Regular update reports to the Health and Wellbeing Board are attached:

The Sustainability and Transformation Plan for Shropshire, Telford & Wrekin

Report attached.

Contact: Phil Evans, STP Director, Telford and Wrekin CCG

Future Fit – Next Steps

A presentation will be given.

Contact: Debbie Vogler

Shropshire Care Closer to Home

Report attached.

Contact: Lisa Wickes, Head of Out of Hospital Commissioning and Redesign, Shropshire CCG

Better Care Fund, Performance

Report to follow.

Contact: Penny Bason, Shropshire Council / Shropshire STP

Healthy Lives

A presentation will be given.

Contact: Val Cross, Health and Wellbeing Officer

i.        Future Fit

Debbie Vogler, Programme Director introduced the Future Fit update and gave a presentation (copy of slides attached to the signed Minutes), which covered the following areas:

·           Decision Making

·           Key Benefits of the new model

·           Recommendations agreed by the Joint Committee

·           Next steps

In response to comments from the Director of Public Health that the Council wished to see changes in clinical behaviour whereby patients do not have to attend hospital unnecessarily for eg repeat out patient appointments, the Programme Director confirmed that there was a separate pathway being looked at which considered alternative ways to follow up.

ii.       The Sustainability and Transformation Plan for Shropshire, Telford & Wrekin

Phil Evans, STP Director introduced the STP Programme update (copy attached to the signed Minutes) which provided an update on the STP system response to developing a draft system narrative and the next steps.  The STP Director drew attention to the Commissioning Capability programme and the Integrated Care System Development Programme, for which providers had been agreed.

He reported that feedback from NHS England had been received on the first draft of the System Operational Plan submitted on 19 February 2019.  The deadline for the next submission was 11 April 2019 and this would be followed up by engagement and communications activities. 

The Director of Adult Services commented that although the NHS Long Term Plan had been published there was still no Green Paper for adult social care.  It was felt that the Green Paper would point in the direction of considering Adult Social Care in a broader sense and how other services impacted on wellbeing.  In response, the STP Director explained that the green paper may not materialise for a number of years so they were doing what they could anyway rather than wait for it.

A brief discussion ensued in relation to what the system priorities and ambitions should be whilst the Director of Public Health drew attention to the lack of assurances around rural proofing / disconnect prevention and the lack of investment.

The Chair felt that the Health and Wellbeing Board had struggled with a crisis of identity as to its obligations under the STP with no real acknowledgement of how to discharge its statutory duty and governance under which it was established.  Partners had been too focused on their own organisations instead of taking a system view.  Without commitment to a system approach, individual organisations would continue not to be able to take the best opportunities.  The HWBB needed to understand how to take the lead and how to progress as a system.  Stronger engagement was needed across both Local Authorities with clinical organisations being more open to accept the contribution that the LA’s can make.

Dr Povey agreed that there needed to be a system answer.  He explained that the long-term plan was merely a list of wishes, however, money was a huge problem and he urged the Board not to under estimate the challenges of the system. 

iii.      Shropshire Care Closer to Home

Lisa Wicks, the Head of Out of Hospital Commissioning and Redesign introduced the Shropshire Care Closer to Home update (copy attached to the signed Minutes) and highlighted progress with the three phases of the programme.  She reported a change to the paper whereby it had been agreed to pilot all eight demonstrator sites.  Work on phase 3 was progressing well with draft models and service specifications for phase 3 services having been shared with stakeholders. 

The Head of Out of Hospital Commissioning and Redesign drew attention to the ’What Matters to Me Campaign’ which was hosting an event on 27 March.  The event had been promoted through various routes and 100 attendees had indicated attendance at the event.  Councillors Calder and Shineton requested an invitation to this event.

iv.      Better Care Fund, Performance

Penny Bason, STP Programme Manager and Tanya Miles, Head of Adult Social Care Operations confirmed that a proper analysis of why performance was off target for Q4 would come to the May 2019 Board meeting.

v.       Healthy Lives

Val Cross, the Health and Wellbeing Officer gave a presentation (copy of slides attached to the signed Minutes) which provided the Board with an update on the Healthy Lives programme, and covered the following areas:

·           Partnership Work

·           Falls Prevention

·           Healthy Conversations training

·           Communications – ‘Prescription’ Pad

The Health and Wellbeing Officer informed the Board that Healthwatch would be providing feedback to a future meeting on its work around knowledge of social prescribing, in particular, young men and those living rurally. 

She reported that 449 referrals had been made to the elevate classes which provided postural stability instruction in order to build muscle strength.  This was a very popular programme with 2 out of 3 people being self-referred. 

The Health and Wellbeing Officer drew attention to the ‘prescription pad’ for social prescribing that was being piloted.

RESOLVED:  That the updates be noted.