Meeting documents

Health & Wellbeing Board
Wednesday, 18th June, 2014 2.00 pm

Southend Health and Wellbeing Board Minutes

Date:
Wednesday, 26th March, 2014
Time:
2.30pm
Place:
Civic Centre, Civic Suite, Jubilee Room
 

Attendance Details

ItemDescriptionResolution
Part I
879 Apologies and substitutions.
Apologies for absence were received from Councillor Courtenay (no substitute), Mr R Tinlin, Ms S Morris (substitute: Ms L Hembrough) and Ms J Totterdell (substitute: Mr N Rothstein)
880 Declarations of interest.
The following members declared interests:

(a) Councillor Salter - Agenda Items 6 (Performance of 4 hour waiting times) and 8 (7 day services update) - non-pecuniary interest - husband is a consultant surgeon at Southend Hospital.
881 Minutes of the Meeting held on Thursday, 30th January, 2014
  • Minutes
Resolved:

That the minutes of the meeting held on 30th January 2014 be confirmed and signed as a correct record.
882 Minutes of the Meeting held on Tuesday, 11th February, 2014
  • Minutes
Resolved:

That the minutes of the meeting held on 11th February 2014 be confirmed and signed as a correct record.
883 Peer Review Recommendations
Resolved:

1. That the proposed response to the Peer Review recommendations and feedback letter (appendix 1 to the report), be endorsed.

2. That a two part action plan be established which observes:

(a) Actions appropriate for Strategic Board level focus; and
(b) Actions for operational Working Group focus (delegated).

3. That a Board discussion session be held in June or July 2014 to consider the ongoing implications of the Peer Review findings and clarify the collective vision in addressing related challenges and opportunities.
884 Performance of 4 hour waiting time standard in A&E
Resolved:

1. That the current position and steps being taken to ensure short term improvements be noted.

2. That a further report containing detailed information and performance data from the Urgent Care Working Group be provided to a future meeting of the Board to provide assurances that adequate progress was being made.
885 Better Care Fund Plan (Final Draft for sign-off)
Resolved:

1. That the final Better Care Fund Plan be endorsed.

2. That authority be delegated to the Chairman, Rob Tinlin, Simon Leftley, Melanie Craig and Paul Husselbee so any necessary additional information may be added prior to the 4th April 2014 submission date.
886 7 Day Services Update
Resolved:

1. That the Joint Executive Group be responsible for the governance and direction of this programme of work.

2. That a separate group, to be known as the Seven Day Services Implementation Board, be established/formed to direct and monitor the implementation plan for delivering the improvements.

3. That the vision as set out in the report be communicated as widely as possible to the general public, staff, patients and their carers.
887 Children & Young People's Plan 2014/15
Resolved:

That the draft Children & Young People's Plan 2014/15 be endorsed.
888 Southend CCG 2 Year Plan
Resolved:

1. That the progress in developing the Operational Plan and Strategic Plan be noted.

2. That the approval of the final draft of the operational plan be delegated to a group comprising the Chair, Cllr Salter, Rob Tinlin, Simon Leftley, Paul Husselbee and Melanie Craig, prior to submission on 4th April 2014.
889 Learning Disability Self Assessment Framework
Resolved:

That the completed Learning Disability Self Assessment Framework, as it represents a true reflection of Learning Disability Services, be endorsed.
890 Autism Self-Assessment Framework
Resolved:

That the completed Autism Self Assessment Framework, as it represents a true reflection of autism Services, be endorsed.
891 Safeguarding Boards / HWB Board Draft Protocol
Resolved:

That the proposed protocol attached at appendix 1 to the report be endorsed.
892 JHWS Action Plan End of Year Progress & Forward Plan
Resolved:

1. That, working closely with partners, the current Health and Wellbeing Strategy Action Plan be refined to be more focused around delivering the strategy, whilst stimulating increased partnership working.

2. That the 106 sub actions be narrowed down to around 50 focused cross-partner actions. This would interact with and be informed by any action plan formed to address the Peer Review recommendations.
893 Calendar of Meetings 2014/15
Resolved:

That the meetings of the Board as set out below be agreed:

Wednesday 18th June 2014 @ 14.00
Wednesday 3rd September 2014 @ 16.00
Wednesday 3rd December 2014 @ 16.00
Tuesday 10th February 2015 @ 14.00
Wednesday 25th March 2015 @ 14.30
14.30/16.30

Attendance Details

Present:
Councillor Salter (Chairman)
Councillors Ayling, Borton, Holdcroft and Longley
Mr S Leftley (SBC), Dr A Atherton (SBC), Dr B Agha (Southend CCG), Dr P Husselbee (Southend CCG), Ms M Craig (Southend CCG), Mr J Keay (Southend Healthwatch), Mr A Pike (NHS England - Essex Area Team), *Ms L Hembrough (SEPT - non-voting member) and *Mr N Rothstein (SUHFT - non voting member - item 8 only).

