Agenda and minutes

Venue: Council Chamber - Civic Centre. View directions

Items
No. Item

40.

Apologies and Changes in Membership (if any)

To note any changes in membership of the Board made in accordance with Council Procedure Rule 4.3.

 

 

Minutes:

 

The Board noted the apologies of Councillor McEwing and Alison Elliott and that Stephanie Ramsey was in attendance and representing Alison Elliott for the purposes of this meeting.

 

41.

Disclosure of Personal and Prejudicial Interests

In accordance with the Localism Act 2011, and the Council’s Code of Conduct, Members to disclose any personal or pecuniary interests in any matter included on the agenda for this meeting.

 

NOTE:  Members are reminded that, where applicable, they must complete the appropriate form recording details of any such interests and hand it to the Democratic Support Officer.

 

Minutes:

 

Councillor Shields declared a personal interest in that he was a member of Healthwatch England and a Council appointed representative of Solent NHS Trust and remained in the meeting and took part in the consideration and determination of items on the agenda.

 

Councillor Lewzey declared a personal interest in that he was a Council appointed representative of Southern Health NHS Foundation Trust and remained in the meeting and took part in the consideration and determination of items on the agenda.

 

42.

Statement from the Chair

Minutes:

 

In accordance with accepted practice a statement was made by the Chair in relation to Public Health England’s report on water fluoridation.

 

43.

Minutes of the Previous Meeting (including matters arising) pdf icon PDF 78 KB

To approve and sign as a correct record the minutes of the meeting held on 29th January 2014 and to deal with any matters arising, attached.

 

Minutes:

 

RESOLVED  that the Minutes of the Meeting held on 29th January 2014 be approved and signed as a correct record.

44.

LSCB Annual Report pdf icon PDF 31 KB

 

1.1  Report of the Independent Chair, Local Safeguarding Children’s Board (LSCB), attaching the 2012-13 Annual Report, setting out the activities delivered by and performance of Southampton Local Safeguarding Children Board, attached.

 

Additional documents:

Minutes:

 

The Board  considered the report of the Independent Chair of LSCB, attaching the 2012-13 Annual LSCB Report and Business Plan.

 

The Board noted the following points:-

 

  • That it was important to engage all partners as well as listen to the voices” of young people in the city.
  • Two challenges for which the LSCB had to be prepared,  was the forthcoming Ofsted inspection in Children’s Services which would now include scrutiny of the LSCB and the number of Serious Case Reviews currently being undertaken which are likely to create both media and public interest. 
  • Changes to legislation in the Children and Family Bill would bring new arrangements for Children’s Services involving responsibility for young people with special educational needs up to the age of 25 years and children in care up to the age of 21 years.  It was important that there was a close working relationship between the Adult Safeguarding Board and Children’s Trust.
  • LSCB’s priorities going forward were to ensure that safe practices were in place, thus would be achieved via thorough audits and examination of complex data sets, direct contact with young people and working closely with the MASH (Multi-Agency Safeguarding Hub) which was launched on 1 April.

 

RESOLVED

 

(i)  that the Health and Wellbeing Board noted the LSCB 2012-2013 Annual Report and the priorities set out in the Business Plan;

(ii)  that future links and joint working between the Health and Wellbeing Board and the LSCB be agreed;  and

(iii)  that an update report which would include progress on the MASH would be tabled at the meeting on 30th July 2014.

 

45.

Public Health Annual Report pdf icon PDF 46 KB

 

Report of the Director of Public Health, attaching the Public Health Annual Report for the Health and Wellbeing Board to consider and note future implications to the Board, attached.

Additional documents:

Minutes:

 

The Board received the report of the Director of Public Health attaching the Public Health Annual Report, setting out the City’s  key health issues.

 

The Board also received a presentation from the Director of Public Health providing details of key elements of the Annual Report.  It was noted that there were 4 themes summarised in the report ie

  • “Wider impacts on health and wellbeing covering housing and violent crime,
  • “Health lifestyles covering smoking and happiness,
  • “Protection from health threats covering sexual health and common infectious diseases and
  • “Living long, living well covering diabetes and chronic kidney disease.

 

The Board highlighted the following points:-

 

  • Housing – 38% of privately owned and rented homes in the city did not meet the Decent Homes Standard  and robust privatisation and regeneration of the city’s large estates would be a key issue.
  • Economic wellbeing - 26% of Southampton’s children lived in poverty.
  • Lifestyle – smoking remained one of the biggest causes of premature mortality in the City.
  • Over the period 2009 to 2013 the rate of children in care increased by 58% in Southampton compared to an 11% increase nationally.
  • Serious sexual crimes were up by 25% and robust focus was required in this area.
  • Profiles on a ward by ward/ locality basis enabled elected members and GP’s to note any problem areas and better engage with people.

 

RESOLVED that the Health and Wellbeing Board welcomed the Public Health Annual Report and noted the implications for the future work of the Board.

 

 

 

46.

NHS Southampton City Clinical Commissioning Strategy 2014-2019 "A Healthy and Sustainable Future" pdf icon PDF 66 KB

 

Report of the Chief Executive, Southampton City CCG, requesting that the Board support the strategic direction outlined and to comment on the priorities and outcomes identified, attached.

Additional documents:

Minutes:

 

The Board considered the report of the Chief Executive, Southampton City CCG, providing details of Southampton’s Five Year Strategy.

