Agenda and minutes

To receive any apologies for absence received.

Apologies were noted from the following:

·         Steve Crocker, Director of Children's Services. His substitute Stuart Ashley, Deputy Director for Children and Families also gave apologies

·         Dr Sarah Schofield, Chairman West Hampshire Clinical Commissioning Group. Her substitute Dr Rory Honney also sent apologies

·         Dr David Chilvers, Chairman Fareham & Gosport Clinical Commissioning Group. His substitute Dr Paul Howden also gave apologies

·         Dr Nicola Decker, Chairman North Hampshire Clinical Commissioning Group. Her substitute Peter Kelly was unable to attend in her place.

·         David Radbourne, NHS England. His substitute Bennett Low attended in his place

·         Michael Lane, Police and Crime Commissioner for Hampshire. His substitute Anja Kimberley also sent apologies

·         Nick Tustian, Chief Executive Eastleigh Borough Council. His substitute Patricia Hughes Hart District Council also sent 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.

No deputations were received at this meeting.

To receive any announcements the Chairman may wish to make.

Safeguarding Board Reports

The Chairman highlighted to Board Members that the Adults and Children’s Safeguarding Boards annual reports had been included under items 9 and 10 for information, however it was not planned to hold any discussion on these items. If Board Members had any queries on these items, they were invited to submit these by email for follow up outside the meeting.

To approve for consultation the draft refreshed Joint Health and Wellbeing Strategy.

The Board received a report from the Health and Wellbeing Board Manager regarding the refresh of the Hampshire Joint Health and Wellbeing Strategy. Board Members heard that the current Strategy was in place up to March 2019 and the Board was asked to approve for consultation the draft of the new Strategy. The proposal was to engage with partner organisations and stakeholders during January and February 2019 to seek feedback on the draft, prior to the Board signing off the new Strategy at their next meeting in March 2019.

Board Members were invited to comment on the draft Strategy. Board Members commented that they thought the Strategy was a good piece of work, and were supportive of the inclusion of the ‘Dying Well’ theme. Board Members commented that join up with the Strategies of bordering Health and Wellbeing Boards would be good, particularly across the area covered by the Hampshire and Isle of Wight Sustainability and Transformation Partnership.

Board Members heard that it was planned to develop annual business plans to sit alongside the Strategy, to take forward work in support of the Strategy aims each year.  It was also planned to put in place a performance dashboard to enable the Board to monitor progress against the Strategies aims.

RESOLVED:

That the Health and Wellbeing Board:

1.    Approves the draft Joint Health and Wellbeing Strategy document prepared for consultation

2.    Agrees to receive a final Strategy for sign-off at its meeting on 14 March 2019

To receive an update on integration of children and young people’s services, and to approve the Annual Refresh of the Hampshire Local Transformation Plan.

The Board received reports and supporting presentations from representatives of the Director of Public Health and Hampshire and Isle of Wight Clinical Commissioning Group Partnership, regarding integration of services for children and young people in Hampshire, and the refreshed Hampshire Local Transformation Plan (LTP) for Children and Young People’s Mental Health and Wellbeing.

Board Members heard that it was planned to integrate services via three phased aligned procurements; the first regarding health visiting and school nursing; the second regarding community services commissioned by Clinical Commissioning Groups (CCGs); the third regarding Child and Adolescent Mental Health Services (CAMHS).

Board Members were supportive of the direction of travel described. The Community and Mental Health Trusts representative commented that integration would be complex in a situation with multiple providers, and care needed to be taken particularly at the point of transition from children’s to adults mental health services. It was noted that the timing of the different procurements was partly dictated by legal constraints given existing contracts. Board Members commented on the importance of engaging with schools and the voluntary sector.

Regarding the refresh of the Local Transformation Plan, it was noted that mental health services for children and young people was a particular area of concern, with the number of CAMHS referrals increasing significantly and Hampshire having higher than average hospital admissions for self harm. It was acknowledged that more needed to be done to provide 24/7 crisis intervention, for example provision of psychiatric liaison services 24/7. 

RESOLVED:

The Health and Wellbeing Board:

1.    Agree the inclusion of an integrated children and young people’s delivery system by 2023, in the new Health and Wellbeing Strategy to support system transformation.

2.    Endorse the areas for focused partnership work

3.    Endorse the implementation of a shared outcomes framework for children and young people

4.    Approves the refresh of the Local Transformation Plan for Children and Young People’s Mental Health and Wellbeing 2018/19.

To receive an update on performance against the actions with a 3 month completion target in the action plan arising from the Local System Review of the Hampshire health and care system. (including an update on actions relating to patient flow and onward care)

The Board received a report and supporting presentation 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.

Board Members heard that as a result of the CQC Local System Review in Hampshire (published on 22 June 2018), a high level 12 month action plan was developed. The action plan included actions targeted to be achieved at 3 month, 6 month and 12 month points. The report provided an update on the 3 month gateway. It was noted that a joint appointment between the Local Authority and the local NHS had been made to a role to lead on improvements to patient flow and onward care. It was reported that improvements had been made, with only 11 bed delays due to social care in the past week, compared to over 70 in May 2018.

Board Members commented that consistency in experience out of hours remained an area that needed further work. The Director of Adult Social Care reported that a trial was taking place of a social worker being based at the South Central Ambulance Service call centre, and it was estimated this had avoided 60 admissions.

The Chairman congratulated those involved in achieving the reductions in delayed transfers of care, on behalf of the Board.

RESOLVED:

1.    That the Health and Wellbeing Board note the update on the action plan for the 3 month gateway.

2.    That the Health and Wellbeing Board should receive a further update in March 2019 to report on the 6 month gateway.

To note circulation of the Hampshire Safeguarding Adults Board Annual Report (no presentation/discussion planned).

The Health and Wellbeing Board received the Hampshire Safeguarding Adults Board Annual Report for 2017-18.

RESOLVED:

The Health and Wellbeing Board note the Hampshire Safeguarding Adults Board Annual Report for 2017-18.

To note circulation of the Hampshire Safeguarding Children’s Board Annual Report (no presentation/discussion due).

The Health and Wellbeing Board received the Hampshire Safeguarding Children Board Annual Report for 2017-18.

RESOLVED:

The Health and Wellbeing Board note the Hampshire Safeguarding Children Board Annual Report for 2017-18.