Agenda and minutes

Solihull Health & Wellbeing Board - Tuesday 16th November 2021 2.00 pm

Venue: Cranmore Park, Cranmore Avenue. (Please note - this meeting will not be live-streamed).

Contact: Joseph Bright. Email -  jbright@solihull.gov.uk. Telephone - 0121 7046055 

Note: Please note - this meeting will not be live-streamed. 

Items
No. Item

150.

Apologies

Minutes:

The following apologies were submitted:

  • Tim Browne – Interim Director of Children’s Services (Charlotte Jones, Head of SEND – substitute).

·  Gianjeet Hunjan, Birmingham and Solihull MHFT

·  Danielle Oum, Birmingham and Solihull MHFT

·  Chief Superintendent Parnell, West Midlands Police

·  Cllr R Sexton (Cllr S Caudwell – substitute)

·  James Voller – Voluntary and Community Sector

 

151.

Declarations of Interests

To receive declarations of interest from Members.

Minutes:

There were no declarations of interests.

 

152.

Questions and Deputations

To answer any questions, if any, asked by any resident of the Borough pursuant to Standing Orders.

Minutes:

A local resident, Mrs L Farrant, made a deputation to the Board, regarding concerns about patient health services in Solihull and Birmingham. It was confirmed that a written response would be provided to the deputation; however Lisa Stalley-Green, University Hospital Birmingham, provided an initial verbal response, detailing the following points:

·  The Care Quality Commission report, which gave a rating of inadequate to the Urgent and Emergency Services at Birmingham Heartlands Hospital was disappointing; however this reflected the significant pressures services were under, in particular the transferring of patients from ambulances, into the care of the Trust.

·  There had continued to be significant patient demand across Birmingham and Solihull. The Hospital Trust was currently treating nearly 200 patients with Covid – this number of patients had been consistent since the summer. Also, on any given day, between 25-30 patients with Covid were receiving treatment in Intensive Care Units.

·  To prevent the spread of Covid, the Trust had to ‘dual stream’ all of their front doors – this meant patients had to remain in the ambulances, whilst they were admitted to the relevant service.

·  This area was a priority across the ICS, with the Urgent and Emergency Care programme in place – here multiple partners were working together to ensure the right patient flow-through and capacity levels, whilst mitigating Covid spread. Protocols had been put in place, whereby they were monitoring the safety of patients both on ambulances, as well as when they were admitted into departments.

·  In regards to the provision of services at Solihull Hospital – the Trust continued to run Solihull as a ‘cold’ site for elective care, to help reduce the backlog of patients requiring elective surgery. It was explained how they had additionally staffed the elective pathways with international recruits. This had enabled the opening of an additional two wards at Solihull for frail older people, recognising the sizeable older population.

·  In regards to organisational culture, the Trust welcomed the half-yearly report from its Freedom To Speak Up Guardian and were responding to the points raised. It was also explained that, as part of the recent CQC inspection of the Trust, a full duty of candour review was undertaken – this review concluded the Trust was well-led in this area.

 

153.

Minutes pdf icon PDF 395 KB

To receive the minutes of the previous meeting held on 28th September 2021.

Minutes:

The minutes of the meeting held on 28th September 2021 were presented.

 

It was explained that the minutes needed to be amended to reflect that Lisa Stalley-Green, University Hospital Birmingham, had joined the meeting remotely.

 

Councillor K Grinsell also highlighted that the response to the deputation made by David Page, Monkspath Patient Participation Group, had been circulated to the Board.

 

  RESOLVED

That the minutes of the meeting held on 28th September 2021 be held as a correct record, subject to the amendment detailed above.

 

 

154.

Integrated Care System - update

Board to receive a verbal update on the introduction of the ICS.

