Agenda and minutes

Health and Wellbeing Board - Thursday, 15th September, 2016 1.00 pm

Venue: Committee Room 1, Civic Offices, New Road, Grays, Essex, RM17 6SL.

Contact: Ceri Armstrong, Strategy Officer  Email:

No. Item


Minutes pdf icon PDF 80 KB

To approve as a correct record the minutes of the Health and Wellbeing Board meeting held on 14 July 2016.



The minutes of the Health and Wellbeing Board held on 14th July were approved as a correct record.  



Urgent Items

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 provided in advance of the meeting. 


Councillor Halden informed members that he had visited Basildon Hospital on 14 August.  Roger Harris made the Board aware the joint working between Adult Social Care and the Hospital continued to be excellent and that work to identify collaborative solutions to system issues was continuing.  Current challenges for the system included:

·         Domiciliary Care and Joint Reablement services are experiencing unprecedented pressure and increased demand;

·         An increase in demand is being experienced at the Hospital.  For example, on 14 September approximately 130 ambulances arrived at the Hospital compared with the expected average at this time of year of approximately 70;

·         There has been an increase in delayed discharges from hospital;

·         There are ongoing workforce issues including difficulty recruiting staff for domiciliary and residential care across Thurrock and recruitment of nursing staff at the Hospital.


Tom Abel stated that the Trust is considering how to further support partners with patients that are released from hospital but who require support in the community.  A multi-agency Accident and Emergency Delivery Board has been established replacing the System Resilience Group and meets on a fortnightly basis.



Declaration of Interests


There were no declarations of interest.



Update on Mid and South Essex Success Regime pdf icon PDF 134 KB


Andy Vowles, Programme Director, Essex Success Regime provided the Board with an update on the Essex Success Regime (ESR) and the Mid and South Essex Sustainability and Transformation Plan (STP).   In summary:


·         All areas in England are required to have a STP in place – there are 44 areas.  The key difference with the Success Regime is that it was announced prior to the requirement for STPs and only applied to three areas of the Country – Essex, Devon and Cumbria.  The STP and Success Regime requirements were now aligned; 

·         The programme comprises two strategic elements.  The first focusses on Local Health and Care which involves considering the development of local teams and integrated hubs, the creation of care pathways (initially a frailty care pathway) and access to emergency care.  The second focusses on hospitals and considers clinical services and the delivery of wider services including emergency care, surgery, women and children and paediatric services; 

·         The Out of Hospital strategy focusses on joining up Primary and Secondary Care services and considers physical and mental health as well as Social Care service delivery;

·         The STP refresh is scheduled for 21 October and will be considered by Health and Wellbeing Board at its meeting in November.


During discussions the following points were made:


·         It was acknowledged that Thurrock has effective partnership arrangements which facilitate the planning and delivery of Health and Social Care services.  It is important to ensure that broader governance arrangements established as a consequence of the STP does diminish a Thurrock focus.  Cllr Halden stated that it was important that the STP did not disempower local decision making and that decisions should be taken via the Health and Wellbeing Board; 

·         Cllr Halden advised members that he has been engaging with Councillor Salter (Southend Borough Council) and Councillor Butland (Essex County Council) to develop a set of key principles that provide the basis upon which Success Regime decisions affecting Thurrock, Southend and Essex should be made.  Board members were advised that the principles will be presented at a future Health and Wellbeing Board, once they have been agreed and endorsed by Essex and Southend Health and Wellbeing Board chairs.

·         Board members were reassured that mental health remains a priority area of focus within the STP and ESR programmes.




The update was noted and the Board agreed to continue participating in discussions within the Mid and South Essex Success Regime and STP engagement and consultation programmes, which include stakeholder meetings and meetings of the Essex, Southend and Thurrock Health and Wellbeing Boards.



Item in Focus: Health and Wellbeing Strategy Summary Report and Action Plans for Goal B pdf icon PDF 73 KB

To receive presentations (tabled at the meeting) on:


Feedback on engagement exercise concerning Goal B, Healthier Environments


Kim James


Action Plan B1 – Create outdoor spaces that make it easier to exercise and to be active

Grant Greatrex and Kirsty Paul


Action Plan B2 – Develop homes that keep people well and independent

Les Billingham


Action Plan B3 – Building strong, well connected communities

Les Billingham


Additional documents:


The Health and Wellbeing Strategy contains five Strategic Goals.  The Item in Focus for this meeting was Goal B, which comprises four objectives:

·         B1 Create outdoor places that make it easier to exercise and be active.  B2 Develop Homes that keep people well and independent. 

·           B3 Build strong, well connected communities.

