Agenda and minutes

Apologies for absence were received from Dr Paul Bishop, Louise Barry, Superintendent Claire Jesson and Claire Williamson.

Mark Groves attended 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 November 2023.

RESOLVED:

That the minutes of the meeting held on 22 November 2023 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 members of the public present.

To receive a presentation on adopting a refreshed ‘All Together Fairer’ as the Cheshire and Merseyside Health and Care Partnership Strategy.

The Board received a presentation from the Cheshire East Place Director in respect of Adopting a refreshed All Together Fairer as the Health Care Partnership (HCP) Strategy.

Following feedback which highlighted a health service bias to the content in both documents it was agreed that the HCP should be more focused on aligning its strategic intent to address the wider determinants of health.

The Board shared their concerns and agreed that there was a need to make sure that people were not working in silos, that they needed a collegiate approach to avoid duplication. Maintaining an emphasis on the recommendations of the All Together Fairer report was important but this had to be owned by the system as a whole, both the Cheshire and Merseyside Health and Care Partnership and the Cheshire and Merseyside Integrated Care Board.

RESOLVED:

That the presentation be noted.

To receive a summary of Quarter 2 performance for 2023/24 of the Better Care Fund.

The Board received a report which provided a summary of Quarter 2 performance for 2023/24 of the Better Care Fund. The report noted that the system was on track to meet its targets in respect of:

-       Avoidable admissions – There had been initiatives to support avoidable admissions including carers payments to facilitate discharge and GP out of hours support.

-       Discharge to normal place of residence – there had been a 21% increase in the number of hours delivered compared to the same time last year. The number of people waiting had vastly reduced. The challenges faced included the fragility around the care market recruitment and retention and rising costs.

-       Falls - recent intervention included the falls pathway within the Urgent Community Response (UCR) service at Mid Cheshire Trust going live taking referrals for falls from North-West Ambulance Service (NWAS). Falls Awareness week held in September 2023.

-       Residential admissions – The figure was below the planned rate and there were challenges around demographic changes in Cheshire East that were seeing an increasing older population compared to the national picture, particularly in the upper age bands who are more likely to require their needs to be met via a permanent placement.

-       Reablement – this was on track with performance above the same quarter last year.

In respect of capacity and demand this had generally reduced in the hospital trusts. The additional discharge funded schemes continued to make an impact to facilitated discharge and hospital preventions across the system although there were challenges such as the ongoing RACC issues at MCHFT and the return of Maternity at East Cheshire Trust which had reduced availability of beds.

Board members agreed that better communication was required in respect of virtual wards as uptake in Cheshire East had been slow.  It was suggested that circulating the Home First animation that had been produced would help in explaining the concept. It was agreed that there was more work needed around how to evaluate the impact of virtual wards.

RESOLVED: That:

The Cheshire Health and Wellbeing Board

1.    notes and approves the performance against the following metrics: avoidable admissions, discharge to normal place of residence, falls, residential admissions, reablement. Alongside the metrics where appropriate the achievements and challenges have been noted.

To receive an update of progress in the JSNA work programme since September 2023.

The Board received a report which provided an update of progress in the JSNA work programme since September 2023.

The update included the following

-       The Children and Young People’s Emotional and Mental Wellbeing JSNA had been completed and had been submitted to the Executive Director for Adults, Health and Integration, and the Director of Public Health for approval and onward publication.

-       The Tartan Rug dashboard was ready for publication and a video user guide was in the final stages of development to be published alongside it.

-       The Special Educational Needs and Disability JSNA data collection was nearing conclusion with draft recommendations being developed and a target approval date of April 2024.

A virtual JSNA conference was planned for the end of February which would cover the following:

-       The reviews undertaken during 2022/23

-       The experience of working on a JSNA

-       How stakeholders could use the JSNA

-       Planned next steps in terms of further adaptation of products, topics for review in 2023/24 and 2024/25

-       A consensus building conversation event was planned to prioritise recommendations from the 2022/23 JSNAs across partners in Cheshire East Place.

A councillor briefing session was also planned during the first half of 2024 to familiarise councillors with the range of products, and the ways they can be utilised and should be interpreted.

RESOLVED: That:

The Health and Wellbeing Board

1. Note the progress

2. Contribute to the JSNA conference

3. Utilise the JSNA to inform continue challenging decision making in relation to public sector budgets

4. Await further review publications over the first half of 2024.