Agenda and minutes

To approve as an accurate record and the Chairman to sign the minutes of the meeting of the Shadow Health & Wellbeing Board held on 25 March 2013.

RESOLVED THAT:

(i) The minutes of the Shadow Health and Wellbeing Board held on 25 March 2013 be approved and signed as a correct record of the proceedings, subject to the following amendment:

5. Priority 3: Supporting young people into a healthy adulthood to read:

‘The work of the HWB and the Children’s Trust Board should not duplicate each other’.

(ii) The following changes in the order of priorities be noted:

Priority 3: Every Child has the best start to life.

Priority 4: Childhood Obesity

Priority 5: Supporting young people into a healthy adulthood.

Dr Spicer gave apologies for having to leave the meeting early.

If a Member of the Board, or any other Member present in the meeting has a disclosable pecuniary interest in a particular item, whether or not it is entered in the Authority’s register of interests, or any other significant interest which they consider should be declared in the public interest, they should declare the existence and, unless it is a sensitive interest as defined in the Member Code of Conduct, the nature of the interest at the commencement of the consideration of that item or as soon as it becomes apparent.

At meetings where members of the public are allowed to be in attendance and speak, any Member with a disclosable pecuniary interest or other significant interest may also make representations, give evidence or answer questions about the matter.  The Member must then withdraw immediately from the meeting before the matter is discussed and any vote taken.

Where members of the public are not allowed to be in attendance and speak, then the Member with a disclosable pecuniary interest should withdraw from the meeting whilst the matter is under consideration. Members who have declared other significant interests should also withdraw from the meeting if they consider their continued participation in the matter would not be reasonable in the circumstances and may give rise to a perception of a conflict of interest.

Members are not obliged to withdraw from the meeting where a dispensation to that effect has been obtained from the Audit, Pensions and Standards Committee. 

There were no declarations of interest.

This report sets out the membership and the terms of reference of the Board, as agreed at the Annual Council meeting on 29 Mat 2013.

RESOLVED THAT:

(i)                  The terms of reference be noted.

(ii)                The Board recommended that the Council makes a direction that the members of the Board who are entitled to vote alongside the Councillors are the representative of the CCG and the Local Healthwatch representative but not the Council officers on the Board.

(iii)               The appointment of an Opposition Member to the Board be considered at a future meeting.

The Board is asked to elect a Vice-chairman from amongst its members for the 2013/2014 municipal year.

RESOLVED THAT:

Dr Tim Spicer be elected as Vice-chairman for the 2013/2014 municipal year.

The Board’s proposed work programme for the municipal year is set out as Appendix 1 to this report.

The Board is requested to consider the items within the proposed work programme and suggest any amendments or additional topics

RESOLVED THAT:

(i)                  The work programme be noted.

(ii)                A proposal for an informal meeting, with costs be brought to the September meeting.

Action: David Evans

(iii)               That a report on housing for people with learning disabilities and for older people, and specifically better use of existing stock, be added to the work programme.

This report updates the Board on progress made by the CCG, Tri Borough and partners in delivering the Out of Hospital (OOH) Strategy, identifying key achievements since the previous report whilst also considering the long term objectives.

The appendices, which contain the detail for each area of update included in the OOH strategy, have not been printed.

Dr Spicer introduced the report which updated the Board on progress made by the H&F Clinical Commissioning Group (CCG), Tri-Borough and partners in delivering the Out of Hospital (OOH) strategy, identifying key achievements, whilst also considering the long term objectives.

The ‘Shaping a Healthier Future’ programme had addressed the need to rebalance the whole system of care away from over reliance on acute hospitals, with a move towards greater use of primary and community based services. For H&F, the OOH strategy would focus on developing plans for three sites to support five networks of care in the north, centre and south of the borough, including the use of Charing Cross Hospital as a hub/health centre offering primary care, therapies and further diagnostic services. Satellite sites would provide co-ordinating functions to all five networks.

It was recognised that patients and users of health and social care services across H&F currently increasingly experienced a  fragmented service. Whilst good progress had been made to develop improved collaborative working, it was recognised that a Whole Systems approach was needed to enable integrated care.

Dr Spicer commented on the intention of North West London to submit an expression of interest to become one of ten local areas to become ‘Pioneer Sites’ in demonstrating an innovative and ambitious approach to integrating care. Co-design work had commenced in a number of areas. The programme was looking for support from the eight CCGs and local authorities to further progress the design work across each of the programme work streams. The advantages of scale would be beneficial in working with major acute providers. 

The three boroughs (Hammersmith & Fulham, Kensington & Chelsea and Westminster)  and their partners had a history of working closely together and, as a community budget pilot, had developed an understanding of how funds could be used differently to target key local priorities.

90% of acute activity happened within North West London, as opposed to a different sector, and therefore the shift of activity away from hospital based care, towards greater use of primary and community services was more likely to succeed. Some 20% of residents used 65% of health and social care resources.

Bids to become Pioneer Sites had to be submitted to the Department of Health by 28 June, but the decision would not be made until September. Further information would be reported to the Board at its next meeting.

