Council and democracy

To approve as a correct record the minutes of the Health and Wellbeing Board meeting held on 20 September 2019

Apologies were noted. Cllr Little confirmed that this was her third meeting as Chair of the Health and Wellbeing Board.  The Chair invited Nicola Martin to introduce herself and describe her role within HM Prison and Probation Service.  The Chair acknowledge that this was the final meeting for Trevor Hitchcock, Lay-member for Thurrock Clinical Commissioning Group and thanked Trevor for his contributions as a Board member.

The minutes of the Health and Wellbeing Board meeting held on 20 September 2019 were approved as a correct record.

To receive additional items that the Chair is of the opinion should be considered as a matter of urgency, in accordance with Section 100B (4) (b) of the Local Government Act 1972.

There were no urgent items raised in advance of the meeting.

The Chair asked Ian Wake, Director of Public Health to update members on the Novel Coronavirus.  Key points included:

·         The risk to UK had been raised from low to moderate.  There had been 2 Cases within the UK.  83 Britons and 27 foreign nationals were flying back to UK on the day of the meeting.

·         The Fatality rate was currently 2% on current advice people most at risk were the elderly or those with existing underlying conditions.

·         It is important to ensure that our messages are proportionate.  Members were reassured that the situation will remain under careful review with daily briefings taking place with Public Health England and other key stakeholders.

·         Members were advised that the CCG and health colleagues have been undertaking emergency planning and that robust information gathering and monitoring continued to take place.

There were no declarations of interest.

Jo Cripps, Programme Director (interim), Mid & South Essex Health & Care Partnership

This item was presented by Jo Cripps, Interim Programme Director, Mid & South Essex Health & Care Partnership.  Key points included:

·         The STP was now being referred to as the Mid and South Essex Health and Care Partnership.

·         The Mid and South Essex Health and Care Partnership has worked with partners across the system and informed by those partners to create a five year strategy that reflects local Health and Wellbeing Strategies

·         The Strategy sets out commitments provided in the NHS Long Term Plan and how we are intending to deliver them.

·         HealthWatch Thurrock engaged members of the public to ensure there has been substantial residential engagement which has informed the Strategy.

·         Public Health has provided a population profile which has been fed into the Strategy, including the wider determinants of health and wellbeing.

·         An Outcomes framework will be developed with Public Health to ensure progress can be monitored over time.

·         A key aim of the Strategy is to reduce health inequalities, supporting people to make healthy choices and lifestyles.

Members were provided with an update on the partnership more generally which included:

·         The Partnership remains committed to becoming Integrated Care System by April 2021.  

·         Provides more autonomy and will be supported by further investment.

·         A population health strategy has been developed

·         A workforce Strategy is currently being developed

·         Implementation of shared care records will be introduced and:

·         Chair Mike Thorne has identified two priorities and is keen to engage partners at future Summit meetings to identify:

o   Cancer outcomes

o   Support for aging population

During discussions the following points were made:

·         An independent accountable officer has not been appointed.  Partners have been notified that no appointment was made.  This means there is no change at the moment. 

·         Concerns were raised about potential impact on Thurrock particularly regarding finances and decision making.  Members were reassured that Thurrock is recognised by the Health and Care Partnership as leading on this work.    Reassurance was also provided that the Strategy aims to reflect local places and their plans. 

·         Members were updated about the third meeting of the Thurrock Integrated Care Partnership meeting which took place on 30 January 2020, demonstrating a sustained and strong commitment across partnership agencies to continue to work together in Thurrock.

·         A consultation document is to be published on CCG Merger. 

·         A virtual panel of 1500 people across mid and south Essex has been established.  Virtual surveys will be run every six to eight weeks.  First survey will be focussed on outpatients.  Members reassured that there are opportunities for the public and partners to provide views on health and care services.

·         Information sharing challenge – different systems.  There is no requirement for organisations to adopt a new system but members were reassured that connectors are being purchased to enable different systems to link.  There will be direct agreements in place between organisations over the next couple of months for sharing information.

·         BTUH remains committed to continuing to focus on place level.  BTUH will continue to work with individual locations while engaging  ...  view the full minutes text for item 4.

Maria Payne, Strategic Lead for Public Mental Health and Adult Mental Health System Transformation

Sareena Gill-Dosanjh, Public Health Programme Manager

This item was presented by Maria Payne, Strategic Lead – Public Health and Sareena Gill- Dosanjh, Public Health Programme Manager.  Key points included:

·         There is a need to expand knowledge of sexual violence and abuse.

·         Recommendations made within the JSNA include:

o   Improving the quantity of the data,

o   Co-ordinating practice,

o   Prevention of sexual violence and abuse with school based approaches and

o   Improve access to services and strategic oversight of sexual violence and abuse.

