Agenda and minutes

To receive any apologies for absence received.

Apologies were noted from:

• Dr Sallie Bacon, Director of Public Health. Her Substitute Simon Bryant attended in her place.
• Dr Barbara Rushton, Chairman South East Hampshire Clinical Commissioning Group. Her Substitute Maggie MacIsaac also sent apologies.
• Dr Sarah Schofield, Chairman West Hampshire Clinical Commissioning Group. Her Substitute Dr Rory Honney attended in her place.
• David Radbourne, NHS England. His Substitute Bennett Low also gave apologies.
• Michael Lane, Police and Crime Commissioner for Hampshire. His Substitute Anja Kimberley attended in his place.
• Cllr Philip Raffaelli, District Councillor Representative. His Substitute Cllr Tony Capon also sent apologies.
• Alex Whitfield, Acute Provider representative. Her Substitute Mark Cubbon also gave apologies.
• Nick Broughton, Community & Mental Health Provider representative. His Substitute Sue Harriman also gave apologies.
• Carol Harrowell, Voluntary Sector representative. Her Substitute Julie Amies attended in her place.

All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to the circumstances described in Part 3 Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Non-Pecuniary interest in a matter being considered at the meeting should consider whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.

Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Non-Pecuniary interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 2 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.

To confirm the minutes of the previous meeting

The minutes of the last meeting were reviewed and agreed.

To receive any deputations notified under Standing Order 12.

A deputation was received from Dr David Knight on behalf of Hampshire Climate Action Network, in relation to the agenda item regarding the Joint Health and Wellbeing Strategy. He highlighted that the organisation had responded to the request for feedback on the draft strategy, and was disappointed to see that climate change was not mentioned in the strategy, given the health impacts of climate change. He suggested that the wording in the strategy regarding ‘reducing impact on the environment’ be strengthened to cover reducing greenhouse gas emissions and taking account of the likely impacts of climate change in the design and delivery of health and care services. He highlighted a range of actions the Council and partners could take to reduce air pollution, and encouraged allowing wind turbines on Hampshire County Council land to provide renewable energy. He also mentioned that other councils had pledged for their areas to become carbon neutral in future.

The Chairman allowed Board Members to comment on the deputation.

It was discussed that the Hampshire 2050 Commission was considering the impact of climate change and would welcome submissions on these issues. It was commented that the County Council already did various activities related to these issues such as encouraging active travel, offering help with home insulation for older people and using electric vehicles. 

To receive any announcements the Chairman may wish to make.

The Chairman announced that Dr Sallie Bacon, Director of Public Health would be retiring, and thanked her on behalf of the Board for all her hard work.

To approve the refreshed Joint Health and Wellbeing Strategy for Hampshire.

The Board received a report from the Health and Wellbeing Board Manager

regarding the refresh of the Hampshire Joint Health and Wellbeing Strategy (see Item 6 in the Minute Book). Since the last draft the Board had considered in December 2018, engagement had been undertaken in January and February 2019, mainly targeted at relevant stakeholders, though including the public. The report summarised the feedback received, and attached was an updated draft of the strategy that had been revised in light of the feedback. It was noted that once the strategy was finalised, next steps would be to develop a business plan for the coming year, to detail actions to be taken in support of the strategy aims.

Board Members discussed the revised strategy, including the ‘dying well’ theme which was an addition compared to the previous strategy. It was noted that some of the feedback from the engagement period was at a level of detail that would be more suited to informing  the business plan than the strategy. It was discussed that information could be drawn together on the activities currently underway that support each strategy theme.

Board Members noted their thanks to the Health and Wellbeing Board Manager for her work in drawing the strategy together and responding to the feedback. The Healthwatch Hampshire representative requested some additions to the strategy including reference to the impact of climate change on health and the use of co-production.

RESOLVED:

That the Health and Wellbeing Board:

Notes the summary of feedback received during engagement on the draft

Strategy in January and February 2019.

Approves the revised high-level Strategy for the Health and Wellbeing of

Hampshire 2019–2024, subject to the additions requested during the meeting.

Notes that the draft priorities for 2019/2020 contained in the Appendix to the

Strategy will be refined to create a 2019/2020 business plan for the Health and Wellbeing Board and agrees to receive a business plan to sign off at the next meeting on 27 June 2019.

Following the CQC Local System Review undertaken in 2018, to receive an update on performance against actions taken in response that had a target date to be achieved within six months.

The Board received a report from the Director of Adults’ Health and Care at Hampshire County Council, regarding performance against the Action Plan developed in response to the Care Quality Commission (CQC) local system review of the Hampshire health and care system. The report and attached updated version of the action plan reported on actions targeted to be achieved within six months.

It was reported that winter 2018/19 had seen less issues with delayed discharge from hospitals and issue escalation compared to the previous year. There had been a reduction in Delayed Transfers of Care due to requiring social care support by 75% in December 2018 compared to December 2017. However, increased hospital attendances have been noted since February 2019 with increased pressures as a result, including challenges to maintain flow to discharge people back to the community following an admission. All partners continue to work together across all settings to support good outcomes for people and improve system flow.

The role of the Sustainability and Transformation Partnership was discussed, and elected members on the Board suggested that it would improve transparency if the STP Board met in public. It was noted that an item on the STP had been to the County Council’s Cabinet in February and the report could be circulated to Health and Wellbeing Board Members for information, along with a report the Cabinet had also considered on air quality issues. It was also noted that the Improvement and Transformation Board involved key stakeholders in the health and care system and discussed key issues affecting the Hampshire system. It was offered that a report on the work of the ITB could be brought to a future meeting of the Health and Wellbeing Board.

RESOLVED:

That the Health and Wellbeing Board:

Notes the update of the Care Quality Commission’s Local System Review Action Plan that has been jointly developed by Hampshire’s health and care system leaders to respond to the Review’s findings.

Receives a progress update on the Action Plan due for completion in July 2019.