Agenda and minutes

Solihull Health & Wellbeing Board - Tuesday 22nd September 2020 2.00 pm

Venue: Online via YouTube https://www.youtube.com/channel/UC7DDSVoAIgTnwgp0Ku8iFLQ

Contact: Joseph Bright, Democratic Services 

Items
No. Item

64.

Apologies

To receive any apologies.

Minutes:

The following apologies were submitted:

Dr Peter Ingham, Bsol Clinical Commissioning Group, (Dr J Davenport – substitute)

Chief Superintendent Lee Wharmby (Superintendent Richard Agar – substitute)

Louise Minter, Solihull Schools Accountability Board

Anne Hastings – Voluntary & Community Sector representative

 

65.

Declarations of Pecuniary or Conflicting Interests from Members

To receive declarations of interest from Members.

Minutes:

There were no declarations of interest.

66.

Questions and Deputations

To deal with any questions or deputations received.

Minutes:

No questions or deputations were submitted.

67.

Minutes pdf icon PDF 390 KB

To receive the minutes of the meeting held on 9th June 2020.

Minutes:

The Board received the minutes of the previous meeting held on 9th June 2020.

 

  RESOLVED

That the minutes of the meetings held on 9th June 2020 be confirmed as a correct record.

68.

The Impact of Covid 19 on Inequalities pdf icon PDF 169 KB

To consider Health and Wellbeing Strategy Priority 5: Impact of the Covid-19 Pandemic and inequalities.

Additional documents:

Minutes:

Ruth Tennant introduced the report, detailing how health inequalities already formed a major part of the existing Health and Wellbeing Strategy. It was explained how this report focused upon the impact of Covid-19 on the wider determinants of health, including jobs, skills and employment.

 

The Head of Business Intelligence and Improvement detailed how the report considered the following areas:

·  An overview of trends in inequalities in the UK;

·  Analysis of the likely nature of the forthcoming recession and the resilience of the Solihull economy; and

·  Analysis of the population groups and communities at greatest risk of negative impacts.

 

The Head of Business Intelligence and Improvement also explained how a Covid-19 communities and inequalities risk matrix had been developed, which looked at four dimensions – health harm, financial and economic harm, social harm and then all of these factors combined.

 

The Head of Business Intelligence and Improvement detailed how this report provided high level evidence to support the development of a targeted Health Inequalities Strategy and Action Plan. In regards to next steps, further detailed evidence collection and analysis would be undertaken, such as how services were accessed and used, as well as social outcomes achieved by protected groups.

 

Members raised the following points and observations:

·  Members queried the impact of Covid-19 upon very young children. A Member highlighted, as an example, babies born during lockdown – as lockdown measures were eased, these babies became extremely distressed by people outside of their immediate family group. They queried the work being undertaken to monitor the development of babies and young children.

·  Ruth Tennant confirmed this could be focused upon as part of future reporting. She detailed the Health Visitor checks already undertaken – previous years could provide baseline data, to assess development.

·  Members highlighted the potential impact of Covid-19 upon people in private rented accommodation. They detailed how there were specific areas in the Borough where there were higher proportions of people in private rented property, such as Dickens Heath – they queried whether any specific issues had been identified as part of this report.

·  The Head of Business Intelligence and Improvement explained it was recognised that people in privately rented accommodation were often more economically vulnerable. It was confirmed this would be taken into account as further data collection and analysis was undertaken.

·  Fiona Hughes confirmed this was an issue they were closely monitoring and detailed the on-going support to residents at risk of homelessness. She explained how a Housing Strategy and Commissioning Lead had undertaken analysis of the potential impacts of Covid-19 upon housing – it was noted this could be linked to future reporting.

·  Members highlighted how the report identified the links between investment and interventions in North Solihull and the impact upon Indices of Multiple Deprivation (IMD). They queried whether future reporting would monitor such activities, in order to demonstrate what works.

·  The Head of Business Intelligence and Improvement confirmed there would be on-going analysis of what actions had the greatest impact upon inequalities. She emphasised how it  ...  view the full minutes text for item 68.

69.

Coronavirus update

Minutes:

Ruth Tennant provided an update on current circumstances, detailing how Solihull had been announced as an area of intervention 2 weeks ago, in response to a significant increase in infection rates. It was noted that other areas within the West Midlands, and the country overall, had experienced a similar rise in cases. There had also been an increase in hospital admissions, including patients requiring ventilator support. Ruth Tennant explained how there had been increased testing capacity for the Borough, with a slight fall in the percentage of people testing positive.

 

In regards to communications and engagement, Ruth Tennant detailed how over 100 people had signed up to be Community Champions and over 50 Council employees had volunteered to undertake public engagement in key locations across the Borough. Council Officers were also visiting licenced premises, whilst further Officers were supporting outbreak management, where required, in schools and work places.

70.

Birmingham and Solihull STP - restoration and recovery update pdf icon PDF 237 KB

This progress report is to provide an update on Phase 3 planning, which includes our delivery plans and financial impacts, our work to address inequalities, winter preparations and the recovery of services.

Additional documents:

Minutes:

Paul Jennings presented the report, which updated the Board on Phase 3 planning – this included CCG delivery plans and financial impacts, work to address inequalities, winter preparation and the recovery of services. Firstly, he explained the report contained an error, where it stated the CCG was planning to permanently close the Urgent Treatment Centre at Solihull Hospital. Paul Jennings apologised for this and confirmed it wasn’t the case, instead the CCG had established a temporary provision, whilst Solihull Hospital was used as the green site for elective surgery.

 

Paul Jennings emphasised the challenges all providers faced of restoring services, whilst ensuring adherence to social distancing, as well as infection prevention and control rules. He also detailed how the CCG’s Plans had been affected by the significant increase in cases over the previous month. He explained the delivery of those plans would also have to take into account the additional restrictions being announced that day by the Government.

