The following apologies were submitted:
· Chief Superintendent Ian Parnell (CI Deborah Johnson joined the meeting remotely)
· Fiona Hughes – Solihull Community Housing
· James Voller – Voluntary and Community Sector
Declarations of Interests
To receive declarations of interest from Members.
There were no declarations of interest.
Questions and Deputations
To answer any questions, if any, asked by any resident of the Borough pursuant to Standing Orders.
A deputation was received from the Monkspath Patient Participation Group, which related to concerns regarding the provision of services by the Solihull Healthcare Partnership (SHP) during the COVID-19 pandemic. The deputation set out a series of responses to the BSOL CCG ‘Outcomes from the Solihull Healthcare Partnership Access Independent Review.’
The Board noted the points raised in the deputation and agreed for this to be shared with the CCG. The Chairman highlighted that the findings of the Independent Review were scheduled to be considered by the Board later that meeting.
To receive the minutes of the previous meetings held on 2nd March and 20th May 2021.
The minutes of the previous Board meetings held on 2nd March and 20th May were presented. Councillor Sexton detailed how she had requested, at the meeting on 2nd March, for the figures for the number of GP appointments being held face-to-face – it was agreed for this to be followed up.
That the minutes of the meetings held on 2nd March and 20th May be held as a correct record.
Board to consider the outcomes from the independent review.
Paul Sherriff, Chief Officer for Primary Care and Integration, BSOL CCG, highlighted the following points, following the Independent Review:
· In regards to the wider context, it was emphasised how all health services, including Primary Care, had been facing unprecedented challenges, when looking to restore and recover services.
· There had been a sharp increase in demand for Primary Care – the latest data available for Birmingham and Solihull as an Integrated Care System reported 650,000 GP contacts during March 2021. This was a rise from 550,000 contacts during March 2019. According to the data, over half of these appointments were provided face-to-face.
· There were also more appointments offered on the same day, or the next day, in Solihull and Birmingham, than pre COVID-19. Also, over 80 per cent of people were being seen within 7 days.
· It was recognised the citizens of Solihull were experiencing significant challenges accessing care services. It had been agreed for an independent review to be undertaken of the concerns raised in respect of the services delivered by Solihull Health Partnership (SHP).
· The initial findings and recommendations of this independent review were presented to the Board, for their consideration. It was confirmed that the final report, which was currently in its final draft stage, could be shared with the Board for information.
· It was emphasised that, throughout the review, SHP had been fully engaging, collaborative and willing to work with wider partners, patients and the CCG in order to improve the access issues.
· It was recommended for the SHP, CCG and Telephony provider to conduct ongoing reviews of the call centre. This included focusing upon the information communicated to callers, as well as supporting the use of other digital platforms for repeat prescriptions, as appropriate.
· It was also recommended for SHP to merge separate PPG functions to one, to support effective patient engagement and feedback.
· It was recognised that Facebook and social media were genuine platforms to raise patient concerns – there needed to be a focus upon channelling user feedback and patient experience to support positive outcomes.
· It was recommended for SHP to ensure a robust communication and engagement plan – to ensure clear communications with its 55,000 registered patients.
· It was also proposed that SHP revised its staff training programme to support updated customer services training and dealing with aggression.
Andy Cave, Solihull Healthwatch, raised the following points:
· Andy Cave detailed how he believed there were two key issues – one concerned telephone access to SHP services and it was recognised changes had been introduced. It was explained how Healthwatch would continue to monitor this service and work with the CCG on this.
· It was emphasised how the other key issue concerned communication and engagement with patients. It was requested for further work to be undertaken on the formation of the PPG, including focus upon whether it’s feasible for one group to cover 55,000 patients.
Councillor Sexton also highlighted the following points:
· In regards to the findings detailed in the presentation regarding use of ... view the full minutes text for item 128.
Stakeholder briefing to the Health and Wellbeing Board. To update the Board on the following:
• Summarise the current context, challenges and priorities
• Highlight the national requirements for planning for 2021/22
• Highlight Birmingham and Solihull plans for 2021/22
• Seek the Board’s views on the plans for 2021/22
The Board was invited to consider the BSOL CCG System Operational Planning for the next 12 months, by the Director of Planning and Delivery. In presenting the report, the Director took the Board through the draft delivery priorities for 2021-22.
Board Members raised the following questions and observations:
· Anne Hastings explained that, as a Voluntary and Community sector representative, they worked with a lot of vulnerable groups. She expressed some concern about the emphasis upon digitally driven care pathways, particular for those in need who may not have access to the latest technologies.
· The Director of Planning and Delivery stressed the emphasis was upon widening access and participation. The focus was upon putting in place additional service pathways, where appropriate, to give patients a wider choice of options.
