Apologies for absence were received from Councillor Willis (no substitute), Mr A Pike/Mr A McIntyre (substitute: Ms W Smith), Ms S Morris (substitute: Mr M McCann), Mr S Leftley and Ms S Hardy.

The following members declared interests as indicated below:-

(a) Councillor Salter – Agenda Item 7 (Essex Success Regime Briefing) – Non-pecuniary interest - husband is Business Unit Director at Southend Hospital for surgical services including oral surgery – urology;

(b) Dr J G Lobera – Agenda Item 7 (Essex Success Regime Briefing) – Non-pecuniary interest – practicing GP;

(c) Dr K Chaturvedi – Agenda Item 7 (Essex Success Regime Briefing) – Non-pecuniary interest – practicing GP;

(d) Councillor Velmurugan – Agenda Item 7 (Essex Success Regime Briefing) – Non-pecuniary interest – practicing GP.

Minutes attached (for signing only).

Resolved:-

That the Minutes of the Meeting held on Tuesday 9^th February 2016 be confirmed as a correct record and signed.

Report of the Director of Public Health, SBC (attached)

The Board considered a report of the Director of Public Health which provided an update on the work of the Childhood Obesity Task and Finish Group.

Resolved:

That the report and the proposals for taking forward action to tackle childhood obesity in Southend-on-Sea, be noted.

Report from the Head of Children’s Services, SBC (attached)

The Board considered a report of the Head of Children’s Services, Southend Borough Council, which presented the 2016-17 Children & Young People’s Plan (CYPP) for consideration.

In response to a specific question regarding the delivery of the targets within the CYPP the Head of Children’s Services advised that the targets are ambitious and deliverable within the resources available.

The Board commented on the delivery of targets in respect of the Health and Wellbeing strategic ambition 8 (housing) and noted that the targets concerning adequate affordable housing may need to be revisited in light of the Government’s proposed changes to the planning regime.

Resolved:

That the 2016-17 Children & Young People’s Plan be endorsed.

PowerPoint Presentation from Director for A Better Start & Action Plan for approval (attached)

The Board received a PowerPoint presentation from the Director of ‘A Better Start’ which provided an overview of the outcomes in the first year of operation and the challenges and opportunities for Year 2 of the ‘A Better Start Southend.’  The Board also considered the Executive Action Plan for ‘A Better Start Southend’ and was asked to comment on and provide feedback on the action plan.

The Board was reminded that it was the management and governance body responsible for overseeing the delivery of ‘A Better Start Southend’ and would at future meetings receive progress reports, etc against the action plan.

The Board asked a specific question regarding primary care and it was advised that work was taking place with the Southend CCG and the delivery of primary care will be locality based.

Resolved:

1. That the PowerPoint presentation on ‘A Better Start Southend’ be noted.

2. That the Executive Action Plan be approved.

Report from Chief Officer, Southend CCG (to follow)

The Board considered a report of the Chief Officer, Southend CCG, which provided an update on the Mid and South Essex Success Regime, including current requirements for Sustainability and Transformation Plans (STPs) as part of the NHS Five Year Forward View.

The Board asked a number of questions relating to information sharing, the merger of hospitals and the sustainability of delivering the significant savings required.  In response to these questions the Board noted the following:-

·      Information/data sharing – The aim was to improve the sharing of patient information across health and social care and provide a full and complete shared care record of the patient.  Nationally the Department of Health and NHS Policy was to move towards the provision of digitised records at the point of need and £1.3 billion had been designated nationally to facilitate digitised patient records across the health sector.

·      Merger of Hospitals – Assurance was provided that the three hospitals in the region were not merging.  A Joint Committee consisting of representatives of the three hospitals had been set-up to provide greater collaboration and does not replace the statutory responsibilities of the three hospitals.

·      Provision of primary care – It was noted that there were two major workstreams in respect to primary care and there was a significant amount of work to do in this area which will be taken forward as one of the six areas for change identified under the Success Regime.

·      Sustainability/Further Integration of CCGs – The Board was advised that there was not nationally an appetite for further integration of CCGs.  It was noted that if the CCGs were merged there would not be the necessary clinical leadership and focus on local needs.  However, it was recognised that there were areas that the CCGs could work more effectively together and one of the options being explored as part of the Success Regime was looking at how each CCG could take a lead on a specific issue.

·      Investment in Prevention – This was a key area of focus and was included in the six areas of change to sustain local services and improve care as part of the Success Regime.

·      Engagement and Consultation – The next steps and milestones were referred to.  The options will be refined between end of May and early September 2016 with a view to consultation on service changes, etc between September to December 2016.

Resolved:

That the report and update on the Mid and South Essex Success Regime, including the requirements for STPs as part of the NHS Five Year Forward View, be noted.

Report from Better Care Fund Programme Manager (to follow)

The Board considered  a report of the BCF Project Manager which outlined the requirements and planning process of the Better Care Fund (BCF) for 26/17; presented the draft BCF Plan for 2016/17 and sought agreement to delegate authority to the Corporate Director for People (SBC), the Chief Officer Southend CCG in consultation with the Chair and Vice-Chair of the Health & Wellbeing Board to make any minor amendments to the plan and enable any updates and the final BCF plan for 2016/17 to be submitted to NHS England by 25^th April 2016.

Resolved:

1. That the planning requirements and process for the BCF 20-16/17 be noted.

2. That the draft BCF Plan for 2016/17 be noted.

3. That authority, to make any required minor amendments and sign off the final BCF Plan for 2016/17, be delegated to the Corporate Director for People (SBC), the Chief Officer Southend CCG in consultation with the Chair and Vice-Chair of the Health & Wellbeing Board.

(a) Mental Health and Community Recovery Pathway Pre-Discussion Progress – Report from Health & Wellbeing Advisor (attached)

(b) Community Recovery Pathway actions (report to follow)

(c) HWB Performance Indicators (report to follow)

The Board considered the following reports from the Health & Wellbeing Board Advisor:-

(a) Mental Health actions actions which would feed into the Mental Health Strategy;

(b) Progress report against the HWB Performance Indicators;

(c) The Health & Wellbeing Board Forward Plan for 2016/17.

The Board was also informed that the Community Recovery Pathway actions were feeding into the integrated care work and that a formal update would come to June’s Board meeting.

Resolved:

That the reports covering the above matters be noted.