Apologies for absence were received from Dr Chaturvedi, N Leitch, Michael Freeston (substitute J Boxer), Sally Morris (substitute M McCann), Yvonne Blucher (no substitute), Councillor Lamb (no substitute) and Councillor Nevin (Chair, People Scrutiny Committee).

The following declarations of interest were made at the meeting:-

(a)  Councillor Salter – agenda items relating to – Refreshed Health & Wellbeing Strategy; STP briefing – non-pecuniary interest -  husband is consultant surgeon at Southend Hospital and holds senior posts at the hospital; son-in-law is a GP; daughter is a doctor at Broomfield Hospital;

(b)  Councillor Davidson – agenda item relating to STP briefing – non-pecuniary interest – Council appointed Governor at Southend Hospital NHS Trust;

(c)  Councillor Moyies - agenda item relating to STP briefing – non-pecuniary interest – Council appointed Governor at Essex Partnership University Trust.

Minutes attached.

Resolved:-

That the Minutes of the Meeting held on Wednesday, 21^st June, 2017 be confirmed as a correct record and signed.

With reference to Minute 96, second bullet point (STP pre-consultation business case briefing), it was clarified that the Board wanted to be advocates for the STP.

Report attached.

The Board considered a joint report of the Deputy Chief Executive (People) and Interim Accountable Officer (NHS Southend CCG) which presented the initial draft of the refreshed Health & Wellbeing (HWB) Strategy (Appendix 1) and the draft activity mapping (Appendix 2).

In considering the report, the following comments were made:-

·           The Strategy is still in development and will include case studies at the section ‘how are local people being helped to be active’.

·           Appendix 2 – need further clarification on ‘Transformation programme’ in text (Ambition 5, Living Independently).

·           Appendix 2 – needs to appropriately reference HWB Strategy refresh through the document.

·           Need to ensure the HWB Strategy Refresh/Physical Activity Strategy influences the whole system - each organisation should take to their respective management teams to progress further.

Resolved:-

1.         That subject to amendments, the Board approves the draft HWB Strategy refresh 2017-2021 for further development.

2.         That following development, a refined draft be circulated electronically to Board members for comment, prior to going live at the December meeting of the Board.

Report attached.

Note - there are a number of additional supporting appendices with this item – the link to the documents will provided shortly

The Board considered a report of the BCF Programme Lead providing an update on the Better Care Fund for 2017/19. The report also advised the Board that the BCF Plan 2017/19 had been submitted to NHS England on 11^th September 2017, following sign off from the Deputy Chief Executive (People) and the Interim Accountable Officer (Southend CCG), in conjunction with the Chair and Vice Chair of the HWB.

The Programme Lead advised that early indications are that the plan will be approved without conditions.

The challenges regarding information sharing were discussed and it was noted that the Locality Transformation Group (LTG) oversee this issue. The Board’s ongoing interest will be conveyed to the LTG.

Resolved:-

1.         That the update for the BCF 2017/19 be noted.

2.         To note the Southend BCF Plan for 2017/19 that was submitted to NHS England on 11^th September 2017.

Report attached.

The Board considered an update briefing from the STP Programme Director on current progress towards consultation. The Mid and South Essex STP is finalising a business case for potential service changes over the next five years, including proposals to reconfigure some hospital services.

The Programme Director attended the Board to answer questions. The Board made the following comments:-

·           Board members need to have time to understand the plan before public consultation phase.

·           Noted the revised timetable which is a challenge and also means that consultation will begin within the next month or so.

·           Made a number of suggestions on what issues need to be addressed in consultation document – for example, transport, information on patient pathways.

·           Noted that the consultation will be run by the 5 CCG’s in Mid and South Essex through the Joint Committee of the CCG’s.

Resolved:-

That the update be noted.

Report attached.

The Board considered a report of the Acting Programme Director on progress and current position of the A Better Start Southend (ABSS) programme. J Boxer, Project Manager, Pre-school Learning Alliance was in attendance for this item.

The Board had some questions on the pace of change and that the Board needs assurances to provide necessary oversight.

Resolved:-

That the next report should include further information on the work happening in the borough (success stories) and the ABSS will be a topic for broader discussion in near future.