Ms Pashley highlighted the importance of patient involvement, specifically hard to reach groups, and the discussion of the co-design work with patient representatives, and the HWB’s statutory duty to improve health inequalities.

Councillor Binmore queried the resources for the pilot and the provision of a community service across borough boundaries. Dr Spicer responded that funding was in place in tri-borough areas and they were able to account for activity and attribute to the right source. In other areas, there would need to be a reciprocal agreement.

Mr Christie queried the scope of the OOH programme, the evidence for the best  ...  view the full minutes text for item 7.

The Shadow Health & Wellbeing Board agreed the Joint Health & Wellbeing Strategy. This report asks the Board to agree the next steps. 

Mr Evans introduced the Joint Health & Well-being Strategy (JHWS) update report, which set out progress against the eight key priorities and outlined the next steps. The Council was also developing the Community Strategy 2014-2022, and the next steps would need to include consultation on the JHWS and priorities as part of the Community Strategy process.

Joint consultation would offering an opportunity to engage with a larger number and a wider cohort of stakeholders and clear links to be made between the two strategies, avoid confusion and leadership, as well as realising better value for money by running  a single consultation exercise rather than two. Mr Christie suggested that existing mechanisms be used, for example the borough youth forum

The consultation on the JHWS would enable local people and stakeholders to contribute their views and for a final revision before endorsement by the HWB in  January 2014.

‘Priority 1: Integrated health and social care services which support prevention, early intervention and reduce hospital admissions’ had not been included in the report, but had been covered in the previous item.

Mrs Redmond stated that the Partnership Board, which included the three CCG Chairs and lead Cabinet Members for Adult Social Care, would oversee both commissioning and service delivery led integration initiatives and would ensure that these were aligned and work co-ordinated. A joint interim Director for Adults Community Health and Social Care had been appointed by Tri-borough and CLCH (with CCG input) to lead the community services integration programme.

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RESOLVED THAT:

The JHWS be consulted upon as part of the programme to develop the Community Strategy.

This report sets out a proposal for the process and governance structure of the Tri-borough Joint Strategic Needs Assessment (JSNA) programme to maximise use of the JSNA by commissioners and planners.

Ms Eva Hrobonova presented the report, which set out a  proposal for the process and governance structure of the Joint Strategic Needs Assessment (JSNA) programme, to maximise the use of the JSNA by commissioners and planners. The HWB was responsible for sign off and delivery of the JSNA.

Members considered how the HWB would help to steer the priorities for ‘deep-dive’ JSNA products and the workload of the task groups. Ms Hrobonova  stated that the JSNA Steering Group would determine and prioritise requests through the use of the ‘JSNA Prioritisation Scoring Tool’. Task and Finish Groups would be established to take on the work programme and complete the JSNA product.

‘Deep-dive’ priorities would be brought to the September meeting and included in the Annual Report. which, would be brought to the HWB for final sign off. In addition, the HWB would be informed of any ‘deep-dive’ products, which had been rejected.

Ms Pashley queried the involvement of patients and public in the process.  Ms Hrobonova responded that the JSNA was publicised through the CCG and the JSNA website. JSNA managers would engage with communities to ensure public input and an appropriate user engagement strategy.

RESOLVED THAT:

1. The proposed Tri-borough JSNA Model should be managed by the Tri-borough Public Health Service and run in the way set out in the report be agreed.

2. The governance arrangements set out in the report be agreed.

3. The task of priority setting be delegated to the proposed JSNA Steering group.

This report informs the Board on the key role of Healthwatch Hammersmith & Fulham.

The Healthwatch Hammersmith & Fulham work plan will be tabled.

The Healthwatch Hammersmith & Fulham (Healthwatch HF) work programme 2013/0214, which set out the activities, priorities and expected outcomes was tabled. Members considered the Healthwatch HF work priorities and specifically how the work plan could contribute to the HWB strategy and how patient and user views could be integrated into commissioning decisions. The report set out the following aims:

·         To provide information to the public about local health and social care services;

·         To enable local people to have a voice in the development, delivery and equality of access to local health and care services and facilities; and

·         To provide training and the development of skills for volunteers and the wider community in understanding, scrutinising, reviewing and monitoring local health and care services and facilities.

Healthwatch HF had identified the following draft priorities for the 2013/2014 work plan: Out of Hospital Care; Young People and Sexual Health; and Learning and Disability.

The draft priorities for the other boroughs were:

Healthwatch RBKC: Homecare, Personalisation, Making Complaints and Cancer

Healthwatch WCC: Hospital discharge, Dementia Care, Carers and Homeless Health

Members repeated earlier comments in respect of the value of consultation with established groups. The Chairman commented that user engagement reviews of the effectiveness of services had produced useful information for input into service redesign.

RESOLVED THAT:

The Healthwatch HF work programme be noted.

The Board is asked to note that the dates of the meetings scheduled for the municipal year 2013/2014 are as follows:

 9 September 2013

4 November 2013

13 January 2014

24 March 2014

9 September 2013

4 November 2013

13 January 2014

24 March 2014