Apologies and substitutions.
Apologies for absence were received from Councillors Courtenay (sub: Cllr Lamb), Longley (sub: Cllr Crystall) and Terry (no substitute).
Apologies were also received from Dr P Husselbee (no substitute), Mr A Pike (sub: Mr I Stidston) and Ms S Morris (sub: Mr M McCann).
Declarations of interest.
The following interests were made:
(a) Councillor Salter - agenda items relating to - Southend CCG Urgent Care Plan and Southend CCG Commissioning Intentions - non-pecuniary - husband is Consultant Vascular Surgeon and Business Unit Director for Surgical Services Southend Hospital (b) Cllr Borton - Agenda Item relating to Fulfilling Lives, Better Start - Big Lottery - non-pecuniary - son employed by the Pre-school Learning Alliance; (c) Councillor Crystall - agenda items relating to Southend CCG Urgent Care Plan and Southend CCG Commissioning Intentions - non-pecuniary - Council appointed Governor of Southend University NHS Foundation Trust at the Hospital; (d) Councillor Kaye - All agenda items in so far as they relate to SEPT - non-pecuniary - Mental Health Act Manager SEPT, Chairman for Hearings; Chairman of People Scrutiny Committee and Secretary of a Patient Participation Group.
Minutes of the Meeting held on Wednesday, 24th July, 2013
That the minutes of the meeting held on 24th July 2013 be confirmed and signed as a correct record, subject to an amendment to the resolution contained in Minute 207 to read as follows: 'Resolved: That the Joint Mental Health Strategy be noted.'
Fulfilling Lives, Better Start - Big Lottery
The Board received a detailed overview of The Big Lottery Fund's A Better Start Initiative from the Head of Public Health. A brief outline is provided below:
Southend Council and its partners have been shortlisted as part of the final 15 to proceed to the Stage 2 submission from which 3-5 areas would be selected to receive an award of between £30-50 million investment over 8-10 years; The funding is aimed at prevention focussed early years intervention projects to support systematic approaches to improve outcomes for children from pre-birth to age 3 through primary prevention and improve the life chances of babies and children; The criteria required applicants to target areas with high levels of disadvantage. Southend's submission focussed on Kursaal, Milton, Victoria, Shoeburyness, West Shoebury and Westborough wards; The Social Research Unit at Dartington has been appointed by the Big Lottery Fund (BLF) to support the 15 shortlisted areas. In conjunction with the detailed overview, Frances Kemp, Southend's designated support from the Social Research Unit at Dartington, provided a PowerPoint presentation on the 'Better Evidence for a Better Start' methodology to develop science-based prevention strategies which would be used as part of Southend's application. A copy of the presentation slides will be circulated with the minutes. Frances Kemp advised that a two day strategy workshop would be arranged for December 2013. The workshop would use the results and information obtained from the fund mapping exercise and the intelligence and analysis gathered by the Research Unit (DRU). This information would be used to assist partners in prioritising the outcomes which will make a difference to the lives of children (and their families) in the borough. The Board asked a number of detailed questions about the role of and the support available from the DRU to assist the preparation of Southend's submission, which were responded to accordingly. The Board recognised the excellent opportunity that the BLF's A Better Start Initiative provides to improve the lives of Southend's children (and their families). All partners expressed a strong commitment to delivering the initiative over its 8-10 years lifespan, if successful with the stage 2 application to the BLF. Resolved: 1. That the stage 2 submission to the Big Lottery Fund's A Better Start Initiative be supported. 2. That, if successful in the stage 2 submission, the Board and its partners give their full commitment to the 8-10 year lifespan of the project. 2. That Ms F Kemp, Ms J Youdale and Ms M Gray be thanked for their informative and valuable presentation and wish every success to Southend Council and its partners in the submission to the Big Lottery Fund's A Better Start Initiative.
Southend CCG Urgent Care Plan
The Board considered a report from the Chief Operating Officer, Southend CCG, which provided an overview of the south east Essex Health and Social Care Urgent Care Improvement and Recovery Plan which sets out the local strategy and detailed operational plans for managing urgent care, particularly during surge periods, and ensure quality services in terms of patient experience, patient safety and clinical effectiveness. The report also highlighted that the plan would also ensure achievement of the 4 hour A&E standard set out in the NHS Constitution.
