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Thursday, June 23rd, 2016

Report from Health & Wellbeing Board – 29 Mar 16

Meeting Name: Health and Wellbeing Board

Date of Meeting: 29th March 2016

Key Points of Wider Interest Discussed:

Health and Wellbeing Strategy 2016-19

The H&WBB strategy has now been further developed to improve the health and wellbeing of local people and communities, and will be used by the Board to challenge the commissioning and funding plans of local agencies to ensure that they are tackling local health and care priorities.

  1. People will live longer, and have healthier lives
    Ensure that programmes targeting behaviour change are designed with the framework of the Behaviour Change Strategy and its recommendations. Develop Prevention and Treatment Services of Alcohol Misuse
  2. Give every child the best start in life
    Improve mental health and emotional wellbeing for our most vulnerable groups of children and young people. Ensure a whole system approach to childhood obesity with a focus on tackling the inequality gap
  3. Ageing well – healthy older life
    Further development of integrated health and social care.  Reduce social isolation and improve people’s wellbeing
  4. Healthy and sustainable places and communities
    Maximise opportunities to address the social determinants of health through greater integration of the     planning, transport, housing, environmental and health systems.  Improve provision, quality and capacity of those who deliver community initiatives that support health/environmental objectives.

Sustainability and Transformation Plan (STP)

The Sustainability and Transformation Planning process forms part of a wider partnership which is emerging around health and local authority partners in Birmingham and Solihull.  The STP is expected to describe changes to healthcare which will achieve financial sustainability and improved quality, linked to the NHS ‘forward year, forward view’.  Also linked to the allocation of transformational monies from NHS England, following an assurance process.  Mark Rogers, CE of B’ham City Council has been identified as the lead.

The H&WBB was concerned that it seemed to be yet another set of governance arrangements being set up which did not necessarily recognise the statutory responsibilities of the H&WBB.

Better Care Fund (BCF)

This is the second year of operation for the BCF.  The Solihull BCF created a local single pooled budget which is intended to incentivise the NHS and local government to work more closely together around people, placing their wellbeing as the focus of health and care services, and shifting resources into social care and community services.  The total pooled budget for Solihull is £15,693,000 for 2016-17.

Healthwatch Solihull position statement and planned next steps

Faisal Hussain attended the meeting to give an update position statement relating to Healthwatch Solihull and to discuss the proposed next steps for the delivery of Healthwatch functions for the interim period and longer term objectives.  There was widespread support for the proposed interim measures and the helpful and supportive discussions with local stakeholders and HW England.

Changes in Ofsted inspections, joint targeted inspections and deep dive investigations

The H&WBB were informed of the changes to inspections of Children’s Services including:

  • The new Joint Targeted Area Inspection (JTAI) of joint arrangements and services for children in need and protection in the local authority area
  • The new Child Sexual Exploitation and Children missing from home, care or education (the deep dive theme for Targeted Local Authority inspections and Joint Targeted Inspections Feb-Aug 2016).  These are in addition to the current Ofsted Single Inspection of Children in Need of Help and Protection, Children looked after and Care Leavers.  A multi-agency group has begun to meet to establish preparation process and arrangements to communicate and facilitate the new JTAI, including the data and information requirements specified.

West Midlands Ambulance Service Performance

The West Midlands Ambulance Service attended to update the H&WBB on the performance in the West Mids.  The overall report showed above average response times for the West Mids but some changes are due to occur such as the Rapid Response Vehicle currently stationed at the Fire Station, will move to Solihull Hospital from April 2016.  The planned one for Chelmsley Wood will not now go ahead and will instead be serviced by parts of Birmingham.  They are currently undertaking a specific 12 month project to identify 60 High Volume Service Users and see what interventions can be given to ensure that they do not repeatedly call the ambulance service – eg, alcohol would account for the high volume in Chelmsley Wood and older people’ s issues in areas like Olton.

Potential Follow Up Action/Discussion/Feedback Required:

The role of the Voluntary and Community Sector in Solihull in helping to alleviate the problems experienced by the ‘frequent flyers’ so that they do not see no other option but to call the ambulance, turn up at A&E etc.  Also need to overcome the barriers of data sharing.  Everyone knows who these people are and yet are prevented from making the most appropriate response due to the inability to data share.

Date of Next Meeting:  14th June 2016

Name and Contact No of Rep Completing:  Anne Hastings

Phone 07578169045 or email