Meeting documents

Health & Wellbeing Board
Wednesday, 3rd September, 2014 4.00 pm

Place:
Tickfield Centre, Tickfield Avenue, Seacole Room
 

Attendance Details

ItemDescriptionResolution
Part I
181 Apologies and substitutions.
Apologies for absence were received from Councillors Callaghan and Lamb (no substitutes), Mr J Keay (no substitute), Mr A Pike (substitute: Mr I Stidston) and Ms S Morris (substitute: Mr M McCann).
182 Declarations of interest.
Board Members declared the following interests:

Councillor Velmurugan - All agenda items - non-pecuniary interest - NHS General Practitioner and Council appointed Member to SEPT and SUFHT.
183 Minutes of the Meeting held on Wednesday, 18th June, 2014
Resolved:

That the minutes of the meeting held on 18th June 2014 be confirmed and signed as a correct record.
184 Integrated Pioneer Programme & Better Care Fund
Resolved:

1. That the updates on the Southend BCF and Pioneer activity be noted.

2. That authority be delegated to the Chairman (Cllr D Norman), Chief Executive (SBC), Corporate Director for People (SBC), Chief Operating Officer (SCCG) and Clinical Chief Officer (SCCG) so an update to the final BCF can be submitted to NHS England by 19th September 2014.
185 South East Essex Operational Resilience and Capacity Plan
Resolved:

1. That it be noted that the Operational Resilience and Capacity Plan will have an updated Executive summary and change in flow of the plan but the core objectives and deliverables and strategies would not change.

2. That approval of the revised plan with updated Executive Summary and Power Point be delegated to a group comprising the Chairman, Chief Executive (SBC), Corporate Director for People (SBC), Clinical Chief Officer (SCCG) and Chief Operating Officer (SCCG).

3. That the performance of the Accident & Emergency Care targets and implementation of the Emergency Care Recovery Plan to date be noted.
186 Southend Health System Strategic Plan 2014-2019
Resolved:

1. That it be noted that the Strategic Plan submitted to NHS England did not change significantly from the version seen and approved by the Health & Wellbeing Board at its meeting on 18th June 2014.

2. That the updated plans for development of the Strategic Plan, including the requirement to resubmit the plan to NHS England in September 2014, be noted.

3. That approval of the revised plan prior to resubmission in September be delegated to a group comprising the Chairman, Chief Executive (SBC), Corporate Director for People (SBC), Clinical Chief Officer (SCCG), Chief Operating Officer (SCCG), Chief Executive (SUHFT) and Chief Executive (SEPT).
187 Mental Health Need and Provision of Services in Southend-on-Sea
Resolved:

1. That it be noted that Southend has high levels of need for mental health services and that mental health promotion and disease prevention was critical given that treatment for mental illness was only partially effective and providing the most effective treatments for people with mental illness would only avert 28% of the mental illness morbidity.

2. That service provision includes a life course perspective and it be noted that most mental health risk factors are additive and contribute to an intergenerational cycle in establishing and perpetuating mental disorder.

3. That it be noted that parity of esteem is a key priority for addressing health inequalities and quality of life for people with and without diagnosed mental illness and that it would require a significant change and more flexibility in service provision.

4. That all partners in the health and social care economy commit to joint action on the impact of stigma and self-stigma on access to services.

5. That a further report providing a gap analysis of mental health provision, including proposals and actions which could address the gaps, be provided to the next meeting of the Board for discussion.
188 Health Scrutiny Guidance
The Board received a presentation from the Scrutiny Officer, Democratic Services, which provided an overview of the recent health scrutiny guidance from the Department of Health.

Resolved:

That the presentation on the health scrutiny guidance be noted.
189 People Department Care Act Update
The Board considered a report of the Corporate Director for People which provided an update on the implications of the Care Act for Southend Borough Council.

A further report on the Care Act and its implications would be provided to the Board in December 2014.

Resolved:

That the report be noted.
190 Fulfilling Lives Update
The Board considered a joint report from the Director of Public Health and Corporate Director for People which provided an update on the initial work being undertaken on the Fulfilling Lives: A Better Start Initiative.

Resolved:

1. That the set up work to be undertaken on Fulfilling Lives: A Better Start Initiative be noted.

2. That the extended set up period of 6 months from 1st September 2014 to 31st March 2015 be noted.
191 Forward Plan
The Board received the Forward Plan of Board activity for the period 1st April 2014 to 31st March 2015. This was a rolling plan and would be updated/changed as and when required.

The Health and Wellbeing Advisor advised the Board that the HWB discussion session would take place on 3rd November 2014, details would be circulated to the Board members shortly.

The Forward Plan was updated to include:

- Mental Health Provision Gap Analysis (December Board meeting);
- Further update on the implications of the Care Act for Southend Borough Council (December Board meeting).

Resolved:

That the Forward Plan be noted and updated accordingly.
192 Date and time of future meetings
Wednesday 3rd December 2014 at 4.00pm (Venue to be confirmed)

Tuesday 10th February 2015 at 2.00pm (Venue to be confirmed)

Wednesday 25th March 2015 at 2.30pm (Venue to be confirmed).

