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 Alison Elliott for the purposes 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 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.

The Chair made a statement in accordance with accepted practice and welcomed Health and Overview Scrutiny Panel members, Dr O’Shea and Mr Westbury from Southern Health who were attending the meeting for the NHS England Specialist Services Consultation item and thanked members of the Board for the progress made during the first year as a formal board.

To approve and sign as a correct record the minutes of the meeting held on 26^th March 2014 and to deal with any matters arising, attached.

RESOLVED that the Minutes of the Meeting held on 26^th March 2014 be approved and signed as a correct record.

Report of the Director of Public Health, requesting that the Health and Well Being Board and the Health Overview and Scrutiny Panel respond to the general principles of the consultation, and encourage more detailed responses from local organisations, patients, carers and clinicians on the content of the specifications, attached.

The Board considered the report of the Public Health Consultant providing details of the local response to NHS England’s consultation on specialist services.

The Board noted that:-

• the consultation was an ongoing process on 130 specialist services;
• as a number of specialist services were located at the University Hospital in Southampton, the city should not experience significant changes;
• financial monitoring would be required as increased spending on specialist services would result in less funding for district hospitals;
• the following were specialist services:-

Ø  Acute kidney injury

Ø  Adult cardiac surgery

Ø  Complex disability and prosthetics

Ø  Paediatric intensive care;

• specialist services for mental health issues required prioritisation;

• an entirely new funding provision for specialist services, separate from the CCG budget, had commenced on 1 April 2013 and this would create very real cost pressures for the NHS in the short to medium term;  and
• the final decision in terms of where the specialist services would be located would have a political impact and it was essential that these decisions should not be swayed by political party issues.

RESOLVED that the Health and Wellbeing Board and the Health Overview and Scrutiny Panel agreed to the general principles of the consultation and encouraged more detailed responses from local organisations, patients, carers and clinicians on the content of the specifications.

Report of the Assistant Chief Executive, seeking the Board’s agreement to undertake the Local Government Association’s (LGA) self assessment tool for Health and Wellbeing Boards, attached.

The Board considered the report of the Improvement Manager providing details of a self assessment tool for Health and Wellbeing Boards which the Local Government Association (LGA) had offered to pilot in Southampton free of charge.

It was noted that this tool would enable the Board to explore their strengths and opportunities, improve performance and with the increased focus on integration, enable them to strengthen their system leadership role and develop a clear sense of purpose which would help transform services and outcomes for local people.

The Board further noted that:-

• the new version of the Tool would be available by the end of May 2014;
• Mr Andrew Cozens, a leading Policy and Improvement Specialist for health and social care had agreed to facilitate the session which would be free of charge;  and
• available dates for the facilitated self assessment session would be circulated to Board Members.

RESOLVED that the Board agreed to take part in the free facilitated self assessment session.

Report of the Chief Executive, Southampton CCG and the Director of People, providing an update on progress towards the implementation of Better Care Southampton, attached.

The Board received and noted the report of the Director of Quality and Integration, providing an update on the progress of the Southampton’s Better Care local plan.

The following was highlighted:-

• a very successful informal meeting had been held on 23^rd April, focussing on the implementation of Better Care in Southampton.  The session covered how providers’ 2014/2015 strategies were linked to the Better Care initiative, what barriers and challenges needed to be overcome and how the Health and Wellbeing Board could work most effectively with providers in the future. It was AGREED that providers’ presentations would be forwarded to the Health and Wellbeing Board members;
• Southampton was working towards a locality cluster model and were proposing to establish 6 integrated care teams clustered around GP practices;
• very challenging targets had been set which required strong governance structures involving all stakeholders;  and
• that a branding for Southampton’s Better Care model required to be developed  in order to raise awareness  with the general public, local communities and staff.

Policy Briefing from the Deputy Police and Crime Commissioner providing details of non-statutory guidance issued by the Department of Health and partner agencies, aimed at tackling and preventing mental health crises and improving outcomes for those experiencing such crises, attached.

The Board received and noted the policy briefing from the Deputy Police and Crime Commissioner, providing details of non-statutory guidance issued by the Department of Health and partner agencies, aimed at tackling and preventing mental health crises and improving outcomes for those experiencing such crises.

The following points were highlighted:-

• mental heath was a cross cutting issue in the City and the development of a joint task and finish group was necessary to consider this issue which was reaching crisis proportions;
• a mental health crisis declaration was in the process of being drafted for sign up by the Health and Wellbeing Board;
• the Health Overview and Scrutiny Panel  had undertaken a recent inquiry on the “Impact of Housing and Homelessness on Single People”, where it had been evidenced that  mental health had been a core issue and that the Police and other partners had been reluctant to become  involved with mental health issues; and
• there was only one place of safety bed in Southampton.

It was AGREED that :-

• the commissioning of mental health services was a top priority and an in-depth investigation required to be undertaken;
• officers to brief the Cabinet Member for Health and Adult Social Care on mental health issues; and
• mental health should be a standard item on both the Health Overview and Scrutiny Panel and the Health and Wellbeing Board agendas.