· Andy Cave welcomed the focus upon reducing waiting times, as well as the recovery and restoration of elective treatment, following the pandemic. As part of this, he emphasised the importance of communicating and engaging with patients, ensuring they had the right care and support whilst awaiting treatment and surgery.
· Councillor Sexton raised the following queries:
o Digital inclusion – Councillor Sexton explained she recognised the intention was for this to be an additional option, rather than mandatory, for patients. Councillor Sexton expressed her concern that some patients may feel required to pursue digital options, when this may not be the best solution for them.
o The demand and pressures currently being experienced in Primary Care – Councillor Sexton requested further information on the medium to long term plans for the recovery and restoration of Primary Care services.
o The health and wellbeing support to staff – Councillor Sexton questioned whether there was the opportunity for staff to provide anonymous feedback on the support they received.
· The Director of Planning and Delivery explain that, in regards to digital inclusion, the intention was to widen access and participation. She requested for any instances of the patient experience not matching this intention to be shared with her.
· In regards to the pressures on Primary Care, the Director of Planning and Delivery explained how this report was specifically focusing upon delivery priorities for 2020-21. Over the summer, the CCG would be re-looking at their medium to long term strategic goals, including for Primary Care services – a similar process would be followed as with this System Operational Plan, where engagement with Partners and the public would be undertaken.
· The Director of Planning and Delivery confirmed there were processes in place to enable staff to provide anonymous feedback on the health and wellbeing support they received.
· Lisa Stalley-Green explained that, in regards to staff help and wellbeing, additional funding had been secured – this had included training and support for psychological first aid in the work place, as well as confidential access to mental health support. Confidential feedback had been sought from the users of these services – the University of Birmingham had been commissioned to undertake an evaluation of this, to help inform future provision. ... view the full minutes text for item 129.
Covid-19 Outbreak Management - Update
Board to receive a verbal update from the Director of Public Health.
Ruth Tennant provided an update on current circumstances, highlighting the following points:
· The Delta variant was becoming the dominant variant, both locally and nationally, accounting for approximately 95% of cases within Solihull. It was also more transmissible, with 125 new cases locally in the last week.
· The vaccination programme was providing a strong firewall against COVID-19.
· Locally, the majority of cases involved younger adults. There were occasional instances of people who had received the vaccine being affected; however, the evidence available demonstrated the majority were less badly affected.
· The delivery of the vaccination programme was progressing well – the second dose coverage for the over 50’s within Solihull was the highest in the region.
· They were continuing to run the Local Outbreak Management Board for Solihull, which included the NHS, Public Health, as well as other key partners.
· Public Health were continuing to work with key local partners to support the safe re-opening of services, when possible – this included the Business Improvement Districts, the NEC, as well as the Airport.
· Ruth Tennant expressed her thanks to Healthwatch, for the rapid work they had been undertaking, linking in with their local networks, to seek views upon the delivery of vaccines, as well as other Public Health messages.
· They were continuing to provide all the local contact tracing for cases within the Local Authority teams, with funding from the national Test and Trace programme.
· As a Council, they had a good record in regards to processing self-isolation payments, to support people to stay at home when required. The most recent data available indicated Solihull had secured the largest proportion of funding within the region.
Members raised the following questions and observations:
· Councillor Dicicco noted the 125 new cases within the last week – he queried the latest data available in regards to hospital admissions.
· Paul Jennings confirmed there had been a significant rise in hospitalisations – no-one had been admitted to the Intensive Care Unit (ICU) two week ago, currently there were 8 people. There had been almost no COVID-19 patients within the 3 UHB hospitals two weeks ago, now there were over 40. He stressed the importance of everyone taking up the offer of the vaccines. It was explained the CCG was also currently looking restore activity to 120% of what it was before COVID-19.
Covid-19 Support to Schools, Children and Families
Board to receive a verbal update on the latest Council support to schools, children and families.
Louise Rees provided the following update on the continuing support for schools during COVID-19:
· The spread of the Delta variant was impacting on schools – in late April/early May they had reached the point of there being no confirmed COVID-19 cases in schools. In regards to current cases in schools, there were 42 pupil cases, with 813 children having to isolate. For school staff, there were 7 cases, with 72 staff members self-isolating.
· Officers were querying with the Regional Schools Commissioner about the impact of the Delta variant upon a range of planned summer activities.
· Louise Rees expressed her thanks to all school staff, parents and pupils for all the work they were undertaking to help prevent the spread of COVID-19.
Louise Minter, Chair of the Schools Strategic Accountability Board, provided the following update:
· The support for schools from the Local Authority continued to be exceptional and she expressed her thanks to Louise Rees, the Head of Services, as well as Public Health. She also welcomed the behaviour of pupils, in continuing to adhere to COVID-19 restrictions.
· The Delta variant had effected transitions work in schools, especially for pupils moving onto secondary school. Individual visits were being held for pupils with additional needs, in a COVID-19 secure manner.
