Agenda and draft minutes

Venue: Committee Room 5 - Civic Suite. View directions

Contact: Robert Harris (Principal Democratic Services Officer) 

Items
No. Item

343.

Apologies for Absence

Minutes:

Apologies for absence were received from Cllr C Walker (substitute Cllr D Jarvis), J Gardner (PF&CC), S Leftley (SBC), K Chaturvedi (NHS Southend CCG), E Chidgey (Independent Chair), K Jackson (SAVS), S Dolling (SBC) and J Broadbent (Healthwatch Southend – J Symmonds attended).

344.

Declarations of Interest

Minutes:

The following declarations of interest were made:-

 

(a)  Dr J G Lobera – agenda item relating to Primary Care Networks – non-pecuniary interest – GP in Borough and is involved in some of the work around primary Care Networks;

(b)  Councillor Salter - agenda item relating to Primary Care Networks – non-pecuniary interest – son-in-law is a GP in the Borough;

(c)  Councillor Harp – agenda item relating to Dementia Community Support Model - non-pecuniary interest – St Luke’s Health Centre facilitated by initial motion at Council; patient and PPG Chair.

345.

Minutes of the Meeting held on Wednesday 12th June 2019 pdf icon PDF 70 KB

Minutes attached.

Minutes:

Resolved:-

 

That the Minutes of the Meeting held on Wednesday, 12th June, 2019 be confirmed as a correct record and signed.

346.

Teenage Pregnancy and Young Parents in Southend-on-Sea: Understanding the bigger picture of needs through case load analysis pdf icon PDF 406 KB

Report of the Interim Director of Public Health, attached

Minutes:

The Board considered a report of the Interim Director of Public Health which updated the Board on the insights and developments being explored as part of the wider deep dive review of under-18 conceptions, teenage pregnancy and young parents support in Southend.

 

Some emerging themes have been identified as requiring more in-depth analysis and interpretation, including the need for system pathway and offer for all young parents from entry and exit that is commissioned in a seamless way. The next steps in the work is to develop the deep dive and recommendations.

 

The Board asked a number of issues which were responded to by officers, including – issue of care leavers / young people in care – officers confirmed that deeper analysis on this will be carried out and will be included in the report back; terminations, sex and relationship education – the deep dive analysis will explore this further and can use Healthy Schools work as driver.

 

Resolved:

 

The final report with key recommendations will be presented to the Board in December 2019, to help finalise the collective approach and initiate an implementation plan in early 2020 that includes alignment to the Southend 2050 ambitions.

347.

LeDeR Mortality Review pdf icon PDF 457 KB

Report of the Interim Director of Public Health, attached

Additional documents:

Minutes:

The Interim Director of Public Health presented the LeDeR Southend, Essex and Thurrock End of Year Report 2018-2019. This detailed the actions taken to complete reviews within timescales and the learning from the learning disability mortality reviews.

 

The Board also noted the action plan which outlines the actions which need to be taken, including – record keeping; training (care providers) and will tap into the national programme; attendance at steering group meetings is being escalated as necessary. The Board asked for an update at its next meeting on this.

 

Resolved:

 

That the report be noted.

348.

Primary Care Networks pdf icon PDF 675 KB

Report from Simon Williams

Minutes:

Further to Minute 65 of the meeting held on 12th June 2019, the Board received a verbal update on the development of Primary Care Networks (PCns).

 

The Director of Partnerships & Integration (Castle Point & Rochford)  circulated details about the 9 PCns in the Castle Point & Rochford and Southend CCG footprint, the practices in each area and the list sizes and also the PCn maturity matrix, prepared by NHS England & NHS Improvement. He explained that it is still very early days in their development and that there are 5 PCns in Southend, each led by a Clinical Director (in most cases, but not always, a GP) and are based on the Localities areas. The 9 networks meet as a group once a month, with CCG colleagues.

 

Resolved:

 

1.     That the update and progress on the development of the PCns, be noted.

 

2.     That further updates on the development of the PCns be presented to future meetings of the Board.

 

3.     That the survey by Healthwatch Southend be presented to the Board.

349.

BCF 2019/20 pdf icon PDF 62 KB

Report from Nick Faint

Additional documents:

Minutes:

The Board considered a joint report by the Deputy Chief Executive (People) and Accountable Officer, Southend, Castle Point & Rochford CCG. This updated the Board regarding the Better Care Fund (BCF) for 2019/20, noting that the BCF plan 2019/20 submission will be made on 27th September 2019 and that the submission will be made to NHS England. The report also requested that delegated authority be given to the Deputy Chief Executive (People) (Southend-on-Sea Borough Council ‘SBC’) and the Accountable Officer (Southend Clinical Commissioning Group ‘SCCG’) in conjunction with the Chair and Vice Chair of HWB to agree the BCF 2019/20 plan in accordance with the Better Care Fund Planning Requirements (published June 2019), as detailed at Appendix A to the report.

