Venue: Wellington Room, Elizabeth II Court, The Castle, Winchester
Contact: Email: members.services@hants.gov.uk
No. | Item |
---|---|
Apologies for Absence To receive any apologies for absence received. Minutes: Apologies were received from Cllr Heron (with Cllr Forster deputising), Matt Nisbett, Jason Avery, Hampshire Fire & Rescue, Supt P Jones, Hampshire Constabulary, David Radbourne, NHS England and from Gill Kneller with Laura Taylor deputising. |
|
Declarations of Interest 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 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 Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 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.
Minutes: 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 Personal interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 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.
Cllr Porter – portfolio holder at Winchester City Council
|
|
Minutes of Previous Meeting To confirm the minutes of the previous meeting held on 7 December 2023. Minutes: The minutes of the last meeting, held on 7 December 2023 were reviewed and agreed. |
|
Deputations To receive any deputations notified under Standing Order 12. Minutes: There were no deputations. |
|
Chairman's Announcements To receive any announcements the Chairman may wish to make.
Minutes: The Chairman noted that Terry Norton has been confirmed by the County Council as the substantive representative of the Police & Crime Commissioner, and welcomed Karen Dawes who had been appointed as Deputy.
She thanked Jason Avery from Fire & Rescue, who was retiring, for his contributions to the work of the Board.
|
|
Better Care Fund - 2023-25 plan and performance to date To update on the performance of the Hampshire BCF programme during its first year (up until December 23) for the Board to note and set out some key considerations for the second year of the programme. Minutes: The Chair welcomed Gail Kirby to the meeting to present the report and slides were shown. In 2023/24 £163m was allocated across 28 BCF schemes. Two of the five performance metrics reported for 2023 to NHS England were rated not on track to meet target.
DHSC highlighted two key priorities:
• Improving overall quality of life for people and reducing pressure on urgent and emergency care (UEC), acute and social care services • Tackling delayed discharges and bringing about sustained improvements in discharge outcomes and wider system flow.
The additional funds for support with hospital discharges had been allocated to home-based and bed-based Discharge to Assess (D2A) schemes. High demand and higher acuity of patients means that these schemes were operating at above agreed capacity levels for winter against the backdrop of unrelenting, and at times, excessive discharge demand. The Department for Levelling up, Housing and Communities (DLUHC) had provided discharge funding to support HCC to build additional adult social care and community-based capacity to reduce hospital discharge delays.
Work was ongoing to improve upstream falls prevention for the high-risk frail elderly cohort as well as moving to standardise the falls response service across Hampshire. However, the challenging workforce position was limiting the ability to meet the set targets and to go further in this key prevention area.
Demand for residential and nursing beds remained relatively high, as people were presenting with increasingly higher needs in both the community and following hospital discharge.
The following principal points were made:
· Continuing with joined-up working around fall prevention was key · Involvement of the fracture liaison service was highlighted · There needed to be greater flexibility over use of social housing and other properties that had benefitted from adaptions funded by disabled facilities grants · Improved patient information on Spinnaker ward in Portsmouth was highligted · Data on 111 dispositions (e.g. to A&E) and whether patients experiencing falls had a prior medical history could be made available
That the Health and Wellbeing Board recognised and endorsed the ambition for the 2-year plan to meet the key core objectives of the BCF 1) to enable people to stay well, safe, and independent at home for longer and 2) to provide the right care in the right place at the right time.
The Board noted the February performance report which recognises that we continue to operate under challenging circumstances, including high acuity and complexity of patient need, workforce constraints and financial pressures. This is having an impact on our Systems ability to achieve the key performance measures which we are being monitored against.
The Board acknowledged that in planning ahead for the next financial year, we need to be able to demonstrate the ability to sustain discharge services and demonstrate an improvement in performance and flow, given the unrelenting demand and the increased national funding for 2024/25. |
|
Trauma Informed Approaches Presentation by Karen Dawes
Additional documents: Minutes: The Chair welcomed Karen Dawes from the OPCC to present the slides circulated, together with a copy of the Concordat.
The slides defined trauma, its consequences and the governance arrangements in place to meet the objectives of the Trauma Informed Concordat. An example from Fareham BC homelessness service as an example was given of a trauma-informed organisation where trauma was recognised and addressed.
At Fareham: · Increased presentation of highly complex individuals facing homelessness. • Recognising homelessness triggered by trauma • people could be disengaged from support and alienated in community. • Previous trauma having an impact on their housing pathway.
