Agenda and minutes

Solihull Health & Wellbeing Board - Tuesday 12th July 2022 2.00 pm

Venue: Civic Suite

Media

Items
No. Item

209.

Apologies

Additional documents:

Minutes:

The following Board Members have submitted apologies:

·  Anne Hastings – Voluntary and Community Sector representative

·  Councillor Gough – Cabinet Member for Children and Education

·  Dr Sunaina Khanna – Solihull Primary Care Network

·  Lisa Stalley-GreenBSol ICS

·  Councillor M Carthew – Opposition Spokesperson

 

210.

Declarations of Interest

To receive declarations of interest from Members.

Additional documents:

Minutes:

There were no declarations of interest.

211.

Questions and Deputations

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

Additional documents:

Minutes:

No questions or deputations had been submitted.

 

212.

Minutes pdf icon PDF 266 KB

To receive the minutes of the previous meeting held on 12th July 2022.

Additional documents:

Minutes:

The minutes of the previous meeting held on 14th June were submitted.

 

It was noted that an amendment to the minutes was required, to show that Gianjeet Hunjan had joined the meeting remotely.

 

  RESOLVED

That, subject to the amendment above, the minutes of the previous meeting were approved as a correct record.

 

213.

Integrated Care System - update

Board to receive a verbal update, following the formal introduction of the BSol ICS on 1st July.

Additional documents:

Minutes:

David Melbourne, ICS Chief Executive, provided the following verbal update:

  • Birmingham and Solihull ICS was formally introduced as a statutory organisation on 1st July 2022. It was confirmed the Solihull Council Chief Executive, Nick Page, was an Integrated Care Board (ICB) Member.
  • It had also been agreed that Nick Page would chair the Solihull Place Board. The Place Board would be a sub-group of the ICB, with a range of delegated functions and responsibilities. There was an emphasis upon subsidiarity, with the greatest possible devolvement to the local area.
  • An Integrated Care Partnership was also being established, which sat above the ICB and set the overall Strategy for BSol ICS.
  • The ICB would be focusing upon the following four key areas – quality, inequalities, economic prosperity and best value.
  • It was an NHS requirement for the ICS Strategy to be completed, in draft form, by December – it was noted this needed to be linked with local Council reporting arrangements.
  • In regards to delivery, BSol ICS was focusing upon reducing the volume of people waiting 104 or more weeks for treatment. At the end of June, there were 156 people waiting 104 or more weeks – it was recognised this was too many; however, it was emphasised there had been several thousand people a few months ago.
  • There was also focus upon reducing cancer waiting times, with mutual aid arrangements in place with other hospitals to increase capacity, including with the Dudley Hospitals Group.
  • The current pressures on Ambulance and Urgent Care Services were emphasised, including as a consequence of the hot weather.

 

Members raised the following questions:

  • Councillor Grinsell noted the overarching ICP Strategy was in development – she requested assurances that the two Directors for Public Health were closely engaged on this. She also requested confirmation that there would be a number of strategies and plans sitting below this, which reflected the different needs across BSol ICS.
  • Ruth Tennant confirmed there was close collaboration in place and also detailed how each area had its own Health and Wellbeing Strategy, driven by the Joint Strategic Needs Assessment, whilst the Solihull Health Inequalities Strategy was also a key document. It was anticipated the ICP Strategy would reflect all of these documents and evidence, to take into account the different population health needs.
  • Councillor Dicicco queried how the Health and Wellbeing Board would effectively link in with the ICS governance arrangements. It was queried how any unnecessary overlap/duplication could be avoided.
  • David Melbourne explained there was an emphasis upon ensuring effective links – this was the rationale for the Place Board being chaired by the Local Authority Chief Executive. It was explained how the Place Board would include representatives from the Health and Wellbeing Board, to help ensure strong links. It was also noted the statutory guidance placed an emphasis upon local organisations working together to establish governance arrangements that best met the needs of the local population.
  • Councillor Sexton requested assurances that Solihull, as a distinct place, would be  ...  view the full minutes text for item 213.

214.

Solihull Together - Update

Board to receive a verbal update on the latest work being undertaken by Solihull Together.

Additional documents:

Minutes:

Anna Hammond, BSol Place Development Director, provided a verbal update, following the meeting of the Solihull Together Board on 6th July – it was also agreed for a written update to be circulated to the Health and Wellbeing Board.

