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

STP Update

A verbal update will be given.

Contact: David Evans, Joint Accountable Officer, Shropshire CCG and Telford & Wrekin CCG

Shropshire Care Closer to Home

Report attached.

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

Healthy Lives Update

Report attached.

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

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

          David Stout, the Interim Chief Executive, Shropshire Community Health Trust gave a presentation - copy of slides attached to the signed Minutes - which covered the following areas:

·         Integrated Care System Development

·         Shropshire, Telford & Wrekin STP’s Long Term Plan

·         Financial Sustainability and Productivity

·         System Clinical Priorities 2020/21

·         System Cluster Priorities: Prevention & Place Based Care

·         System Cluster Priorities: Acute Care

·         System Cluster Priorities: Mental Health

·         Next Steps

Mr Stout confirmed that the Long-Term Plan had still not been signed off and could not therefore be published.  He informed the Board that the delay was in relation to the system’s financial position, however they were continuing to take the Long-Term Plan forward and were currently in the process of updating the Governance Structure through the Integrated Care System Shadow Board which had held its first meeting the previous week.

Mr Stout updated the Board about actions being taken to operationalise the Long-Term Plan ensuring that care was delivered efficiently whilst providing the right services at the right time in the right place.  He then took Members through the System Clinical Priorities for 2020/21 and reported that a series of implementation plans would be developed for the three main service transformation clusters: Prevention and Place Based Care Cluster; Acute Care Cluster; and Mental Health Cluster.  The 14 priorities contained within these three clusters would be the focus for the next 12 months.

In response to a query around the timescales for publication of the Full Business Case for Hospital Reconfiguration, Mr Stout reported that the aim was to submit this by the end of the next financial year (January – April 2021), however, it was a ‘moveable beast’.

The Chairman requested an update from the STP Digital Enablement Group for the next meeting.  An update was also requested in relation to Adverse Childhood Experience.

RESOLVED:  That the update be noted.

ii.         Shropshire Care Closer to Home

Dr Julie Davies, Director of Performance, Shropshire CCG 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.

Dr Davies reported that the early indicators of success from the pilot sites had led the Programme Board to recommend an accelerated expansion and rollout of case management across the County which had been endorsed by the CCG.  She drew attention to the two steps to be taken to accelerate the rollout, more detail of which would be provided to the next meeting of the Health and Wellbeing Board.  Dr Davies felt that the pilot sites had had a significant impact and it was hoped to build on the success of these initial eight sites.

Turning to Phase 3, Admissions Avoidance, Dr Davies reported that early indicators were positive and that the leadership from the Local Authority was very much appreciated.  She drew attention to the Task and Finish Group looking at Liquid Logic but explained that staffing was the real issue.

Dr Davies thanked system partners following a workshop that took place in February to explore the findings of the Joint Strategic Needs Assessment which had been very positive and had built on the work already done.

RESOLVED:  To note the information and progress outlined in the report.

iii.        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 updates for ‘Healthy Lives’, the Partnership Prevention Programme of the Health and Wellbeing Board.

The Health and Wellbeing Officer updated the Board on the following areas:

·         Cardio-Vascular Disease (CVD) risk prevention

·         Physical Activity – Elevate

·         Social Prescribing

·         LGA/Health Foundation bid for finding

·         Community Wellbeing and Social Prescribing Workshop

In response to a query, the Health and Wellbeing Officer reported that it was hoped to roll out use of the Atrial Fibrillation (AF) testing devices to more locations within communities eg pharmacies and GPs, Healthwatch events etc.  It was also hoped to increase their use internally in the Council, for example, during staff health week. 

In relation to Social Prescribing, the Director of Adult Services confirmed that the risk of loneliness and social isolation remained high on the agenda.

RESOLVED:  To note and support the ongoing work.