The slides described how the experience of trauma could lead to behaviour that could bring an individual into contact with healthcare and police. There increasingly was scope in commissioning intentions to look for trauma informed approaches.
The recommendations in the slides for the Board were:
· Encourage staff to complete the trauma informed e-learning package • Encourage staff to complete relevant sections of the organisation self assessment • Encourage commissioners to welcome bids by providers who place value on trauma informed practice • Encourage opportunities for staff to reflect on the six principles of trauma informed practice and how it can be practically applied in their own workplace • In addition to the above points operating at scale, encourage staff to support place based activity |
|
Drug and Alcohol Strategy Update To provide an overview of the delivery of the national drugs strategy in Hampshire and provide an update of key achievements and key areas for focus during 2024 and receive a presentation, Alcohol and Substance Misuse - From Harm to Hope by Sue Cochrane.
Additional documents: Minutes: The Board received a report from the Director of Public Health and Sue Cochrane attended to present the circulated slides, From Harm to Hope and the Chair welcomed Becky a past user of the Catch 22 service who described her experiences with substance misuse.
The plan had been developed with partners of the multi-agency Hampshire Strategic Drug and Alcohol Partnership and is closely aligned to national ambitions to:
• have a renewed focus on drug and alcohol prevention; • target resources to make it more difficult for county lines operations to supply illegal drugs in Hampshire ; • improve drug and alcohol treatment services through increased capacity and quality of the workforce and better pathways of care alongside other organisations (such as criminal justice system, mental health, housing, employment, and secondary care) • reduce unmet need, with a specific focus on improving access to treatment for those misusing alcohol.
It was noted that the economic and social cost of alcohol and drug use was around £40bn and that abuse was also associated with crime, unemployment and homelessness. It was estimated every year nationally that the social and economic costs of alcohol related harm amount to £21.5bn, while harm from illicit drug use cost £19.3bn.
The 10 year national drug strategy – From Harm to Hope set out objectives to break drug supply chains, deliver a system of substance misuse treatment and recovery and reduce demand for recreational drugs. At local delivery plan was in place for Hampshire, backed by national funding.
It was estimated that over 250,000 people in Hampshire were drinking more than recommended limits. There were approximately 11,600 adults in Hampshire who are drinking dependently in 2019-20, an increase of 1,500 over 4 years. There was a Re-think your drink website available. The Catch 22 service catered for children and young adults up to age 25. Drug and alcohol treatment and Support for adults aged 25 or over is provided by Inclusion Recovery Hampshire. The Dame Carol Detoxification Centre in Fareham offers medically managed detoxification to approximately 200 people per year.
Collectively the services were part of a no wrong door approach which spanned primary care, mental health/CAMHS. Catch-22 had received 1,00 referrals since April 2023 and half of people had not accessed treatment before.
The Board noted the key achievements and areas for future action in the Hampshire plan to prevent and reduce drug and alcohol harm.
|
|
#BeeWell Survey Findings 2023 To provide a background to the #BeeWell programme, an overview of the headline findings from the first year of the survey delivered in Hampshire, Isle of Wight, Portsmouth and Southampton (HIPS) and to set out the next steps in the programme.
Presented by Suzanne Smith
Additional documents: Minutes: The Board received a report and a presentation delivered by Suzanne Smith and James Robertson, the national director.
#BeeWell was designed to help understand what factors influence young people’s wellbeing and what makes them thrive. The first wave of the survey was completed by Year 8 and Year 10 pupils in autumn 2023. The survey results were reported across the following themes:
· Overall wellbeing and inequalities · Health and Routines · Relationships · Local environment
The had been good engagement with schools in Hampshire.
Four in ten young people in HIPS are reaching the recommended levels of physical activity set by the UK Government’s Chief Medical Officers of an average of one hour per day. This falls to three in ten for girls, and is lower still for young people who identify as LGBTQ+. Just under half (44%) of young people reported experiencing discrimination on account of either their gender, sexuality, race, ethnicity, where they were born, disability or faith.
The next step will be to share the place-based data with young people in the youth steering group and the participation groups to develop narratives and co-design localised responses. 26. Schools have been offered one-to-one follow up support sessions to interpret their data and identify actions to improve their students’ wellbeing. 50% of participating schools have signed up to these sessions.
The findings would be further discussed at the Place Assembly today.
The Board noted the headline findings arising from the #BeeWell survey 2023.
|
|
To note the forward plan. Minutes: The Board reviewed the 2024 Forward Plan. |