Agenda and minutes

Venue: Seacole Room - Tickfield. View directions

Contact: Robert Harris (Principal Democratic Services Officer) 

Items
No. Item

721.

Apologies for Absence

Minutes:

Apologies for absence were received from Councillor Gilbert (no substitute), A. Khaldi, Dr J Garcia, T. Huff, J. Gardner, Y. Blucher, S. Dolling and J Broadbent.

722.

Declarations of Interest

Minutes:

The following declarations of interest were made:

 

(a) Councillor Harp – Minute *** (Minutes of the meeting held 4th December 2019 – Reference to EEAST) – non-pecuniary interest – future relative and current friend is employee at EEAST mentioned in the minutes) and Minute *** (ABSS) – non-pecuniary interest – personal friend is employed by Better Start;

 

(b) Councillor Salter Minute 730 (5 Year STP Draft Plan) - non-pecuniary interest: husband is consultant surgeon at Southend Hospital; daughter is a consultant at Basildon Hospital; son-in-law is GP in the borough; daughter and son-in-law were medical students at UCL.

 

723.

Minutes of the Meeting held on Wednesday 4th December 2019 pdf icon PDF 78 KB

Minutes attached

Minutes:

During consideration of the minutes of the last meeting the Board was informed a special meeting of the People Scrutiny Committee took place on 20th January 2020 and received an update/overview of the East of England Ambulance Service Trust (EEAST) modelling review in relation to the Shoebury Ambulance Station. 

 

It was confirmed at this special meeting that:

 

·         At this time there were no significant changes being made;

·         The modelling review was taking place over the next few months;

·         Recruitment of additional 333 staff by 2022; and

·         A further update and progress on the EEAST modelling review, with parameters and timeline for completion, would be provided to the People Scrutiny Committee at its meeting on 17th March 2020.

 

Resolved:-

 

That the Minutes of the Meeting held on Wednesday 4th December 2019, be confirmed as a correct record and signed.

724.

Questions from the Public

Minutes:

There were no questions from the public at this meeting.

725.

Healthwatch pdf icon PDF 357 KB

Report from Healthwatch to follow

Additional documents:

Minutes:

The Board considered a report from Healthwatch Southend presenting observations from the NHS Long Term Plan survey engagement regarding people’s views on the plan and the planned changes to services locally.

 

The Board noted that following the completion of the survey Healthwatch Southend met with the Director of Communications and Engagement STP) to look at how specific responses from the LTP Survey would inform the STP/MSE 5 Year Strategy.

 

The Board asked a number of questions which were responded to by the Healthwatch representative.  The Board also made the following comments/observations:

 

Ø  Essential to capture the experiences and views of ‘hard-to-reach’ and vulnerable groups/individuals (learning disabilities, care homes, locality hubs, children’s centres, etc);

Ø  0-5’s experiences for whole family – ABSS has significant data/research to support Healthwatch;

Ø  Potential that will capture the same story across multiple services for individuals/families who are accessing a range of services;

Ø  Establishing the lines of enquiry – what is it that need to find out wider than the generic issues;

Ø  How can the Board support Healthwatch overcome any barriers/challenges to engagement;

 

Resolved:

 

That the observations from the NHS Long Term Plan survey engagement carried out by Healthwatch Southend be noted.

726.

Teenage Pregnancy pdf icon PDF 187 KB

Report from the Senior Public Health Principal attached

Minutes:

The Board considered a report from the Interim Director of Public Health presenting the high level outcomes from the deep dive into teenage pregnancy and young parenthood in Southend.

 

The Board asked questions on a number of matters, which were responded to by officers.  The Board also made the following comments/observations:-

 

Ø  In terms of access to contraception 6 community pharmacies were signed-up;

Ø  Pathways were in place with the Sexual Health Clinic;

Ø  Domestic abuse is a key determinant across the system wider than teenage pregnancy  (e.g. community safety, violence and vulnerability, neglect, etc) – domestic abuse will be a significant focus over the next 12 months;

 

Resolved:

 

1. That the strategic approach from Public Health England in developing a whole system approach to teenage pregnancy prevention and support for young parents, be adopted.  A draft high level Implementation Plan will be brought to the next meeting of the Health and Wellbeing Board.

 

2. That a Teenage Pregnancy and Young Parents Board with senior leadership and key elected Councillors, be established, to:

 

·         Bring together a full range of services and organisations involved in the delivery and commissioning of the teenage pregnancy and young parenthood pathways;

·         Deliver a whole system approach to teenage pregnancy prevention and support of young parents;

·         Adopt a clear governance framework.

 

727.

Joint Strategic Needs Assessment (JSNA) pdf icon PDF 5 MB

Report attached

Minutes:

The Board considered the Joint Strategic Needs Assessment (JSNA) summary report for 2019/20 presented by the interim Director of Public Health.

