Agenda and minutes

            The Minutes of the meeting held on 12^th October 2016 having been circulated were signed as a correct record.

            The Board received a presentation from Steve Barnard, Improvement Manager, Warrington and Halton Hospitals NHS Foundation Trust, which outlined the Emergency Care Improvement Programme (ECIP). The ECIP was created in 2015 to focus support on local health and social care systems with long-term challenges in the delivery of the National Accident and Emergency Access Standard. The Programme incorporated the Emergency Care Intensive Support Team, bolstered with a broadened professional range of clinicians and social care experts.

            The presentation outlined the focus of ECIP, the tools that could be used to transform performance, how data was used to help clients to achieve effective outcomes and progress to date. The Board noted that the four priority areas for improvement were:-

·         Developing system leadership;

·         Assessment prior to admission;

·         Doing today’s work today; and

·         Discharge to assess.

            RESOLVED: That the presentation be noted.

            The Board considered a draft copy of the One Halton Health and Wellbeing Strategy 2017–2022. The strategy was an overarching strategy to improve health in Halton. The new strategy would build upon the successes of the previous strategy and outline the key priorities the Health and Wellbeing Board would focus on over the next five years. It was noted that the strategy provided a framework for local action and a set of action plans with timescales and leads were also being developed. The new strategy provided:-

·         An overview of One Halton;

·         Principles of how we will work together;

·         A joint vision, new priorities and how and why these were chosen;

·         An updated health and wellbeing profile for Halton;

·         An outline of the progress made since 2013 and the challenges that remained;

·         Examples of innovative work already being undertaken within Halton that take a place based approach, working with local people and using local assets e.g. Well North, Health New Towns;

·         What we will do as a system at scale to make a difference; and

·         How we will measure success.

            The Board was advised that the strategy had been developed using a partnership approach and was developed by a multi -agency steering group. In addition, a wide range of Halton residents had been consulted on the new strategy to ensure that the principles and priorities were reflective of the experience and needs of the local community. The final version of the strategy would be shared with all key partners (including local people) and would be available on line.

            RESOLVED: That the draft strategy be noted and the Board supports the development of Action Plans for each priority.

            The Board received a presentation from Simon Banks, Chief Officer, Halton Clinical Commissioning Group, (CCG) which provided an overview of the Cheshire and Merseyside Sustainability and Transformation Plan (STP). The STP set out the following four key priorities for Cheshire and Merseyside:

·         Support for people to live better quality lives by actively promoting health and wellbeing;

·         Working together with partners in local government and the voluntary sector to develop joined up care;

·         Designing hospital services to meet modern clinical standards and reducing variation in quality; and

·         Being more efficient by reducing costs, maximising value and using the latest technology.

            The Cheshire and Merseyside STP was submitted to NHS England on the 21^st October 2016 and, following review by NHS England, was published on 16^th November 2016.

            Members were advised that the Cheshire and Merseyside STP was designed to address the challenges of the region in terms of population health and wellbeing, quality of care and financial sustainability. The majority of delivery would be through the plans developed by the three local delivery systems. It was noted that Halton CCG was part of the Alliance Local Delivery System (LDS) which consisted of:

·         Four CCGs (Warrington, St. Helens, Halton and Knowsley);

·         Five NHS providers (Five Boroughs Partnership NHS Foundation Trust, Bridgewater Community NHS Foundation Trust, St. Helens and Knowsley Teaching Hospitals, Warrington and Halton Hospital Foundation Trust and Southport and Ormskirk  Hospitals).

            The Alliance LDS was also engaging with local authorities covering the Boroughs of Halton, Knowsley, St. Helens and Warrington. The Alliance LDS built upon the work already being done at a local level and the proposals submitted by Alliance LDS included options and models of transformation for the local health system that aimed to address a funding shortfall of £202m, whilst at the same time improving health, wellbeing and outcomes.

            Following formal publication of the Cheshire and Merseyside STP, the proposals were now being developed into outline plans and would commence wide scale programme of engagement and communication during 2017.

            The presentation outlined to the Board the progress to date in Halton which included a local picture of how the LDS proposals built upon what was already planned and happening in Halton, including examples of how the LDS would positively impact on Halton residents.

            RESOLVED: That

1.    the contents of the Cheshire and Merseyside Sustainability and Transformation Plan (STP) be noted; and

2.    the commitment to continued local engagement and the requirement to comply with statutory requirements for public involvement and to seek the views of the Health and Wellbeing Board about the next phase of local engagement be noted.

            The Board considered a presentation by the Independent Chair of the Halton Safeguarding Adults Board (SAB), which outlined the Annual Report 2015/16. The Board was advised on the role of the SAB, the criteria for the Council to investigate (Section 42 Care Act), Deprivation of Liberty Safeguards and achievements in Halton. The main findings highlighted in the report included:

·         Referral numbers had been steady and in line with national figures;

·         In 2015/16 Halton Safeguarding Unit received 769 number of referrals;

·         Women over 65 living at home were most at risk of abuse; and

·         Physical abuse was the highest category of reason for referral but neglect and financial abuse was also noticeable.

            RESOLVED: That the report be noted.

            The Board considered a report of the Director of Public Health, which provided an update on the Joint Strategic Needs Assessment (JSNA).  Following the JSNA focus on Children in 2013/14 and Lifestyles and Long Term Conditions in 2014/5, the 2015/16 JSNA focussed on the Health, Wellbeing and Social Care needs of older people i.e. those people aged 65 and over.

            In July 2015, a multi-agency steering group was established to oversee the development of the JSNA. A number of interrelated but stand-along chapters were agreed by the Steering Group and these were completed by September 2016 and were available on the JSNA webpage. A copy of the Halton JSNA 2015/16 had been previously circulated to Members of the Board.

            RESOLVED: That the findings of the Older People’s JSNA be noted.

            The Board considered a report of the Director of Public Health, which sought support to roll out prevention programmes at scale in Halton hospitals, primary care and community and to incorporate them in the Cheshire and Merseyside Five Year Forward View Plan. The prevention programme would focus on blood pressure, alcohol misuse and antimicrobial resistance in Halton and out of Halton services, such as hospitals. The report highlighted priority interventions and key priority areas for local action within the three intervention programmes.

            RESOLVED: That

1.    the roll out of prevention programmes at scale commencing with blood pressure, reduced harm from alcohol and antimicrobial resistance be supported; and

2.    the prevention programmes are incorporated in the Cheshire and Merseyside 5 Year Forward View Plan.