 

The main topics considered by the Solihull Together Board included the following:

  • The development of the outcomes framework.
  • The development of the Mental Health Delivery Plan.
  • Communications capacity.
  • Children’s and families – it was noted the development of the Family Hubs was scheduled later as part of the Health and Wellbeing Board agenda.

 

Solihull Together was developing a simple outcomes framework, with a small number of key indicators, based on the current Health and Wellbeing scorecard, the Council Plan and the Inclusive Growth Framework. It was proposed this would replace the Health and Wellbeing scorecard, with reporting at the next meeting in September. It was also agreed for the outcomes framework to be circulated to the Health and Wellbeing Board members for comment.

 

Solihull Together had also focused upon developing a Solihull-focused Mental Health Delivery Plan. Six priority areas had been identified – prevention, primary care support, 0-25 years, maternity and parenting, crisis and rehabilitation. There was also a focus upon workforce and inequalities throughout as well. There was also an emphasis upon service user input, including via established working groups. It was proposed for the Delivery Plan to be presented at the next Board meeting on 27th September, with reporting to the Heath and Adult Social Care Scrutiny Board on 9th November.

 

Solihull Together had identified the need for increased communication support. There was a Solihull-specific area on the BSol ICS website, whilst a Director of Communications was being recruited for the ICS also. It had been agreed to link with the new Director, once appointed, to consider the necessary communication support for Solihull Together, with appropriate interim arrangements in place.

 

Solihull Together had also focused upon reducing the volume of agenda items it considered, to enable effective discussion. There had also been an emphasis upon ensuring agenda items were action-focused, where partnership input was required. Going forward, there would be a particular focus upon Neighbourhood Integration.

 

Members raised the following questions:

 

  • Councillor Sexton queried the consultation and engagement arrangements in place for the Mental Health Delivery Plan.
  • Anna Hammond detailed how Solihull Together had engaged with a range of service user groups. It was noted service user engagement levels had fallen from pre-Covid levels and there was an emphasis upon addressing this. Ruth Tennant also detailed how the Delivery Plan built upon existing strategies and action plans that had been subject to consultation and engagement.
  • In response to a query from Councillor Ashraf MBE, Ruth Tennant detailed how the development of the Delivery Plan took into account children and young people with additional needs. 

 

RESOLVED

The Health and Wellbeing Board:

(i)  Agreed that a written update on the work of Solihull Together be circulated to the Board.

(ii)  Noted the Solihull Together Update and proposed  ...  view the full minutes text for item 214.

215.

Children's Services Improvement Update pdf icon PDF 274 KB

The purpose of this briefing paper is to provide the Health and Wellbeing board with an update over the work undertaken in respect of the Joint Targeted Area Inspection (JTAI), the Improvement Plan, and the National Enquiry.

Additional documents:

Minutes:

Tim Browne presented the report, which updated the Board on the work undertaken in regards to the Joint Targeted Area Inspection (JTAI), the Improvement Plan and the National Enquiry. It was also explained how there were various improvement plans in place and during July-August the improvement activities would be merged into a single overall plan of action. This was all being overseen by the Improving Outcomes for Children in Solihull Board, independently chaired by Penny Thompson.

 

Chief Superintendent Parnell provided an update on the increased Police resources provided for the Multi-Agency Safeguarding Hub (MASH), Early Help, as well as the Central Referral Unit. Additional funding had been invested into the Local Safeguarding Children’s Partnership (LSCP) to support the ongoing improvement work. Additional Police training was also being provided, in regards to vulnerability awareness, to ensure the voice of the child. Chief Superintendent Parnell also provided an update on the work being undertaken to improve the quality of information held on the Connect system, to ensure children at risk were clearly seen and the necessary actions and communication were undertaken.

 

David Melbourne detailed how, within the health sector, there had been a focus on strategic leadership, to ensure safeguarding continued to be a key priority as part of the new ICS arrangements. Additional on-going investment had been undertaken to increase health sector capacity within the MASH. There had also been a focus upon ensuring effective partnership working, across different health sector organisations, as well as with the Council and Police, to support the delivery of the improvement work.