 

The Board asked questions on a number of matters, which were responded to as follows:-

 

Ø  Work was taking place over the next 6 months on the format of the JSNA to pull together a far more accessible document;

Ø  Work will be taking place to understand the picture in terms of the different environments of where falls occur and their causes; aim is to reduce the number of emergency hospital admissions relating to falls;  Causes relating to falls are generally due to safety in the home, medication and vision; 

Ø  There were four areas of focus to bring together as part of the JSNA: Local plan (housing and health); food environment and planning; wider environment and health and wellbeing; air quality issues;

 

Resolved:

 

That the JSNA Summary Report 2019/20, be noted.

728.

Mental Health Costed Delivery Plan pdf icon PDF 130 KB

Report attached

Additional documents:

Minutes:

The Board considered a report of the Chair of the Southend Clinical Commissioning Group, presented by the STP Director of Adult Mental Health Commissioning, presenting the Mid and South Essex STP Mental Health Costed Delivery Plan.

 

The Board asked questions on a number of matters, which were responded to as follows:-

 

Ø  Primary Care Networks (PCNs) were at different stages of development.  National dialogue was taking place on how they will be funded, their roles and responsibilities;

Ø  In terms of medical diagnosis moving away from a referral based system;

Ø  This was a whole system approach and it was important to have a common understanding as well as a common vision;

 

Resolved:

 

That the following 5 key recommendations set out in the costed Delivery Plan, be supported:

 

1. Further development of community-based and primary care based provision, structured around the emerging PCNs and with significant investment in resources, infrastructure and change management for primary care based teams, and providing required medical or other support to the PCNs;

 

2. Delivering NICE compliant specialist community mental health services for people with eating disorders, complex PD, Early Intervention in Psychosis (EIP) or other needs;

 

3. Strengthening existing plans on robust community-based crisis response, personality disorders and dementia services;

 

4. Removing less complex activity from secondary care services, enabling secondary care services to provide higher quality and quantity therapeutic interventions for people who need it the most; and

 

5. Developing a strategic approach to estates, workforce, digital and coproduction as key enablers to the delivery of the plan.

729.

Active Southend pdf icon PDF 78 KB

Report attached

Additional documents:

Minutes:

The Board considered a joint report from the Deputy Chief Executive (People) and the CCG Accountable Officer providing an update on the recent progress made through the ActiveSouthend Strategic Group, including successes, challenges and future opportunities.

 

Resolved:

 

1. That the update on the progress made through ActiveSouthend Strategic Group, including successes, challenges and future opportunities, be noted.

730.

5 Year STP Draft Plan pdf icon PDF 399 KB

Report attached

Additional documents:

Minutes:

The Board considered a report from the Interim Programme Director, Mid and South Essex Health and Care Partnership, presenting the draft 5 Year Strategy and Delivery Plan for the Mid and South Essex Health and Care Partnership and an overview of the strategy content and an update on Partnership activities.

 

The Board noted that an Executive summary version of the plan would be produced and circulated to Board members.

 

The Board asked questions on a number of matters, which were responded to as follows:-

 

Ø  Recognised that the timescales and targets to deliver the strategy and plan were ambitious;

Ø  There were significant challenges around the workforce and how to encourage young people to work in health services;

Ø  Will need to manage expectations and be realistic about delivery, etc;

Ø  There are significant opportunities and challenges;

 

Resolved:

 

That the draft 5-year Strategy and Delivery Plan, recognising that the draft has been approved by the Mid and South Essex Partnership Board and is in line with national NHSE/I expectations on finance and key metrics for delivery, be noted and approved.

731.

ABSS Update pdf icon PDF 165 KB

Report attached

Minutes:

The Board considered a joint report from the ABSS Chair and Director providing an update on the key ABSS developments since the last meeting of the Board.

 

The Director of ABSS noted that the Programme had recently undertaken a refresh of the ‘Outcomes Framework’ Partners had agreed with the National Lottery at the start of the programme. Early indications show on a number of measures the ‘gap is closing’ for very young children in ABSS wards, as compared to children in non-ABSS wards.

 

The University of Essex has been appointed to undertake formative evaluations of all projects and these, alongside the independent programme-wide evaluation, will help identify the causal factors leading to the apparent improvements.  Board Members enquired whether other determinants (e.g. the uptake of free early year’s education for 2 year olds) would be taken into consideration and it was confirmed they would.

 

The Board welcomed the offer of a presentation on the Outcomes for the ABSS Programme at a future meeting.

 

Resolved:

 

That the report be noted and ABSS be invited to present on the programme outcomes at a future meeting.

732.

BCF Update pdf icon PDF 80 KB

Approval letter attached

Minutes:

The Board received and noted the letter of approval from the Director of NHS Operations and Delivery and SRO for the Better Care Fund concerning the Better Care Fund 2019/20.

 

Resolved:

 

That the formal approval letter concerning the Better Care Fund 2019/20, be noted.

733.

LeDeR Review (Quarter 3) pdf icon PDF 89 KB

Report to follow

Minutes:

The Board received the LeDeR Quarter 3 report for information.

 

Resolved:


That the LeDeR quarter 3 report, be noted.

 

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