 

Resolved:

 

1.     To note the update for BCF 2019/20.

 

2.     That the priorities for setting the BCF 2019/20 plan, including the need to abide by the national BCF conditions, be agreed.

 

3.     That authority be delegated to the Deputy Chief Executive (People), SBC and the Accountable Officer SCCG in conjunction with the Chair and Vice Chair of HWB to sign off the BCF plan for 2019/20 on behalf of HWB.

350.

Dementia Community Support Model pdf icon PDF 772 KB

Minutes:

The Board considered a joint report by the Deputy Chief Executive (People) and Accountable Officer, Southend, Castle Point & Rochford CCG. This updated the Board regarding potential plans for remodelling the Dementia Community Support Model for 2020 / 2021, as detailed at Appendix A to the report and sought views on the proposed dementia community support model. It was noted that the model is still to be approved at Clinical Executive Committee and Governing Body for both Southend and Castle Point and Rochford CCGs.

 

The Board was supportive of the proposals outlined in the report and commended officers for their work in progressing this and the move towards a more community based support model.

 

Resolved:

 

1.     That the update for Dementia Community Support model for 20/21 be noted.

 

2.     To note that the proposals are subject to progressing through the Clinical executives and Governing Bodies and to the People Scrutiny Committee.

 

3.      That the Board will review the new model after it has been fully operational for a year to review the outcomes and to decide whether to take a joint commissioner approach/ ICS.

351.

Brexit in the context of the Health and Wellbeing Board

Minutes:

The Head of Integration and Partnerships provided a verbal outline to the Board about this item. He explained that it related to a briefing note being prepared for practitioners regarding the settlement scheme. This will be circulated to the Board when available.

 

Resolved:

 

That the information be noted.

352.

Southend Physical Activity Strategy 2016-2021- Progress Update pdf icon PDF 103 KB

Report of the Interim Director of Public Health, attached

Additional documents:

Minutes:

The Board considered a report by the Interim Director of Public Health which review and updated the Board on the progress to date with the implementation of the Southend-on-Sea Physical Activity Strategy 2016-2021.

 

Resolved:

 

That the report be noted.

353.

A Better Start Southend Update pdf icon PDF 742 KB

Report of the Chair, ABSS, attached

Minutes:

The Board considered a report by the Chair and Director of A Better Start Southend providing an update on key developments since the last meeting of the Health & Wellbeing Board.

 

The Chair of A Better Start noted that much of the focus for the Programme Board was to discuss the legacy of A Better Start Southend and how we ensure the learnings from the programme are incorporated into service provision that is sustainable. It was noted that A Better Start Southend would report further on this direction in January 2020.

 

Resolved:

 

That the report be noted.

354.

Southend Tackling Harmful Behaviours Strategy pdf icon PDF 90 KB

Report of the Director of Public Protection, attached

Additional documents:

Minutes:

The Board considered a report of the Interim Director of Public Health which outlined the Southend Tackling Harmful Behaviours Strategy, which sets out the ambitions to reduce the impact of smoking, alcohol, substance misuse and gambling in the Borough.

 

Resolved:

 

1.     That the Strategy, detailed at Appendix 1 to the report, be noted.

 

2.     That an update paper be presented at a future meeting to report of progress in delivery of the strategy, including future challenges and opportunities.

355.

Annual Public Health Report 2018-19 pdf icon PDF 97 KB

Report of the Interim Director of Public Health, attached

Additional documents:

Minutes:

The Board considered a report of the Interim Director of Public Health which presented the 2018-2019 Annual Report of the Director of Public Health

 

Resolved:

 

That the content and recommendations of the 2018/2019 Annual Report of the Director of Public Health be noted.

356.

Healthwatch Southend

Minutes:

With the agreement of the Chair, J Symmonds, Healthwatch Southend raised the following issues of concern with the Board:

 

(a)   ASD Diagnosis Waiting Times - request for flow chart & statement to assist service users – this has been raised on several occasions. A meeting has now been arranged with officers at the Council to progress this.

(b)   East of England Ambulance Service – concerns raised by Shoebury residents about future plans for the Ambulance Station in Shoebury- Healthwatch Southend have asked for a statement from the Trust, but this is still awaited. Officers said that they understood that there were no plans to move the station and the CCG will check to see if the clarification has been received in writing. The Chair will write to Trust to ask for clarification if needed and will circulate to the Board.

(c)    Housing developments and impact on acute / primary care – asked the CCG for a statement as to whether developments in Rochford area have been taken into account in the plan. The Board advised that Healthwatch Southend need to direct this query to Essex.

 

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