Apologies for absence were received from Councillor J Lamb, Councillor M Davidson, Councillor R Woodley, A Semmence (M Longley attended), Ian Stidston (M Hathaway attended) and S Dolling (Department for Place).

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

(a)   Councillor Salter – agenda items relating to – HWB Strategy refresh; Sustainability and Transformation Partnership (STP) – non-pecuniary – 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 Nevin – agenda item relating to Sustainability and Transformation Partnership (STP) – non-pecuniary – 2 children work at MEHT; step sister works at Basildon Hospital; previous association at Southend and MEHT Hospitals; NHS employee in Trust outside area;

(c)    Dr J Garcia-Lobera - agenda item relating to Sustainability and Transformation Partnership (STP) – non-pecuniary – GP in Borough;

(d)   Dr Chaturvedi - agenda item relating to Sustainability and Transformation Partnership (STP) – non-pecuniary – GP in Borough.

There were no questions from members of the public.

Resolved:-

That the Minutes of the Meeting held on Wednesday, 6^th December, 2017 be confirmed as a correct record and signed.

Report of the Deputy Chief Executive (People)

Further to Minute 542 of the meeting held on 6^th December 2017, the Board considered a report of the Deputy Chief Executive (People) which reviewed progress to date with the implementation of the Southend-on-Sea Physical Activity Strategy 2016-2021, including successes, challenges and future opportunities, as set out in Appendix 1 to the report.

Following the approval of the Health and Wellbeing Strategy 2017-21 refresh with its key aim of increasing physical activity levels in the borough, the updated Physical Activity Strategy action plan sets out the key areas of work to achieve this aim.

The Board discussed how they can support delivery of the strategy; specifically the roll out, at scale the use of brief interventions for physical activity (Making Every Contact Count), embedding physical activity into health and social care pathways where appropriate and supporting the communications plan for the strategy. 

Board members were invited to provide the Southend Public Health Team with a named contact to act as Physical Activity Champions to enable communication and improved partnership working and a number of offers and suggestions were made at the meeting.

In response to a question officers said that they would be happy to provide the Board with some base-line assessment data on the numbers of people involved in physical activity.

Resolved:-

1.     To note the update provided, including successes, challenges and future opportunities.

2.     That any further nominations to act as a named contact to enable communication and improved partnership working be provided to the Southend Public Health Team. 

Report of the Deputy Chief Executive (People)

The Board considered a report of the Deputy Chief Executive (People) which advised members about the work being undertaken within the Transformational Change through Systems Leadership (TCSL) programme.

Resolved:-

To welcome and note the approval of the TCSL work programme, given by the Success for All Children Group.

Report of LSCB & SAB Independent Chair, Liz Chidgey

The Chairman welcomed L Chidgey, Independent Chair of LSCB and SAB and Jane Gardner, Deputy Police, Fire and Crime Commissioner to the meeting for this agenda item.

The Board considered a report by the LSCB and SAB Independent Chair which presented the LSCB and SAB annual reports on the effectiveness of safeguarding services in Southend for 2016-17 as set out in Appendices 1 and 2 of the report.

S Morris mentioned that SEPT (now EPUT) had been missed from Appendix 2, page 10 and the Independent Chair confirmed that EPUT are strong members and active partners on both Boards.

The Chair welcomed the report and said that it was a readable document and complemented the paper.

Resolved:-

That the areas for development identified in the LSCB and SAB annual reports for 2016-17 be reflected in the Board’s strategic planning for the coming year.

Report of Andy Vowles, Programme Director, Mid and South Essex STP

(a)   Mid and South Essex Sustainability and Transformation Partnership (STP)

The Chair welcomed the Dr R Fenton, Ms C Hankey and Mr N Rothnie from the STP for this agenda item. Dr Fenton advised that Mr A Vowles, STP Programme Director was unfortunately not able to be at the meeting as he is unwell.

The Board considered the update briefing paper from the Mid and South Essex STP which provided an update on current progress and included the following information – a draft copy of a PowerPoint presentation including a summary of the potential impact on the residents of Southend and copies of summary sheets on financial plans, transport and stroke, which were a direct outcome of discussions with members of the Board.

The Board asked a number of detailed questions about the contents of the consultation including:–

·         Patient transport and workforce transport - the Board advised that transport of patients, families and carers is a significant issue for the residents of Southend. Within the proposals there is a lack of information regarding the plan to address these issues – the STP advised that transport is important and is an enabler to the proposals but is not part of the core principles which are being consulted on.

·         Stroke services – the Board questioned the proposed stroke pathway and the rationale behind the proposal for Basildon Hospital accommodating the Hyper Acute Stroke Unit (HASU). The STP outlined the proposed pathway for Southend stroke patients and how they would be initially stabilised at Southend Hospital. Once stabilised they would be transferred to the HASU for further treatment (which Dr Fenton later referred to as a Specialist Stroke Unit). The STP advised that this applied to all patients suffering from a stroke who were initially treated at Southend Hospital. The STP further advised that some patients suffered from a stroke ‘mimic’. These patients would be treated through an alternative pathway. The Board contested that this was different to what had previously been advised by the STP. The STP further outlined the rationale for locating the HASU at Basildon. Co-dependencies and time to access the initial treatment was sighted as the rationale. The Board did not agree with the rationale but welcomed the opportunity for further discussion.

·         The Board requested a breakdown of the transfer numbers indicated in the consultation generally and also with regard to stroke (actual stroke and stroke type episode). Dr Fenton confirmed that the plan is for the 3 hospitals to be acute stroke units, with 1 specialist unit at Basildon. Board members thanked Dr Fenton for the offer to visit the stroke unit at Southend Hospital and speak to the relevant consultants.

Resolved:-

1.      That the update be noted.

2.      That the Board submit a response to the consultation by 9^th March 2018 to be drafted by the Deputy Chief Executive (People) and the final response be signed off by the Chair & Vice Chair of the Board. The proposed response will be circulated to the Board members.

(b)  ...  view the full minutes text for item 658.

Refresh (attached)

(The Chair agreed to the addition of this item to the agenda so that the Board can be appraised about the refresh of the local transformation plan).

The Deputy Chief Executive (People) advised that the document is a refresh of the original local transformation plan which was authorised by the Health and Wellbeing Board in 2015.  The transformation of emotional wellbeing and mental health services for children and young people has a high national profile and is supported of significant additional funding.

The refresh offers an insight into the response to addressing the challenges as outlined in the original plan and identifies key pathways for development in the coming year. The main priorities of the service remain:

·         Improve access and equality;

·         Build capacity and capability in the system;

·         Build resilience in the system.

The Deputy Chief Executive (People) confirmed that in future years the document will come to the Board first so that it can influence the document.

The Chair welcomed the additional investment mentioned in the report but noted the figure is Essex wide.

Resolved:-

That the plan be noted.