Agenda and minutes

1.1 The Chairman welcomed, Board Members, Officers, Members of the Press and Public to the meeting.

Members and officers must declare any pecuniary or personal interest in any business on the agenda.  They should also make declarations at any stage such an interest becomes apparent during the meeting.  Consideration should be given to leaving the meeting if the nature of the interest warrants it; if in doubt contact Democratic Services before the meeting.

2.1 None.

Items not on the agenda that the Chairman of the Board is of the opinion should be considered as a matter of urgency by reason of special circumstances.

3.1 There were no urgent matters to consider.

The Board is asked to confirm the minutes of the meeting of the Health and Wellbeing Board held on 24 January 2019.

4.1 Resolved that the minutes of the Health and Wellbeing Board held on 24 January 2019 were agreed and signed as a correct record by the Chairman.

The Board invites questions and comments from the public observers present at the meeting.  Those with more complex issues are asked to submit their question before the meeting (ideally several days) in order to allow a substantive answer to be given.  Contact Erica Keegan on 0330 222 6050 (a local call) or via email:  Erica.keegan@westsussex.gov.uk

5.1 There were no questions.

The Annual Public Health Report for West Sussex sets out the vision and approach for Public Health in the County.

The Board is asked to note the report and disseminate further within respective organisations, and utilise additional presentational materials produced.

6.1 The Board received the Public Health Annual Report 2018 (copy appended to the agenda and available on the website), from Anna Raleigh, Director of Public Health. This report had been published in January 2019 in fulfilment of the Annual Statutory Duty of the Director of Public Health and provided an outline of the joined up approach to health and wellbeing in West Sussex across the public, voluntary, community and private sector to promote health and well-being and prevent ill health. The report also set out the vision for Public Health in the County.

6.2 In presenting the report, the Director of Public Health highlighted the following key points:

·         the report used four case studies to describe key public health issues, in context, which illustrated the importance of working at different levels (individual, community and the population overall).

·         the report was deliberately short, visual and accessible to encourage Health and Wellbeing Board Members, organisations and groups across West Sussex to use the material and adopt a whole systems approach.

·         it was explained that a whole systems approach looks at solutions at different levels (Place, Family, Friends, Community and Individual) and considers how activities can influence to prevent, reduce and delay ill health or mitigate negative impact.

·         the case studies centred on Air Quality, Falls and Fractures, Healthy Behaviours and Suicide/Self Harm identifying key vulnerable groups. A Geographical focus had been adopted to highlight health inequalities.

6.3 Board Members welcomed the Annual Public Health Report 2018 and praised the accessible and useful content. Key points raised were:

·         an integrated approach was recognised as cost effective.

·         the focus on key areas of deprivation was welcomed.

·         the Board were keen that the reviews being undertaken on service themes such as Housing, Adults and Children be aligned with the Public Health Report’s vision.

·         the document was seen to strengthen the partnership approach and the Board were keen that building relationships and working together continued as a priority.

·         the Board were keen to use the report as a catalyst for change by using the whole systems approach on resourcing as well as taking positive action on reducing health inequalities. Board Members identified that there would be no ‘quick wins’ but agreed that they had a responsibility to help deliver focused improvements over time.

6.4        Resolved that the Board:

a)   noted the Annual Public Health Report 2018; and

b)   agreed to disseminate further within respective organisations  utilising the additional presentational materials produced.

Report by the West Sussex Better Care Fund Coordination Team.

The report details progress towards each of the four national conditions of the Better Care Fund.

The Board is asked to note the report.

7.1 The Board received the regular updated report on the West Sussex Better Care Fund Programme.  (Copy of the report appended to the agenda and available on the website).  This report summarised Better care Fund performance at Month 10 (January) 2018/19 and provided brief update on Better Care Fund quarterly and planning for 2019/20.

The West Sussex Health and Wellbeing Board has a duty to produce a Joint Health and Wellbeing Strategy (JHWS), which sets out how the Board will address the health and wellbeing needs of the local population, as identified in the Joint Strategic Needs Assessment (JSNA).

The Strategy has been ratified by the Clinical Commissioning Group (CCG) governing bodies and County Council Cabinet Board. The Health and Wellbeing Board is therefore asked to sign off the final Joint Health and Wellbeing Strategy 2019 – 2024.

8.1 The Board received the statutory West Sussex Joint Health and Wellbeing Strategy (JHWS) for 2019-2024.  The Strategy set out how the Board would address the health and wellbeing needs of the local population as identified in the Joint strategic Needs Assessment (JSNA).

8.2 It was noted that throughout 2018 the Board had undertaken a review of its JHWS to replace the 2015-2018 document. The new strategy set out the Board’s new vision and ways of working. The purpose of the JHWS was to guide the planning, commissioning and delivery of health and social care and related services across West Sussex. The JHWS focused on priorities identified across the different life stages as:

·         Starting Well

·         Living and Working Well

·         Ageing Well

8.3 The Board was informed that the strategy was agreed at the Governing Board meeting of NHS Coastal West Sussex Clinical Commissioning Group on March 26 2019, and at the North Place Governing Body Committee in Common 28 March 2019 for NHS Crawley Clinical Commissioning Group and NHS Horsham and Mid Sussex Clinical Commissioning Group.

8.4 In receiving the JHWS Board Members:

·         thanked the Public Health Team for their hard work in producing the strategy with particular recognition and thanks for the thorough consultation process;

·         praised the content noting the outlined local needs;

·         requested that focus be maintained on reducing health inequalities in the identified areas of deprivation across West Sussex;

·         noted that the NHS had a statutory duty to give due regard to the JHWS in terms of its commissioning plans;

·         highlighted that the Voluntary Sector was a non-statutory partner and their ability to deliver relied on funding. Investment in the Voluntary Sector was seen as important;

·         welcomed the emerging themes of taking ownership and working together in an integrated way;

·         agreed the Board would be action focused in its approach to the strategy; and

·         asked for regular review to monitor progress and identify any challenges.

8.5 The Chairman thanked the Board for their valued feedback and the Public Health Team for their hard work in producing the JHWS 2019-2024. Those staying for the Launch of the JHWS following the formal meeting were welcomed.  It was explained that the launch would help all interested parties to develop key priorities and areas of focus across the Starting Well, Living and Working Well and Ageing Well themes.

8.6 Resolved – that the Board signed off the final Joint Health and Wellbeing Strategy (JHWS) 2019-2024.

The next meeting of the Board will be held on 20 June 2019 at Chichester District Council.  A new start time of 10.30am is proposed for all future meetings. 

9.1 It was noted that the next meeting of the Board would be held at Chichester District Council on 20 June 2019.  The Chairman proposed a new start time of 10.30am for all future meetings.

9.2 Resolved that the Board agreed a start time of 10.30am for all future meetings.