Minutes:

Karen Helliwell, Accountable Officer, BSOL CCG, provided an update on the development of the Integrated Care System, detailing the following:

  • Since the previous meeting, interviews had been held to appoint a Designate Chief Executive of the Integrated Care Board (ICB). It was explained Birmingham and Solihull were not able to make a substantive appointment following the recruitment process.
  • It was confirmed that David Melbourne would continue to take on the full responsibilities of the role of Designate Interim Chief Executive of the Integrated Care Board, until a permanent appointment was made. Also, Karen would remain as Interim Accountable Officer of the CCG to ensure continued leadership for the transition of the CCG.
  • The next stage was to recruit Non-Executive Members and Executive Directors to the ICB over the comings weeks, and the Health and Wellbeing Board would be kept informed as this work progressed.
  • A lot of work was being undertaken to develop the ICS constitution, including the working arrangements for the ICB and the Integrated Care Partnership (ICP), as well as links with the Place Boards.
  • Karen Helliwell detailed the oversight arrangements in place, in particular for quality and finances – it was intended to start many of the Committees and Boards in shadow form, from January 2022, to support preparation for the formal introduction of the ICS in April.

 

RESOLVED

The Health and Wellbeing Board noted the Integrated Care System update.

 

155.

Covid-19 Outbreak Management - Update

Board to receive a verbal update from the Director of Public Health.

Minutes:

Ruth Tennant, the Director for Public Health, provided an update on current circumstances, highlighting the following points:

  • There had been a slight fall in rates, at 347 per 100,000; however this was still relatively high for the region.
  • The combined effect of other winter viruses was highlighted – as a result, work had been undertaken with schools and care homes to help manage other viruses, such as norovirus.
  • Briefings had been provided to Community Champions, encouraging messaging around taking up booster vaccines as soon as possible, as well as flu vaccines. In addition, there had been messaging around staying healthy and well during the winter period.
  • It had recently been announced the booster vaccine would be made available to the over 40’s. Solihull continued to have good take-up rates – 85 per cent of residents over 16 years had received their first dose, 80 had had the second dose. In addition, 70 per cent of eligible residents had taken up the booster vaccine.
  • Hyper-local campaigning work was being undertaken in the North of the Borough, where there had been lower take-up rates. This included community-level meetings. There was focus upon positive messages around the vaccine, including the level of protection it gave, as well as greater flexibilities when travelling and accessing venues.
  • Officers continued to run the multi-agency Local Outbreak Management Board. In addition, they continued to deliver local testing centres, as well as the local contact tracing service.
  • Alongside Public Health colleagues nationally, there was focus upon the emergence of any new variants. The Delta variant continued to be the main variant, with a sub-variant that was being closely monitored – so far, the evidence indicated the vaccine offered good protection against this.

 

Board Members raised the following queries:

  • Councillor Grinsell highlighted a query raised with her regarding consistent messages around the use of face masks.
  • Ruth Tennant detailed the volume of advice they provided to local venues arranging events, from the NEC to small providers – as part of this, they continued with clear messaging around measures to help reduce the risk of spread, including mask wearing.
  • Councillor Caudwell highlighted the lower take-up rates in the North of the Borough and queried whether it may be beneficial to change any messaging, recognising that Covid would become endemic.
  • Ruth Tennant explained how there had been a shift in the national communications, whereby the focus was upon managing Covid, alongside other winter pressures. The vaccine ‘evergreen’ offer was also detailed, which conveyed messages about how people could still access the vaccine, even if they hadn’t taken up the original offers.

 

RESOLVED

The Health and Wellbeing Board noted the Covid Outbreak Management update.

156.

Solihull Together - Update pdf icon PDF 514 KB

This is the second report to the Health and Wellbeing Board, providing an overview of the work of Solihull Together and progress in developing the Solihull Place Based Partnership.

 

Minutes:

Anna Hammond, the BSol Place Development Director presented the report, providing an overview of the work of Solihull Together, as well as progress in developing the Solihull Place Based Partnership. The following points were highlighted:

·  Birmingham and Solihull wide activities relating to the development of Place Based Partnerships - this included the development of the constitution, as well as preliminary discussions on the potential delegation of ICS functions to place.

