Agenda and minutes

To receive any apologies for absence.

Apologies for absence were received from Dr Lorraine O’Donnell, Denise Frodsham, Chris Hart, Dr Patrick Kearns, Clare Watson, Dr Andrew Wilson and Deborah Woodcock.

Claire Williamson, Interim Director of Early Help and Preventionattended as a substitute.

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.

To approve the minutes of the meeting held on 22 March 2022.

RESOLVED:

That the minutes of the meeting held on 22 March 2022 be confirmed as a correct record.

In accordance with paragraph 2.24 of the Council’s Committee Procedure Rules and Appendix on Public Speaking, set out in the Constitution, a total period of 15 minutes is allocated for members of the public to put questions to the committee on any matter relating to this agenda. Each member of the public will be allowed up to two minutes each to speak, and the Chair will have discretion to vary this where they consider it appropriate.

Members of the public wishing to speak are required to provide notice of this at least three clear working days’ in advance of the meeting.

There were no public speakers.

To receive the annual report of the Cheshire East Safeguarding Children’s Partnership 2020-21

The Board considered the Cheshire East Safeguarding Children’s Partnership  Annual Report 2020/21 which provided an update on progress against the Cheshire East Safeguarding Children’s Partnership priorities over 2020-21.

The Board heard that although there had been an impact on statistics in relation to statutory deadlines during the pandemic, these were monitored closely and the following arrangements had been implemented to ensure business continuity and safeguarding was paramount throughout.

-       Established a Safeguarding Children’s Partnership reference group;

-       Multi Agency working remained effective;

-       Front line face to face visits continued;

-       Child protection medicals and health assessments continued face to face.

The Early Help and Preventative model would be the clear focus for the future, working with partners to bring services together in the community.

RESOLVED:

That the report be noted.

Councillor J Clowes arrived during consideration of this item.

To receive an update on the Cheshire East Place integrated health and care governance proposals.

Prior to consideration of this item the Board received an introduction from Cheryl Coppell, the LGA lead and Councillor Sam Webster who would be providing support from the LGA to work with the Health and Wellbeing Board.  Following several changes within senior health leadership in Cheshire CCG, Mid Cheshire Trust and the East Cheshire Trust, a need to refresh and review plans after COVID and in preparation for the NHS structural changes being introduced by the Health and Care Act 2022,  it was felt that the time was right to assess the aims and priorities of the Board, in the short, and long term and look at how steps would be put in place to achieve these. Facilitated workshops would build consensus and clarity in respect of responsibilities of the Health and Wellbeing Board, how it would fit in to the wider arrangements, the structure and format of meetings and how they could become more decision focused and impactful. It was agreed that a pre-survey would be circulated to board members to get perspectives of how well things were working and to identify any areas where there might be challenges.

The Board thanked Cheryl Coppell and Councillor Webster for their presentation.

The Board received an update on the Governance proposals for the ICS at Place which was an evolving picture and  still had a few outstanding items to be finalised, such as signing off the terms of reference. The work would  continue under the auspices of the existing Place Partnership Board with a transition to the new arrangements being managed over the summer..

Although the Board shared concerns in respect of timescales, there was reassurance that member briefings would be held where any questions would be responded to and it was positive that there was a general consensus within Cheshire East.

RESOLVED:

That the update be noted.

To receive a verbal update on the work of the Cheshire East Place Partnership.

This item and the Cheshire East Integrated Care Partnership update were considered together.

The four new models of care were brought and discussed previously at the Health and Wellbeing Board as part of the strategic vision for Cheshire East which included

• What’s wrong with me?
• Fix Me
• Help me stay well
• End of Life

The importance of focusing and developing the strategic vision with the new governance arrangements was highlighted particularly in respect of improving population outcomes, addressing health inequalities, and reducing cost per capita (the ‘Triple Aim’). There was a requirement to ensure that governance and the strategic vision were implemented in a practical way. An example of this was the piece of work being undertaken by the Integrated Care Partnership around Home First which had taken the principles of partnership working and applied them to a practical problem to improve outcomes for people. It was hoped that by doing this it would help support the business case to address the future financial challenges that were expected.

The board agreed that the language used would need to be considered and have a shared and common meaning. It was agreed that this would be listed as an item on future agendas for discussion.

RESOLVED:

That the update be noted.

To receive a verbal update on the Cheshire East Integrated Care Partnership.

To note the report of the All Together Fairer: Health equity and the social determinants of health in Cheshire and Merseyside.

The Board received a report on the newly published All Together Fairer: health equity and the social determinants of health in Cheshire and Merseyside. The report set out a series of recommendations for the Cheshire and Merseyside health and care system alongside recommendations for Places which asked them to consider and prioritise those most relevant to them.

The Board heard that work was being undertaken to review and map the recommendations against the Cheshire East health and Wellbeing and Place priorities. This would inform a follow up report to the Health and Wellbeing Board which would propose a suite of recommendations that Cheshire East Place would focus on. A series of ‘Marmot Beacon Indicators’ would be used to measure progress across Cheshire and Merseyside.

The Board felt that although the report was good there needed to be more detail in respect of the individual areas of Cheshire East. It felt strongly that the Board should be involved in discussions at an earlier stage as it was felt that they had a more active role to play. In addition it was agreed that rather than ‘note’ the report as outlined in recommendation 2.1, that the wording be changed to ‘endorse’ and that recommendation 2.2 be removed.

RESOLVED:

That the Cheshire East Health and Wellbeing Board endorse the publication of ‘All Together Fairer: health equity and the social determinants of health in Cheshire and Merseyside.

To consider the annual report of the Child Death Overview Panel.

The Board receive a presentation from Dr Thirumurugan of the 2020/21 Annual Report of the Child Death Overview Panel.

The presentation provided data on the number of child deaths, the number of reviews carried out, time taken to carry out reviews, categories of death, location of death and any modifiable factors which may help prevent unnecessary child deaths, and set out the priorities for 2021/22 and the challenges faced by the Pan Cheshire Child Death Overview Panel.

The Board agreed that the modifiable factors listed which included smoking in pregnancy, mental health and unsafe sleeping were all factors which the Council and its partners would be working towards reducing.

AGREED:

That the Pan Cheshire Child Death Overview Panel Annual Report 2020/21 be received and noted.