Agenda and minutes
PDF 163 KBVenue: Shrewsbury Room, Shirehall, Abbey Foregate, Shrewsbury, Shropshire, SY2 6ND
Contact: Karen Nixon Committee Officer
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APOLOGIES FOR ABSENCE AND SUBSTITUTIONS Minutes: Apologies for absence were received from ;
David Minnery – Portfolio Holder for Children and Young People Dr Julie Davies – Director of Performance and Delivery Jan Ditheridge – Chief Executive, Shropshire Community Health Trust Neil Carr – Chief Executive, South Staffs & Shropshire Foundation Trust Simon Wright - Chief Executive, Shrewsbury & Telford Hospital Trust Dr Tony Marriott – Chair GP Federation Bev Tabernacle – Robert Jones & Agnes Hunt Hospital Clive Wright – Chief Executive, Shropshire Council
Substitutions were made as follows;
Cathy Riley for Neil Carr, South Staffs & Shropshire Foundation Trust Steve Gregory for Jan Ditheridge, Shropshire Community Health Trust
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DISCLOSABLE PECUNIARY INTERESTS 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. Minutes: 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. |
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To confirm the Minutes of the meeting of the Health and Wellbeing Board held on 8th December 2016, which are attached.
Contact Karen Nixon on 01743 257720.
Minutes: RESOLVED:
That the Minutes of the meeting held on 8 December 2016 be approved as a correct record and signed by the Chairman.
Arising thereon;
Keeping Adults Safe in Shropshire - Minute 38. c) and d).
It was agreed that the Joint Case Audit feedback and performance data be chased up and that the information on domestic violence also be followed up through the Business Manager’s Board.
System Update – Minute 39 b) STP Neighbourhoods Update
It was agreed that ‘Leadership’ be looked at in more detail by the Delivery Group.
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PUBLIC QUESTION TIME To receive any questions, statements or petitions from the public, notice of which has been given in accordance with Procedure Rule 14. Minutes: Three public questions were received from David Sandbach (copy attached to the signed minutes).
Question 1 and 2 were taken together; Dr Freeman confirmed that to date, Shropshire CCG had not considered using Better Care Funds to provide citizens with an online tool such as ‘Rally Round’, but perhaps they should consider this in the future.
A discussion then ensued in respect of the full sharing of patient information by GP practices in Shropshire and the level of service afforded in places elsewhere (such as Thornley which was given as an example). It was agreed that this was a complex issue and that transparency and consistency was key in moving forward with this.
Question 3 was partly answered by Dr Freeman on behalf of the SaTH trust representative who was unable to attend the meeting. It was true that serious problems faced both the Royal Shrewsbury Hospital and the Princess Royal Hospital. There were communication issues which it was hoped would be improved, especially in the light of the imminent appointment of an Urgent Care Director to get things flowing better. It was unacceptable and improvements needed to be made.
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SYSTEM UPDATE Verbal updates will be made.
a) STP & Future Fit – Simon Freeman, Accountable Officer, Shropshire CCG b) STP Neighbourhoods – Rod Thomson, Director of Public Health c) A&E Delivery Group – Simon Wright, Chief Executive, SaTH d) Ambulance Update – Barry McKinnon, Regional Manager, West Midlands Ambulance Service
Minutes: a) STP & Future Fit
Dr Simon Freeman Accountable Officer updated the Board on the latest developments. The preferred FF option was Shrewsbury, but due to an objection lodged by Telford & Wrekin authority the STP Project Board would be meeting shortly to agree the Terms of Reference for an Independent Review to take place on this in March 2017.
Who would be footing the bill for the cost of this extra review was unknown at this stage, but it was anticipated that there may need to be a change in the constitution in the future, though this was still to be worked through.
A discussion ensued about the public perception and confusion that existed around the STP and Future Fit and ensuring proper engagement. The Chair offered the assistance of the Communications and Engagement Group if required. Dr Freeman said he would need to discuss this with Simon Wright in the first instance, whilst it was generally agreed that improvements were required. ACTION: S Freeman
Concerns about transparency were raised and it was confirmed that everything would be made public in future, which was welcomed.
Arising on the STP and FF update – Karen Calder requested that ‘Communications and Engagement Delivery Group’ be put onto the next H&WB agenda. ACTION: P Bason
Rachel Wintle highlighted that in October 2016, it had been agreed that the Voluntary Sector be invited onto the STP Board. To date no more had happened and Rachel Wintle asked if this could be picked up. Dr Freeman undertook to take this forward. ACTION: S Freeman
b) STP Neighbourhoods
Neighbourhood work is key. It was noted that this work will be rolled out via the Local Joint Committee’s (LJC’s) in future.
c) A&E Delivery Group
It was agreed that ‘STP’ should be a standing item on ALL future H&WB agenda’s. ACTION: P Bason
d) Ambulance Update
Unfortunately no-one attended the meeting from the Ambulance Service. It was agreed that this item should go to the next H&WB meeting in March. ACTION: P Bason
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DELIVERY GROUP REPORT - BETTER CARE FUND UPDATE A report will follow.
