Agenda and minutes

There were no declarations of interest.

The minutes of the meeting held on 1^st December, 2021 were agreed as a true record. There were no matters arising.

Presentation by Phil Johns, Coventry and Warwickshire CCG who has been invited to the meeting for the consideration of this item along with Rose Unwins, Coventry and Warwickshire CCG

The Board received a presentation on the development of the Integrated Care System from Phil Johns, Coventry and Warwickshire CCG, who attended the meeting along with Dr Sarah Raistrick and Rose Uwins, Coventry and Warwickshire CCG. Andy Hardy, University Hospitals Coventry and Warwickshire was also in attendance.

The presentation referred to the national move to bring health and care organisations together into Integrated Care Systems (ICS) and to the legislative proposals by the Government for a new Health and Care Bill, which built on recommendations in the NHS Long Term Plan. This would establish statutory ICS in each STP/ICS footprint. The proposals were continuing to progress through parliament and were currently at committee stage in House of Lords. In Coventry and Warwickshire partners were already working closely together as a Health and Care Partnership and this was development was seen as what was best for the locality. The Board noted that the earliest Coventry and Warwickshire could become a statutory ICS was July 2022.

The benefits of the ICS were highlighted which included breaking down the barriers between organisations; joining up health and care more effectively to make a difference to people’s lives; and addressing the “wider determinants of health” such as poor housing or socio-economic problems and bringing the right resources from across organisations to tackle public health issues such as obesity.

The presentation set out the vision for the local ICS: ‘We will enable people across Coventry and Warwickshire to start well, live well and age well, promote independence, and put people at the heart of everything we do’ and detailed the proposals for how this would be achieved.

The following three layers made up the structure of the ICS: Primary Care Networks, Place and System and an explanation was provided for each layer. Dr Raistrick highlighted the vision in practice for each of these layers. Enabling everyone to keep well was the System approach to engagement. Pooling knowledge and experience between health and local authorities, working as one team to leverage all connections and reach the diverse communities. Reference was made to the successful partnership engagement carried out during the Covid pandemic.

For Place the vision was to provide the best possible care and the example of improving musculoskeletal services in Coventry was highlighted. All partners across Coventry delivering Musculoskeletal (MSK) services were brought together to design a new model of care - patients first saw a First Contact Practitioner, a specialist physio who could access diagnostics and provide specialist assessment, at a local GP practice. Those patients were assessed through a new Multi-Disciplinary Team (MDT) for MSK triage, made up of experts from different specialties. Patients who would benefit from physiotherapy or similar treatments could be redirected to the correct service directly by the triage team so shortening the process and improving patient experience.

The vision for Primary Care Networks was enabling everyone to keep well and the example of pre-diabetes and weight management at Sowe Valley was detailed. To support weight loss  ...  view the full minutes text for item 26.

Briefing note of the Interim Director of Public Health and Wellbeing, report from Warwick University and presentation from Coventry University

The following representatives have been invited to the meeting for the consideration of this item:

Dr Diane Phimister, Coventry University Group Lead for Mental Health

Vickie Rybinski, Coventry University Mental Health Advisor

Dr Hannah Friend, Director of Wellbeing & Safeguarding, University of Warwick

Esther Meininger, Head of Wellbeing Support, University of Warwick

Eleanor Cappell, Community Mental Health Transformation Programme Lead, Coventry and Warwickshire Partnership Trust

Marie Nicholls, General Manager, Community Mental Health, Coventry and Warwickshire Partnership Trust

The Board considered a briefing note of the Director of Public Health and Wellbeing which provided an update to the Board on the progress made on the recommendations of the scrutiny review undertaken on suicide prevention and the subsequent task and finish group report on mental health support for students. The note also updated on the implementation of the Coventry and Warwickshire community mental health transformation programme 2021-2024.

Dr Diane Phimister and Vickie Rybinski, Coventry University, Esther Meininger, University of Warwick and Eleanor Cappell, Coventry and Warwickshire Partnership Trust, attended the meeting for the consideration of this item and the Board received presentations from both universities regarding their mental health support for students and viewed a video on the NHS Community Mental Health Transformation.

The briefing note referred to the Coventry Suicide Prevention Strategy 2016-19 Forward Plan. In January 2020 the Health and Wellbeing Board reviewed the delivery of this strategy and approved a refreshed action plan for 2020-21. Reference was made to the funding secured from NHS England to respond to prevalence rates in the city and the most recent suicide data showed that the rates in Coventry dropped slightly from 2017–2019 at 10.6 per 100,000 (England 10.1) to 2018–2020 at 10 per 100,000 (England 10.4).

Legacy activity from the strategy and NHS England funding programme had now been devolved to the Coventry and Warwickshire suicide prevention steering groups. Local strategies, partnership arrangements and action plans were currently being reviewed. Consultation with the respective Coventry and Warwickshire suicide prevention multi agency steering groups during November and December 2021 identified that many of the partners were duplicating resources in both areas, consequently it was recommended that a single Coventry and Warwickshire Suicide Prevention Strategy be developed. Proposals for this joint strategy were outlined.

The briefing note referred to the student mental health support at Coventry University. Over the last 2 years the University had been part of a local system response set up to improve access to University, community, and NHS mental health support for students. The University implemented a Covid response and contributed to the delivery of mental health and suicide prevention plans across Coventry and Warwickshire. A health and wellbeing strategy and a recently refreshed mental health strategy drove the Universities approach. As part of this, the University had submitted a funding bid to the Office for Students last year to develop and expand culturally appropriate mental wellbeing support for international students and those from minority ethnic backgrounds (57% of the student population). Information was provided on the current wellbeing services which provided access to counsellors. Reference was made to the work of the team of mental health advisors.

The briefing note also highlighted the student mental health support at Warwick University referring to the recent restructuring of its wellbeing services to better meet needs which were implemented for the 2019-20 academic year. This investment in student wellbeing was £2.7m with the review and re-structure responded to feedback from students. The benefits of the restructure were  ...  view the full minutes text for item 27.

Report of the Scrutiny Co-ordinator

The Board noted their work programme for the current municipal 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.