Agenda and minutes

There were no declarations of interest.

The minutes of the meeting held on 29^th June, 2016 were signed as a true record. There were no matters arising.

Briefing Note of the Executive Director of People

Andy Hardy, Chief Executive of University Hospitals Coventry and Warwickshire has been invited to the meeting for the consideration of this item

The Board considered a briefing note of the Executive Director of People which informed about the development of the Coventry and Warwickshire Sustainability and Transformation Plan (STP). Andy Hardy, University Hospitals Coventry and Warwickshire attended the meeting and updated the Board with the background to and the progress with the development of the Plan. Juliet Hancox, Coventry and Rugby CCG, Councillor Abbott, Cabinet Member for Adult Services and Councillor Ali, Deputy Cabinet Member for Public Health and Sport also attended the meeting for the consideration of this item.

The briefing note indicated that NHS England had asked every health and Care system to work together to produce a multi-year STP showing how local services would evolve and become more sustainable over the next 5 years. The STP footprint was a non-statutory body that brought together health and social care leaders to support delivery of improved care based on the needs of the local population. The organisations involved in the Coventry and Warwickshire footprint were detailed. 

There was a Programme Board which met monthly and was chaired by Andy Hardy. At this stage the STP submission was an internal working version for NHS England.

The briefing note drew attention to the Coventry and Warwickshire Health and Wellbeing Alliance Concordat. Whilst acknowledging that the demographics and health needs of the two localities differed, it was intended that the principles and broad themes which were informing the Plan were aligned to both Health and Wellbeing Boards. Both Boards had endorsed this concordat which set out the principles for joint working.

A briefing note from NHS England on Sustainability and Transformation in the West Midlands and the Governance Arrangements for Coventry were set out at appendices to the briefing note. 

Andy Hardy, Chair of the Sustainability and Transformation Programme Board, set out the background to the development of the Sustainability and Transformation plan referring to NHS Five Year Forward View from Simon Stevens, Chief Executive of NHS England published in October 2014 which highlighted a potential funding gap of £30b. In response to a commitment to provide an additional £8b to support services, savings of £22b would be required from efficiencies and new ways of working. Responses were sought from local health providers as to what services were needed to support their local populations. In December, 2015 NHS England announced that each area was required to develop an STP. These plans aimed to bring together NHS Clinical Commissioning Groups and providers, such as hospital trusts, as well as local authorities and social care to develop footprints to improve the health and wellbeing of the population; the quality of care provided; and the NHS finance and efficiency of services.

Reference was made to natural footprint for Coventry and Warwickshire where over 95% of care was provided within the locality. A Programme Board was established and the following four priorities were identified:

·  Paediatrics and Maternity

·  Mental Health

·  Musculoskeletal services

·  Frail elderly

To drive the work forward, these were split between in and out of hospital programmes.  ...  view the full minutes text for item 8.

Briefing Note and Presentation of the Director of Public Health

The Board considered a report and presentation of the Director of Public Health which informed of the background, purpose and membership of the Health and Wellbeing Board and provided an overview of the priorities for the Health and Wellbeing Strategy for 2016-2019 highlighting progress to date. Juliet Hancox, Coventry and Rugby CCG, Councillor Abbott, Cabinet Member for Adult Services and Councillor Ali, Deputy Cabinet Member for Public Health and Sport attended the meeting for the consideration of this item.

The Coventry Health and Wellbeing Board was a statutory Board established as part of the 2012 Health and Social Care Act. Its purpose was to deliver strong and effective partnerships which improved the commissioning and delivery of services across the NHS and Local Government leading to improved health and wellbeing for local people. 

The Board were informed that the objectives of the Health and Wellbeing Strategy for 2016-2019 aimed to look wider than managing people’s health problems; recognised that people who had jobs, good housing and were connected to families and communities stayed healthier; and used the skills and capabilities that lay within communities and individuals to improve their health and wellbeing. Consequently the strategy focused on a small number of priorities that would make the biggest difference as follows:

·  Reducing health and wellbeing inequalities (as per Marmot)

·  Improving the health and wellbeing of individuals with multiple complex needs

·  Creating a place in which health and wellbeing of our people drives every that we do, by developing an integrated health and care system that meets the needs of the people of Coventry.

The report set out the case for change; the areas of focus; the expected outcomes; and the progress to date in respect of these priorities.

In respect of the priority to reduce health and wellbeing inequalities, the Board were informed of the commitment of Sir Michael Marmot and Public Health England to continue to work with Coventry for a further three years. It was the intention to raise Coventry’s profile as an exemplar city in this area of work. A launch event was held on 23^rd March, 2016 with all partners in attendance.

Partners would continue to work on existing projects along with the following two additional priorities:

(i) Tackling health inequalities disproportionally affecting young

(ii) Ensuring that all Coventry people, including vulnerable residents, can benefit from ‘good growth’ which will bring jobs, housing and other benefits to the city.

Progress with the second priority relating to individuals with complex multiple needs included the establishment of a Multiple Complex Needs Board, chaired by Danny Long, West Midlands Police to provide a re-designed, integrated and co-ordinated service for those experiencing two or more of the following: substance misuse, mental ill health, violence and sexual abuse.

The approach of the Board was evidenced based and work was being undertaken to map provisions of services as well as linking in with national initiatives. The Board aimed to ensure that the city would be given the necessary powers, responsibility  ...  view the full minutes text for item 9.

Report of the Scrutiny Co-ordinator

The Board noted a report from the Scrutiny Co-ordinator setting out how it was intended to report back on outstanding issues at each meeting so enabling Members to monitor the progress of the actions that they had agreed.

Report of the Scrutiny Co-ordinator

The Board noted their work programme for the current year.

Any other items of public business which the Chair decides to take as matters of urgency because of the special circumstances involved

There were no additional items of public business.