Agenda and minutes

17.1   The Chairman welcomed all to the meeting including the following who were joining the Board for the first time; interim Director Adults Services,  Dave Sargeant; Healthwatch West Sussex Service Manager, Katrina Broadhill; Observer, Chairman Adult Safeguarding Board, Annie Callanan; Observer (for PCC Chairman) PCSO Alan Owens.   The Board noted that the Chairman of the Safeguarding Children Board was to be invited to take a seat on the Board as an Observer.

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.

18.1   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.

19.1   None.

The Board is asked to confirm the minutes of the meeting of the Health and Wellbeing Board held on 26 April 2018.

20.1      Resolved that the minutes of the meeting of the Health and Wellbeing Board held on 26 April 2018 were agreed.

Report by West Sussex Director of Public Health.

The Board is invited to edit/approve the Health and Wellbeing Board Work Programme.

21.1   The Board noted the report (copy appended to the agenda and available on the website) which outlined future agenda items to be considered at the Board’s planning meetings.

21.2  Resolved that the Board approved the Health and Wellbeing Board Work Programme.

Report by the Arun Wellbeing Partnership.

The Board will receive a presentation on the work of the Partnership and its priorities.

The Board is asked to agree how the work of the Partnership can support the objectives of the Health and Wellbeing Board.

22.1.  Robin Wickham, Group Head of Community Wellbeing and Nigel Lynn, CEO Arun DC gave a presentation to the Board on the work of the Arun Wellbeing Partnership.  (Report appended to the agenda and available on the website).

22.2.  The Chairman invited comments and questions on the information received.  Members:

•    commended the initiative for looked after children and questioned what KPIs were being worked to to help children become more emotionally resilient and live more healthy lifestyles.  It was explained that there were KPIs in Arun’s plans with Freedom Leisure that could be shared with members

•    commended the partnership work which helped the Board understand health priorities and lifestyle factors in the district and boroughs that it might not otherwise be aware of

•    requested some feedback from users of the Laburnum Centre; the representative for the voluntary sector undertook to provide this

•    questioned mental health support services for looked after children and those in transition between children and adults services.  It was explained that the District Council support in this area was aligned and in partnership with the County Council services.  Also that work in partnership with organisations such as the Bodyshop was being explored as was strengthening links with schools and available support groups

•    alerted members to work of Healthwatch to understand the experience of 11 year old’s in the area of mental health and wellbeing 

•    highlighted the work of Oakleaf which in partnership with MIND had undertaken work with people 16 to 25 years, aligned with Pathfinder and taking support into schools.  The opportunity for this to link up across the county around leisure opportunities and activities was emphasised

•    explained the work of Arun and Worthing Council with people 18-20 years to bring together the initiatives under the THRIVE programme for young adults 

•    highlighted an opportunity for bids to government for ring-fenced mental health monies  

•    acknowledged the chronic NHS underfunding by government for MH services; that the vast majority of young people would not require access to the high tier services; that partners needed to think about funding early intervention support by looking at charitable and lottery funded projects to avoid people needing such services.

•    questioned how District Council powers around planning were being used to improve health and wellbeing in the area.  It was explained that 106 monies were being used in support of the new community centre and that cycling infrastructure was also being given support in this way

•    highlighted the importance of the work of the District and Borough partners in developing the Joint Health and Wellbeing Board Strategy.  This would ensure a good understanding of need and place and determine clear priorities for each area which could then be mapped against existing resources

•    emphasised that the voluntary sector continued to explore access to funding other than that from the local authority and highlighted that, with each organisation in competition for this with each other, it was essential to work in partnership and  ...  view the full minutes text for item 22.

Report by Consultant Midwife, Public Health.

The Board will receive a report and presentation on partnership work that has focussed on supporting families with young children from conception through to 2 years.

The Board is invited to comment on the progress to date and asked to:

a) identify how it can support the programme in influencing hospital services in a proactive prevention role in respect of;

·        Maternal Smoking

·        Maternal Obesity

b) agree to consider retaining support for Early Years as a priority area in the refreshed HWB Strategy for 2018-2020.

23.1   The Chairman introduced Kelly Pierce – Consultant Midwife, Public Health to present on partnership work on supporting families with young children from conception through to 2 years.  Copy of slides appended to the agenda and available on the website).  Members noted the importance of engaging with families as early as possible and how the Integrated Prevention and Early Help programme, one of two across the country, was bridging gaps in provision and making improvements.   Members received a presentation highlighting focus on:

•    ways of reaching and supporting families who didn’t meet the criteria for social care

•    bereavement services for those who had a child removed from them

•    need for support for adults who worked with children in care

•    smoking cessation and obesity services for pregnant women

•    parenting support.

23.2   The Chairman invited the Locality Manager, Healthwatch to give her presentation and explained that she would take questions and comments on this and the previous report at the same time. (Report appended to the agenda and available on the website)  The Board noted qualitative data received January to March 2018 as set out in the slides.

23.3   The Chairman invited comment and questions on the presentations and information given.  Members:

•    commended the Consultant Midwife on her presentation and questioned the efficacy of interventions on substance misuse.  It was explained that a robust system of better information and early support was now in place and all maternity systems were involved in a development programme to include consideration of substance misuse at the first maternity service booking-in meeting.

