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

Shropshire Care Closer to Home

Report attached.

Contact: Lisa Wicks, Deputy Director of Performance & Delivery, Shropshire CCG

STP Update

A presentation will be given.

Contact: David Stout, Accountable Officer, Shropshire CCG

Better Care Fund, Update and Performance

Report attached.

Contact: Penny Bason, Shropshire Council / Shropshire STP/Tanya Miles, Shropshire Council

Healthy Lives Update

Report attached.

Contact: Val Cross, Health & Wellbeing Officer, Shropshire Council

i.          Shropshire Care Closer to Home

Dr Julian Povey, Clinical Chair, Shropshire CCG (Co-Chair) introduced and amplified the report of the Deputy Director of Performance and Delivery, Shropshire CCG – copy attached to the signed Minutes – which provided an update on the Shropshire Care Closer to Home programme. 

He drew attention to the three phases, the enablers and the next steps.  In relation to Phase 2, concern was raised about the level of consent from patients who wished to be case managed.  The Clinical Chair, Shropshire CCG explained that the level of consent was different at each pilot site, but that the numbers were in line with what had been anticipated.  In response to a query, the Clinical Chair, Shropshire CCG explained what was being done to reach those patients who had not responded.  The Chairman requested that the Board be sighted on the percentage of patients who had agreed to be case managed whilst this phase was rolled out.

David Stout, the STP Programme Director, Shropshire CCG reported that those patients who were not in touch with Social Care/Health Care were being identified and that it was hoped that they would be picked up via the risk stratification tool.  He assured the Board that the situation would be monitored to ensure the correct people were targeted.  He went on to inform the meeting that it was planned to roll out case management across Shropshire and Telford & Wrekin as part of the Long-Term Plan.  The Business Case was due to go through the CCG clinical commissioning committee the following week.

Jeanette Coin, Business Manager for Albrighton Medical Centre informed the Board that an information leaflet was currently being drafted and that this, along with other measures, were being utilised to actively address those patients who had not yet responded. Lynn Cawley, Shropshire Healthwatch offered some assistance with the drafting of the leaflet to ensure the information was clear.

RESOLVED:  That the information and progress outlined in the report be noted.

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

David Stout, the STP Programme Director updated the Board in relation to the Long-Term Plan.  He reported that publication of the Long-Term Plan had been delayed as it was still awaiting sign off by NHS England, which was the case nationally.  He explained that it was expected that it would now be published in April 2020. 

Work was continuing on the operational side of the plan along with work to develop implementation plans.  The first meeting of the Shadow Integrated Care Board would take place in February following which a roadmap for the development of an Integrated Care System for the next year or so would be developed.

The Chairman requested an update on the role of technology across the system which was fundamental to the success of service transformation.

RESOLVED:  That the update be noted.

iii.        Better Care Fund, Performance

Penny Bason, the STP Programme Manager introduced and amplified her report – copy attached to the signed Minutes – which provided an update on the performance of the Better Care Fund (BCF) for 2019/20.  She informed the Board that approval for the 2019/20 plan had been received and the first update would be provided in quarter 3.  All four of the metrics were expected to be on track but the non-elective admissions metric was currently 9% over target, however a range of improvement plans were now in place.

The STP Programme Manager drew attention to the Care Closer to Home Shared Care record which was being highlighted as their ‘Integration Success story’.

The Chairman expressed his relief that the Local Government Settlement had included the continuance of the Better Care Fund but stressed the risks of the continued use of grant funding which was not an adequate solution for the long-term funding of Adult and Children’s Social Care.

RESOLVED:  That the BCF performance template and metrics be noted.

iv.        Healthy Lives Update

Val Cross, the Health and Wellbeing Officer introduced and amplified her report - copy attached to the signed Minutes - which provided the Board with the findings from the second Health and Wellbeing Board workshop held on 5 December 2019.

The Health and Wellbeing Officer reported that the workshop had been well attended with 20 representatives from a number of different partner organisations across the system.  She explained that participants used the draft prioritisation matrix to score the priorities against and the table set out at paragraph 3.3 provided a summary of the discussions.

In conclusion, the Health and Wellbeing Officer informed the Board that the two workshops had enabled a sound decision-making process based on evidence and consensus to recommend the Health and Wellbeing Board priorities.

It was felt that these workshops had provided a prime opportunity to refresh the Health and Wellbeing Strategy and Action Plan along with formalising the Joint Strategic Needs Assessment (JSNA) and the Health and Wellbeing Board Terms of Reference.  To this end, working groups would be formed from amongst the Board members and/or their representatives.  The Health and Wellbeing Officer confirmed that progress would be reported to the next meeting.

RESOLVED: 

A.     That the identified key priorities (based on the evidence and workshop outcomes) be endorsed, as follows:

•   Adverse Childhood Experiences

•   Workforce

•   Healthy Weight and Physical Activity

B.     That the ongoing prioritisation and work happening which includes; Smoking in Pregnancy, Social Prescribing, Domestic Abuse, Dementia, Alcohol, Mental Health - wellbeing support, suicide prevention, County Lines and Air Quality, be recognised.