Agenda and minutes

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

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

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.

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 the items on the agenda.

Councillor Bogle declared that she was a Council appointed representative of University Hospital Southampton NHS Foundation Trust and remained in the meeting and took part in the consideration and determination of the items on the agenda.

Councillor Lewzey declared 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 the items on the agenda.

To approve and sign as a correct record the minutes of the meeting held on 23^rd October 2013 and to deal with any matters arising, attached.

RESOLVED that the Minutes of the Meeting held on 23^rd October 2013 be approved and signed as a correct record, subject to the following amendments:-

Apologies – Page 7 – Stephanie Ramsey was representing Alison Elliott

Item 16 – Page 7 – The NHS Commissioning Landscape – Third line should read Ms J Freeland.

Item 19 – Page 9 – Update on Integration Transformation Fund Implementation – Last paragraph first bullet point to read “The integrated transformation fund was not new money” – delete second half of sentence.

To note the joint report of the Chief Executive, Southampton Clinical Commissioning Group and Director of People, Southampton City Council providing an update on the progress towards developing a local plan for integrated working and the development of a pooled budget, attached.

The Board received and noted the report of the Chief Executive, Southampton City Clinical Commissioning Group and Director of People, Southampton City Council providing an update on the integrated transformation fund implementation and outlining the progress in developing the local plan which was required by March 2014.

The Board also received a presentation from the Deputy Chief Officer NHS providing feedback from the Workshop held on 22^nd November 2013.

The following issues and comments were noted:-

• The funding would enable the following priorities:

Ø  greater service/organisational integration with more flexible structures to meet a different set of needs and practises;

Ø  implementation of shared care planning and systems;

Ø  stronger focus on prevention and identifying need earlier;

Ø  shift towards more person centred care across the whole system; and

Ø  a shift in resources and activity to an out of hospital model.

• the vision for integrated care in Southampton would be “I can plan my care with people who work together to understand me and my carer(s), allow me control and bring together services to achieve the outcomes important to me”;
• the model would include community and voluntary agencies and the co-ordination of health and social care teams;
• the transformation would be scoped over a 5 year plan;
• the vision in 5 years would be one person to co-ordinate care taking a holistic approach, a single point of access and locality/cluster/ community working, a multi-disciplinary team, reducing referrals and working for the population;  and
• more training to be provided so that decisions and actions could be made closer to the contact “grass roots” .

It was AGREED that officers would circulate papers to Board Members on the Stakeholder Workshop  “Consulation/Challenge on the Proposed Draft Model” scheduled for  12^th December 2013.

To consider the Independent Chair’s Annual report for Southampton Safeguarding Adults Board, attached.

The Board considered the report of the Independent Chair, Southampton Safeguarding Adults Board (SSAB), Dr Carol Tozer, providing the annual report 2012/2013 which outlined the work being undertaken by the SSAB in co-ordinating strategic and operational multi agency working to ensure the safety of adults at risk in Southampton.

Dr Tozer thanked the Board for their support during the year and it was noted that this would be her last meeting as she was standing down as Independent Chair. 

The Board particularly noted the following points:-

• that in 2012/13, 285 people were identified as at risk and requiring support under local safeguarding adults’ procedures which represented a reduction of 5% (17 people) compared to last year.  On analysis of referrals it was noted that Southampton’s 2011/12 referrals were lower than average by 40% compared to other similar local authorities and the most common form of abuse reported in 2012/13 was financial followed by physical; and
•  key priorities for the coming year were:-

Ø  to develop strategic links with partners such as GP’s, Health Watch, the Crown Prosecution Service and the Police and Crime Commissioner;

Ø  to strengthen the voice of adults at risk by listening to their experiences of safeguarding;

Ø  embed and develop safeguarding operational practice such as ensuring fire safety action plans are in place;  and

Ø  continue to focus on staff development working across Hampshire to develop a training and development strategy, thereby integrating the provision of training.

RESOLVED:

(i)  that the Annual Report of the Southampton Safeguarding Adults Board be welcomed and that the work priorities outlined in paragraph 13 be fully endorsed;  and

(ii)  that the incoming Chair of the SSAB be requested to report back on progress in six months, particularly referring to the implementation of the Winterbourne View local action plan.

To consider the report of the Director of Public Health, for the Board to identify any relevant implications arising from the 2013/14 Safe City Plan and Youth Justice Strategic Plan, attached.

The Board considered the report of the Director of Public Health, detailing the Safe City Plan 2013/14 and the Youth Justice Strategic Plan 2013/14 for identification of any relevant implications in the attached plans for the Health and Wellbeing Board.

Superintendent Fulton was present and with the consent of the Chair addressed the meeting.

The following points were noted:-

• although there had been a significant reduction in crime in the City which was mainly due to productive partnership working, between agencies and local communities, there was a need to focus on improving our comparative position in relation to reducing reoffending, anti-social behaviour and drug related crimes;
• Youth Justice Plan priorities were the reduction of youth custody, the number of first time entrants in the criminal justice system and reoffending and youth crime;
• investigation and analysis of collective data from the A&E would assist in obtaining a fuller picture and therefore assist in crime reduction;
• closer working with other partners such as the shared services in Redbridge of the police and the fire department.
• there should be closer alignment across the Council of community safety, emergency planning and enforcement functions;
• consideration by the Safe City Partnership and the Youth Offending Board of options for improving the governance arrangements for these areas;  and
• consideration to combine the Safe City Partnership Plan and the Youth Offending Board Plan in order to commence the development of a single safer city and youth justice strategy;  the Council was in dialogue with the Local Government Association about the benefits of a Peer Review for the wider community safety function early next year.

RESOLVED

(i)  that the adoption of the 2013/2014 Safe City Plan and Youth Justice Strategic Plan be welcomed and commended to our NHS and local Healthwatch partners;

(ii)  that the Chair be requested to meet with the Chairs of the Safe City Partnership and the Children and Young People’s Trust Board to consider the most effective means for collaboration on areas of common concern;  and

(iii)  that the Joint and Integrated Commissioning Unit be urged to ensure that successful bidders for the integrated substance misuse service, currently out to tender, commit to working with the City Council and its partners to reduce the alarmingly high rates of harm to health and life from the misuse of alcohol, illegal drugs and unclassified substances.

To note the report of the Director of Public Health, detailing progress on the arrangements for health emergency planning and health protection, attached.

The Board considered the report of the Director of Public Health, detailing the arrangements for health emergency planning and health protection that were local authority responsibilities from 1 April 2013.

It was AGREED that Councillor Bogle, who was a Governor of the University Hospital Trust would raise the issue of the public’s perception of the Hospital’s control of infections.

RESOLVED

(i)  that the critical role of the Southampton City Health Protection Forum (SCJHPF) be recognised in providing assurance to the Director of Public Health and feeding into the Local Health Resilience Partnership (LHRP), thus fulfilling statutory requirements;

(ii)  that the link between the impact of successful health protection mechanisms, for example vaccinations/immunisation  programmes and ill health associated with higher levels of deprivation be recognised; 

(iii)  that the World Health Organisation’s (WHO) 95% uptake target for vaccination be adopted (which would provide herd immunity to the remaining population;  and

(iv)  that the excellent multi-agency working through the Southampton City Joint Health Protection Forum and the key role played by the leads working in the SCC Safe City Team and the local Public Health team be commended.

To consider the report of the Chair of the Health and Wellbeing Board providing an update to the Board, attached.

The Board received and noted the report of the Chair of the Health and Wellbeing Board detailing actions taken and correspondence to the Chair since the October meeting of the H&WBB.