Agenda and minutes

To appoint a Chairman for the Municipal Year 2019/20.

RESOLVED

That Councillor S Corcoran be appointed Chairman for the 2019/20 municipal year.

Councillor S Corcoran in the Chair

Prior to the next item, the Chairman announced that the formal meeting of the Board scheduled for 23^rd July 2019 was to be changed to an informal meeting for the purpose of holding a workshop.

To appoint a Vice Chairman for the Municipal Year 2019/20.

RESOLVED

That Dr A Wilson be appointed Vice-Chairman for the 2019/20 municipal year.

Apologies for absence were received from John Wilbraham (East Cheshire NHS Trust), Kath O’Dwyer (Cheshire East Council) and Fiona Reynolds (Cheshire East Council).

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

Councillor S Corcoran declared a non-pecuniary interest by virtue of his wife being a GP.

To approve the minutes of the meeting held on 26 March 2019.

RESOLVED

That the minutes of the meeting held on 26^th March 2019 be confirmed as a correct record.

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.

There were no members of the public wishing to speak.

To review the Terms of Reference of the Cheshire East Health and Wellbeing Board.

The Health and Wellbeing Board was required to review its terms of reference every two years at the Annual General Meeting. This was to ensure that the terms of reference remained up to date and fit for purpose. Any proposed changes would be referred to the Constitution Committee and, subject to the Committee’s agreement, to Council for approval.

The Board considered changes to the terms of reference to reflect the proposed amalgamation of the CCGs.

RESOLVED

That the following proposed changes to the Health and Wellbeing Board’s terms of reference be recommended to the Constitution Committee:

1.    The core membership of the Board be amended to provide that up to four representatives of the relevant CCG(s) shall be voting members;

2.    The nominated representative of ‘NHS England’ be changed to the nominated representative of ‘NHS England/NHS Improvement’; and

3.    The quorum be amended to provide that a full meeting of the Board shall be quorate if there is representation from any three of the following: the relevant NHS Cheshire CCG(s), Local Health Watch, a Councillor and an Officer of Cheshire East Council.

To consider the Cheshire East’s Children and Young People’s Plan 2019-21.

The Board considered the Cheshire East Children and Young People’s Plan for 2019-21. The Plan, which had been developed by the Cheshire East Children and Young People’s Trust, replaced a previous Plan that had come to an end in 2018. It set out a number of priorities that would contribute to achieving the outcomes for children and young people set out in the Health and Wellbeing Strategy.

The Board noted that the Plan included a table of key success measures which, together with scorecards and relevant supporting information, would enable performance to be measured over time.

RESOLVED

That the Cheshire East Children and Young People’s Plan 2019-21 be endorsed.

To consider the revised arrangements for the Child Death Overview Panels

The Board considered proposed changes to the local governance arrangements for Child Death Overview Panels.

Following the implementation of the Children and Social Work Act 2017, revised statutory guidance had been issued that created a new framework of expectations around children’s safeguarding arrangements and Child Death Overview Panels.  At present the Panel functions sat within the statutory functions of Local Safeguarding Children’s Boards. It was now proposed that governance responsibility for the Panels would transfer to the Health and Wellbeing Board, with the arrangements being reviewed in January 2020.

In assuming these responsibilities, the Board would receive quarterly reports and an annual report on activity and concerns for the locality. In this respect, the Board considered it appropriate that the quarterly reports be presented to its informal meetings with the annual report being presented to a formal meeting.

RESOLVED

That

1.    Cheshire East Health and Wellbeing Board agrees to assume governance responsibilities for Child Death Overview Panels and agree to continue with a Pan-Cheshire Child Death Overview Panels approach with a review of arrangements and effectiveness in January 2020 – this to include a commitment to the current funding and business support model up to that point;

2.    the local governance for Child Death Overview Panels develop an effective relationship between the Local Safeguarding Children’s Boards and Health and Wellbeing Boards in line with local agreements;

3.    Child Death Overview Panel Members for each area (Designated Doctor) take responsibility for reporting to the Health and Wellbeing Board to ensure that necessary activity is undertaken and that the reports are heard in a non-public section of the meeting to avoid identifying individual children and families; and

4.    a workshop of Child Death Overview Panel members be held to review any required operational changes to be in line with statutory guidance such as the undertaking of thematic reviews, policy, and practice guidance amendments.

To approve the annual report of the Health and Wellbeing Board’s work in 2018/19.

The Board considered the Annual Report for 2018/19.

The Report would also be submitted to the Health and Adult Social Care and Communities Overview and Scrutiny Committee.

The work presented in the Report had been guided by the Health and Wellbeing Strategy and the snapshot presented to the Board provided examples of the range of issues that had been considered.

The Board noted in particular the very high vaccination rates in Cheshire East for seasonal flu.

RESOLVED

That

1.    the Annual Report of the Health and Wellbeing Board’s work for 2018/19 be approved for publication; and

2.    a report be submitted to a future meeting on the issue of road safety.

To receive a verbal update on the Cheshire East Partnership Transformation.

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

It was reported that the new Executive Chairman of the Partnership, Steven Michael, had been appointed and that Mark Palethorpe had become Place SRO lead.

A company, Freshwater, had now been commissioned to prepare a five-year plan.

RESOLVED

That the update be noted.

To receive a consultation document on the proposed merger of the Cheshire Clinical Commissioning Groups and the move towards place-based care.

The Board received a public engagement document on the proposed merger of the Cheshire Clinical Commissioning Groups and the move towards place-based care. Members of the public had been invited to submit their views via an online survey between 28^th May and 23^rd June 2019.

Clare Watson reported that 376 responses to the survey had been received, 76.5% of which supported the creation of a single clinical commissioning group. 77.5% supported the development of two integrated care partnerships within the boundaries of Cheshire East and Cheshire West and Chester. 80.3% supported the introduction of shared decision-making processes.

The formal consultation of GPs would take place between 5^th August and 20^th September 2019. If the member practices voted in favour, a formal application to merge would be submitted to NHS England in autumn 2019.

RESOLVED

That the Health and Wellbeing Board

1.    notes the report; and

2.    supports the proposed merger of the Cheshire Clinical Commissioning Groups and the move towards place-based care.