Agenda and minutes

Solihull Health & Wellbeing Board - Tuesday 25th January 2022 2.00 pm

Venue: Council Chamber - Civic Suite

Items
No. Item

165.

Apologies

Minutes:

The following apologies were submitted:

GianjeetHunjan – Birmingham and Solihull MHFT

Louise Minter – Schools Strategic Accountability Board

Chief Superintendent Ian Parnell, West Midlands Police (Superintendent Richard Harris)

Lisa Stalley-Green – University Hospitals Birmingham

 

166.

Declarations of Interests

To receive declarations of interest from Members.

Minutes:

There were no declarations of interest.

167.

Questions and Deputations

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

Minutes:

No questions or deputations were submitted.

168.

Minutes pdf icon PDF 404 KB

To receive the minutes of the previous meeting held on 16th November 2021.

Minutes:

The minutes of the meeting held on 16th November 2021 were presented.

 

Councillor K Grinsell explained that Lisa Stalley-Green, UHB, had provided a written response to the local resident, Mrs L Farrant, who made a deputation regarding patient health services in Solihull and Birmingham. A copy of this response had also been circulated to Board Members.

 

  RESOLVED

That the minutes of the meeting held on 16th November 2021 be held as a correct record.

 

169.

Covid-19 Outbreak Management - Update

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

Minutes:

Ruth Tennant, the Director of Public Health provided a verbal update, detailing the following:

  • There continued to be high rates of Covid across the Borough – it was currently 1154 cases per 100,000 people.
  • The majority of people who contracted Covid now experienced milder symptoms, which reflected the Omicron variant itself, as well as the protective effects of the vaccination.
  • There had been a surge in the volume of cases, following the return to schools after Christmas, especially amongst children under the age of 11. The evidence indicated Covid continued to be a mild infection for the majority of children.
  • Hospital admissions had been stable for some time, however, on average, 25 people with Covid were admitted to Intensive Care at any time.
  • There continued to be a significant focus upon the roll-out of the booster vaccine – Ruth Tennant expressed her thanks to everyone involved, including Primary Care GPs who had ran additional clinics over Christmas.
  • 86% of people in Solihull over the age of 16 had had, at least, their first vaccine. In regards to residents who were yet to receive the vaccine, there was emphasis upon building trust and confidence, as well as understanding any barriers that may prevent people coming forward.
  • Going forward, there were national changes in regards to restrictions on the wearing of face coverings, as well as self-isolation periods. The Local Outbreak Management Board were reviewing the local plans to ensure our response continued to reflect the changing local and national circumstances.

 

Members raised the following queries:

  • Councillor Grinsell queried how the communication messaging may be changing and evolving, for the residents yet to receive the vaccine.
  • Ruth Tennant explained how it was recognised people liked local services, such as the walk-in provision at Chelmsley Wood Primary Care Centre, as well as the High Street. The Council would continue to explore the use of vaccine pop-up clinics, as appropriate. The Council continued to offer transport support to any resident who might experience difficulties travelling to any vaccination centres.
  • Ruth Tennant detailed how it was also recognised that a lot of vaccine hesitant people would benefit from a conversation with someone they trusted, at a local community level. The Council would continue to work on messaging through the local Community Champions network, as well as via the local voluntary and community sector.
  • Dr S Khanna, Solihull Primary Care Networks representative, explained that, from a Primary Care point of view, personal conversations were extremely effective. There was a focus upon making every contact count and giving people the time to talk about their anxieties. Dr Khanna explained how Primary Care were keen to link with Public Health and local voluntary and community groups, to help improve access, where possible, and support any messaging.
  • Councillor Dicicco highlighted plans by a number of anti-vaccination groups to stage protests at vaccination centres nationally – he requested a local update on this.
  • Ruth Tennant explained that, so far, no demonstrations had been held in the Borough. It was emphasised  ...  view the full minutes text for item 169.

170.

Covid-19 Support to Schools, Children and Families

Board to receive a verbal update on the latest Council support to schools, children and families.