·           B4  Improve Air Quality in Thurrock


Cllr Halden advised Board members that action plan B4 has been deferred and the Air Quality Strategy and action plan will be presented at the November meeting.  The remaining action plans, created to support the delivery of Health and Wellbeing Strategy’s objectives and goals were presented to Board members.  In summary: 


Action Plan B1 was presented by Kirsty Paul, Principal Planning Officer.  During the presentation the following points were made: 

·           Evidence demonstrating the relationship between environment and health is acknowledged.   Some of the challenges currently experienced in Thurrock include high levels of inactivity and high levels of adult and childhood obesity (10–11 year olds)

·           It is important to address engagement feedback received as part of developing the Active Places Strategy and Local Plan consultation which shows that members of the public:

o   Have a varied opinion on the overall quality of the environment and open spaces

o   Lack of facilities for older children

o   Have raised concerns about safety surrounding open spaces, air quality and road safety.

·         There are a wide range of interrelated Strategies that support the development of places that comprise high quality streets and civic spaces with well-connected walking and cycling routes.


Engagement feedback was presented by Kim James, Chief Operating Officer Healthwatch Thurrock:

·         179 people were engaged and provided feedback on B1and key themes reinforced feedback received as part of the Active Places and Local Plan consultation exercises and included:

o   Improved access to parks by including a wider range of activities on offer, tackling anti-social behaviour and maintaining equipment.

o   Communities are keen to assume responsibility by engaging in local groups to maintain parks and green spaces.


During discussions the following points were made:

·         It is important to ensure that synergies are created between emerging strategies and plans and compliment Thurrock’s ‘Clean It, Cut It, Fill It’ agenda.

·         Consideration should be provided to the impact of new housing developments on the capacity of existing facilities, such as leisure centres.

·         The Council’s Infrastructure Requirements List (which forms the basis for all future Section 106 negotiations including new applications) remains an important instrument for ensuring that new developments give due consideration to improving health and wellbeing outcomes.

·         Consideration should be given to how other partners can support health and wellbeing outcomes.  For example, how school facilities could be used for the benefit of the wider community.


Action Plan B2 was presented by Les Billingham, Head of Adult Social Care and Community Development.  During the presentation the following points were made:

·         Funding had been successfully secured to develop HAPPI Housing which aimed to improve the quality of life of Thurrock’s ageing population through complying with a set of specific  ...  view the full minutes text for item 19.


For Thurrock in Thurrock Transformation Programme pdf icon PDF 75 KB

To receive presentation on the For Thurrock in Thurrock Transformation Programme (Tabled at the meeting)

Jeanette Hucey

Additional documents:


Jeanette Hucey, Director of Transformation, Thurrock CCG provided the Board with an update on the For Thurrock in Thurrock Programme.  In summary:

·         The scope of this programme includes Out of Hospital adult care, Community Health and Mental Health;.

·         Intermediate care beds will be reconfigured from 49 beds across 6 sites to 32 beds at Thurrock Community Hospital and 5 additional beds at Collins House, creating 37 beds for Thurrock in Thurrock.  

·         The For Thurrock in Thurrock programme will inform and respond to the Essex Success Regime programme


During discussions the following points were made:

·         Reassurance was provided to Board members by Dr Bose that GPs are totally committed to the Programme and the Programme remains a regular item at the Clinical Engagement Group and CCG Board meetings.




The update was noted by members as recommended.



Ofsted Inspection Action Plan pdf icon PDF 74 KB

Additional documents:


Rory Patterson, Corporate Director of Children’s Services provided the Board with a summary of the Ofsted Inspection Report and action plan.  In summary: 

·         The previous inspection in 2012 provided an assessment rating of good.  The 2016 inspection provided an assessment rating of requiring improvement

·         While 75% of all authorities have received an assessment rating of requiring improvement it was acknowledged that Thurrock’s inspection demonstrates a decline in the quality of service provided.

·         An action plan has been developed to address all areas of service requiring improvement and has been approved by Ofsted.

·         It remains vital that individuals that are placed in under the care of Thurrock experience improved personal outcomes.

·         It should be acknowledged that the Ofsted inspection also identified areas of particular strength within Thurrock which included:

o   A strong multi-agency safeguarding hub

o   A strong offer being provided for adolescents

o   A strong approach for tackling child sexual exploitation

o   Thurrock’s Safeguarding Board has been assessed as good.


During discussions the following points were made:

·         Board members welcomed the Council’s recognition that improvement is required across a number of inspection domains and the positive action that has been taken to address areas that have been assessed as requiring improvement;

·         It was difficult to achieve a rating of ‘good’ whilst employing a high level of agency staff, but innovative approach were being used to respond to this challenge




Health and Wellbeing Board members noted the outcomes of the recent Ofsted Inspection and approved the draft action plan, created to address the recommendations made by Ofsted.



Integrated Commissioning Executive - Meeting Minutes pdf icon PDF 227 KB

Additional documents:




            The minutes of the Integrated Commissioning Executive were noted.




Health and Wellbeing Board Executive Committee Minutes pdf icon PDF 209 KB




            The minutes of the Health and Wellbeing Executive Committee were noted.



Work Programme pdf icon PDF 45 KB


Board members agreed that the Essex Success Regime should remain a standing item and an update should be provided at each meeting. 


A paper on integrated data management will be brought to a future meeting.


Tania Sitch requested that a paper on the Single Point of Access be brought to a future Board meeting.