Venue: The Executive Meeting Room - Third Floor, The Guildhall. View directions
Contact: Joanne Wildsmith, Democratic Services Tel: 9283 4057 Email: firstname.lastname@example.org
Apologies for Absence, Declarations of Interest and Introductions
Apologies for absence had been received from Councillor D Jones, Councillor R Brent, Dr Hogan, Sue Harriman, Ruth Williams and Dianne Sherlock.
There were no declarations of interest.
RECOMMENDED that the minutes of the Health & Wellbeing Board held
on 30 November 2016 be agreed as a correct record.
RESOLVED the minutes of the Health & Wellbeing Board held on 30 November 2016 were agreed as a correct record to be signed by the Chair.
Innes Richens will present the CCG's two year Operating Plan, which is brought for the information of the HWB.
RECOMMENDED that the CCG's Operating Plan 2017-19 be noted.
Innes Richens presented the CCG's Operating Plan 2017-19; these plans had been required annually and would form part of the national NHS process and now cover a 2 year period of operation. This was produced for the 3 CCGs in the Portsmouth & South East Hants area, in recognition of how much is planned together. The Plan sets out the key expectations in the delivery of the HIOW Sustainability & Transformation Plan (STP) and showed delivery on national indicators and the collective work that had taken place on the Portsmouth Blueprint. The document set out the financial challenge ahead.
HWB members asked questions including:
· The structure of joint committees and governance arrangements; there would be joint planning of the allocation of resources and there is a shared integrated commissioning unit.
· Would a more accessible version of the plan be made public? This had been designed for a specific purpose so did not lend itself well to public readership but the CCGs did try to share the information within its own publications and websites.
· Was there a concern regarding the number of GPs reaching retirement? Innes did not believe that Portsmouth has a greater number of GPs reaching retirement than the national average, but the concern is that the demand for their services is increasing and thereby their workload.
· Was a 'channel-shift' approach being adopted at GP surgeries to help reduce their workload? On-line appointments and some prescriptions were offered.
· How the current situation with Harry Sotnick House was affecting discharges from hospital and was their sufficient capacity elsewhere? It was reported that Harry Sotnick House had voluntarily suspended the block contract following last year's Care Quality Commission (CQC) inspection and in the meantime other care home providers had been used as there is capacity in the city, and the squeeze point was actually in domiciliary care which was being looked at.
· Whilst care home places are available are they affordable? Innes confirmed that the spend had decreased over the last year but there is an increase for domiciliary care.
· What public consultation is taking place? Innes reported on the engagement of views and 'The Big Conversation' and the use of social media, including seeking opinions on issues such as the use of regional centres.
· The historical poor performance of transfers from QA Hospital's A&E Department within 4 hours and if this was improving? Peter Mellor responded that there is the need to prevent the numbers of people needing to go to A&E which should be addressed in the Operating Plan, and for the hospital the flow of beds (and reliance on discharge rates) remained of concern with the relevant agencies continuing to work together. It was also noted that there had not been a noticeable change in demand for A&E services despite the consolidation of walk-in services. Healthwatch Portsmouth had visited QA Hospital in November to look at the discharge process and would be following this up with meetings with former patients to discuss their experiences, and this ... view the full minutes text for item 3.
The Revised Future in Mind Transformation Plan (Refresh) is attached for the information of members and will be presented by Stuart McDowell from the Integrated Commissioning Service.
RECOMMENDED that the Future In Mind Transformation Plan (Refresh) be noted.
Stuart McDowell, Senior Project Manager (and CAMHS Commissioner) from the Integrated Commissioning Service, reported on the development of the 'Future in Mind' report and Transformation Plan. He reported that there is £406k p.a. funding over the next 5 years. He circulated a progress report which was in the form of a recent presentation and the following issues arose during discussion of the 8 priority areas:
Priority 1 - Early help service implementation
Relate had been successful in the tendering process with their consortium bid. Stuart reported that this new self-referral service would be officially launched the following week and this would include advertising of the service in schools. Councillor Vernon-Jackson was concerned by the gap in provision since Off the Record closed in December with the need for confidential counselling for young people and he asked that the Elm Grove provision (as well as the main base at Cosham) receives publicity.
Priority 2 - Communications
It was important to ensure the young people and parents are aware of the services available and how to access these, and they are being involved in the process such as the development of the central website. Councillor Vernon-Jackson again asked that the Elm Grove service be promoted and he was concerned that the services may not be available at the best times for teenagers. Alison Jeffery asked that there be liaison to ensure that family support services at PCC are also included with communication about service options.
Priority 3 - Whole Schools Strategy
Sarah Christopher, a SENCO lead, had been recruited to develop this strategy and to look at capacities at schools in the city and the demand for specialist CAHMS services. Dr Horsley asked if mapping was also taking place regarding preventative work and resilience.
Alison Jeffery said that while schools made their own decisions about how best to prevent problems and promote resilience, the Children's Services Department was strongly championing the strategy within the newly formed Portsmouth Education Partnership. Resilience was seen as a key factor in promoting better attainment and would be included within a new education strategy for the city. A key element of the emotional well-being strategy was the promotion of restorative practice within schools, as an approach for resolving conflicts.
Priority 4 - Implementation of Specialist Perinatal Support Service
This regional support was for all ages of mothers, and a successful bid had brought in extra funding to this area which had previously been a gap in support. This would be delivered by Southern Health running from March. Alison Jeffery stressed the need for a joined up approach with midwifery and health visiting services.
Priority 5 - CYP IAPT
This work was for the collaborative training and upskilling of the CAMHS workforce. There would be liaison with the service in Oxford. It was also reported that there had been recent changes at senior management level in CAMHS which had delayed progress. Alison Jeffery suggested that within the resource constraints it would be very helpful if some workers ... view the full minutes text for item 4.
Date of Next Meeting (for information)
Please note that the next HWB meeting is taking place on Wednesday 21st June at 10am in Conference Room A, Floor 2 of the Civic Offices.
It was noted that the next meeting of the Health & Wellbeing Board would take place on Wednesday 21st June at 10am in Conference Room A in the Civic Offices.