Agenda and minutes

To receive any apologies for absence received.

Apologies were noted from the following:

·         Cllr Keith Mans, Executive Lead Member for Childrens Services and Deputy Leader. His Substitute Cllr Roy Perry, Executive Member Policy and Resources & Leader of the Council, was in attendance in his place

·         The representative of NHS England (Wessex) was a vacancy. Dr Liz Mearns the Substitute was in attendance

·         Michael Lane, Police and Crime Commissioner for Hampshire. His Substitute Superintendent Paul Bartolomeo was in attendance in his place

·         Nick Tustian, Chief Executive, Eastleigh Borough Council.   His Substitute Patricia Hughes, Chief Executive, Hart District Council, attended in his place

·         Shantha Dickinson, Hampshire Fire and Rescue Service. Her Substitute Nigel Cooper was in attendance 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 held on 5 October 2017 were reviewed and agreed.

To receive any deputations notified under Standing Order 12.

No deputations were received at this meeting.

To receive any announcements the Chairman may wish to make.

Motor Neurone Disease Charter

The Chairman reported that encouraging local authorities to sign up to the Motor Neurone Disease Charter was part of the current phase of the MND Association’s National Campaign, which sought to positively influence outcomes for people in local communities who have MND. As Executive Member for Adult Social Care and Health at Hampshire County Council, she had signed up to the principles in the Motor Neurone Disease (MND) Charter at her decision day on 22 November 2017.

The principles cover:

·         People with MND have the right to an early diagnosis and information

·         People with MND have the right to high quality care and treatments

·         People with MND have the right to be treated as individuals and with dignity and respect

·         People with MND have the right to maximise their quality of life

·         Carers of people with MND have the right to be valued, respected, listened to and well supported

There were some areas of the MND Charter which were within the influence of partner organisations represented on the Board, such as the Health Service and District and Borough Councils. All five areas of the Charter are consistent with the way that the council seeks to work with its partners to support Hampshire residents in a personalised, dignified way, that helps people to experience the best quality of life possible.

It was noted that a link to the decision day report about this would be circulated to Members of the Board for further information.

To receive an update regarding the Supporting Families Programme in Hampshire for noting.

The Board considered a report and supporting presentation on behalf of the Director of Children’s Services regarding the Hampshire Supporting Families Programme. The Board heard that phase one of the programme had been independently evaluated and was estimated to result in £2.4 million ‘costs avoided’ per year for the public sector.

It was noted that there was a one page form for nominating families to the programme for GPs to use. It was agreed that the referral form be circulated to Board Members, for awareness raising within their organisations and networks.

It was noted that an interim report on phase two of the programme was due in early 2018, and the Board could be updated if this contained messages relevant to the partners represented on the Board.

RESOLVED:

The Health and Wellbeing Board:

a) Note the continuing work of the Supporting Families Programme

b) Consider the positive outcomes being achieved through the programme

for families in Hampshire as a significant contribution towards supporting

families with health issues.

c) Note the future direction and next steps.

To receive a presentation regarding the financial challenges and savings programmes planned by NHS organisations in Hampshire and Hampshire County Council. For the Board to consider the potential impact on wider determinants of health and the wider health and care system.

The Board received a presentation from the Director of Adults Services, the Director of Children’s Services, the Chief Officer of West Hampshire Clinical Commissioning Group, and the representative of the Chief Officer of the Hampshire Clinical Commissioning Group Partnership.

The Board heard about the financial challenges facing each of the commissioners of health and care services in Hampshire. Adults and Children’s services were required to reduce their budgets by 19% by April 2019 (£55.9m and £30.1m respectively). West CCG was targeting to make savings this financial year, but was currently below plan and expecting a break even position by the end of the year. West CCG was targeting savings of £40m for the next year, of which plans to achieve £18m were in place so far. The Hampshire CCG Partnership had a savings target for 2017/18 of £46m (4.2% of their budget) however they were predicting reaching the end of the year with a £9m deficit. The savings target for 2018/19 for the CCG Partnership was £63m.

The Voluntary Sector representative reported that the voluntary sector were also experiencing financial pressures, with a significant fall in grant funding from local authorities in recent years.

Board Members discussed opportunities to make savings such as new models of out of hospital care, and use of multi disciplinary teams. Also discussed were investment in prevention, opportunities for use of technology, and efficiency in back office administration and shared office space.

RESOLVED:

The Health and Wellbeing Board note the financial challenges facing the Hampshire health and care system.

The Health and Wellbeing Board revisit this issue for further discussion at a later date.

To consider an update from the Hampshire Districts Health and Wellbeing Forum.

This item was deferred.

For the Board to approve the refresh of the Local Transformation Plan for children & young people’s emotional wellbeing and mental health.

The Board considered a report on behalf of the Hampshire Clinical Commissioning Group Partnership regarding the refresh of the Local Transformation Plan for Children & Young People’s emotional wellbeing and mental health.

The Board heard that this was a refresh of a strategy previously agreed in 2014, and since then there had been a number of developments including an increase in demand for mental health services for children, and the publication of ‘future in mind’ a national vision for children’s mental health services. The Board was asked to approve the refreshed strategy, noting that the Starting Well sub group of the Board would monitor delivery against the strategy.

Board Members discussed issues experienced in children’s mental health services, including waiting times to access services, availability of places to take children in crisis, and availability of tier 4 inpatient beds. It was noted that a green paper had recently been published which included a funding opportunity for mental health support in schools aimed at early intervention.

RESOLVED:

The Health and Wellbeing Board approve the refresh of the Local

Transformation Plan for children & young people’s emotional wellbeing and

mental health.

To receive an update from the Co-design, Co-Production and Community Participation Sub Group of the Board and consider their recommendations.

This Item was deferred.

To receive an update from the Business Sub Group of the Health and Wellbeing Board, regarding the Joint Health and Wellbeing Strategy refresh.

This Item was deferred.

To consider any other business as needed.

No other business was raised on this occasion.

To note the date scheduled for the next meeting of the Health and Wellbeing Board is 15 March 2018.

It was noted that the next meeting of the Health and Wellbeing Board was scheduled for 15 March 2018.