshire’s H&WB and Telford & Wrekin’s H&WB in May was also welcomed.

Thanks were placed on record to all staff involved for their input into this plan, but especially to Tom Brettell and Sam Tilley.

          RESOLVED:

a.     That the content of the Better Care Fund narrative plan for 2016/17 be noted and approved.

b.     That the content of the Better Care Fund activity and finance template 2016/17, including the metrics and pooled budget for 2016/17, be noted and approved.

c.     That the following 3 local quality premium metrics be approved and supported by the Health and Wellbeing Board;

·       A reduction in the rate of unplanned hospital admissions for people with chronic ambulatory care sensitive conditions;

·       An improvement in the percentage of diabetes patients receiving the recognised 8 care processes;

·       An improvement in the percentage of patients receiving IAPT commencing a course of treatment.

A report will follow.

Contact Rod Thomson, Director of Health, Tel 01743 252003.

A report from the Health and Wellbeing Delivery Group (copy attached to the signed minutes) was received and noted by the Board.  This highlighted the key work of the Group which included the 3 Health and Wellbeing Exemplar areas of work; Healthy Weight and Diabetes Prevention, Mental Health and Carers.

David Evans confirmed the CCG were supportive of the overall direction of travel, but did have concerns around the level of sustainability.  Regarding Shropshire, there were additional concerns regarding Community Fit and financial modelling.

RESOLVED:  That the report be noted.

A report will follow.

Contact Ruth Houghton, Head of Social Care, Efficiency and Improvement, Tel 01743 253093.

The Board considered a report (copy attached to signed minutes) on support to Syrian Refugees and Asylum Seekers in Shropshire.  Shropshire Council had established a cross-party working group in the autumn of 2015 to formulate and co-ordinate the response from Shropshire to this international humanitarian crisis.

A copy of the full report that had been approved by the Cabinet at their meeting on 16 March 2016 was attached at Appendix A.  It was noted that the first families would be arriving in Shropshire at the end of June 2016.

RESOLVED: That the recommendations included in the report at Appendix A be noted and supported by the Board.

A presentation will be made.

Contact George Candler Director of Commissioning Tel 01743 255003 or Miranda Ashwell Tel 01743 453537.

A presentation on Neighbourhood Life was jointly introduced and amplified by George Candler, Director of Commissioning, Miranda Ashwell, Public Health Programme Lead and Angela Creighton, Shropshire Community Leisure Trust, SERCO (copy attached to the signed minutes).

They updated the Board on the progress of work to date on Shropshire neighbourhood life and especially the model embedded in Shrewsbury and Oswestry – a discussion was currently ongoing regarding Ludlow.

The Shropshire Community Leisure Trust ‘Everybody Active Everyday action plan included MI (Behaviour change), staff training and the engagement of ‘inactive people’.

RESOLVED: That the presentation be noted and the ongoing work regarding neighbourhood life be supported.

A report will follow.

Contact Gerald Dakin or Amanda Holyoak on 01743 257714.

The Chair of the Health and Overview Scrutiny Committee undertook to circulate all members of the Board with an update on progress with health scrutiny generally after the meeting, which was welcomed.

A report will follow.

Contact Rod Thomson, Director of Health, Tel 01743 252003.

The Director of Health introduced and amplified a report (copy attached to the signed minutes) on the consultation ‘Community Pharmacy in 2016/17 and Beyond’, which set out changes for community pharmacies as the Department of Health looked to integrate more closely with other NHS services and at the same time make efficiencies that included budget reductions.

Shropshire’s main concerns about the proposed changes were about rural pharmacies; the consultation did not appear to take into account that rural communities could be disadvantaged.

RESOLVED: That the report be noted and approved as Shropshire’s response to the consultation.