·  The development of Solihull Place based partnerships – team capacity had recently been increased, whereby the new Partnership Development Manager, had started in post.

·  It was explained how the report updated on the agreed delivery priorities – Ageing Well, Exploitation Reduction, Thriving Communities, Mental Health and Strengthening Families.

·  An update was also provided on the key activities that would be progressed over the next couple of months and reported back to the Health and Wellbeing Board in January.

 

Board Members raised the following points:

·  Dr Taylor highlighted some of the challenges residents living in border areas could face when attempting to access Place-based care and support. It was emphasised how East Birmingham and North Solihull included some of our most deprived areas. Dr Taylor stressed how a major focus for Place based partnerships needed to be the seamless provision of services across borders.

·  Jenny Wood provided an example of how this was being addressed by detailing the work of the Solihull Ageing Well Board and explained how a Birmingham and Solihull Ageing Well Board had also been established which Solihull Ageing Well Board was connected to, and part of the purpose was to address the issues raised by Dr Taylor. It was explained how the Birmingham and Solihull Ageing Well Board focused upon issues such as accessing services consistently across borders, as well as unnecessary variance in service delivery. Jenny Wood noted that these arrangements were being reviewed so they continued to be effective as part of the ICS arrangements. The importance of using evidence at all levels was emphasised – specific dashboards had been established for Solihull and Birmingham respectively, whilst an overarching Solihull and Birmingham dashboard was also being developed.

·  Anna Hammond agreed that considering cross-border provision was a key priority to consider at every stage of the development of the Place-based partnerships.

 

RESOLVED

The Health and Wellbeing Board noted the progress and proposed next steps.

 

 

 

157.

Tackling health inequalities: a blueprint for Solihull 2021-2024 pdf icon PDF 214 KB

To present Solihull’s Draft Health Inequalities Strategy, called, “Tackling health inequalities: a blueprint for Solihull 2021-2024” for comment.

Additional documents:

Minutes:

Ruth Tennant presented Solihull’s Draft Inequalities Strategy, called ‘Tackling health inequalities: a blueprint for Solihull 2021-2024.’ It was detailed how this Strategy sat alongside and complemented the ICS Inequalities Work Programme being led by Richard Kirby 

 

Ruth Tennant explained how the Strategy drew on strategies where work to address health inequalities had already started, including the Council Plan 2020-2025, Health and Well-being Strategy 2021-23 and the emerging Birmingham and Solihull Integrated Care System Health Inequalities Programme.

 

Councillor Grinsell explained how the Strategy had already been reported to the Health and Adult Social Care Scrutiny Board – the points raised included ensuring further reference to support for Adolescence, Transport and Housing. Reference had also been made to language, whereby it had been requested that, prior to consultation, some sections, such as the Main Goals and 7 Principles, were made more accessible.

 

Board Members raised the following observations:

  • Fiona Hughes welcomed the reference in the report to the development of the integrated health and community hub at Kingshurst Village centre, as it helped to demonstrated how the Strategy would support changes for local residents. She also welcomed the proposed greater reference/clearer links to key housing provision within the Borough – in particular, she queried whether it would be beneficial to make reference to residents in insecure accommodation, as this had a clear impact upon health and wellbeing.
  • Jenny Wood also detailed how she supported the Strategy. She emphasised the volume of areas covered by the Strategy, some of which would be delivered by individual organisations, whilst others would be provided across multiple organisations. It was noted how, as a result, it would be challenging to ensure effective oversight of the delivery of the Strategy. Jenny Wood detailed how she welcomed the proposal for Solihull Together to be the forum to co-ordinate local delivery of this Strategy, alongside reporting to the Health and Wellbeing Board.

 

Board Members also requested to put on record their thanks to Rob Davies, Consultant in Public Health, for all his work in the development of the Strategy.

