Agenda and minutes

The dates of Health and Wellbeing Board meetings in 2014 are as follows:

12^th March 2014

7^th May 2014

9^th July 2014

17^th September 2014

12^th November 2014

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

            The following dates of Health and Wellbeing Board Meetings in 2014 were noted:

            12^th March 2014

            7^th May 2014

            9^th July 2014

            17^th September 2014

            12^th November 2014

            All meetings will be held on a Wednesday at 2 pm in the Karalius Suite, Stobart Stadium, Widnes.

            RESOLVED: That the meeting dates be noted.

            The Board considered a report of the Director of Public Health, which advised that in May 2013, Newcastle City Council had passed a declaration setting their commitment to tackle the harm that smoking caused within our communities. This had become known as the Local Government Declaration on Tobacco Control.  The Declaration commited Councils to:-

·         reduce smoking prevalence and health inequalities;

·         develop plans with partners and local communities;

·         participate in local and regional networks;

·         support Government action at national level;

·         protect tobacco controlled work from the commercial and vested interests of the tobacco industry;

·         monitor the progress of our plans; and

·         join the Smoke Free Action Coalition.

RESOLVED: That the Board agree to support the Declaration (attached as Appendix 2).

            The Board considered a report of the Strategic Director, Communities, which presented Halton’s Dementia Strategy.

            The Board was advised that the Local Dementia Strategy had been completed in February 2010 and was a direct response to the National Dementia Strategy – Living Well with Dementia (Department of Health, February 2009). The Local Strategy adopted the national targets as well as developing a specific implementation plan to deliver a range of improvements for people diagnosed with dementia and their carers.

            The Board was further advised that the revised Dementia Strategy, Living Well with Dementia in Halton (Appendix 1), and the associated Needs Paper (Appendix 2) looked at the progress that had been made since the original Strategy publication, as well as identifying key some key actions that needed to be completed over the next five years.

            The Board noted the key achievements that had been made since the original Strategy and that the priorities for 2013 – 2018 focussed on the following areas:-

·         prevention and Raising Awareness;

·         early diagnosis, information and advice;

·         living Well in the Community;

·         end of Life;

·         workforce Development; and

·         links to other work streams.

            In conclusion, it was reported that the 2013 – 2015 Strategy Implementation Plan outlined the key actions for future development in improving the outcomes for people with a dementia diagnoses, their families and carers. The Implementation Plan could be found within the Living Well with Dementia in Halton Strategy document.

            RESOLVED: That Halton’s Dementia Strategy be noted.

            The Board considered a report of the Strategic Director, Communities, which provided an update on the Autism Self-Assessment Framework (SAF) 2013. The purpose of the SAF was to:-

·         assist Local Authorities and their partners in assessing progress in implementing the 2010 Adult Autism Strategy;

·         see how much progress had been made since the baseline survey, as at February 2013; and

·         provide evidence for examples of good progress made that could be shared and of remaining challenges.

            The Board was advised that the Autism SAF was submitted to the Public Health England on the 30^th September 2013. The submission had previously been presented to individuals with autism, The Autism Strategy Group and Learning Disability Partnership. It was noted that the submission would be joint owned by both the Local Authority and the Clinical Commissioning Group and would be monitored via Autism Strategy Group. A copy of the Autism Self-Assessment Framework which had been submitted was attached to the report.

            RESOLVED: That the report be noted.

            The Board considered a report of the Strategic Director, Communities, which provided an update on the progress in relation to the implementation of the Halton Falls Strategy and Plans that were in place for the future. The Halton Falls Strategy covered 2013-2018 and aimed to address a number of issues that Halton faced including the level of falls, hospital admissions, re-admissions and fractures. The Strategy identified the following eight key deliverables that formed the basis of the Strategy, together with an update on the progress of each:

1)    develop current workforce training;

2)    develop a plan for awareness-raising with both the public and professionals;

3)    improve partnership working;

4)    set and deliver specific targets to reduce falls;

5)    develop an Integrated Falls Pathway;

6)    develop a Prevention of Falls Pathway;

7)    identify gaps in funding of the Pathway; and

8)    improve Governance arrangements to support falls.

RESOLVED: That the report be noted.

            The Board considered a report of the Strategic Director, Children and Enterprise, which outlined the proposed structures for Halton Children’s Trust from April 2014 and provided an update on the work on the new Halton Children and Young People’s Plan (CYPP) 2014 – 17.

            In respect of the Halton Children’s Trust, the Board had:-

·         reached an agreement on the priorities for 2014;

·         set up a Working Group to Develop the new CYPP;

·         established a new Halton Children’s Trust Structure from April 2014.

            With regard to the Halton CYPP, initial draft elements of the plan had been previously circulated to the Board. It was noted that a multi agency group was meeting fortnightly to discuss updates and two topics of focus for the plan. It was proposed that the CYPP would be available via a web version primarily with a limited number of printed copies.

            RESOLVED: That

(1)  the structures outlined in the report be noted; and

(2)  the Board support the work on the Halton Children and Young People’s Plan 2014 – 17 as outlined in the report.

            The Board received a report of the Strategic Director, Communities which sought approval for the adoption and implementation of Halton’s Integrated Mental Health and Wellbeing Commissioning Strategy 2013 – 2018.

            The Board was advised that the National Policy relating to mental health was set out in No Health Without Mental Health – GH2011 (NHWMH) and emphasised that Mental Health was everybody’s business. The Policy set out six high level objectives with an emphasis on prevention and early intervention.

            The Board was further advised that Mental Health problems were the single largest cause of ill-health and disability in the Borough. The Health and Wellbeing Board had recognised this by including prevention and early detection of Mental Health conditions as one of its five priorities. The Board’s Health and Wellbeing Strategy 2013 – 16 included actions to begin addressing this and included the NHWMH six objectives as the framework to address the challenge of improving Mental Health and Wellbeing in the Borough.

            It was reported that this was Halton’s first Integrated Strategy for Mental Health and Wellbeing in the Borough and brought together commissioning intensions of Public Health, the Clinical Commissioning Group, Children’s Services and Adults Social Care. It was complementary to the Health and Wellbeing Strategy and had been informed by feedback at public engagement events hosted by the CCG and Healthwatch, together with open consultation through a recent survey with those using services, carers, Halton residents and other key stakeholders.

            Members were advised that the Mental Health and Wellbeing Strategy set out the strategic objectives and priorities for the next five years. An Action Plan was currently in development on how these would be achieved and resources required.

            It was noted that the Strategy was considered by Health Policy and Performance Board on the 7^th January and would be presented to Executive Board on the 23^rd January. The overview of progress in implementing the Strategy would be through the Mental Health Strategic Commissioning Board which reported to the Health and Wellbeing Board.

            RESOLVED: That

(1)  the Mental Health and Wellbeing Commissioning Strategy 2013 – 2018 be endorsed; and

(2)  the Board receive regular progress updates through the Mental Health Strategic Commissioning Board on progress in delivering this Strategy Action Plan.