Apologies had been received from

David Crosby, Chief Officer, Shropshire Partners in Care

Simon Hardiman, Chief Fire Officer, SFRS

Patricia Davies, Chief Executive, Shropshire Community Health NHS Trust

Paula Mawson, Assistant Director – Integration & Healthy Population, Shropshire Council 

Guy Williams substituted for Simon Hardiman

Members are reminded that they must declare their disclosable pecuniary interests and other registrable or non-registrable interests in any matter being considered at the meeting as set out in Appendix B of the Members’ Code of Conduct and consider if they should leave the room prior to the item being considered. Further advice can be sought from the Monitoring Officer in advance of the meeting.

To confirm as a correct record the minutes of the meeting held on 18 January 2024 (attached).

Contact: Michelle Dulson Tel 01743 257719

RESOLVED:

That the minutes of the previous meeting held on 18 January 2024 by agreed and signed by the Chairman as a correct record

To receive any questions, statements or petitions from the public, notice of which has been given in accordance with Procedure Rule 14.  The deadline for this meeting is 5pm on Friday 12 April 2024.

A question was received from Mr Mike Richardson, Shrewsbury Friends of the Earth in relation to Air Quality.

The full question and the response provided by Shropshire Council is available on the web page for the meeting:

Agenda for Health and Wellbeing Board on Thursday, 18th April, 2024, 9.30 am — Shropshire Council

Jess Edwards, Public Health Intelligence Manager, Shropshire Council and Helena Williams, Youth Support Team Manager, Shropshire Council

Members received a presentation from Jess Edwards, Public Health Intelligence Manager, Shropshire Council and Raqeebah Agberemi, Senior Population Health Management Analyst, Shropshire Council which gave an update on progress with the CYP JSNA.  Members were advised that the first drafts of chapters 1 & 2  were attached as appendices to report which had been circulated with the agenda papers.

Cllr Kirstie Hurst Knight, Portfolio Holder for Children and Education thanked officer for the update and commended all those involved for the large amount of work carried out to date.

The Executive Director – People welcomed the comprehensive report and commented that it was a report that must be acted upon and not allowed just to sit on a shelf. She stated that  the area of greatest concern was the 0 – 4 data especially the 2022-23 data on 6-8 week checks, and 12 month and 2 ½ year checks.  She added that she had been advised that the 2023 data showed an improvement and that she had asked for monthly reports to ensure early identification of families to enable  provision of support to prevent the need for children to come into Local Authority care.  She added other areas of concern were the data around dental admissions to hospital and the number of overweight children at reception age.    The Executive Director asked that consistent use of data was used as in some areas it referred to England and West Midlands averages and in others it referred to out statistical neighbours.

The Chair agreed with the Executive Director that the document should not sit on a shelf but asked how the data could be made more “user friendly”.  He suggested that a web based system be used using hyper links to take users from the initial data to the more detailed information.  The Public Health Intelligence Manager stated that for other JSNAs they had produced a slide deck for each section which drew out the highlights and directed the reader to more information and that it was planned to do this for this JSNA.

After further discussion it was RESOLVED

That the Health and Wellbeing Board note the contents of the report.

Vicki Jones, Head of Transformation and Commissioning, Children and Young People

Learning Disabilities and Autism, NHS STW and Liam Laughton, Head of Children, Young People and Family Services, Shropshire and Telford & Wrekin Care Group

Members received an update from Tracy Jones, Vicky Jones and Liam Laughton which gave an update on the BeeU services.

Members were advised that there had been a 262% rise in referrals to the service over the last 2 years and a rise of 1699% in the number of active cases over the same period.  There had also been a 767% increase in the numbers of children being referred to neurodevelopmental Pathways and that as a consequence of the rises there had been an increase in waiting times.

Members were advised that a new contract had commenced and as part of this new KPIs had been agreed.  In addition there had been an increase in funding which would allow additional capacity within the service.

The Director of Children’s Services asked that specific data of performance in Shropshire be provided.

Lynn Cawley welcomed the work around “waiting well” as timescales feel longer for children.  She also expressed concern around “unmet need”  and stressed the need to have mental health awareness over all of service.