· Schools were focusing mental health and wellbeing support for pupils, following their return to schools in March.
· COVID-19 restrictions continued to be in place in schools, with the vast majority of parents being supportive. The ongoing delivery of the vaccination programme was helping to alleviate anxiety amongst both parents and staff.
Louise Rees provided the following update on Social Care provision during COVID-19:
· There continued to be significant demand for Social Care services, with a rise in referrals, especially for children and families with complex needs.
· Officers were working with Leeds City Council in regards to the Family Valued programme, to support the expansion of Solihull’s Family Group Conferencing (FGC) across Children’s Social Care. Here, officers worked with families to help them develop their own solutions to issues, rather than necessarily resorting to statutory interventions.
· Ofsted would be holding a two day focussed visit under the ILACS inspection framework, on 23-24 June. The theme of the visit would be protection of vulnerable children from risks from outside the family.
To present the following reports from Solihull Safeguarding Adults Board:
· 2020-21 Annual Report
· Executive Summary in an Easy to Read format for people who find reading difficult and
· 2021-22 Strategic Plan
The Independent Chair of the SSAB presented the Annual Report, highlighting the following points:
· COVID-19 had necessitated moving from physical to virtual meetings, which had increased attendance and participation. This was welcomed, as it demonstrated partners recognised safeguarding as a key issue, alongside other considerable pressures.
· Exploitation reduction remained a key strategic priority, with the strategy, delivery plan, staff competency framework, Exploitation Panel and All Age Exploitation Reduction procedures all in place. There was now focus upon monitoring and demonstrating the impact of all of this.
· Further areas that were key going forward included strengthening and clarifying the relationships and governance arrangements between the Safeguarding Boards, as well as the Health and Wellbeing Board.
· During 2021, there hadn’t been any Safeguarding Adult Reviews; however, there was an emphasis upon learning from previous reviews, as well as the findings stemming from the National Review of SARs.
The Chairman welcomed the report and expressed her thanks to the Independent Chair for joining the meeting.
The Health and Wellbeing Board received and endorsed the Safeguarding Adults Annual Report 2020-21, Executive Summary in Easy to Read Format and the 2021-22 Safeguarding Adults Strategic Plan.
The report invites Members to consider proposed changes to the Health and Wellbeing Board’s Terms of Reference.
Members were invited to consider proposed changes to the Health and Wellbeing Board’s Terms of Reference. Following the publication of the White Paper by the Department of Health and Social Care and the introduction of ICSs, it had been necessary to review the existing Terms of Reference of the Board. The Children’s Trust Board responsibilities had also been updated, to reflect the priorities and major strategies in the latest version of the Council Plan.
Following a request from the Board, it was agreed for paragraph 4.2 to be amended, to state that ‘the Chair of the Board will be appointed by the Leader of the Council.’
That, subject to the above amendment, the Health and Wellbeing Board noted and approved the revised Terms of Reference, as set out in Appendix A.
Board to receive the latest Health & Wellbeing Strategy Scorecard.
Ruth Tennant presented the latest Scorecard for quarter 4, which detailed performance against the Health and Wellbeing Strategy priorities. It was proposed to delegate responsibility for monitoring the quarterly performance of the Scorecard to Solihull Together, with a detailed review presented to the Health and Wellbeing Board on an annual basis.
Ruth Tennant explained that, in regards to overall performance, 14 indicators were either green, or exceeding the target, 6 were within a reasonable pre-agreed margin, whilst 5 indicators were behind target. It was noted officers were currently developing the targets for some of the indicators, establishing the necessary data that needed to be collated.
The Chairman explained she supported the proposal for Solihull Together to take on responsibility for oversight of the quarterly delivery of the scorecard. She suggested that, alongside the annual review, the Health and Wellbeing Board still received quarterly reporting on the red scorecard indicators. Jenny Wood also requested for a refresh of the content within the Scorecard, noting how some of the indicators had been impacted by COVID-19. She also requested for the Scorecard to reflect clears links with delivery locally, at Place.
The Health and Wellbeing Board:
(i) Requested for Solihull Together to take on responsibility for monitoring the quarterly delivery of the Health and Wellbeing Strategy Scorecard.
(ii) Agreed to receive an annual report on the delivery of the Health and Wellbeing Strategy Scorecard, alongside quarterly reporting on the red performance indicators.
Health and Wellbeing Board work plan attached for information.
The Health and Wellbeing Board work plan was noted for information.
Lisa Stalley-Green updated the Board on plans to re-establish services at Solihull Hospital, in particular the restoration of more elective treatment and cancer services. She explained how they were looking to establish more theatre capacity for the site, as well as returning two of the health care wards for older people. It was also confirmed public communications would be produced, outlining the restoration of these services.