 

Paul Jennings explained how Phase 3 planning focused on the following 3 critical actions:

·  Accelerating the return to near-normal levels of non-Covid health services;

·  Preparation for winter demand pressures

·  Taking account of the lessons learned during the first Covid-19 peak.

 

Paul Jennings emphasised that, as part of the winter preparations, the flu immunisation programme was critical.

 

Paul Jennings detailed how they were continuing the delivery of Primary Care, in a way that protected patients and also ensured the robustness of the service. As a consequence, they were continuing telephone and video appointments, where it was appropriate to do so.

 

Paul Jennings also highlighted how the Phase 3 plan focused on the eight national priority actions to address inequalities. He emphasised how this clearly linked with the Inequalities report scheduled earlier on the agenda, noting, in particular, the impact of any economic downturns upon mental health. It was also explained how the health and wellbeing of staff continued to be a major priority for the CCG – with a focus upon building on achievements during the initial Covid-19 response, as well as ensuring robust support for staff going forward.

 

Councillor K Grinsell detailed challenges residents had experienced accessing GP services, in particular via phone. It was queried whether residents seeking information and advice could be supported separately from those requiring appointments. Members also highlighted instances of residents with serious health conditions going to A&E because they were unable to access their GP services. Paul Jennings requested for all issues to be shared with him, so they could be looked into with the Practices.

 

Councillor Grinsell highlighted the plans to deliver flu vaccinations at scale – she queried how this would be achieved. Dr John Davenport explained how a variety of approaches were being adopted, including drive-through services, whilst additional services would be provided via local venues, such as village halls. He explained how he was confident that Primary Care Services and the wider system would deliver the immunisations.

 

James Voller detailed how, in previous years they had attempted to roll-out flu  ...  view the full minutes text for item 70.

71.

Winter Pressures - Update

Board members to be invited to update on how their organisation are planning for winter pressures.

 

Minutes:

Jenny Wood detailed how the National Adults Social Care Winter Plan had been published – it was confirmed the link for this could be shared with Board Members. She explained how the Plan confirmed the continuation of the Infection Control fund, which LA’s were responsible for distributing to local providers.

 

Jenny Wood also detailed how the Plan confirmed free PPE arrangements for care workers, where required, until March 2021. It was also noted how the Plan announced a new national role of Chief Nurse for Adult Social Care – Jenny Wood welcomed how this would support the sharing of key messages at the national level. She also confirmed any recommended key decisions stemming from the Winter Plan would be reported to the Cabinet Members decision sessions.

 

Members queried the arrangements for liaising with the Care Homes during the winter period. Jenny Wood confirmed they were in regular contact with all the Care Homes in the Borough, as they started to prepare for winter. She detailed how all Care Homes were required to submit information to the National Capacity Tracker, which monitored trends such as access to PPE, testing and vacancy rates – she explained how the Council was supporting Care Homes to provide the required information. She also confirmed how the Council would communicate with all Care Homes over the distribution of the Infection Control fund.

 

72.

Items for information.

The Health and Wellbeing Board is invited to consider the following agenda items for information:

·  Solihull Safeguarding Adults Annual Report

·  Better Care Fund (BCF) Quarter 4 Performance Report 19/20

·  Health and Wellbeing Board Work Plan

 

Minutes:

The Health and Wellbeing Board is invited to consider the following agenda items for information:

·  Solihull Safeguarding Adults Annual Report

·  Better Care Fund (BCF) Quarter 4 Performance Report 19/20

·  Health and Wellbeing Board Work Plan

 

73.

Solihull Safeguarding Adults Annual Report pdf icon PDF 171 KB

The purpose of this report is to present the following reports from Solihull Safeguarding Adults Board:

·  2019-20 Annual Report.

·  Executive Summary in an Easy to Read format for people who find reading difficult and

·  2020-21 Strategic Plan on a page.

Additional documents:

Minutes:

Members requested to receive an update from the Solihull Safeguarding Adults Board in six months’ time.

 

  RESOLVED

The Health and Wellbeing Board received the Safeguarding Adults

Annual Report 2019-20, Executive Summary in Easy to Read Format and the 2020-21 Safeguarding Adults Strategic Plan on a page.

 

74.

Better Care Fund (BCF) Quarter 4 Performance Report 19/20 pdf icon PDF 176 KB

To present to Health and Wellbeing Board the Quarter 4 Performance Report on the Better Care Fund Plan for Solihull.

Additional documents:

Minutes:

RESOLVED

The Health and Wellbeing Board noted the Better Care Fund (BCF) Quarter 4 Performance Report 19/20, which was submitted to NHS England / Improvement (NHSE/I) on 31st July 2020.

 

75.

Health and Wellbeing Board Work Plan pdf icon PDF 573 KB

Health and Wellbeing Board work plan presented for information.

Minutes:

The Health and Wellbeing Board noted the Work Plan for information.

 

Louise Rees provided an update on the support to schools, to help manage the challenges stemming from Covid-19. Access to testing had been challenging for Schools, with the impact upon availability of staffing and the management of ‘bubbles’ – the recent increase in testing capacity within the Borough was noted. Louise Rees also detailed how a dedicated helpline had been established for schools and parents.

 

Louise Rees explained that, for Children’s Social Care Services, the statutory easements were due to come to an end – few of these easements had been used and mainly involved, where appropriate, the use of virtual meetings and conferences. They were working with staff to ensure everyone was following the latest arrangements. It was explained how referrals had increased over the previous 2 weeks, following the return to school; however, it was noted they were still not at the same level as previous years. Louise Rees confirmed this would be closely monitored.