Agenda and minutes

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 informed members that SKONP (Southampton Keep our NHS Public) were organising a number of events during October 2014.

To approve and sign as a correct record the minutes of the meeting held on 30th July 2014 and to deal with any matters arising, attached.

RESOLVED that the Minutes of the Meeting held on 30 July 2014 be approved and signed as a correct record, subject to the following amendment:-

Minute No 8 – Primary Care Development, Page 3 – the last bullet point to read “in Southampton there were six surgeries in crisis as a result of these issues; and”

Report of the Director of Public Health requesting approval of the draft pre-consultation Pharmaceutical Needs Assessment (PNA), attached.

The Board considered the report of the Director of Public Health seeking approval of the draft pre-consultation Pharmaceutical Needs Assessment (PNA).  Mr P Burns, Primary Care Commissioning Consultants presented the draft PNA.

The Board noted the following:-

·  that it was a statutory requirement of all Health and Wellbeing Boards to publish and keep up-to-date a statement of the needs for pharmaceutical services for the population in its area;

·  that the draft PNA had considered the current provision of pharmaceutical services across Southampton and had established that there were no gaps in these services;

·  a robust PNA would ensure that services were targeted to areas of health need and the risk of overprovision in areas of less need would be reduced; and

·  that the document would change after consultation and the final PNA document would be adopted by the Board at its meeting on 25^th March 2015, in time for publication on 31^st March 2015.

RESOLVED:-

  i.  that the draft pre-consultation Pharmaceutical Needs Assessment be approved; and

  ii.  that following consultation with the Chair and Vice-Chair of the Health and Wellbeing Board, authority be delegated to the Director of Public Health to finalise the consultation draft of the Pharmaceutical Needs Assessment, incorporating comments made by the Health and Wellbeing Board and any other drafting changes or additional information as requested.

Report of the Director of Public Health proposing that a mental health ‘round table’ meeting be convened to enable a discussion between key stakeholders and user representatives on the needs and key challenges facing mental health services and their commissioning, attached.

The Board considered the report of the Director of Public Health proposing that a mental health “round table” meeting be convened to enable discussions between key stakeholders and user representatives on the needs and key challenges facing the commissioning of mental health services.

The Board noted that:-

Mental Health Services were fragmented and commissioning responsibilities were divided;

·  mental health was a major and complex health issue for the City and merited an in-depth discussion at a session dedicated to this single topic, involving organisations not represented on the Health and Wellbeing Board; and

·  it would be appropriate for the Health and Wellbeing Board, as the strategic local system leader, to facilitate a “round table forum” to include members of other boards and partnerships, with the aim of developing a better understanding of the issues involved and scoping of future work.

RESOLVED that a mental health “round table” meeting be convened early in December 2014, to enable a discussion between key stakeholders and user representatives on the needs and key challenges facing the commissioning of  mental health services.

Report of the Chair, Southampton Local Safeguarding Children Board (SLSCB) detailing the Southampton Local Safeguarding Children Board Annual Report 2013/14 and Business Plan 2014/15 for information and comment, attached.

The Board considered the report of the Chair, Southampton Local Safeguarding Children Board (SLSCB) presenting the Southampton Local Safeguarding Children Board Annual Report 2013/14 and Business Plan 2014/15 for information and comment.  Theresa Leavy, Interim Head of Service presented the Annual Report and Business Plan.

The Board noted the following:-

·  that the SLSCB had a new Chair and Manager and its role and function  had been strengthened with the introduction of new systems for quality assurance and learning and development; at the recent Ofsted review it had been noted that there had been significant improvements;

·  that there had been four Serious Case Reviews published during 2013-14.  All agencies involved in the review process had co-operated fully which had ensured honest and transparent inquiries and many lessons had been learned;

·  that the SLSCB was working to deliver a number of objectives in the Joint Health and Wellbeing Strategy which included a co-ordinated approach and response to safeguarding and improving outcomes for children looked-after;

·  that the SLSCB supported the transformation of key services and in particular the launch of Southampton’s Multi-Agency Safeguarding Hub (MASH) in March 2014.  The MASH was now the single point of contact for all safeguarding concerns regarding children and young people in the City;

·  that there were difficulties in monitoring situations involving children who were home-educated as concerns could only be raised if there was proof of safeguarding issues; and

·  that child sexual exploitation, domestic violence and long-term neglect were areas of concern which were receiving high focus.

