Agenda and minutes

Apologies were received from Dr Coates, Interim Director of Public Health and Carol Binns, Statutory Director Adult Social Care.

The Chair made a statement in accordance with accepted practice and informed members that:-

·  Budget consultations had begun which would potentially impact upon Health and Adult Social Care; and

·  A motion had been approved at Full Council on 16^th November in relation to Health and Wellbeing Board seeking assurances from Government Ministers that no community pharmacies in Southampton would be placed at risk of closure as a result of the national strategy and to work in partnership with the Hampshire & Isle of Wight Local Pharmaceutical Committee and the City’s GPs to vigorously protect and promote the City’s valuable primary care services which the Chair also indicated included other services such as optical and dentistry services.

Councillor Shields declared a personal interest in that he was a Council appointed representative of the Clinical Commissioning Group and remained in the meeting and took part in the consideration and determinations of items on the agenda. 

Councillor Lewzey declared a personal interest in that he was a Council appointed representative of Southern Health NHS Foundation Trust and remained in the meeting and took part in the consideration and determinations of items on the agenda. 

Councillor Payne declared a personal interest in that he was a Council appointed representative of Solent NHS Trust and remained in the meeting and took part in the consideration and determinations of items on the agenda. 

To approve and sign as a correct record the minutes of the meeting held on 28^th September 2016 and to deal with any matters arising, attached.

RESOLVED: that the minutes of the meeting held on 28^th September 2016 be approved and signed as a correct record subject to item 12 – Healthwatch Annual Report 2015/16, 4^th line BME be amended to BMA.

Matters Arising – Minute 14 – Sustainability and Transformation Plan 2016

The Board noted that the Hampshire and Isle of Wight Sustainability and Transformation Plan (STP) had now been published and endorsed the significant progress that had been made by local NHS and Local Authority Leaders and the recognition in the STP of the importance of the Better Care Southampton programme.  The Board urged the need for full consultation on the plan with Southampton citizens and that any consultation be co-ordinated alongside similar engagement exercises elsewhere in Hampshire and the Isle of Wight.

Report of the Director of Quality and Integration updating on the progression of Child and Adolescent Mental Health Services Transformation Plan, attached.

The Board considered the report of the Director of Quality and Integration detailing the CAMHS Transformation Plan which had been refreshed to reflect changes in line with the outcomes from the Mental Health Matters review and would be published on the Clinical Commissioning Group Mental Health Matters Website.

The Board welcomed the plan which was comprehensive and reflective of the 2 years’ work that had gone into it and would also link to the 0-19 Prevention/Early Help and aligned with the work from the Headstart Programme.

RESOLVED that the CAMHS Transformation plan and priorities be approved subject to the inclusion of asbeirgers/autism within the priorities.

Report of the Director of Children and Family Services updating on the development of 0-19 Prevention and Early Help, attached.

The Board received and noted the report of the Director of Quality and Integration providing an update on the work that had taken place to achieve a more integrated offer of prevention and early help for children 0-19 and their families.  The Board noted that the aim of the 0-19 prevention and early help service offer to bring together a range of health and local authority services to deliver a strengthened prevention and early help offer based around localities, schools and communities which would concentrate on 3 key priorities to provide stronger resilience for families, improved school attendance and engagement and increased emotional wellbeing and resilience.  It was noted that Cabinet would be making a decision on 17^th January 2017 on the preferred option for integration.  

Report of the Director of Quality and Integration providing an update on the Better Care Fund, attached.

The Board considered the report of the Director of Quality and Integration providing an update of the 2016/17 Better Care Programme and key schemes as at the end of Quarter 2.  The Board noted that Southampton was “pooling” more than the national requirement and was bucking the trend substantially against comparators albeit last year had been a very successful year and targets were therefore a lot harder this year.

The Board noted that there was a challenge in relation to rehabilitation and reablement and supported discharge particularly domiciliary care and the pace of integration which was impacting on the “flow through the system” and linked to delayed transfers of care which was impacting on targets not being met which was of significant concern.  It was noted that an action plan was in place to address this and there had been some improvement in the last 6 weeks.

RESOLVED

(i)  That the progress and performance of the Better Care Programme as of the end of Quarter 2 be noted; and

(ii)  That the priorities of the Better Care Programme for 2017/18 and beyond be approved subject to the inclusion of the following additional priorities:-

·  Work be undertaken to develop the capacity of the Domiciliary Care market

·  End of Life Care and Prevention

Report of the Director of Quality and Integration updating on the development of plans to improve services for people with learning disabilities, attached.

The Board received and noted the report of the Director of Quality and Integration providing an update on progress of implementing the Transforming Care Plan for people with learning disabilities and autism.  It was noted that Southampton City Council and Southampton City Clinical Commissioning Group were working in partnership with local authorities and CCG’s in Hampshire, the Isle of Wight and Portsmouth to implement regional plan.

The Board made particular reference to local areas developing “at risk” registers so that individuals who were at risk of being admitted to inpatient units were known about and appropriate support in place from all organisations and highlighted that this information was also vital to annual reviews which would be followed up by the Learning and Disability Board. 

Report of the Interim Director of Public Health proposing a draft Alcohol Strategy for the City, attached.

The Board received and noted the report of the Interim Director of Public Health detailing a draft alcohol strategy the vision of which was “A safe, healthy and vibrant City where people who chose to drink alcohol did so without harm”.

The Board noted that discussions were taking place with Safe City Partnership regarding which Partnership was the most appropriate to “own” the strategy.  The Board noted that alcohol and the link to pregnancy was missing within the strategy and needed to be there; the Board also recommended that the Young People’s Forum be involved in any consultation relating to the strategy. 

The Board were requested to feedback any comments on the proposed priorities and outcomes to Sarah Weld and Katy Anastasi by 9^th December at the latest. 

Report of the Director of Quality and Integration relating to the delivery of Primary Care locally, attached.

The Board received and noted the report of the Chair of the Clinical Commissioning Group detailing the Clinical Commissioning Group Primary Care 5 year strategy which had been developed in response to national and local challenges and the need to secure sustainable GP services for the future.  The Board noted that the strategy was aligned to Better Care and the Southampton, Hampshire and Isle of Wight Sustainability and Transformation Plan.