*Substitutes in accordance with Council Procedure Rule 31.
In attendance:
Mr R Harris, Mr R Walters and Mr G Jones (items 11 and 12 only)

Business

ItemBusiness
883The Board considered a report from the Partnership Advisor, Health & Wellbeing, which summarised the feedback from the LGA's Peer Review of Southend's Health and Wellbeing Board which took place in January 2014.

In response to a question from Members, the Partnership Advisor, Health and Wellbeing, provided a brief overview of the position and activity of the Working Groups.

Mr Pike emphasised that the Board should be more action orientated and establish clear outcomes for the future delivery of integrated health and social care services. The Board should focus on planning for the future provision of health and social care services over the coming months in preparation for September 2014.

Dr Husselbee advised of a Southend CCG joint workshop taking place in May 2014 to develop and define the CCG's five year strategic plan.
884The Board considered a report from the Clinical Chief Officer, Southend CCG, which provided a report from the South East Essex Urgent Care Working Group on the current position and difficulties across the health economy in meeting the four hour maximum waiting time standard in Accident & Emergency (A&E). The report also outlined the factors assumed to be contributing to the current position, sets out the short-term actions and longer term plans being developed by the Urgent Care Working Group.

The Board requested that future reports on the waiting time standard in A&E provided more detailed information on the performance data to enable the Board to identify and support actions and solutions to achieve the four hour waiting time standard in A&E.

Mr Pike stressed that services need to be strategically shaped and solutions identified that were appropriate locally to enable the Board to support actions to improve the current position and difficulties in meeting the waiting time standard for A&E. It was emphasised that this was not solely a Southend Hospital matter and required a partnership approach such as improving patients' access to primary care (e.g. access to GP surgeries).
885The Board considered a report from the Corporate Director for People which presented the final version of the Better Care Fund Plan (BCF) for sign-off prior to initial submission on 4th April 2014. The initial draft BCF application was presented to the Board on 11th February 2014.

In response to a question concerning Caretrack, the Corporate Director for People advised that the current regulations in respect to data-sharing between appropriate agencies were under review and it was likely that the regulations would be amended to resolve the problems around data-sharing through caretrack.
886The Board considered a report of the Chief Executive, SUFHT (presented by Mr Rothstein) which advised of progress with the Seven Day Service Improvement Programme.

The Board asked a number of questions which were responded to accordingly. Clarification was also provided on a number of areas identified in the report.

The Board emphasised that the seven day services programme must be across the whole health and social care system.
887The Board considered a report from the Corporate Director for People which presented the draft Children & Young People's Plan 2014/15.
888The Board considered a report from the Chief Operating Officer, Southend CCG, which provided an update on the CCG's progress in developing the Operational Plan and Strategic Plan in line with the requirements of the planning process as set out in the NHS England publication 'Everyone Counts: Planning for Patients 2014/15 to 2018/19'. The report also presented the draft operational plan for information and comment.
889The Board considered a report of the Corporate Director for People which presented the Improving Health and Lives (IHAL) Learning Disability Self Assessment Framework which had been completed. It was highlighted that it was a statutory duty to complete and return the self assessment.

The Board received clarification on health-checks and take-up for people with learning disabilities. The Board noted that health-checks for people with learning disabilities was national problem which NHS England considered a high priority.
890The Board considered a report of the Corporate Director for People which presented the Improving Health and Lives (IHAL) Autism Self Assessment Framework which had been completed. It was highlighted that it was a statutory duty to complete and return the self assessment.

The Board expressed concerns in respect to the number of undiagnosed people with autism. The Board was given assurance that this was a key issue to be addressed in the Autism Spectrum Conditions Commissioning Strategy.
891The Board considered a report from the Business Manager, Southend LSCB and SVAB which presented a draft protocol which seeks to formalise the relationships between the Southend Safeguarding Vulnerable Adults (SVAB) and Local Children's Safeguarding Boards (LSCB), the Health & Wellbeing Board, and other strategic Boards/Partnerships in Southend in relation to safeguarding children and vulnerable adults.
892The Board considered a report from the Partnership Advisor, Health & Wellbeing, which presented the end of year position of the Health and Wellbeing Strategy Action Plan.

 

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