Agenda and minutes

To elect a Chair to the Health and Wellbeing Board for the 2017-2018 Municipal Year.

RESOLVED: that Councillor Shields be elected as Chair for the 2017/2018 Municipal Year.

To elect a Vice-Chair to the Health and Wellbeing Board for the 2017-2018 Municipal Year.

RESOLVED: that Dr S Robinson be elected as Vice-Chair for the 2017/2018 Municipal Year.

Councillor Shields declared a personal interest in that he was a Council appointed representative of the Clinical Commissioning Group and remained in the meeting and took part in the consideration and determinations 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 determinations of items on the agenda.  

Councillor Payne 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 determinations of items on the agenda. 

To approve and sign as a correct record the minutes of the meeting held on 28th June 2017 and to deal with any matters arising, attached.

RESOLVED: that the minutes of the meeting held on 28th June 2017 be approved and signed as a correct record.

Matters Arising

Minute 3 – Drugs Strategy 2017-2020

The Board noted that the strategy had now been published.  In addition it was noted that the national drug strategy had been published within the last few days and Southampton’s was in line with this and in fact more ambitious.

Report of the Director of Public Health seeking approval of the procedure for responding to Pharmacy Consolidation Applications, attached.

The Board considered the report of the Director of Public Health regarding a proposed procedure for responses to pharmacy consolidation applications.  The Board had a statutory duty to make representation within 45 days to NHS England on consolidation applications of community pharmacies in its area.  The proposed procedure would formulate a process for responding to a consolidation application of community pharmacies that fell outside of the scheduled meetings of the Health and Wellbeing Board.

The Board expressed concern as to the representative of the Clinical Commissioning Group not being specified and recommended that it should be the Primary Care Team and also to the lack of criteria around “potentially/more contentious applications.

In light of the concerns expressed above the Board proposed revised recommendations as follows:-

RESOLVED:

(i)  That the Director of Public Health electronically circulate all applications for consolidation to the following stakeholders within 14 calendar days of receipt:-

Ø  Cabinet Member for Health and Sustainable Living

Ø  Relevant Ward Members

Ø  Primary Care Team, Clinical Commissioning Group

Ø  Public Health Team, SCC

Ø  Planning Policy Team, SCC

Ø  Chair of the Health Overview and Scrutiny Panel, SCC

Ø  Healthwatch Southampton

(ii)  That stakeholders feedback any concerns relating to “contentious” applications within 14 calendar days of the information being circulated;

(iii)  That authority be delegated to the Director of Public Health following consultation with the Chair of the Health and Wellbeing Board to determine all applications for pharmacy consolidation taking account of any feedback relating to “contentious” applications and make representation to NHS England accordingly.

Report of the Director of Quality and Integrated Commissioning detailing the draft Better Care Southampton Plan for 2017/19 and seeking agreement for the arrangements for approving the final version, attached.

The Board considered the report of the Director of Quality and Integrated Commissioning detailing the 2017-2019 Better Care Plan.  The Board noted that the national guidance had now been published and the requirement was still for the Plan to be submitted September 2017.

The Board particularly noted the following key points in the national guidance:-

·  Greater emphasis on reducing delayed transfers of care than in previous years;

·  A dashboard showing how areas were performing against a range of metrics across the NHS Social Care Interface;

·  Targeted CQC reviews to examine performance in the areas with the worst outcomes.  It was noted that Southampton was not part of the first tranche of 12; however a further tranche of 8 would be announced later in the year;

·  Consideration of a review in November 2017 of 2018-19 budget allocations of the social care funding provided at Spring Budget 2017 for areas that were poorly performing.

The Board noted that the priorities identified within the plan remained the same however actions had been updated as a result of the national guidance.

The Board acknowledged all the hard work that had gone into developing the Plan and thanked those involved.

RESOLVED:

(i)  That the draft Better Care Southampton Plan for 2017-19, the priorities and performance targets be endorsed;

(ii)  That the final version of the plan be approved for sign off following consultation with the Chair and Vice-Chair of the Health and Wellbeing Board by the national submission deadline of 11^th September 2017; and

(iii)  That the Chair of the Health and Wellbeing Board and the Clinical Commissioning Group ensure that the 3 local MP’s were fully briefed on all the challenges contained within the Better Care Southampton Plan 2017-2019.

Report of the Service Director; Adults, Housing and Communities seeking ratification of proposals for schemes to be funded by the Adult Social Care grant 2017/18, attached.

The Board considered the report of the Service Director; Adults, Housing and Communities regarding the Adult Social Care Grant.  The Board noted that they were required to ratify proposals for spending a one-off Government grant of £4.98m in 2017/18 for the purposes of meeting adult social care needs, reducing pressures on the NHS and stabilising the social care provider market.

The Board acknowledged all the hard work that had gone into developing the proposals and thanked those involved.

RESOLVED: that expenditure of £4.981, 651 in 2017/18 on schemes as detailed in appendix 1 of the report be ratified in accordance with the grant conditions, financial procedure rules and the governance arrangements for Southampton’s Better Care Fund.

Report of the Director of Quality and Integration, providing the Health and Wellbeing Board with the report considerd by Cabinet 18th July relating to further integration between Health and Social Care in the City, attached.

The Board received and noted the report of the Director of Quality and Integrated Commissioning detailing shared commissioning between Southampton City Council and Southampton City Clinical Commissioning Group which had been approved by Full Council on 19^th July and the Clinical Commissioning Group on 26^th July.

The Board noted that the arrangement strengthened existing integrated commissioning arrangements in the City but would impact on the role of the Health and Wellbeing Board going forward which would require review.