Agenda and minutes

Cheshire East Health and Wellbeing Board
Tuesday, 25th September, 2018 2.00 pm

Venue: Committee Suite 1,2 & 3, Westfields, Middlewich Road, Sandbach CW11 1HZ. View directions

Contact: Paul Mountford  Executive Democratic Services Officer

No. Item


Apologies for Absence


Apologies were received from Chief Inspector Alan Fairclough (Cheshire Police) and Tracey Bullock (NHS Independent Representative).



Declarations of Interest

To provide an opportunity for Members and Officers to declare any disclosable pecuniary and non-pecuniary interests in any item on the agenda.


There were no declarations of interest.


Minutes of Previous meeting pdf icon PDF 71 KB

To approve the minutes of the meeting held on 24 July 2018.





That the minutes of the meeting held on 24th July 2018 be approved as a correct record.


Public Speaking Time/Open Session

In accordance with paragraph 2.32 of the Committee Procedural Rules and Appendix 7 to the Rules a period of 10 minutes is allocated for members of the public to address the meeting on any matter relevant to the work of the body in question.  Individual members of the public may speak for up to 5 minutes but the Chairman or person presiding will decide how the period of time allocated for public speaking will be apportioned where there are a number of speakers. Members of the public are not required to give notice to use this facility. However, as a matter of courtesy, a period of 24 hours’ notice is encouraged.


Members of the public wishing to ask a question at the meeting should provide at least three clear working days’ notice in writing and should include the question with that notice. This will enable an informed answer to be given.




Councillor B Walmsley referred to the amount of completed and planned housing development for Middlewich and asked for an assurance that the amount of healthcare provision was adequate and that it would serve all areas of the town. At the Chairman’s request, Mr G Kilminster responded that there was a piece of work underway involving the CCGs and the Planning Department which was assessing the implications of house building on various services, including healthcare. He undertook to provide further details in writing. Councillor J Clowes added that there was a need to consider how health services could be funded from developer contributions. This was part of the work that the Planning Department was undertaking.


Councillor P Bates referred to the future of Congleton War Memorial Hospital and the opportunities that existed for its expansion. He gave notice that he was arranging, cross party, a call to action day in support of the hospital, its facilities and staff on 13th October 2018 at 10.30 am.



Report on the Public Consultation on the Redesign of Adults and Older People's Specialist Mental Health Services (AOPSMHS) pdf icon PDF 426 KB

To receive the report on the public consultation on the redesign of Adults and Older People’s Specialist Mental Health Services.




The Board considered a report on the outcome of public consultation on the redesign of Adults and Older People’s Specialist Mental Health Services.


A presentation was given by Jacki Wilkes, Associate Director of Commissioning, Eastern Cheshire CCG.


The public consultation had run from 6th March to 29th May 2018 and had taken three options forward for consideration. The findings of the consultation were set out in the report. Representatives from the three Governing Bodies had met on 15th August 2018 to receive and discuss the independent analysis of the public consultation and give ‘conscientious consideration’ to the consultation findings.






1.    the findings from the public consultation be noted;


2.    the feedback following conscientious consideration from commissioners be noted; and


3.    confirmation that due process has been followed and the Gunning Principles upheld be deferred until the Health and Adult Social Care and Communities Overview and Scrutiny Committee has considered the matter at its meeting on 27th September 2018.



Domestic Abuse - Responding to Complexity pdf icon PDF 241 KB

To consider a range of actions to address domestic abuse.


The Board considered a report on a comprehensive strategy for addressing domestic abuse.


A successful sub-regional bid had enabled a local service, Cheshire Without Abuse, to scale up their existing work in this area to address complexity, share good practice across Cheshire and learn from others’ approaches. A second bid had been submitted to DCLG to extend this work.


The Board was asked to consider ways in which this work could be developed further in collaboration with other strategic bodies.




That the Board consider the matter in greater detail at its meeting in October.



BCF and iBCF 2018/19 Q1 Report pdf icon PDF 249 KB

To consider a summary of the key points arising from the 2018/19 Quarter 1 Better Care Fund and Improved Better Care Fund return, and to consider next steps to improve performance within the Cheshire East Health and Social Care system.


The Board considered a report providing a summary of the key points arising from the 2018/19 Quarter 1 Better Care Fund and Improved Better Care Fund return, and the next steps to improve performance within the Cheshire East Health and Social Care system.






1.    the contents of the Quarter 1 Better Care Fund and Improved Better Care Fund return as set out in the report be noted;


2.    the areas of improvement and areas where performance has not improved, and the commitment from all partners to address this collectively in the coming months, be noted; and


3.    the recommended next steps to improve performance where needed be supported.



Family Focus Programme (National Troubled Families Programme) pdf icon PDF 575 KB

To consider a report which seekstoensurethat allpartnersare fullyawareofthe Family Focus Programme, andthat they committoservicedelivery.


The Board considered a report on the Family Focus Programme.


The Programme, which had been in place since April 2015, aimed to helptobreaklongterm, intergenerationalpatternsofbehaviourthat impactedonthe healthandwellbeingof familiesandindividualswithinthem. The report outlined progress made by the Cheshire East Partnership in meeting the targets set by the Ministryof Housing,Communitiesand LocalGovernment,and the stepsbeingtaken to deliver a RecoveryPlan agreed in April 2018.






1.    the Board agrees to a refresh of a multi-agency early help assessment framework in coming months, including measures of  shared responsibility for leading the assessment process for families, this being  vital tosupportservicetransformationin eachorganisation/servicearea to ensure that thepartnershipis considered to be ‘mature’ byMarch 2020;


2.    this workinclude commissioningopportunitiesand contractreviewsas wellas other servicedevelopments/trainingopportunitiesto ensuretheethosoftheprogramme and to ensure thatthelead professional roleis embedded across thepartnership;


3.    a timetablefor theabove actions be agreed; and


4.    it be noted that these actions will support activityalreadyidentifiedand beingcarriedoutas partoftherecovery plan.



Cheshire East Partnership Transformation Update

To receive a verbal update (Clare Watson).


The Board received an update on the Cheshire East Partnership Transformation.


Clare Watson announced that a letter had been received today from the Cheshire and Merseyside Health and Care Partnership announcing that the Cheshire East Partnership had been awarded £486,000 for the end of the financial year.


Guy Kilminster clarified that the award comprised three elements:

£166,000 for GP cover to allow involvement with care communities;

£170,000 for a culture and behaviour change programme for care communities staff; and

£150,000 for accelerating innovation.


Clare Watson also reported that a further business case would be submitted to regulators in November.


Partnership Board meetings were being used to provide workshops to look at ambition and scope. An independent chairman of the Partnership Board was being sought to drive the agenda forward.




That the update be noted.