·         A dedicated sexual violence and abuse partnership group is to be established, which will include survivors of sexual abuse.

·         It can be difficult for survivors to navigate the services available and there are a wide range of organisations providing these services including Local Authority, Home Office, CCG, NHS England, Ministry of Justice, Police, and Social Care.

·         The JSNA identified that there have been inconsistencies in where/how data is recorded/reported.

·         A Thurrock Sexual Violence and Abuse Summit will be held in March and will provide an opportunity to establish the best way of taking forward recommendations made in the JSNA.

During discussions the following points were made:

·         Members requested contact details for reporting sexual violence and abuse is included within the Children’s Health Passport.

·         Schools will be holding mandatory sex and relationships lessons for students from September 2020.

·         A communications strategy will be developed and ensure that key messages are coordinated and aim to reduce the stigma of sexual violence and abuse.

·         Members considered professionals and how they are managing and supporting individuals.  Members acknowledged the importance of ensuring professionals receive support to manage emotional impact of supporting people that have been subjected to sexual violence and abuse

·         The Chair encouraged members to attend summit in March at Orsett Hall.

RESOLVED: The Board endorsed and approved the report for publication. The Board also supported the Thurrock Sexual Violence and Abuse summit.

Sheila MurphyAssistant Director, Children’s Social Care & Early Help

This item was presented by Sheila Murphy, (Interim) Director of Children’s Social Care and Early Help.  Key points included:

·         ILACs were introduced by Ofsted 2018.  System major inspection once every three years and focussed annual visits and Joint Area Targeted Inspections which engages wider partners as well as the council.

·         ILACs took place in November (comprising 2 weeks on sight activity and one week off sight activity.  The comprehensive and thorough inspection was as a result of the service previously being assessed as Requiring Improvement).

·         Prior to visit from Ofsted over 150 documents loaded onto the Ofsted system for consideration.  Four inspectors were involved over two weeks who were supported by additional two inspectors for two days. 

·         Key for Ofsted is impact on outcomes for children.  Intense work undertaken by social workers and wider children’s services colleagues.  Feedback from staff suggested that Inspectors were friendly and approachable. 

During discussions the following points were made:

·         Members welcomed the improved Ofsted Inspection outcome rating of Good and acknowledged the efforts made by staff across the service and beyond.

·         Members noted that Ofsted did not find it necessary to liaise with other partners of the council due to the quality of evidence that was provided which demonstrated improved outcomes for children and young people.  

·         Members were advised that the initial health assessments with the Clinical Commissioning Groups to be further discussed at Brighter Futures Children’s Partnership Board.

RESOLVED: Members noted the outcome of the Ofstedreport.

Mark Tebbs, MSE STP Director of Adult Mental Health Commissioning

Nigel Leonard, EPUT Executive Director of Strategy and Transformation McKinsey Consultancy

This item was presented by Mark Tebbs, Mid & South Essex Sustainability and Transformation Partnership Director of Adult Mental Health Commissioning and and Dr Rajan Mohile.  Key points included:

·         The Mental Health Strategy is an ambitious mental health programme. 

·         A Costed Delivery Plan was devised to bring together different work streams focussing on addressing mental health, which required a large collaborative effort of all partners across the system.

·         The transformation of mental health provision requires a whole system approach involving all partners including Councils, Social Care, Clinicians, Clinical Professionals and Voluntary Providers.

·         £30 million to be invested over the next 5 years focusing on developing an Integrated Primary and Community Care Plans model, reflecting the NHS 5 year Plan.

During discussions the following points were made:

·         Members acknowledged that Thurrock has played a key role in driving this work forward.

·         Members were encouraged that mental health service provision is being developed as a system within Thurrock and across the Health and Care Partnership.

·         Members acknowledged the importance of recognising the contribution of wider partners as well as specialist services in supporting people experiencing a wide range of mental health challenges. 

RESOLVED: The Board agreed and supported the delivery Plan.

Teresa Salami-Oru, Assistant Director and Consultant in Public Health

This item was presented by Teresa Salami-Oru, Assistant Director – Consultant in Public Health.  Key points included:

·         The Memorandum of Understanding provides a governance framework in Thurrock and was developed through engagement at a Stakeholder event.  This has been signed off at the Brighter Futures Children’s Partnership Board.

Members welcomed the Memorandum of Understanding and the integrated approach being adopted for children.

RESOLVED: The Board endorsed the Memorandum of Understanding.

RESOLVED: The Board agreed the minutes from the Integrated Commissioning Executive meeting held on 31 October 2019.  Thurrock CVS declared an interest by advising members that By Your Side is a Thurrock CVS Project.