 

  RESOLVED

  The Health and Wellbeing Board:

(i)  Endorsed the Tackling Health Inequalities Strategy

(ii)  Board Members agreed to:

·  sign up to the central aim and seven principles of the Strategy

·  take the Strategy through their own decision making processes for awareness and adoption

·  review what it means for them e.g. any further action pledges under each of the priorities/enablers and adoption/trial of the Public Health England Health Equity Assessment Tool (HEAT), or equivalent, to their own work area

·  identify a lead representative in their own organisation or network to take part in a Task and Finish group. The group will oversee action planning and implementation of the Strategy, reporting to Solihull Together.

 

158.

Solihull Draft Better Care Fund Plan 2021/22 pdf icon PDF 190 KB

To present to the Health and Wellbeing Board the Solihull Draft Better Care Fund Plan for approval prior to submission.

Additional documents:

Minutes:

The Assistant Director, Commissioning Adult Care and Support, presented to the Board the Solihull Draft Better Care Fund Plan for approval prior to submission. It was explained the intention of the Fund was to support greater integration across health and social care, to enable greater person-centred integrated care.

 

The Assistant Director, Commissioning Adult Care and Support, detailed how the BCF Policy Framework for 2021-22, as well as the national BCF Planning Requirements had been published late that year, which meant they had had to continue to deliver a number of service areas, whilst they awaited the guidance.

 

It was explained how the national policy framework set out clear expectations of delivery against key measures of performance in support of the Government’s aims to continue to integrate health and social care to support better outcomes for people. It was also detailed how this year’s BCF Plan set the foundations for further national developments anticipated for the BCF in 2022/23.

 

Board Members raised the following points:

·  Karen Helliwell confirmed the CCG supported the proposed Plan and welcomed the opportunities the BCF provided to strengthen joint working across health and social care.

·  Lisa Stalley-Green also supported the proposed Plan – she explained how she welcomed, in particular, the emphasis in the Plan upon identifying and supporting carers at the earliest opportunity, in recognition of the vital role they play in supporting the wellbeing of local residents.

 

Board Member requested to put on record their thanks to Karen Murphy, Assistant Director, Commissioning Adult Care and Support, as well as Helen Kelly, Director of Acute and Community Integration, for all their work in the development of the BCF Plan.

 

  RESOLVED

The Health and Wellbeing Board approved the Solihull Better Care Fund Plan for 2021/22 for submission.

 

159.

Update on Domestic Abuse recommissioning DOTX 68 KB

To provide a position statement in relation to compliance with new duties under the Domestic Abuse Act 2021, which includes service developments in-year and proposed future commissioning intentions for 2021 to 2022.

 

Additional documents:

Minutes:

The Senior Commissioning Manager presented the report, which updated the Board upon the work being undertaken to ensure compliance with the new duties under the Domestic Abuse Act 2021, including service developments in-year and proposed future commissioning intentions for 2021 to 2022.

 

It was explained how Part 4 of The Domestic Abuse Act 2021 placed a number of new statutory duties upon Local Authorities. This included the requirement to form a multi-agency Executive Board, which had been established locally in shadow form, with good levels of attendance. LA’s also had to undertake Needs Assessments to understand the accommodation needs of victims – in Solihull it had been decided to undertake the needs assessment across the whole issue of Domestic Abuse. The key findings of this assessment would inform the 2022-2025 Domestic Abuse Strategy.

 

The Senior Commissioning Manager also updated on the planned commissioning activity for 2022 – this included the development of Domestic Abuse Safe Accommodation, as well as Community Based Specialist Support.

 

Board Members raised the following queries and observations:

  • Councillor Grinsell queried how the Domestic Abuse Act took account the education sector.
  • The Senior Commissioning Manager detailed how the Domestic Abuse Act 2021 placed a duty on schools to deliver healthy relationship programmes and the Government would be issuing guidance on this.
  • Dr Taylor queried the links in place to ensure victims of abuse continued to be able to access health services, if they had to move away from their immediate area.
  • The Senior Commissioning Manager explained how they had various partners represented on the Executive Board, including from health. Also, the refuge provider within the Borough had very good links with local health providers – all women and children’s needs were assessed when they entered a refuge and referred to the relevant support.