Minutes:

Tim Browne, the Interim Director of Children’s Services, provided an update, highlighting the following points:

  • There were currently 1200 Covid cases recorded in Schools, the majority of which were pupils.
  • The weekly Schools Cell continued to meet, with head teachers, to consider all current issues. Weekly updates to schools were also provided, which took into account any ongoing guidance issued by Central Government, with extraordinary updates provided, as required.
  • The Local Outbreak Team from Public Health continued to provide the response line, which supported schools in managing cases. They also linked closely with the School Improvement Team, who advised on operational issues, with the priority to keep schools open as much as possible.
  • Officers continued to develop the Council’s HR and Health and Safety guidance, in response to the latest outbreak data.
  • Governance Services were ensuring all Governing Bodies had the relevant information, to support decision making around Covid. The Council continued to support schools in regards to Ofsted inspections, supporting deferment, if necessary, due to staffing pressures.
  • Schools were facing was an extreme staff shortage – the extraordinary efforts undertaken by staff to help ensure schools stayed open as much as possible was emphasised.
  • School Advisors continued to provide a link between Health and Education, liaising with colleagues from Solar, School Nursing, the Community Educational Psychology service, as well as Public Health, to ensure all available support was shared with schools. Individual children were also supported by these agencies, especially children experiencing mental health issues as a consequence of the pandemic.

 

  RESOLVED

  The update on Covid-19 Support to Schools, Children and Families.

 

171.

Integrated Care System - update

Board to receive a verbal update on the development 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, NHS England and NHS Improvement had announced the date on which the Integrated Care System would become a statutory body had been deferred until 1st July 2022.
  • BSOL CCG would be proceeding in line with existing plans to ensure the transition to the ICS was a smooth and successful one, including the appointment of a designate senior leadership team.
  • A lot of work was being undertaken to develop the vision and values for the ICS – this included an organisational development plan, as well as close collaborative work with provider colleagues. A further key area of focus was upon fulfilling the digital requirements of the Health and Care Bill.

 

Members raised the following queries:

  • Councillor Sexton highlighted the deferral in the introduction of the ICS, querying the potential impact this may have, including upon appointments and the establishment of the Integrated Care Partnership.
  • Karen Helliwell confirmed it wasn’t possible, at that stage, to make formal statutory appointments. However, the BSOL CCG would look to make designate appointments and work in collaboration with partners, in a shadow form, until the formal introduction of the ICS in July.

 

RESOLVED

The Health and Wellbeing Board noted the update on the development of the ICS.

 

172.

Development of the ICS Financial Framework and approach to Resource Allocation pdf icon PDF 526 KB

The Birmingham and Solihull Integrated Care Board (ICB) will be established on 1st July 2022.  Along with a range of other functions, the ICB is responsible for developing a plan to meet the health and healthcare needs of the population and for allocating resources to deliver the plan across the system.  This involves determining what resources should be available to meet population need in each place and setting principles for how they should be allocated across services and providers.

 

The planning of services should follow the principle of subsidiarity, with decisions being taken as close to local communities as possible, and at a larger scale where there are clear benefits from collaborative approaches and economies of scale.  As part of the development of the ICB, work is underway to develop a financial framework which will support this approach.

 

Minutes:

The BSol CCG Chief Finance Officer presented the report, which updated the Board, following the report considered in September 2021. It was explained how the report covered the following two key areas:

  • Progress towards setting delegated budgets – work was being undertaken across the CCG and with partners, to determine where budgets could be delegated to a partner, or where appropriate, a provider level. It was explained how the financial framework for the ICS would develop as the system matured. In addition, with the deferral in the formal introduction of the ICS to July 2022, this meant many of the arrangements would be implemented in shadow form during 2022/23, prior to formal adoption from 1st April 2023.
  • Approach to resource allocation – there had been focus upon enabling a full understanding of the way in which resources were currently invested, to allow local and national benchmarking, as well as the planning of future service delivery. It was emphasised this was based upon 2020-21 spending figures, which may include non-reoccurring Covid funding.

 

The Chief Finance Officer also raised the following points:

  • The data collated so far demonstrated the cost per 1000 weighted population for Birmingham and Solihull was relatively close. Further work would be undertaken with key Place stakeholders to understand this information in more detail.
  • A national benchmarking tool had been published the previous Friday, which would allow further analysis of expenditure levels.

 

Members raised the following queries:

  • Councillor Sexton queried whether the analysis of current spending and health outcomes would take into account different groups of citizens, including LGBT and ethnic minority residents, as well as people with additional needs. The Chief Finance Officer confirmed it would, detailing how the ICB Management Team was ensuring sufficient capacity in its Business Intelligence functions, to enable detailed analysis of all available data and outcomes.
  • Councillor Sexton highlighted how the costs detailed in the report were based upon weighted population and queried how this was determined. The Chief Finance Officer detailed how a national formulae was used, which took account factors such as age, deprivation and gender. It was also confirmed the national formulae could be circulated following the meeting.