The Board received a brief overview on the detail and contents of the plan. The Plan would ensure continued recovery of the A&E Department and resilient quality service during the winter period. A full copy of the Plan would be circulated to the Board members. The Chief Operating Officer advised that the Plan would be presented at the Southend, Castle Point and Rochford CCGs on 26th September 2013 for approval. Resolved: 1. That progress on the south east Essex Health and Social Care Urgent Improvement and Recovery Plan (the Plan) and the involvement of the key agencies in developing the Plan be noted. 2. That the detailed Urgent Care Plan be circulated to the Board Members and be reviewed at the November Board meeting, following approval at the Southend and Rochford & Castle Point CCGs.
Health and Wellbeing Strategy - update on progress
The Board considered a report from the Corporate Director for People which presented proposals for developing the Health & Wellbeing Board's capacity, capability and focus on added value so that it was better placed to deliver the Joint Health & Wellbeing Strategy. The report also included a breakdown of progress against the Strategy to date.
The Board discussed the role and purpose of the working groups and stressed that they must deliver on the outcomes and show a real and significant difference to the lives of residents in the borough. The groups must put in place clearly defined tasks with timescales for completion and provide evidence to the Board of their impact in improving the health & wellbeing of the borough. The Board briefly discussed the progress report against delivery of the Health & Wellbeing Strategy and stressed that the progress report should include a breakdown of impact and evidence that the actions were making a difference. The Chief Executive & Town Clerk sought the Boards views on whether Southend Council and its partners should take part in the Health and Wellbeing peer challenge programme provided through the LGA, NHS England and Public Health England. The Board appreciated that there would be a wide range of challenges but also recognised the benefits of a peer review. The Board agreed that Southend Council and its partners participate in the peer challenge review programme. Resolved: 1. That four working groups be established to support the Board's activities, as set out in Appendix A to the submitted report. 2. That the Joint Operations working group be tasked with identifying, developing and delivering outcomes in a limited number of 'quick wins.' 3. That the Board Progression working group be tasked with developing and delivering a programme of progression activity and present recommendations to the Board meeting in November. 4. That Southend Council and its partners participate in the health and wellbeing peer challenge review programme.
Integration Transformation Fund
The Board considered a report from the Corporate Director for People which provided information on the implications and opportunities of the Integration Transformation Fund (ITF).
The Corporate Director emphasised that the ITF was not new money but a reallocation of existing CCG funds. Resolved: That the Joint Commissioning working group be tasked with ensuring that the timetable was adhered to as set out in paragraph 3.4 of the submitted report and develop plans locally for the (ITF) pooled budget and present recommendations to the Board meeting in November on the areas to take forward over the next 18 months.
Hughes-Hallett Independent Commission into Health & Social Care - Final Report with recommendations
The Board considered a report from the Corporate Director for People which presented the findings of the Hughes-Hallett Independent Commission into health and social in Essex.
Resolved: That the Commission's findings be noted and a further report be brought back to the Board meeting in November on the implications for Southend of the commissions recommendations and findings.
Southend CCG Commissioning Intentions 2014
The Board considered a report from the Chief Operating Officer which advised of the Southend CCG commissioning process and proposed key service priorities for 2014/15.
The Board sought assurance that patients' views were being taken on board in developing the commissioning priorities. The Chief Operating Officer provided this assurance highlighting the in-depth and inclusive approach taken by the Southend CCG to involve patients in commissioning decisions. Resolved: That the Southend CCG commissioning intentions and strategic direction of travel for 2014/15 be supported.
Public Health Annual Report
The Board considered a report from the Director of Public Health which presented the 2013 Annual Report of the Director of Public Health.
Resolved: That the 2013 Annual Report of the Director of Public Health and its recommendations be noted.
Health and Social Care Integration Pioneer Update
The Board considered a report from the Corporate Director for People which provided an update on Southend's bid to become a national Health and Social Care Intregation Pioneer.
Resolved: That progress to date be noted.
Care and Support Bill update
The Board considered a report from Simon Leftley which informed of the progress made to date on the Care Bill and Caring for Our Future consultation.
Resolved: That the report be noted and further updates be provided to the Board as the work progresses.
Board and Scrutiny Relationship
The Board considered a report from the Corporate Director for Corporate Services which provided a brief update on health scrutiny regulations, information on two protocols and the Board and Scrutiny relationship.
Resolved: That the report be noted.
The Board received the forward plan of Board activity for the period 1st April 2013 to 31st March 2014. This was a rolling plan and would be added to/changed as and when required.
Resolved: That the forward plan be noted.
Date and time of next meeting
Wednesday 20th November 2013 at 2.30pm - Civic Centre, Civic Suite.