RESOLVED:-

  i.  that the Southampton Local Safeguarding Children Board Annual Report 2013/14 and the Business Plan 2014/15 be noted;  and

  ii.  that the comments and observations identified by the Health and Wellbeing Board be reported back to the Southampton Local Safeguarding Children Board.

Report of the Healthwatch Manager detailing the Healthwatch Southampton Annual Report 2013/14 for information and comment, attached.

The Board considered the report of the Healthwatch Manager presenting the Healthwatch Southampton Annual Report 2013/14 for information and comment.

The Board noted that:-

·  Healthwatch was recognised as a legal and statutory element of  Southampton’s Health and Wellbeing Board and the Annual Report provided an overview of the development of Healthwatch Southampton and the activities undertaken in its first year;

·  Healthwatch was in the process of investigating the quality of care in residential care homes and would be submitting its findings to the Health and Wellbeing Board; and

·  Healthwatch Southampton, in conjunction with Healthwatch Wessex and NHS England were in the process of organising a strategy programme covering maternity services.

RESOLVED:-

  i.  that the Healthwatch Southampton Annual Report 2013/14 be noted; and

  ii.  that comments and observations identified by the Health and Wellbeing Board be reported back to Healthwatch Southampton.

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

The Board considered the report of the Director of Quality and Integration, Integrated Commissioning Unit providing an update on the status of Southampton’s Better Care Plan which had been submitted on 19 September 2014.

The Board noted that:-

·  the previous Payment for Performance framework had been revised in that the proportion linked to performance was dependent solely on setting a planned level of reduction in total emergency admissions, supported by evidence of robust finance, analytical modelling, and demonstrating strong provider and partner engagement;

·  Southampton’s vision for Better Care incorporated the assurance that people were at the centre of their care, the provision of the right care in the right place at the right time, optimum use of the health and care resources and early intervention; and

·  the final steps towards implementation were as follows:-

Ø  from 22 September to 3 October a desktop review of plans would be undertaken nationally, focused on an overall review;

Ø   a moderation exercise would be completed by 10 October; and

Ø   the final presentation and recommendations would be

 submitted to Sir Bob Kerslake, Simon Stevens and Ministers on 17 October 2014.

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

Report of the Director of Public Health detailing the Local Authority’s Healthy Child Programme (0-5 years) and its new commissioning responsibility from October 2015, attached.

The Board considered the report of the Director of Public Health detailing the Local Authority’s Healthy Child Programme (0-5 years) and its new commissioning responsibility from October 2015.

The Board noted the following points:-

·  responsibility for commissioning the Healthy Child Programme (5-19 years) had been transferred across with Public Health responsibilities in April 2013 and in October 2015, commissioning responsibilities for the Healthy Child Programme (0-5 years) would be transferred across to Local Authorities from NHS England.  This would enable Local Government to integrate the commissioning for 0-5 year olds with the commissioning for 5-19 year olds, which would improve continuity for children and their families and align the outcomes to the overall Children’s Services Transformation programme;

·  transition arrangements would be overseen by the Integrated Commissioning Board on behalf of Southampton City Council; and

·  health visitors would be employed by their current provider, Solent NHS Trust and funding would be required for the commissioning responsibility to be transferred to the Local Authority. The Department of Health would be negotiating a re-allocation with each Local Authority and the final allocation would be received in December 2014.

RESOLVED:-

  i.  that the new commissioning responsibility of the Local Authority’s Healthy Child Programme (0-5 years), which would take effect from October 2015 be acknowledged and welcomed; and

  ii.  that consideration would be given to the Health and Wellbeing Board’s role in ensuring the successful delivery of the 0-19 Strategy at a future meeting.

Report of the Consultant for Public Health NHS England (Wessex) providing an update on the performance of screening and immunisation programmes in Southampton, attached.

The Board received and noted the report of the Consultant for Public Health, NHS England (Wessex) providing an update on the performance of screening and immunisation programmes in Southampton.

It was further noted that “hard-to-reach” population groups were not accessing the screening and immunisation programmes and these should be more prominently advertised in order to highlight the profile of the programmes.