Agenda and minutes

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

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

Contact: Gill Ferguson on 0151 5118059 

No. Item


Minutes of last meeting pdf icon PDF 44 KB


            The Minutes of the meeting held on 14th November 2012 were taken as read and signed as a correct record.


Presentation - Prevention and Early Detection of Cancer - Dr D Seddon


            The Board received a presentation from Dr D Seddon, Public Health Consultant, regarding activities currently taking place in Halton for the early detection and prevention of cancers. The presentation included an outline of cancer mortality and incidence data for Halton. Members were advised that at present mortality rates were falling even where incidence rates were rising. However, despite these improvements, cancer accounted for the single biggest cause of death in the borough and was higher than it should be.


            The presentation proposed the following essential high level activities for the Health and Wellbeing Board:


·         create and sponsor a Cancer Action Team; and

·         each organisation that is part of the HWBB to choose one corporate action to improve cancer awareness, early detection and prevention. For example, corporate communications teams could run three cancer specific awareness campaigns for staff and customers during 2013/14.


            RESOLVED: That the presentation be noted.


Presentation - Welfare Reform- Shelah Semoff


            The Board was advised that a copy of the presentation on Welfare Reform would be circulated to members. In addition a You Tube video produced by Halton Housing Trust about the changes could be accessed through the link below:


            RESOLVED: Noted.


halton safeguarding children board annual report 2011/12 pdf icon PDF 31 KB

Additional documents:


            The Board considered a report of the Chair of Halton Safeguarding Children Board and the Strategic Director, Children and Enterprise, on the Halton Safeguarding Children Board (HSCB) Annual Report 2011/12.


            The Board was advised on how organisations and individuals across all sectors were working together to safeguard children and young people. In addition the report highlighted the work undertaken by HSCB over the past twelve months, with an explanation of the national context within which the Board was currently operating and the following priorities for the coming year:


·         the effectiveness of Early Help;

·         the impact of domestic abuse on children and young people;

·         child sexual exploitation;

·         NHS Reforms;

·         effective and efficient board; and

·         funding.


            With regard to future funding, from 2013 the Clinical Commissioning Groups take over from the Primary Care Trusts and Halton’s Clinical Commissioning would be expected to make a financial contribution to replace that currently proved by NHS Merseyside. Also the financial contribution provided by schools from the Dedicated Schools Grant had been reducing as more schools take on Academy status. The Board would need to consider approaching Academies and Free Schools to seek a financial contribution.


            Arising from the discussion it was agreed that further information would be provided to Councillor Wright on the support services in place for young people in domestic violence situations.


            RESOLVED: That


1.    the contents of the report and the associated Annual Report be noted; and


2.    the Board recognise and acknowledge the Early Help contribution to safeguarding children and young people.


CCG Authorisation process - Update - Simon Banks pdf icon PDF 33 KB


            The Board received an update report from Simon Banks, Chief Officer (Designate) on the progress of the Halton Clinical Commissioning Group (CCG) towards authorisation as a statutory organisation as established by the Health and Social Care Act 2012. The report highlighted the following:


·         NHS Halton CCG had submitted authorised evidence, cross referenced against 119 Key Lines of Enquiry (KLOE), to the NHS CB by the deadline 1st October 2012;

·         the evidence was assessed and evaluated to produce a Desktop Review Report for the CCG which was issued on 8th November 2012;

·         the Desktop Review Report had highlighted 62 red KLOE for which the CCG had to provided further evidence of compliance;

·         the NHS CB site visit took place on 20th November;

·         during the site visit the number of KLOE had reduced from 62 to 8;

·         the site visit report was received on 27th November 2012.


            It was reported that overall the NHS CB panel felt that Halton CCG was making progress in its transition towards becoming a statutory organisation and it had the potential to succeed. In addition, it was noted that the CCG had developed an action plan to address the 8 outstanding KLOE which were highlighted in the Desktop Review Report.


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


Commissioning Sub Group pdf icon PDF 25 KB

Additional documents:


            The Board received an update report on progress within the Commissioning Sub Group which was a sub group of the Health and Wellbeing Board. Due to the nature of the group’s work and its membership it was suggested that the title of the group be changed to Health and Wellbeing Commissioning Board. A copy of the terms of reference and the aims and structure of the group had been previously circulated to the Board.


            In addition it was noted that Commissioning Groups for each of the Health and Wellbeing Board priorities had also been established. These groups were currently developing action plans which would form the basis of their commissioning plans. These commissioning plans would link the CCG and the Health and Wellbeing priorities together and would be fed into the Health and Wellbeing Commissioning Group to produce a cohesive and integrated Health and Wellbeing Commissioning Plan by March 2013.


            Members were also advised that the Commissioning Sub Group were currently exploring new models for commissioning teams. Oxford Brookes University had been employed to run 2 workshops in the new year to explore possible models that would deliver improved working, better outcomes and value for money.


            RESOLVED: That


1.    the progress on the development of commissioning plans for health and wellbeing priorities and dates for completion of an integrated Health and Wellbeing Commissioning Plan be noted; and


2.    the Board note that new models for commissioning teams are being explored.


National Commissioning Board - Public Health Functions pdf icon PDF 32 KB

Additional documents:


            The Board received a report of the Director of Public Health which advised that the NHS Commissioning Board (NHS CB) and the Department of Health had published their detailed agreement showing which public health services it would commission. The agreement set out the outcomes to be achieved in exercising these public health functions and provided ring fenced funding for the NHS CB to commission public health services. The following services were included:


·         National immunisation programmes;

·         National routine screening programmes (non cancer);

·         National routine cancer screening programmes;

·         Children’s public health services from pregnancy to age 5;

·         Child health information systems;

·         Public health services for people in prison and other places of detention; and

·         Sexual assault referral centres.


            It was noted that the agreement:


·         provided the NHS CB with £1.8bn from the public health budget for these programmes, in addition to other funding provided for public health in primary care;

·         set out how the NHS CB was accountable for the successful delivery of these programmes and arrangements for expert support from Public Health England; and

·         provided service specifications which included the public health evidence and advice needed to support effective commissioning.




1.     the Board note the report and appendix; and


2.     on behalf of the Board, David Parr write to Clare Duggan to invite the NCB to appoint a representative to the Shadow Health and Wellbeing Board.