 

RESOLVED

The Health and Wellbeing Board

(i)  Noted the development of the ICS Financial Framework and approach to resource allocation.

(ii)  Endorsed the proposed actions and next steps as outlined in the report; and

(iii)  Agreed to receive an update report on the ICS Financial Framework and approach to resource allocation at the next available meeting.

 

173.

Solihull Together - Update pdf icon PDF 567 KB

To provide a progress update on Solihull place-based partnership arrangements and programmes of work.

Minutes:

The Partnership Development Manager presented the report, providing an update on Solihull place-based partnership arrangements and programme of work. The following points were raised:

  • Over the last couple of months the place team had been gathering information to help understand the current work being undertaken at Solihull place-level and develop proposals for next steps.
  • Solihull Together were supporting a number of programmes of work that were key to delivery our priorities. A summary of the current position and proposed net steps for each programme was provided.
  • The Partnership Development Manager provided an update on the Kingshurst regeneration project and the work being undertaken to support the development of a community wellbeing hub.

 

Board Members raised the following questions:

  • Councillor Sexton welcomed the programmes of work outlined in the report, in particular the refresh of the Mental Health POD. She queried whether this would include the engagement of people with lived experience of mental health conditions.
  • The Partnership Development Manager explained how a work shop was planned shortly to focus upon the refresh of the Mental Health POD Board. As part of this, there would be consideration of the engagement of residents in receipt of various mental health services.
  • Karen Helliwell welcomed the report and queried how the work of Solihull Together would be communicated to wider ICS and the public.
  • The Partnership Development Manager explained how this had been considered at the recent VCSE event, where it was acknowledged the work of Solihull Together was complex and wide-ranging. Going forward, there would be consideration of communicating to wider staff and the general public how this work would support changes in their day-to-day lives.

 

RESOLVED

The Health and Wellbeing Board noted the Solihull Together Update and proposed next steps.

 

174.

Birmingham and Solihull ICS System Recovery Plan pdf icon PDF 718 KB

Health and Wellbeing Board to be invited to consider the BSol ICS System Recovery Plan.

Minutes:

The Chief Operating Officer of the ICS took the Board through the presentation, highlighting the following:

  • The Birmingham and Solihull Recovery Plan had been developed, which outlined how the CCG and its partners would work together to recover services, reduce waiting time and inequalities over the next 3 years. The principal aims of the plan were to:

Ø  Enable early access to help and support

Ø  Improve productivity, efficiency and creating additional capacity and

Ø  Service innovation and redesign

  • The recent Omicron surge had impacted upon some plans, due to the need to focus on immediate pressure – however, there had also been focus upon protecting as many services as possible.
  • An update on the Omicron Surge Plan was provided – this had included the use of new facilities and repurposing of estate to support the surge, as well as greater use of community services.
  • It was confirmed there would be ongoing engagement with the Health and Wellbeing Board, as well as the Joint Health, Overview and Scrutiny Committee, upon the development and delivery of the plan.

 

Members raised the following queries:

  • Councillor Grinsell highlighted the temporary ‘Nightingale surge hub’ at Solihull Hospital and queried whether there could be any other potential use for this facility, if it wasn’t used for Covid surge capacity.
  • The Chief Operating Officer detailed how University Hospitals Birmingham were overseeing this development. It was emphasised how any decision had to take into account the availability of the work force.
  • Councillor Sexton noted the Omicron Surge Plan made reference to the use of virtual beds and requested further information upon this.
  • The Chief Operating Officer explained the provision of virtual beds allowed patients to receive clinical care at home. The provision was evidence based, delivered in accordance with NHS best practice guidance. Dr Taylor also detailed the monitoring arrangements and additional care and support provided as part of provision of virtual beds.
  • Councillor Holt requested an update in regards to the Minor Injuries Unit (MIU) at Solihull Hospital.
  • The Chief Operating Officer confirmed it was proposed for the temporary closure of the MIU to continue, with Solihull Hospital continuing to play a critical role in supporting University Hospitals Birmingham to offer local patients elective surgical procedures.