 

Councillor Grinsell expressed her thanks for the report – it was noted the Domestic Abuse Strategy would be available by early January and it was requested for this to be shared with the Board.

 

  RESOLVED

The Health and Wellbeing Board endorsed the outlined proposed service developments for Domestic Abuse services within Solihull in response to the new Domestic Abuse Act 2021.

 

160.

Solihull Health & Wellbeing Strategy Scorecard Q2 2021/22 pdf icon PDF 4 MB

Board to receive the latest Scorecard indicators.

Minutes:

Ruth Tennant took the Board through the Scorecard, highlighting the following priorities:

·  Priority 1 Maternity, Childhood and Adolescence: A Healthy Start in Life – it was explained how there had been a significant drop in the proportion of face to face new birth visits within 14 days by a health visitor. The recruitment work undertaken to increase capacity in the Health Visiting Team was detailed.

·  Priority 3: Ageing and Later Life: Ageing Well and Improving Health and Care Services for Older People.

·  Priority 5: All age: Impact of the COVID -19 Pandemic.

 

Members raised the following queries and observations:

  • Councillor Caudwell highlighted measure 2.02 – the number of people supported into employment by Council led employment support programmes – he expressed concern this measure was below target.
  • Ruth Tennant explained how this may be attributable to a data lag – there was often a 4-6 week lag in recording job outcomes, due to the stringent verification process that had to be followed. It was also noted the increase in Kickstart jobs was likely to increase the local opportunities available.
  • Councillor Caudwell flagged up measure 2.03 – the number of people supported into training by Council led employment support programmes. He noted the performance commentary stated ‘there is often a reluctance to claim training outcomes for jobseekers as once this takes place, staff are no longer able to support them into employment’ and queried this.
  • Ruth Tennant detailed how a lot of this work was funded by the Department of Social Security and noted the eligibility criteria. It was explained there would be additional investment into this team, over the next 3 years, which should allow more flexibility to support jobseekers into employment.
  • Jenny Wood explained how she welcomed the progress in developing the Scorecard. It was noted how a further review of the measures recorded in the Scorecard needed to be undertaken by the new financial year, for when the ICS would be in place.
  • Ruth Tennant stressed the importance of avoiding indicators being presented via multiple reporting routes. It was noted this point could be considered by Solihull Together, now they had initiated work to develop a place outcomes framework.

 

RESOLVED

The Health and Wellbeing Board noted the current developments and performance recorded in the Health and Wellbeing Strategy Scorecard for quarter 2 of 2021/22.

 

161.

Additional Needs Strategy pdf icon PDF 800 KB

To update the Health and Wellbeing Board on the development of the Solihull Additional Needs Strategy 2022-2025 co-authored by Solihull Council, Birmingham & Solihull CCG, Solihull Parent Carer Voice and Our Voice’s Heard (the new children and young people’s forum).

Minutes:

The Head of SEND 0-25 Service presented the report, which updated the Board on the development of the Solihull Additional Needs Strategy 2022-2025 co-authored by Solihull Council, Birmingham & Solihull CCG, Solihull Parent Carer Voice and Our Voice’s Heard (the new children and young people’s forum).

 

The Head of SEND detailed how the strategy fulfilled the Council’s requirement to publish its SEND offer; however it was proposed for the scope of the Strategy to include any child or young person who may have an additional need. Also, rather than a ‘traditional’ strategy, this strategy had intentionally been written directly to children and young people and their families, setting out how organisations and services would change to better support them.

 

The Head of SEND detailed how SEND officers had met with many parent carers, young people and schools to help inform the development of the Strategy. In addition, they also met with health providers, social care services, as well as the voluntary and community sector.

 

Board Members raised the following points:

·  Councillor Caudwell expressed his concern at instances of local schools and academies not making reasonable adjustments to support the needs of the child. He noted how academies were independent from the Local Authority and queried how they would be engaged in the delivery of the strategy.

