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Monday, September 12th, 2016

Report from Health & Wellbeing Board – 26 Jul 16

Meeting Name: Health and Wellbeing Board

Date of Meeting: 26th July 2016

Key Points of Wider Interest Discussed:  

Birmingham & Solihull Sustainability and Transformation Plan (STP)

The STP work programmes have now been established as follows:

  • United Maternity Programme – developing new models of care for maternity and newborn services
  • Community Care First (Reforming Out of Hospital Care) – developing a radical upgrade in the community based offer to fundamentally change the care model  and promote independence within local communities
  • Mental Health for All – developing programmes of care that transform the experience and care of people with mental health problems (including dementia)
  • Vibrant Secondary and Tertiary Care – providing world class secondary and tertiary services to the population of Birmingham and Solihull and beyond
  • Development of system leadership and vision for Birmingham and Solihull
  • ‘Enabler Workstreams; – commissioning reform; digital connectivity; workforce development; estates/infrastructure

With regard to the STP Plus, the following programmes of work are being considered:

  • Achieving Health and Wellbeing ( development of a co-ordinated and consistent public sector response to support communities and individuals to achieve health and wellbeing ; develop the link between health and work particularly working with the mental health programme)
  • Children and Young People (to give every child a great start in life, by continuing to improve the system wide focus on safeguarding and Early Years)
  • Economic Development & Productivity (using a Combined Authority focus on productivity in public and private sectors to support economic development)
  • Research & Innovation (building upon the world class health and wider organisations and businesses to drive economic growth, employment and excellence in the delivery of sustainable health and care).

Extract from Simon Stevens Chief Executive of NHSE speech at the NHS conference June 2016

With regard to social care he commented: ‘I do not believe it would be prudent for us to assume any additional NHS funding over the next several years, not least because I think there is a strong argument that were extra funding to be available, frankly we should be arguing that it should be going to social care.  That is one of the arguments that I have been making publicly, and I think social care has a very strong case for that’

Better Care Fund

Solihull has now gone from ‘assured with support’ to ‘recommended for approval’. Work is progressing on all fronts with close monitoring to take place. Solihull is seen as an exemplar of integrated care.

Ofsted Inspection – May 2016

Children’s services underwent an Ofsted inspection in May 2016 and achieved an overall ‘requires improvement’ but it was suggested that reading the narrative would lead to an overall ‘good’ so the outcome was a bit disappointing.

West Midlands Mental Health Commission

A report was received on the West Midlands Mental Health Commission, chaired by the Rt.Hon. Norman Lamb, which was established to identify the contribution that devolution can make to addressing poor mental health and wellbeing.  Poor mental health and wellbeing is acknowledged to be a significant driver of demand for public services and reduced productivity.

The Key Lines Of Enquiry are:

Employment; Housing; Early intervention principles; criminal justice/troubled individuals; role of employers; primary care; zero suicide.

Work is underway to gather evidence about what works in relation to these KLOE areas across the UK and internationally to inform the Commissions thinking about its eventual recommendations.

ICASS and Vanguard Governance Review

In May 2016, it was agreed that a review of the governance of the ICASS and Vanguard programme be undertaken by the Good Governance Institute which has now been completed with 4 identified options and 11 recommendations. Option 3 was the preferred option to be pursued:

Tailor the ICASS and Vanguard programmes as the Solihull response to wide ranging West Midlands STP, with a more appropriate governance structure. It has further been agreed that the ICASS Programme Board are to be the sole decision making body, point of resolution and accountable for implementation.

LSCB Annual Report/SSAB Annual Report

Both the Local Safeguarding Children’s Board and the Solihull Safeguarding Adult Board’s report were presented to the H&WB Board.

Potential Follow Up Action/Discussion/Feedback Required:  

Concerns about how cuts to voluntary sector organisations by  the Local Authority and the CCG may impact on the sector’s ability to be involved in preventative work which will have a knock on effect on the ability to deliver the Health and Wellbeing strategy.

Date of Next Meeting:  13th September 2016

Name and Contact No of Rep Completing:  Anne Hastings

Phone 07578169045 or email