 

  RESOLVED

The Health and Wellbeing Board noted the BSOL ICS System Recovery Plan and agreed to receive an update on the delivery of the Plan at the next available meeting. Future report to include how the BSOL ICS plans to meet the 2022-23 NHS priorities and operational planning guidance.

 

175.

Active Communities - Update pdf icon PDF 3 MB

Board to receive an update on the Active Communities Local Delivery Pilot.

Minutes:

The Director of Active Communities provided a presentation on the Birmingham and Solihull Local Delivery Pilot. It was explained how the Pilot was funded by Sport England and worked across 6 areas in Birmingham and Solihull, focusing on:

  • Did encouraging people to be more civically active lead to higher levels of physical activity, and
  • Did increased levels of physical activity and citizenship lead to more resilient communities?

 

The presentation provided an update on the delivery of the Pilot since the previous report to the Board in March 2021 and the areas highlighted included the following:

  • The intended audiences of and the areas Active Communities was being delivered across Birmingham and Solihull.
  • The findings of a review of Active Communities completed in June 2021.
  • Ongoing areas of focus – this included sustainability, engaging with ‘unusual suspects,’ testing and learning, as well as co-creation.
  • Examples of the impact and outcomes of the Pilot.
  • Wilding – there was ongoing focus upon supporting the communities experiencing high levels of deprivation and poor wellbeing outcomes having access to green space.

 

Members raised the following queries:

  • Councillor Grinsell welcomed the work of Active Communities. She queried whether it would be possible to receive more data and statistics specifically for Solihull, to help further understand the outcomes stemming from the Pilot.
  • The Director of Active Communities confirmed specific statistics could be provided for Solihull. She explained how they were looking to establish a Community Panel, specifically for Solihull, which could focus upon the learning and outcomes stemming from the projects undertaken within the Borough.
  • Dr Taylor highlighted how the West Midlands Combined Authority (WMCA) were providing community green grants to help give people access to nature on their doorstep. He emphasised the benefits of linking all these projects with Primary Care Networks – in particular enabling GP’s to sign post patients to opportunities available
  • The Director of Active Communities detailed how they worked with a wide range of organisations across the whole area who actively explored the funding opportunities available. As part of this, she confirmed they were linking with PCNs to enable social prescribing, supporting people to access civic and physical activities.
  • Anna Hammond also welcomed the presentation and requested to meet with the Director, Susie Drummond, to discuss the Active Communities Pilot further, due to the clear links with the Solihull Together programme of work.

 

RESOLVED

The Health and Wellbeing Board noted and endorsed the work of the Active Communities Birmingham and Solihull Local Delivery Pilot and agreed to receive an update in 12 months’ time.

 

176.

Solihull Domestic Abuse Strategy 2022-2025 pdf icon PDF 3 MB

Board to be invited to endorse the Domestic Abuse Strategy.

Minutes:

Ruth Tennant invited the Board to consider the Domestic Abuse Strategy 2022-2025, highlighting the following:

  • The Strategy had been developed following the introduction of new duties as part of the Domestic Abuse Act 2021.
  • The Strategy identified a number of high level key priorities – through the Domestic Abuse Partnership Board they were looking to develop a detailed action plan that would support the delivery of these priorities.
  • It was planned to hold thematic workshops with practitioners to consider these priorities further. It was emphasised how a significant multi-agency effort would be required to deliver the Strategy – going forward it would be critical to agree which Partners would lead upon delivering the different areas of work outlined in the Strategy.

 

Jenny Wood explained she supported the Strategy and requested for the All Age Exploitation Strategy to be included under the section ‘Relation to other Areas/Strategies.’

 

RESOLVED

The Health and Wellbeing Board:

(i)  Approved the Solihull Domestic Abuse Strategy for 2022-2025; and

(ii)  Agreed to consider the Strategy Action Plan at its Board meeting on 12th July 2022.

 

177.

For information - Safeguarding Adults Board mid-year update pdf icon PDF 263 KB

The Board is invited to consider the Safeguarding Adults Board mid-year update, for information.

Minutes:

The Board was invited to consider the Safeguarding Adults Board mid-year update, for information.

178.

For information - Health and Wellbeing Board work plan pdf icon PDF 538 KB

Health and Wellbeing Board work plan attached for information.

Minutes:

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

 

179.

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.