·  The Head of SEND detailed how, as part of the new Ofsted framework, there was greater focus upon inclusion. She also explained the work undertaken by the Council with schools to develop the Accessibility Strategy and Inclusion Strategy, which both focused upon improving access for all local children.

·  Louise Minter detailed how schools within Solihull were committed to the inclusion agenda. The Schools Strategic Accountability Board held regular meetings, where topics such as access and inclusion were considered. Louise Minter also welcomed the engagement of schools in the development of these strategies.

·  Andy Cave detailed how he could see the users’ voice in the strategy. Also, he welcomed how the aims of the strategy were ‘I’ statements, from the viewpoint of the child and young person. He queried how measurable outcomes would be developed for the strategy, in order to monitor delivery.

·  The Head of SEND confirmed it was intended to develop measurable outcomes for the strategy. The rationale behind consulting upon the strategy at that stage was to ensure children, young people, parent carers and partners felt they were focusing upon the right areas. Going forward, officers were looking at ways of ensuring children, young people and parent carers had a way of inputting their experiences into the setting of any outcomes for the strategy.

 

Councillor Grinsell queried the arrangements for future reporting to the Board upon the delivery of the Strategy. The Head of SEND detailed how it was planned to produce an annual report on the strategy, which would consider impact and progress made to date, as well as proposed next steps.

 

  RESOLVED

The Health and Wellbeing Board endorsed the proposed Solihull Additional Needs Strategy 2022-25.

 

162.

Children and Young People Local Transformation Plan pdf icon PDF 415 KB

To share progress against the Five Year Forward View and to set out the priorities for 2021/22 in line with the NHS Long Term Plan as set out in the  Children and Young People Local Transformation

 

Additional documents:

Minutes:

The Deputy Chief Medical Officer presented the report, detailing how it set out progress against the Five Year Forward View and also included the priorities for 2021/22 in line with the NHS Long Term Plan. The following points were raised:

·  During the pandemic, there had been work across the whole system, including education, children’s services and health to support a rapid system response, to help ensure children and young people were still able to access support.

·  It was recognised it had been an extremely challenging year for users of services, their families and staff, due to the unprecedented impact of the pandemic.

·  Both nationally and locally, there were shortages of mental health professionals, impacting upon the recruitment and retention of staff.

 

The Senior Strategic Commissioner highlighted the following points:

·  The Transformation Plan was aligned to a number of strategies across Birmingham and Solihull, recognising the need to work together to ensure better mental health outcomes for children and young people.

·  It was explained how the needs assessment had informed the development of the Plan – here there had been particular focus upon inequalities and improving access to mental health services for BAME communities.

 

Board Members raised the following observations and queries:

·  Louise Minter detailed how families often sought mental health support via schools. She welcomed any engagement with education settings, to ensure teachers and staff could support families to access the relevant help.

·  Jenny Wood noted the challenge of developing a simple, public facing narrative of how to access mental health support – this should help to identify any potential gaps, including any issues accessing early support. She welcomed any linking up with the Solihull Mental Health Pod, as a forum for local key stakeholders, who were focusing upon the experiences of service users.

·  The Deputy Chief Medical Officer confirmed they were linked with the Solihull Mental Health Pod and they were working together on the simple, public facing narrative with respect to how to access mental health support in Solihull, as well as a public summary of key elements from the Children and Young People Local Transformation Plan which spans both Birmingham and Solihull.

 

RESOLVED

The Health and Wellbeing Board endorsed the 2021/22 priorities as identified through consultation, as well as being intelligence led by national and local sources.

 

163.

For Information - Health and Wellbeing Board Work Plan pdf icon PDF 570 KB

Health and Wellbeing Board work plan attached for information.

Minutes:

The Health and Wellbeing Board work plan was noted for information.

 

164.

For Information - Health and Adult Social Care Scrutiny Board Work Plan pdf icon PDF 385 KB

Health and Adult Social Care Scrutiny Board work plan attached for information.

Minutes:

The Health and Adult Social Care Scrutiny Board work plan was shared for information.