Agenda

These include Diane Sherlock, Mark Cubbon and Councillor Luke Stubbs.

RECOMMENDED that the minutes of the Health and Wellbeing Board meeting held on 3 October 2018 be agreed as a correct record.

The Portsmouth Safeguarding Children's Board (PSCB) Annual Report will be presented by the independent Chair Richard John.

RECOMMENDED that the content of PSCB annual report 2017/18 be noted.

Innes Richens, Chief Operating Officer, to present this CCG discussion paper.

The Health and Wellbeing Board is requested to support the RECOMMENDATIONS of:

·       Establishment of a single operating model for Health & Care Portsmouth between PCC and CCG

·       Establishment of a committee on behalf of PCC and PCCG for its commissioning of adult and children’s health, social care and public health services

·       Integration of PCCG and PCC functions into joint roles: Chief of Health & Care Portsmouth, Director of Children’s’ Services and Director of Public Health

·       Review and reconfigure the structures and existing capacity under these roles to ensure capacity is available to deliver Health & Care Portsmouth whilst recognising the need to achieve running cost efficiencies

·       A review of other enabling functions to assess the benefits of further integration to support delivery of the Health & Care Portsmouth operating model – specifically financial management, business intelligence, communications/engagement, community sector partnership development

·       Direct the respective Accountable/Chief Executive Officers, working within their scheme of delegations and constitutional powers, to review the management and staffing structures currently in place in order to align this capacity with the new Health & Care Portsmouth operating model and for this to include cost-share arrangements.

The Health and Well Being Board are asked by the STP to consider ‘The System Reform Statutory Board Pack’ (see attached documents). These will be presented by Sue Harriman (Chief Executive, Solent NHS Trust) and Innes Richens (Chief Operation Officer CCG and Director of Adult Social Care, PCC).

The system reform proposals have been developed by the Hampshire and Isle of Wight Sustainability and Transformation Partnership (STP) Executive Delivery Group (EDG).

The attached document summarises the proposals developed over the Summer for consideration by all NHS provider board, CCG Governing body and local government cabinets at their respective meetings over the autumn of 2018.

For ease of consideration the recommendations made throughout the document have been pulled out into the separate note for the Board's reference.

Whilst the general direction of travel is uncontentious and the recommendations, as written, provide for considerable flexibility, the Governing Board will wish to consider the most effective way to develop the approaches set out, ensuring that any potential duplication of effort or source of confusion between the various layers of operation is minimised.

Specific work will be undertaken to develop the individual recommendations in due course – and approvals sought from the appropriate Boards and organisations as and when appropriate.

The next HWB meeting is scheduled for 13^th February 2019 at 10am.

NB - at the conclusion of this meeting (11.30am onwards) members of the HWB are invited to attend an informal session to discuss an action plan for tackling Childhood Obesity, to be led by Dr Jason Horsley in a separate venue.