Agenda and minutes

Shadow Health and Wellbeing Board
Wednesday, 12th September, 2012 2.00 p.m.

Venue: Karalius Suite, Halton Stadium, Widnes. View directions

Contact: Gill Ferguson on 0151 5118059 

Items
No. Item

19.

Minutes of last meeting pdf icon PDF 236 KB

Minutes:

            The Minutes of the meeting held on 18th July 2012 were taken as read and signed as a correct record.

20.

Caring for our Future : Reforming Care and Support pdf icon PDF 131 KB

Minutes:

            The Board considered a report which provided a summary of the White Paper ‘Caring for our Future: Reforming Care and Support’ which was published on 11th July 2012 and detailed the expectations/impact that this would have on Local Authorities and partner agencies. Actions from the White Paper were summarised into the following categories:

 

  • Maintaining Independence – Care and support would be transformed to focus on people’s skills and talents, helping them to develop and maintain connections to friends and family.[FG-R2] 
  1.  
  • A Better Understanding

·          

  • Quality -

·          

  • Social Care Workforce

·          

  • Control

- People would have control of their own care and support, so they can make decisions about the options available. The Government will give people an entitlement to a personal budget and they will strengthen their ambitions on direct payments. This means care and support will focus on meeting people’s individual needs and helping them to achieve their aspirations. People will not have to fight against the system: health, housing and care services will join up around them.

 

            Alongside the White Paper, the government had published a draft Care and Support Bill for consultation and pre-legislative scrutiny in Parliament, which aimed to radically simplify the current legal framework for care and support.. The draft Care and Support Bill provided enabling legislation for the reforms in the White Paper. It would be introduced into Parliament in late 2013 with a View to completing its passage by autumn 2014. Most changes requiring legislation would be implemented from April 2015 at the earliest.

 

            Whilst retaining the principles of means testing and eligibility thresholds, the Bill introduces into legislation principles of well-being, integration, prevention and early intervention.

 

            It was noted that comments on the Bill were to be forwarded by 19th October 2012 and Halton’s response would be submitted to the Executive Board on 18th October 2012.

 

            RESOLVED: That the report be noted.

 

 

 

21.

Halton Clinical Commissioning Group – Progress on Authorisation pdf icon PDF 34 KB

Minutes:

            The Board considered a report on the progress of Halton Clinical Commissioning Group (CCG) towards authorisation as a statutory organisation as established by the Health and Social Care Act 2012. Halton CCG would be submitting all authorisation evidence by 21st September 2012 to meet the NHS Commissioning Board deadline of 1st October 2012. A list of the key documents required for authorisation was listed, including those that related to the work of the Health and Wellbeing Board.

 

            It was noted that as part of the authorisation process Halton CCG was required to undertake a 360° Stakeholder Survey and Ipsos MORI had been appointed to conduct the survey. Once the authorisation evidence was submitted, including the outcomes of the Stakeholder Survey, the assessment team would visit Halton CCG on 20th November 2012.

 

            With regard to the Halton CCG in-house management and commissioning support team the following progress was reported:

 

·         a Chief Officer Designate had been appointed and the remaining roles would be recruited by mid October 2012;

·         arrangements were being made with Merseyside Commissioning Support Unit for additional support to enable the CCG to deliver statutory and other duties;

·         Four lay Members had been recruited, including a Deputy Chair; and

·         A registered nurse and a secondary care doctor were in the process of being recruited.

 

RESOLVED: That the progress made towards authorisation by Halton CCG be noted.

22.

Commissioning Responsibilities pdf icon PDF 30 KB

Additional documents:

Minutes:

            The Board considered a report which provided information relating to commissioning responsibilities for Clinical Commissioning Groups (CCGs). A copy of the NHS Commissioning Board (NHS CB) Fact Sheet that set out the services to be commissioned by the NHS CB, local authorities and Public Health England had been circulated to the Board. Whilst the fact sheet provided an overview of commissioning responsibilities it should be read in conjunction with the publication: The Functions of CCGs – Gateway Reference 17005.The document set out the key statutory duties of CCGs – the “must dos” and the key statutory powers – the things that CCgs have the freedom to do, if they wish, to help meet these duties.

 

            RESOLVED: That the report be noted.

23.

Immunisation pdf icon PDF 965 KB

Minutes:

            The Board considered a report by the Director of Public Health, which provided an update on the uptake of the childhood vaccination programme in Halton during the period 2006-2012 and the current Measles outbreak across Merseyside. Following a decrease in vaccine uptake observed in 2010/11, a service re-design had taken place in Halton during April 2011 and subsequently GP practices had taken on the responsibility for childhood immunisation.  It was reported that Halton now had its highest ever recorded uptake for MMR vaccine, and had one of the most improved MMR vaccine uptake rates in the North West. An increase in vaccine uptake had taken place for each of the last five quarters.