The Director of Public Health stated that there was a need to look at inequalities within the service and a need to work on prevention as part of the recommissioning process.

RESOLVED:

That the Health and Wellbeing Board

·         Note the contents of the report. 

·         Continue muti-agency support to develop joint services during 2024/25  

·         Support the in-year development of the new CAMHS model for 2025 onwards

·         Note the additional funding and the additional KPIs  and stress the importance of closely monitoring performance.

Claire Sweeny, Healthy Lives Team Manager, Shropshire Council

Members received a report and presentation from Claire Sweeny, Healthy Lives Team Manager, Shropshire Council which provided an update on the Social Prescribing offer in Shropshire.

Members were advised that in the past 12 months there had been 814 referrals the majority coming from organisations other than the GP and that the main reason for referral was for emotional wellbeing.

Members were informed that contracts were currently being renewed with the Primary Care Networks and that there was recognition of the preventative nature of the work that the Social Prescribing service carried out and a need to consider how the service could be funded through a joint commissioning model or collective approach.

Claire Parker commented that it was important that we do not lose sight of the small number of children whose situation worsens and ensure that they are pointed to the correct services.  She added that as part of considering how the service is funded going forward, the preventative work could be aligned to what is in the CYP JSNA  and how it is matched with neighbourhood integration.

Nigel Lee commented that it was positive that there was an increase in referrals which would enable the development of the right services and that as numbers rise there are opportunities to examine the drivers for the increase and to understand which services will fit best.

RESOLVED:

That the Health and Wellbeing Board

·         Note and endorse the progress and improved outcomes for Shropshire children and young people. 

·         Note the risks to funding and opportunities for the system to consider joint funding through Children and Young People Mental Health, Early Help and Primary Care

·         Recognise the work of the service and thank all the staff for their work.

Claire Parker, Director of Partnerships NHS Shropshire, Telford and Wrekin

Members received the report of Claire Parker, Director of Partnerships and Place, NHS Shropshire, Telford and Wrekin which gave an update the work of the ICB.  She drew attention to the work around the updating of the joint forward planning process and stated that this would be brought to the next meeting of the Board for review.

Nigel Lee informed members that with regard to cancer performance Shropshire had seen the largest reduction in people waiting nationally.  He advised the with regard to the joint forward planning process the Joint HOSC would be looking at this at its meeting on16 May

RESOLVED:

That the Health and Wellbeing Board note the contents of the update 

Helen Brown, Shropshire Food Poverty Alliance Co-ordinator, Shropshire Citizens Advice

Members received the report of Helen Brown, Coordinator Shropshire Food Poverty Alliance which gave an update on the work of food banks in Shropshire.  She commented that 80% of the people using food banks in Shropshire had a long term health condition or disability.

The Chair asked whether with regards to prevention are we doing enough to link signposting and support around food banks to enable them to help support users.

The Director of Public Health commented that whilst a lot of work was being done , more could be done.

Emily Fay, Shaping Places Programme Manager, Shropshire Council

Members received the report of Emily Fay, Programme Manager, Shaping Places for Healthier Lives, Shropshire Council which provided and update on year 2 of the programme.  She commented that whilst the cost of living crisis was easing, people were still struggling financially and there was need to help steer people to the many sources of support.  She asked all Members to help spread the use of the toolkit that had been developed.

RESOLVED

That the Board note the contents of the report and recognises the work being done.

The Chair gave the following updates: -

·         There had been a change in hours at Rowlands Pharmacy which would be advertised on the website

·         NHS England had advised that there had been an application to consolidate NSM Pharm Ltd. onto a site at the Tannery, Barker Street currently run by Lunt’s Healthcare and that any objections needed to be made by 20 April 2024

 Penny Bason, Head of Service, Joint Partnerships, Shropshire Council

Members had before them a report which gave an update on the work of ShIPP.

RESOLVED

That Members note the contents of the report

Susan Lloyd, Consultant in Public Health, Shropshire Council

Members received the report of the Consultant in Public Health which provided an overview of the health protection status of the population of Shropshire.

Members noted the content of the report