 

Members raised the following the questions:

  • Councillor Sexton queried how potential safeguarding issues were identified and managed, to enable learning. She also queried the procedures in place to enable and encourage people to raise concerns.
  • Tim Browne explained how, if a professional had concerns in regards to a safeguarding case, there was an escalation policy they could pursue. Regular audits of safeguarding cases were also conducted, whereby they were reviewed by Senior Officers to ensure good practice and identify any needs. Tim Browne also outlined the role of the Independent Reviewing Officers, who helped ensure that practice was of a good quality. He also detailed the on-going work being undertaken by the Council and partner agencies in regards to quality assurance processes. The Council Whistle blowing policy was also highlighted as well.

 

RESOLVED

The Health and Wellbeing Board:

(i)  Noted the actions being taken to respond to the issues identified from the Joint Targeted Area Inspection and National Enquiry.

(ii)  Agreed for the LSCP Annual Report for 2021-22 and the Key Priorities for 2022-23 be presented at the next Health and Wellbeing Board meeting.

 

216.

Family Hubs Delivery Plan pdf icon PDF 593 KB

To update the Health and Wellbeing Board on the plans to develop and deliver a Solihull Family Hub offer by March 2024.

Additional documents:

Minutes:

Ruth Tennant and Denise Milnes, the Senior Public Health Specialist, presented the report, updating the Board on the plans to develop and deliver a Solihull Family Hub offer. The following points were highlighted:

  • Solihull had been awarded up to £1 million funding, by the Department for Education, to create a network of Family Hubs.
  • Teams across the Council and wider partners, including the NHS and voluntary sector, were working together to develop the Family Hub offer.
  • The development of the Hub offer would be overseen by the new multi-agency Children and Families Prevention and Early Intervention Board, which would report to Solihull Together and the Health and Wellbeing Board.

 

Members raised the following observations and queries:

  • Councillor Dicicco thanked the officers for all their work in securing the funding for the Family Hubs. He detailed how the hubs would co-locate a range of existing services for families, from a wide range of NHS-led provision, to wider support, such as housing and employment support. Councillor Dicicco welcomed the spread of the seven Hub locations across the Borough. He also noted the potential to link the Family Hubs with the Fairer Future Fund, to support on-going provision.
  • Councillor Grinsell queried whether health sector locations had been considered as part of the Family Hubs offer, to help ensure the necessary clinical provision. She also requested an update in regards to the potential location in Shirley.
  • The Senior Public Health Specialist explained how they were looking at a number of potential locations in Shirley. She also detailed how they were working with all partners to ensure they could include their own assets, to ensure the Hubs provided a system-wide offer. There was ongoing engagement on this with the BSol ICS Head of Estates, as well as communication with the voluntary and community sector on potential assets and locations.
  • Councillor Ashraf MBE requested further details on the range of services and support that would be provided at the Hubs, including in regards to emotional health and wellbeing. She also questioned the public consultation that would be undertaken in regards to the Hub offer, as well as how service users would be supported to access the virtual offer.
  • The Senior Public Health Specialist detailed how they were focusing on ensuring digital inclusion – this included ensuring best practice in regards to virtual online sessions and appointments. ICT equipment would also be provided within the Hubs themselves, to ensure families could access support. In regards to emotional health and wellbeing services, it was confirmed there was engagement with a range of partners, including Solar, to ensure a robust offer for children, young people and families. It was explained how there would be comprehensive consultation arrangements in place, including focus groups being held with parent carers. There would also be direct engagement with children, young people and families with protected characteristics.
  • Councillor Sexton welcomed the proposals for the Family Hub offer and queried what arrangements would be in place to measure the longer term health outcomes. She also  ...  view the full minutes text for item 216.

217.

Adult Social Care Directorate Plan pdf icon PDF 1 MB

Board to be invited to consider the draft Adult Social Care Directorate Plan for 2022-2027.

Additional documents:

Minutes:

Jenny Wood presented the draft Adult Social Care Directorate Plan. It was explained how the period of the Plan would cover a period of significant change for Adult Social Care services, including major charging reform, Care Quality Commission assurance of adult social care duties, implementation of Liberty Protection Safeguards, the introduction of the Integrated Care Systems and changes to national performance metrics. It was also detailed how the Plan would act as an overarching document, under which all related strategies would sit, such as the Carers Strategy and the Day Opportunities Strategy.

 

Jenny Wood detailed how everyone with a personal or professional interest in adult social care was encouraged to give their feedback via the surveys, by 5th August. It was also explained how they would also be running engagement sessions, to enable a range of people to share their views. It was anticipated the final Plan would be reported to the Cabinet Portfolio Holder in the autumn.

