Venue: Committee Room 1, Civic Offices, New Road, Grays, Essex, RM17 6SL. View directions
Contact: Louise Smith, Project Officer Email: Direct.Democracy@thurrock.gov.uk
To approve as a correct record the minutes of the Health and Wellbeing Board meeting held on 21st April 2016.
The minutes of the Health and Wellbeing Board held on 21st April 2016 were approved as a correct record. Cllr James Halden passed on his thanks to officers and councillors for the cross party agreement which had secured approval of the Health and Wellbeing Strategy.
To receive additional items that the Chair is of the opinion should be considered as a matter of urgency, in accordance with Section 100B (4) (b) of the Local Government Act 1972.
There were no urgent items stated.
Declaration of Interests
Roger Harris explained that the Council’s constitution requires Health and Wellbeing Board members to complete declaration of interest forms. This is because the Health and Wellbeing Board is a Committee of the Council. It was noted that some declaration of interest forms remain outstanding for some members and it was agreed that forms will be circulated to members for completion.
Goal A Objectives:
A1 – All children in Thurrock making good educational progress – Roger Edwardson
A2 – More Thurrock residents in employment, education or training – Michele Lucas and Tim Rignall
A3 – Fewer teenage pregnancies in Thurrock – Tim Elwell-Sutton
A4 – Fewer children and adults in poverty – Michele Lucas and Tim Rignall
The Health and Wellbeing Strategy contains five Strategic Goals. The item in focus for this meeting was Goal A, which comprises four objectives:
A1 – All children in Thurrock making good educational progress.
A2 – More Thurrock residents in employment, education or training.
A3 – Fewer teenage pregnancies in Thurrock.
A4 – Fewer children and adults in poverty.
Action plans, created to support the delivery of Health and Wellbeing Strategy’s objectives and goals were presented to Board members. It was agreed that Microsoft PowerPoint presentations would be circulated with these minutes and made available on Thurrock Council’s website.
Action Plan A1 was presented by Roger Edwardson, Interim Strategic Lead, School Improvement, Learning and Skills. During the presentation the following points were made:
· Thurrock’s ambition is that all schools and academies will be assessed as good or better by September 2017. As of June 2016:
· 88% of primary schools were assessed as good or better.
· 80% of secondary schools were assessed as good or better.
· All special schools were assessed as outstanding.
· Only one school in the Borough was subject to Special Measures.
Action Plan A2 was presented by Michele Lucas, Learning and Skills Manager. During the presentation the following points were made:
· Action will be taken to promote career opportunities in Thurrock’s growth sectors to young people through local careers initiatives. This will involve providing training and employment opportunities to people with learning disabilities.
· Action will be taken to develop a multi-agency approach in key geographic locations across Thurrock to engage the hardest to reach groups in receipt of benefits, raising awareness of training and employment opportunities.
· The Economic Development and Skills Partnership Group will continue to consider how to ensure that connections are made between health issues/initiatives and employment/skills programmes.
Action Plan A3 was presented by Tim Elwell-Sutton, Consultant in Public Health. During the presentation the following points were made:
· There has been a 40% reduction of teenage pregnancies in Thurrock over the last 14 years. Thurrock is performing above the national average. The under 18 conception rate is currently 30.7 per 1,000. The target for 2021 is 20 per 1,000.
· The strategy to improve teenage pregnancy rates is focused on education and increasing the use of contraception by:
• Improving access to contraception.
• Strengthening primary care delivery of family planning.
• Strengthening sexual and reproductive education in schools.
Action Plan A4 was presented by Dave Petrie, Targeted Access Manager. During the presentation the following points were made:
· Reducing child poverty is a key priority. Support will be provided to vulnerable families by:
• Develop Neighbourhood-Focused approaches.
• Create Pathways into employment.
• Maximise income and raise living standards.
• Support parents and carers to upgrade their skills.
• Continue to Narrow the Gap in achievement between Children on low incomes and children from more affluent families.
Community Engagement activities which ensure that Health and Wellbeing Strategy Action Plans are informed by the public were presented by Kim James, Chief Operating Officer of Thurrock Healthwatch ... view the full minutes text for item 8.
