Meeting Name: Health and Wellbeing Board
Date of Meeting: 28th March 2017
Key Points of Wider Interest Discussed:
Commissioning of Care Homes
The H&WBB were given a briefing on the state of the local care home market. Of the 27 Registered Care Homes in Solihull, only one is CQC quality rated as Outstanding, 16 are rated as Good and 9 are rated as requiring improvement. Prices for Care Homes in Solihull range from £463 to £1,600 per week. There are concerns about the numbers of people having to be placed outside of the Borough due to the price restrictions and the prevalence of self funders. Solihull has an older than average population and the requirement for care home places is predicted to increase by 40% between 2015 and 2035, so it is essential that the plans for a second new dementia care home currently with Planning goes through which would deliver a new 60 bedded care home in Shirley with at least 30 of these beds being at the council’s usual fee to complement the new Chelmunds Court due to open in October 2017 with 38 nursing beds and 25 residential affordable beds for people with dementia.
The H&WBB were updated on the recommissioning of Healthwatch in Solihull with a new contract being awarded from July 2017. Members of the Board were asked to raise awareness of Healthwatch and encourage participation, as they recognise that the expectation to deliver a communication/engagement plan is challenging without the support of local partners.
Dave Pinwell gave an excellent progress report on the work of the Interim Healthwatch and made the Board aware of some of the more challenging aspects of getting this contract mobilised due to the unhelpful legacy left by the previous provider. He also reported on the Future of Mental Health Services in Solihull (following their study of the perceptions of the service users on the current provision in Solihull and their concerns about the future. The main concerns identified were around what would happen to people in a crisis and the lack of local provision following the proposed (now concrete) closure of the Bruce Burns Unit at Solihull Hospital and the difficulty of accessing the nearest inpatient services, which are mainly in Birmingham, particularly for those without access to a car. A number of recommendations were made which Healthwatch are awaiting a response to.
Birmingham and Solihull Sustainable Transformation plan (STP)
It was noted that Dame Julie Moore is the Interim System Lead and Catherine Hunter the new Programme Director. There is a separate Health and Wellbeing strand which Cllr Meeson is involved with. The challenge now is to develop a ‘front facing plan’ for community engagement so that the public can better understand what is being planned. They were awaiting the announcement of the reset of the NHS from Simon Stevens (which is well worth a read for anyone who has not yet seen it!)
Birmingham and Solihull Scorecard
The scorecard measures performance against the Priorities agreed by the H&WBB as:
- People will live longer and have healthier lives
- Give every child the best start in life
- Ageing well – healthy older life
- Healthy & sustainable places and communities
An interesting measure under priority 4 was the number of volunteering hours delivered in library locations which I queried but there was no clarity as to why this type of volunteering was being monitored but some of the amazing volunteering taking place in many other locations was not being taken account of.
Solihull Suicide Prevention Strategy
The H&WBB was undated on the drafting of the Solihull Suicide Prevention Strategy for 2017-2021 whose long term ambition is to achieve a ‘zero suicides’ in Solihull target as there is a belief that all suicides are preventable. This is still some way off as between 2013 and 2015 there were 50 deaths by suicide in Solihull with men accounting for 70% (35) deaths. Historically the suicide rate for Solihull was below the national average but the rates have risen in recent years. The strategy identifies the four main areas which they believe will have the highest impact:
- Safer Suicide Community (empower everyone to be able to talk about suicide)
- Better support and care for those at the highest risk (identify groups at highest risk, map the service offers etc)
- Working together to prevent suicide (ensure all education, criminal justice, health and social care professionals understand national guidance on sharing information about people who are thinking of taking their own life)
- Learning from those who have died by suicide (better understand the characteristics of Solihull people who die by suicide and have better system wide arrangements for learning lessons when someone dies by suicide)
Better Care Fund
Solihull is still waiting to hear if it has been ‘approved’.
Potential Follow Up Action/Discussion/Feedback Required:
Continued concerns about how cuts to voluntary sector organisations by the Local Authority and the CCG and the fact that it is now obvious that tenders are being awarded to out of Borough organisations (such as the Healthwatch Tender and the recent Home Care Tender) and how this will 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 for our client groups.
Date of Next Meeting: 13th June 2017
Name and Contact No of Rep Completing: Anne Hastings
Phone 07578169045 or email firstname.lastname@example.org