 

            Since January 2012 there had been 400 confirmed cases of measles across Merseyside. Of these five cases had been confirmed in Halton. As vaccine uptake increases, the number of children susceptible to infection reduces and it is thought that the ongoing increasing vaccine uptake in Halton had helped to prevent further confirmed cases of measles in the area. 

 

            RECOMMENDATION: That the Board notes:

 

1.    that Halton has been underachieving in terms of vaccine uptake but that actions have been taken to address this;

 

2.    the improvement in immunisation uptake since 2010/2011;

 

3.    that Halton has one of the most improved vaccine uptake rates in the North West; and

 

4.    that Halton now has its highest ever recorded uptake of MMR vaccine

 

24.

Health and Wellbeing Strategy pdf icon PDF 32 KB

Additional documents:

Minutes:

            The Board considered a report of the Director of Public Health which presented a copy of the Health and Wellbeing Board Strategy for Halton. It was noted that in recent months:

 

·         a wide public consultation exercise was carried out;

·         information had been gathered from the Joint Strategic Needs Assessment and area health profiles;

·         the emerging priorities from the CCG Commissioning Plan had been examined;

·         the Board had agreed 5 priorities; and

·         a vision statement was developed.

 

Members were advised that the Strategy builds up a picture of need using information and intelligence available through JSNA and local consultation. It sets out the five priorities that the Board had chosen and explains how priorities would be turned into action, who would be responsible and how success would be monitored.

 

The Board discussed examples of graphics which could be used as a cover for the Strategy document. The Board commented that the previously agreed logo for the Health and Wellbeing Board should be used.

           

            RESOLVED: That

 

  1. the Strategy be noted and feedback or comments be forwarded to the Director of Public Health; and
  2. the previously agreed logo for the Health and Wellbeing Board be used for the cover of the Joint Health and Wellbeing Strategy..

25.

Child Development 0 -5 years pdf icon PDF 19 KB

Minutes:

            The Board received a presentation from Michelle Bradshaw and Karen Worthington on behalf of Bridgewater Community Health Care NHS Trust which provided information regarding Child Development in Halton including an:

 

·         Introduction to Child Development;

·         Overview of the Healthy Child Programme (DOH2009);

·         Overview of Child Health in Halton; and

·         Considerations for inclusion in the Health and Wellbeing Strategy.

 

            It was noted that Child Development was one of the 5 priority areas for action over the next 12 months in the Health and Wellbeing Board Strategy for Halton. Therefore the information contained within the presentation could be used to help inform the development of the Health and Wellbeing Strategy.

 

The Board was advised that there were five critical factors which influenced child development during the early years these were:

 

·         A child’s health;

·         Good maternal mental health;

·         Quality of parenting and parent/child relationship;

·         Learning activities; and

·         High quality early education.

 

Recent initiatives in child development included the Healthy Child Program for 0-5 years, which provided early intervention and prevention for pre-school children and their families This program was offered to all families and was led and co-ordinated by Health Visitors. In addition the Government had launched a Health Visitor Improvement Program which aimed to strengthen the role of Health Visitors by recruiting additional staff nationally. Further, there had been an increase in the number of early years places for vulnerable 2 years olds.

 

The Board discussed the need for Halton to increase their number of Health Visitors by 90% and progress made. It was noted that Halton was on target to achieve this aim, five students recently recruited to the service would hopefully be retained. It was also noted that when vacancies where advertised there was always a good response.

 

Arising from the discussion it was agreed that a letter be sent by the Chair on behalf of the Board to the NHS Commissioning Board (NHSCB) to seek assurances on how the NHSCB would integrate their commissioning responsibilities for children 0-5 with local arrangements. Also to request further information about the implementation of the programme to increase the number of health visitors on how we could explore the implementation of the family nurse partnership approach in our area.  

 

RESOLVED: That

 

  1. the content of the presentation be noted and help inform the development of Halton Health and Wellbeing Strategy; and

          

2.    a letter be sent by the Chair on behalf of the Board to the NHS Commissioning Board (NHSCB) to seek assurances on how the NHSCB would integrate their commissioning responsibilities for children 0-5 with local arrangements. Also to request further information about the implementation of the programme to increase the number of health visitors and how we could explore the implementation of the family nurse partnership approach in our area.   

 

26.

Meeting Dates 2013

The dates of Shadow Health and Wellbeing Board meetings in 2013 are as follows:

 

23 January 2013

20th March 2013

22 May 2013

17 July 2013

18 September 2013

13 November 2013

 

All meetings will be held on a Wednesday at 2.00 pm in Karalius Suite, Stobart Stadium, Widnes.

 

Minutes:

The following dates of Shadow Health and Wellbeing Board meetings in 2013 were noted:

 

23 January 2013

20th March 2013

22 May 2013

17 July 2013

18 September 2013

13 November 2013

 

All meetings will be held on a Wednesday at 2.00 pm in Karalius Suite, Stobart Stadium, Widnes.