Where possible meetings of the Board would be held away from Southend Council offices.
16.00/17.50

Attendance Details

Present:
Councillor D Norman MBE (Chairman)
Councillors Evans, Longley and Velmurugan
Mr R Tinlin, Mr S Leftley (SBC), Dr A Atherton (SBC), Dr P Husselbee (Southend CCG), Mr C Cormack (Southend CCG), Ms M Craig (Southend CCG), *Mr I Stidston (NHS England Essex Area Team), Ms A Semmence (SAVS - non-voting member), Ms J Totterdell (SUHFT - non-voting member) and *Mr M McCann (SEPT - non-voting member)

*Substitute in accordance with Council Procedure Rule 31.
In attendance:
Mr R Harris (SBC), Mr R Walters (SBC), Mr N Faint (Pioneer Programme), Councillor Moyies (observer - Chairman of People Scrutiny Committee) and Ms S Anderson-Carr (Southend CCG)

Business

ItemBusiness
184The Board considered a joint report from the Southend Council and the CCG which provided updates on the Southend Better Care Fund(BCF) submission and the Intregrated Pioneer Programme.

Mr Faint advised the Board that there had been some slippage in the preparation of the BCF Plans. There were some key challenges to resolve before the final BCF plans were submitted on 19th September 2014.

The Board discussed the BCF plans in detail and made the following comments:

• Providers will need to review the BCF plans and be confident that revised requirements are deliverable, particularly the requirements around reducing emergency admissions;
• Safeguards and contingency plans to mitigate against the risks ensuring the protection of Primary, Acute and Social Care Services need to be put in place;
• Ownership of the plans must be shared across the whole of health and social care;
• Recognised that the establishment of a clear evidence base has been a significant challenge.
In response to a number of questions the Board was given assurances that the process in place between the SCCG and SBC to resolve and address the challenges and engage with providers would ensure that the BCF was submitted by 19th September deadline.
185The Board considered a report from the Chief Operating Officer, Southend CCG, which presented the Operational Resilience and Capacity Plan 2014-15 and provided an update on the performance of Accident & Emergency and the wider Urgent Care pathway for Quarter 1 and progress with the Recovery Action Plan (RAP).

The Board noted that SUHFT was the only Trust in Essex which was achieving and delivering against the 4 hour waiting time standard with performance for the year to date at 95.1%.

The Chief Operating Officer also reported that the SCCG had received additional funding to provide extra support over the winter period to providers as part of the Resilience Grants Programme.

In response to a number of questions the Board was informed of the following:

• How A&E triage works;
• The range of reasons why people attend A&E;
• The increase in people attending A&E was a national trend;
• Southend Hospital had made significant progress in recruitment;
• Outlined the changes in process for rapid assessment in the hospital;
• There were wider and more complex issues around the provision of Primary Care (e.g. GP surgery times, location of the St Luke's Health walk-in centre) and it was recognised that significant changes to Primary Care were needed, not just to reduce A&E attendance.
186The Board considered a report from the Chief Clinical Officer, SCCG, which provided an update on the development of the Health System Strategic Plan 2014-19 further to the submission in June, including the requirement to resubmit the plan to NHS England in September 2014.

In response to a number of questions the Board was informed that a financial recovery plan was contained in the Strategic Plan and the SCCG works in collaboration with the other four CCGs in Essex.
187The Board considered a report from SEPT which provided an overview of the need for and provision of mental health services in Southend-on-Sea.

In response to a number of questions Mr McCann advised the Board:

• Role of the Voluntary and Community Sector was important;
• Introduction of the GP crisis line;
• First Response Service;
• There was sufficient provision in the borough in terms of beds, etc for people with mental health needs and no client has been placed outside the borough for the last 2 years;
• Explained the IAPT initiative and highlighted that early feedback from clients who have used the service was positive and it had been well received.


The Chairman requested a further report on the challenges and gaps in provision of mental health services across health and social care.
188The Board considered a report from SEPT which provided an overview of the need for and provision of mental health services in Southend-on-Sea.

In response to a number of questions the Board was informed that:

• The Voluntary and Community Sector was vital in supporting people with mental health needs;
• A GP crisis line had been set-up;
• A First Response Service was set-up;
• There was sufficient provision in the borough in terms of bed availability for people with mental health needs and in the last two years no client was placed outside the borough;
• Overview of the IAPT initiative was provided. Feedback from clients on this service have been generally positive and has been well received.

The Corporate Director for People . Firstly the response to those people with non-clinical mental health needs and secondly the gap in provision for people with multiple and complex mental health issues (e.g. drug and alcohol and homelessness).

The Chairman suggested that the Board should receive a further report which identifies the challenges, gaps in provision, capacity and resilience in mental health provision across the whole health and social care system. The report should also identify what needs to be done to support all people with mental health needs.

 

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