Maria Payne, Needs Assessment Manager provided the Board with a summary of the Health and Wellbeing Strategy Outcome Framework. The Framework includes a number of performance indicators to support the Board with identifying whether the Health and Wellbeing Strategy is having a positive impact and supporting the delivery of improved outcomes for the residents of Thurrock.
The Health and Wellbeing Strategy Outcomes Framework includes key performance indicators to support each objective, a baseline figure and a target for 2021. Further work is underway to identify trajectories, enabling the Board to consider progress that is being made.
It was agreed that the Board’s Executive Committee will monitor progress in delivering the action plans and impact using the Outcomes Framework. An update by exception will be provided to the Board as part of the mid-year and annual performance report.
1.1 Board members agreed the Outcomes Framework supporting the delivery of the Health and Wellbeing Strategy.
1.2 Board members agreed action plans supporting the achievement of goal A
1.3 The Board endorsed arrangements for monitoring the implementation of the Health and Wellbeing Strategy
Presentation on the current performance and future direction of the Hospital delivered by Tom Abell, Deputy Chief Executive.
Tom Abell, Deputy Chief Executive, Basildon and Thurrock Hospital attended the Board to provide a presentation that comprised:
· An overview of BTUH’s deficit;
· Priorities for the Hospital and how they will impact on Thurrock residents;
· How the Essex Success Regime might impact on the quality of care provided by the Hospital;
· Future direction of travel; and
· How the Hospital will contribute to the delivery of outcomes set out within Thurrock’s Health and Wellbeing Strategy.
A copy of the Microsoft PowerPoint presentation will be circulated with the minutes of the meeting.
Key points of the presentation include:
· The Trust secured a ‘good’ rating across all CQC domains and has delivered a significant improvement in mortality rates.
· Challenges remain. There has been an increase in Accident and Emergency waiting times and people being admitted who have remained in hospital longer than usual.
Members of the Board were invited to provide comments, questions or challenge. During discussions the following points were made:
· Roger Harris queried how the hospital can continue to operate while experiencing a financial deficit each year. Tom Abell explained that the Department of Health manages an Independent Trust Finance Facility. This provides loans directly from HM Treasury to NHS providers who are running a deficit. Central Government provides this facility as part of ensuring that hospitals can continue to operate.
· Cllr Sue Little challenged operating times for Orsett Hospital services. Cllr Little explained that evidence suggests that the most probable time for an elderly person to experience a fall occurs in the afternoon. While the clinic can treat these types of incidents because it remains open until 7.00pm, it is restricted from doing so due to the necessary X-ray service closing at 5.00pm. The minor injuries service is currently being reviewed as part of responding to concerns previously raised.
Update on the South and Mid-Essex Sustainability and Transformation Plan and Essex Success Regime, delivered by Andy Vowles, Programme Director.
Andy Vowles, Programme Director, Essex Success Regime provided the Board with an update on the Essex Success Regime (ESR) and the Sustainability and Transformation Plan (STP). In summary:
· The STP is a five year plan for securing a sustainable health and care system spanning the Middle and South Essex areas from October 2016 to March 2021. It includes strategic change programmes for all aspects of health and care from prevention to specialist services including plans for mental health and learning disabilities.
Members of the Board were invited to question, comment or challenge on the STP and ESR. During discussions the following points were made:
· Board members learned that an early draft of the STP had been submitted to NHS England on the 30th June. The draft document will be shared with key partners to inform its further development. The final document will be available by October 2016.
· Mandy Ansell advised Board members that an engagement event is taking place on 28th July, facilitated by Healthwatch.
· Cllr James Halden welcomed the Success Regime and the Sustainability Transformation Plan using the same geographical footprints. However, Cllr Halden remains committed to ensuring that the programme’s Committee in Common should not be provided with executive powers to take decisions that affect Thurrock that could be managed locally within Thurrock Health and Wellbeing Board and Thurrock Clinical Commissioning Group.
· Andy Vowles agreed to provide Thurrock Council with a copy of the paper that has been provided to NHS England.
To receive the minutes of the May Integrated Commissioning Executive meeting
The minutes of the Integrated Commissioning Executive were noted.
To receive the minutes of the May 2016 and June 2016 Health and Wellbeing Board Executive Committee minutes
The minutes of the Health and Wellbeing Executive Committee were noted.
Cllr James Halden invited members of the Board to provide any amendments or suggestions on the Board’s future work plan to Roger Harris.