•    questioned links with the Think Family programme.  It was explained that the Consultant Midwife was in liaison with the lead officer for this and would ensure this was highlighted with her

•    highlighted possibilities of linking support for maternal weight management for people via the Arun Wellbeing Partnership contract with Freedom Leisure.  This opportunity was welcomed and would be followed up with Arun DC

•    questioned support for the partners of the customer and also mental health support.  It was explained that supporting partners was a challenge but that the Family Assist programme could support all those signed up to it and that increasingly, digital services would also help support this work.   

•    highlighted the current STP Case for Change work programme and the importance of engaging STP wide support in taking forward a prevention agenda to ensure children start well, such as commissioning advocacy support for parents on hospital wards.  The Board noted that the Consultant had links with the whole STP area and that the Director of Public Health sat on the STP Cabinet and could also highlight this.

23.4.  Resolved that the Board:

(a)     identified member and officer influence at STP level to  influencing hospital services in taking a proactive prevention role in respect of;

•    Maternal Smoking

•    Maternal Obesity

•    Advocacy support for parent on hospital wards

(b)     agreed to consider retaining support for Early Years as a priority area in the refreshed  ...  view the full minutes text for item 23.

Report by Locality Manager Healthwatch.

The Board will receive the Annual Healthwatch Report.  Healthwatch will also share qualitative data received in relation to public and patient experience related to the health of families of/and children 0-2 years.

The Board is asked to note the Healthwatch report and identify any implications for the JHWBS refresh and the JSNA and any areas to be taken forward by the Consultant Midwife, Public Health

24.1   The Board received the Annual Healthwatch Report. The Locality Manager, Healthwatch gave her presentation under the previous item (see minute 23.3).

Report by Public Health Lead, Healthy Lifestyles

The Board will receive a report on partnership work to support healthy eating in childhood and the outcomes, one-year on, from the recommendations of the County Council’s Childhood Obesity Task and Finish Group.

The Board is asked to encourage all partners to take a systematic approach to obesity prevention, particularly in place-based interventions and community-based individual activities.

25.1   The Chairman introduced the Public Health lead, Healthy Lifestyles to present the reports. (Copies appended to the agenda and available on the website).   Partnership work to support healthy eating in childhood was explained and the outcomes, one year on, of the recommendations from the County Council’s Task and Finish Group on Prevention of Childhood Obesity.  Members:

•    highlighted the extent and effect of the problem and that it must be considered a top priority for the Board

•    emphasised that support for parents was paramount to tackle the problem also government buying standards and local provision of fast food – for instance in acute settings and in local authorities staff settings

•    suggested that solutions needed to focus on the environment, to make the healthy choice the default choice

•    suggested that the Board should champion the ‘Daily Mile’ in schools.  An effective and cost neutral programme that could influence future behaviours.

25.2   The Chairman noted the full support of the Board for the recommendation. 

25.3   Resolved that the Board: 

Encouraged all partners to take a systematic approach to obesity prevention, particularly in place-based interventions and community-based individual choices.

Report by West Sussex BCF Coordination Team

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

The Board is asked for comments and feedback on the report.

26.1   The Chairman explained that apologies had been received from officers due to present on the Better Care Fund, and offered to take any questions back (report appended to the agenda and available on the website).

Report by Communications and Engagement Lead, Sussex and East Surrey Sustainability and Transformation Partnership.

The Board will receive a paper outlining the changes to the governance arrangements for the Sussex and East Surrey Sustainability and Transformation Partnership (STP) and an update on the work that is currently taking place around the case for change for the STP.

The Board is asked to note the work undertaken as part of the STP governance review; and endorse the need for a case for change for the STP and advise any further engagement the Board would like once it is completed.

27.1   The Chairman invited comments and questions from those observing the meeting.  The questions concerned:

•    A comprehensive approach to the commissioning of advice services.   The Board noted the comments made.  The Director Public Health explained that workshops were underway that would inform the developing strategy.  Residents’ requirements at different life stages were being considered as well as wellbeing in its broadest sense 

•    A query related to unconventional procedures being offered to myalgic encephalomyelitis sufferers.  The Board noted that this issue was being dealt with at a high level:  the questioner was working with Nicholas Soames, the Chief Medical Officer and NICE to address her concerns.

•    A written question concerning prostate screening which had been received by the Board.  The Chairman read out the prepared answer for the benefit of those in attendance, although the questioner was not present at the meeting.

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 Suzannah Hill on 033022 22551 (a local call) or via email:  Suzannah.hill@westsussex.gov.uk

28.1   The Chairman invited comments and questions from those observing the meeting.  The questions concerned:

•    A comprehensive approach to the commissioning of advice services.   The Board noted the comments made.  The Director Public Health explained that workshops were underway that would inform the developing strategy.  Residents’ requirements at different life stages were being considered as well as wellbeing in its broadest sense 

•    A query related to unconventional procedures being offered to myalgic encephalomyelitis sufferers.  The Board noted that this issue was being dealt with at a high level:  the questioner was working with Nicholas Soames, the Chief Medical Officer and NICE to address her concerns.

•    A written question concerning prostate screening which had been received by the Board.  The Chairman read out the prepared answer for the benefit of those in attendance, although the questioner was not present at the meeting.

The next meeting of the Board will be held at 2.00pm on 11 October 2018 at a venue to be confirmed.

29.1  The next meeting would be held on 11 October.  (Post meeting note, the venue is to be Crawley Borough Council.