 

The Board also received a presentation from the Chief Executive, Southampton City CCG and the Vice Chair of the Health and Wellbeing Board, providing further information on the strategy.

 

The Board noted that the five goals outlined in the strategy were:

 

  • making care safer by nurturing a diverse range of safe and competent providers;
  • making care fairer by reducing health inequalities;
  • improving productivity (achieving more with less, more effectively) by streamlining urgent care, efficient planned care, earlier detection and diagnosis and services closer to home;
  • shifting the balance of care through Better Care Southampton by co-ordinated local care, better discharge and reablement and engaged and resilient communities;  and
  • sustainable finances.

 

It was AGREED that providers would be invited to the informal Health and Wellbeing Board meeting on 23rd April where the CCG strategy would be discussed further.

 

RESOLVED

 

(i)  that the Health and Wellbeing Board supported the strategic direction outlined in the report and presentation;

(ii)  that the consultation process be noted and that the finalised strategy would be presented at the Board Meeting scheduled for 14th May 2014;  and

(iii)  that authority be delegated to the Chair of the Health and Wellbeing Board, in conjunction with the Chair of the CCG to agree the final quality premium metrics.

 

 

 

 

 

47.

Southampton's Response to Government Pledge for Better Children and Young People's Outcomes pdf icon PDF 43 KB

 

Report of the Director of Public Health, recommending that the Health and Wellbeing Board signs up to the National Pledge for better health outcomes for Children and Young People, attached.

 

Additional documents:

Minutes:

 

The Board considered the report of the Director of Public Health providing details of the Government pledge for “Better Children and Young People’s Outcomes” and requesting that Southampton sign up to the national pledge.

 

It was noted that there were extensive indicators involved and that it was important that focus was attributed to the key issues for the City:-

 

RESOLVED:

 

(i)  that the Health and Wellbeing Board signed up to the National Pledge for better health outcomes for children and young people;  and

(ii)  that the Children and Young People’s Trust Board be accountable to the Health and Wellbeing Board for delivery of the pledge by initiating an action plan to ensure that organisations worked in partnership for the benefit of children and young people.

48.

Tackling Teenage Pregnancy pdf icon PDF 135 KB

 

Report of the Director of Public health requesting that the Health and Wellbeing Board supports the development of a new sexual health plan for Southampton, incorporating teenage pregnancy as a priority, attached.

Additional documents:

Minutes:

 

The Board considered the report of the Director of Public Health providing details of a new sexual health plan for Southampton, incorporating teenage pregnancy as a priority.

 

The Board noted that:-

 

  • In March 2014 a task and finish group had been convened to provide a renewed focus on sexual health and had identified teenage pregnancy as a priority area.
  • Although the rate of teenage pregnancy had declined in Southampton over the last decade, it still remained significantly higher than the rate in the South East and England nationally.
  • That the two areas that had been identified as having the largest impact on reducing teenage pregnancy rates was high quality sex and relationships education (SRE) for all young people and good access to effective contraception for young people who were sexually active.

 

RESOLVED:

 

(i)  that the Health and Wellbeing Board supported the development of a refreshed sexual health plan for Southampton, incorporating teenage pregnancy as a priority;

(ii)  that the Health and Wellbeing Board noted that Councillor Challoner, the Cabinet Member for Safeguarding, had been appointed as the champion for tackling teenage pregnancy, supported by Councillor Kaur, the Cabinet Member for Communities;  and

(iii)  that the Southampton sexual health strategic group should work closely with the Cabinet Member champions on teenager pregnancy issues.

49.

Tobacco Control Plan pdf icon PDF 47 KB

 

Report of the Director of Public Health, for the Board to agree the Tobacco Control Plan and a working group to deliver the actions outlined in the plan, attached.

 

 

Additional documents:

Minutes:

 

The Board considered the report of the Director of Public Health, detailing the Tobacco Control Plan which provides a co-ordinated approach to prevent the damage done by smoking to the city’s population.

 

The Board also received a presentation from the Public Health Practitioner/ Commissioning Lead providing further information on the Tobacco Control Plan.

 

The Board noted that the estimated smoking prevalence in Southampton was 22.6%, that there had been 2113 hospital admissions in 2012 attributable to smoking and smoking was the primary reason for the gap in life expectancy between the rich and poor.

 

RESOLVED:

 

(i)  that following consultation with the Director of Public Health, the Tobacco Control Plan be ratified by the Health and Wellbeing Board;  and

(ii)  that the Public Health Team established a working group with key stakeholders to deliver the actions outlined in the Action Plan and report back to the Health and Wellbeing Board on progress.

50.

Better Care Southampton Update pdf icon PDF 56 KB

 

Report of the Director of Quality and Integration, providing an update on the progress towards implementation of Better Care in Southampton, attached.

Additional documents:

Minutes:

 

The Board received and noted the report of the Director of Quality and Integration providing details of progress made towards the implementation of Better Care Southampton.

 

The Board noted the following:-

 

  • That the first iteration of the Better Care Southampton local plan had been submitted on 14th February and positive feedback had been received from NHS England.
  • Changes to the plan were in progress for the final submission on 4th April 2014.
  • That the plan changed the whole model of how services were delivered and it was essential that both the Council and CCG committed to the pooled budget.

 

RESOLVED that progress towards the implementation of Better Care Southampton be noted.