 

The Assistant Director for Adult Social Services presented the Adult Social Care Plan on a Page, which outlined the Vision, Purpose, Values and Approach, Enabling Priorities, Resources and Key Projects for the Plan. It was also confirmed that the proposed Plan would be presented at the Health and Adult Social Care Scrutiny Board the following week.

 

Members raised the following questions:

  • Councillor Grinsell queried when the information in the Directorate Plan was based on the latest census data.
  • Jenny Wood explained how the Directorate Plan had been developed before the latest census data had been published. It was confirmed the final version of the Plan would be based on all the latest data and information.
  • Councillor Sexton raised the fair cost of care exercise, as part of the Adult Social Care reforms – she requested clarification on the information provided so far in regards to the fair cost of care and charging cap.
  • Jenny Wood explained they were awaiting the release of further information from Central Government in regards to the local funding allocation with respect to the funding for fair cost of care and charging cap changes. She detailed the work being undertaken locally by officers to complete a fair cost of care exercise and also explained how a Market Sustainability Plan had to be published by February next year.
  • Councillor Sexton highlighted how one of the aims of the Plan was to maintain a balanced budget and overall financial sustainability. It was noted that, whilst there had been some positive news from national government around funding, this was unlikely to be sufficient to bridge the national gap between demand and money available. Councillor queried how this would be managed overall.
  • Jenny Wood detailed how there would be focus on doing some things differently, to make the best use of resources, whilst also continuing to support good outcomes for residents. She explained how they would continue to work closely with the local Adult Social Care market, to help maintain stability. It was also confirmed the overall financial arrangements would be  ...  view the full minutes text for item 217.

218.

Update on Next steps for integrating primary care: Fuller Stocktake report pdf icon PDF 3 MB

Board to receive an update on the Next steps for integrating primary care: Fuller Stocktake report.

Additional documents:

Minutes:

David Melbourne updated the Board, following the publication of the Fuller Stocktake report. It was explained how the report considered the full range of primary care services and focused upon a number of key issues – including access, continuity of care and workforce capacity and workloads. The report included a Framework for shared action to help improve access and continuity of support – BSol ICS was currently particularly focusing upon the recommendations relating to the development of integrated neighbourhood teams. As part of the BSol ICS Inception Framework, the roles of Community and Place Integrators had been created to help support this.

 

David Melbourne detailed how there would also be focus upon the Primary Care estate. He explained how he anticipated there would be in depth consideration of this by the Solihull Place Board.

 

Members raised the following questions:

  • Councillor Grinsell explained how Members continued to receive concerns raised by residents in regards to GP and Primary Care access. She queried how the findings of the Fuller report and the actions being undertaken by the BSol ICS could be communicated to the public at that stage.
  • David Melbourne detailed how there was an emphasis upon tailoring access and advice for people who needed support, to enable them to access a range of Primary Care services. This could include accessing support from other professionals, as well as using digital services. There was also a focus upon ensuring proactive, personalised care for people with complex long term conditions. There was also an emphasis upon preventative services and support, enabling people to keep well for longer.
  • Councillor Sexton highlighted remote consultations and detailed the need for an evidence base on health outcomes for patients. Councillor Sexton also raised the findings identified in the Fuller report regarding the national funding arrangements for GP services, as well as Primary Care estates – she queried whether there could be reporting on the current estates and health infrastructure in Solihull, potentially to the Health and Adult Social Care Scrutiny Board.
  • David Melbourne detailed how he would update the Board on the evidence collated in regards to remote consultations. He also explained how he had commissioned an Infrastructure Strategy for the ICS system, which would include Primary Care and there could be future reporting on this. David Melbourne also detailed how the allocation of resources across the BSol ICS was set out in their business and financial planning and, again, this information could be shared.

 

  RESOLVED

The Health and Wellbeing Board agreed to receive a further report, on the findings of the Fuller Stocktake report, to be presented at the next meeting on 27th September 2022.

 

219.

For information - Health and Adult Social Care Scrutiny Board work plan pdf icon PDF 404 KB

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

Additional documents:

Minutes:

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

 

220.

For information - Health and Wellbeing Board work plan pdf icon PDF 595 KB

Health and Wellbeing Board work plan attached for information.

Additional documents:

Minutes:

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