Contact: Sam Tilley, Head of Planning and Partnerships, Shropshire CCG, Tel 01743 27750.
Additional documents: Minutes: Sam Tilley, Head of Planning and Partnerships, Shropshire CCG, updated the Board on performance to date in 2016/17 via the local performance report and provided current information on the likely requirements for the BCF in future years (copy attached to the signed minutes).
The Chair welcomed the strong performance to reduce non-elective (NEL) admissions had continued and that this was rated green for this period.
In respect of Multi-Disciplinary Team Hub meetings taking place and driving actions for discharge patients, the Chair asked why patients who had not had relevant actions completed were escalated at 3.00pm to Executives to support with unblocking barriers? Sam Tilley undertook to look at this and also the rationale behind twice weekly community conference calls, held with all community leads, ICS and independent providers to unblock barriers to discharge and support to progress plans for DTOC patients. ACTION: S Tilley
It was noted that guidance was still awaited for BCF Funding 2017/18 to 2018/19. Significant delays, meant challenging times for the team involved. It was hoped this would soon be published.
RESOLVED
a) That the content of the Better Care Fund Performance report be noted. b) That the current position in relation to BCF planning for 2017/18 to 2018/19 be noted.
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SHROPSHIRE ALL AGE CARER'S STRATEGY A report is attached.
Contact Val Cross, Health and Wellbeing Officer, Tel 01743 253998.
Additional documents:
Minutes: The Health and Wellbeing Officer introduced and amplified a report (copy attached to the signed minutes) on the All-Age Carers Strategy for Shropshire 2017/18. Five priorities had been identified through consultation and surveys with carers, local and national best practice and a local multi-agency working group. These priorities focussed on the overarching aim which was: ‘Carers are supported to remain emotionally, mentally and physically well and feeling safe’.
An Action Plan to meet the needs of these priorities had been produced and leads for four out of five areas had been identified. It was hoped that the lead from Children’s Services would be identified for Priority 4 very shortly. The Board welcomed this and the work that was underway to ensure that firm outcomes would be achieved.
RESOLVED:
a) That the Strategy be approved by the Board, subject to linking this into the Better Care Fund.
b) That a lead from Children’s Services be identified for Priority 4 – to be confirmed by the Director of Children’s Services.
c) That the Carers Strategy be linked in to businesses that employ carers - Penny Bason to take this forward.
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BI-ANNUAL UPDATE FROM SHROPSHIRE HEALTHWATCH A report is attached.
Contact Jane Randall-Smith, Healthwatch Chief Officer, 01743
Minutes: The Chief Officer, Healthwatch Shropshire (HWS) introduced and amplified the Healthwatch Biannual report covering the period July 2016 to end December 2016 and highlighted activity during that period. Through listening to everybody’s voices, the wide scope of the work undertaken by HWS and how the intelligence gathered was used was highlighted in the report (copy attached to the signed minutes).
With regard to the three new priorities set for 2016-17, the second priority of Young People’s experiences (17-25) of health services and their information needs – project being undertaken by Keele University students and Shrewsbury College students – it was agreed that this work should also be linked in to Children’s Services ACTION: K Bradshaw
It was suggested that a triangulation meeting between the Chair of the Health and Wellbeing Board, the HWS Chief Officer, the Health and Wellbeing Officer and Scrutiny would be beneficial and should be arranged shortly, which was agreed. ACTION: P Bason
RESOLVED:
a. That the contents of the report be noted.
b. That links be made to the new priority in 2016/17 of Young People’s experiences by Children’s Services.
c. That a triangulation meeting between the Chair of the Health and Wellbeing Board, the HWS Chief Officer, the Health and Wellbeing Officer and Scrutiny be arranged.
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FOR INFORMATION ITEMS a) H&WB Sub-Group Reports – for information Ø Children’s Trust – Karen Bradshaw, Director Children’s Services Ø Mental Health Partnership Board – Andy Begley, Director Adult Services
b) Minutes of the A&E Delivery Group – for information
Additional documents:
Minutes: a) H&WB Sub-Group Reports – for information Ø Children’s Trust – Karen Bradshaw – this was supported Ø Mental Health Partnership Board – Andy Begley – this was noted.
b) Minutes of the A&E Delivery Group – for information The minutes were noted and it was agreed that these should be provided to the next Health and Wellbeing meeting for information.
In conclusion it was suggested that another Joint Board meeting be held with Telford and Wrekin after the local elections in May 2017. This was agreed. ACTION: P Bason
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