Agenda and minutes

There were no declarations of interest.

The minutes of the meeting held on 19^th October, 2015 were signed as a true record. Further to Minute 21 headed ‘Update on Joint Strategic Needs Assessment and Development of the Health and Well-being Board’, Dr Jane Moore, Director of Public Health placed on record her thanks to Sarah Billiald, Colaborate for all her support at the Board’s development day held on 27^th November, 2015.

Dr Jane Moore, Director of Public Health will report at the meeting

Further to Minute 21/15, the Board received a presentation from Sarah Billiald, Collaborate which provided a summary of the Board’s development day held on 27^th November, 2015 and sought approval for agreeing the next steps for the development of the Board and for determining the priority themes for the Health and Well-being Strategy.

The presentation set out the current focus and operation of the Board along with the opportunities for improvement and change required to move forward the work of the Board, for example rather than reacting to issues and fixing problems to shaping services and creating opportunities; or shifting from statutory sector provision to multi sector provision. There was a reminder of how the session had focused on the individual assets in the room, the Board’s purpose and what the unique contribution of the Board was. The presentation also provided a summary of the key barriers that the Board would like to tackle and detailed the key issues raised in relation to these barriers. It was suggested that further Delivery Clinics be held focussing on the Board’s priority areas in order to progress the improved ways of working and a collaborative delivery framework was set out.  The presentation concluded with a reminder of the following key priorities which had been discussed at the last Board meeting, having been developed by the Marmot Steering Group and the Health and Well-being Strategy Steering Group:

Mental Health

Substance Misuse

Children and Young People

Diabetes

Resilience of the Health and Social Care System

Violence and Abuse

Economic Growth

Further information on these priority themes was tabled including possible areas for focus and cross cutting issues.

Andy Hardy, UHCW put forward the option of creating one Accountable Care Organisation for the city as a potential priority for the Board to consider.

Members of the Board split into two breakout groups and discussed which of these individual priorities would be most appropriate for the Board to tackle as their main priority topics for inclusion in the revised Health and Well-being Strategy. Both groups reported back on their discussions highlighting where they felt greatest impacts could be achieved. Arising from this feedback, the following two areas were agreed as priorities for the Board:

·  Resilience of Health and Social Care Systems, including the suggestion of having one Accountable Care Organisation for Coventry

·  Improving the Health and Well-being outcomes for those affected by the toxic triangle – substance misuse, domestic abuse and mental health

RESOLVED that:

(1) Dr Adrian Canale-Parola, Coventry and Rugby CCG and David Williams, NHS Area Team, to produce a paper providing information on options for improving the resilience of the Health and Social Care System including the feasibility of an Accountable Care Organisation for Coventry for discussion at a development workshop arranged for the morning of Wednesday, 20^th January, 2016.

(2) Arrangements be put in place to hold full day development workshop to consider how the Board can lead on improving the Health and Well-being outcomes for those affected by multiple  ...  view the full minutes text for item 30.

The Board received the Annual Reports for 2014/15 from the Coventry Safeguarding Adults and Children Boards. The Safeguarding Adults Report had been presented to the Council’s Health and Social Care Scrutiny Board on 18^th November, 2015 and the Safeguarding Children Report was to be submitted to the Education and Children’s Services Scrutiny Board (2) at their meeting on 16^th December, 2015. 

Coventry Safeguarding Adults Board Annual Report

Isabel Merrifield, Chair of the Quality Assurance and Performance Sub-Group gave a presentation on the Safeguarding Adults Board Annual Report. The Safeguarding Board was required to publish an annual report and business plan. The report provided an introduction to safeguarding; detailed the responsibilities of the Board; highlighted the key achievements of the individual sub-groups and reviewed progress against priorities. The report concluded with the Board’s business plan. A performance dashboard was set out at an appendix. 

The presentation set out the Board’s accomplishments; successes and challenges along with the priorities for the future. Accomplishments included the implementation of the Care Act, working more closely with other Boards, completing three multi-agency reviews and developing the performance dashboard. Priorities for the future included using performance information to drive improvement; Care Act compliance; Transforming Care; making safeguarding personal; and working across Boards. The presentation concluded with the role of the Health and Well-being Board in safeguarding.

The Board discussed the issue of mental health and how this was being addressed. In response to how the Board could support and monitor the work of the Adult Safeguarding Board, the issues of raising awareness and the low levels of reporting were highlighted. Concerns were raised about the lasting impact of children witnessing domestic violence and abuse.

Coventry Safeguarding Children Board Annual Report

Janet Mokades, Chair of Safeguarding Children Board gave a presentation on the Safeguarding Children Board Annual Report. The report outlined the achievements and challenges of the Board and assessed progress on outcomes for children and young people. It evaluated the impact of Coventry’s services on outcomes for children and showed how the work of the Board had contributed to improving outcomes. It also detailed the Board’s progress in implementing its former and current priorities.

The presentation headlined the message that there had been significant improvement in the safeguarding of children in the city and some important outcomes for children were getting better.

The Board discussed concerns about self-harming and mental health issues with children and young people and Janet Mokades indicated that children’s’ mental health and wellbeing was the issue which caused her most concern. They were informed about the considerable volume of work for the Children and Adolescent Mental Health Services (CAMHS) and for schools. This item was being picked up in the Marmot work. In response to how the Board could support and monitor the work of the Children Safeguarding Board, the issue of engaging GPs in the core work of safeguarding was also put forward.

RESOLVED that the Annual Reports from the Adults and Children Safeguarding Boards for  ...  view the full minutes text for item 31.

Report of Dr Jane Moore, Director of Public Health

The Board considered a report and received a brief presentation from Dr Jane Moore, Director of Public Health on her Annual Report ‘Exceeding Expectations: Tapping into the City’s future aspirations, hopes and ambitions for its children and young people’, a copy of which was set out at an appendix to the report. The report had also been considered by the Health and Social Care Scrutiny Board (5) at their meeting on 3^rd November, 2015 and Cabinet on 26^th November, 2015.

The report was a statutory report produced each year to inform local people about the health of their community as well as providing necessary information for decision makers in local health services and authorities on health gaps and priorities that needed to be addressed. This year the report focused on the health needs of the 0-19 population within the city covering the life course of a child from conception through to 19 years.

The report had been developed in consultation with stakeholders who provided services for 0-19 year olds in the city. A workshop was held prior to the commencement of the report and the views of parents, school teachers, and representatives from a number of services helped to determine the topic areas and services that were featured.

One of the key Marmot policy objectives was to give every child the best start in life. The report highlighted the benefits of preventing poor health and the importance of intervening early so that a real difference could be made to a child’s life, whatever the circumstances. Improvements were highlighted which included increasing numbers of children being deemed ready for school and reduced numbers of hospital admissions for alcohol and drugs. There was an understanding of what needed to be done to narrow the inequalities gap and exceed expectations. The importance of building resilience was a key theme for both parents and children throughout their childhood.

The presentation set out the Coventry Headlines and informed what good would look like. The Board were informed that a launch event had been planned with parents and key stakeholders for 19^th December. The importance of ensuring that the evidence coming from the report fed into Marmot and the Health and Well-being Strategy was emphasised. 

The Board expressed support for the readable format of the report and the inclusion of video links. Discussion centred on the importance of communication and partnership working.

RESOLVED that the findings of the report be endorsed and the progress in implementing the findings across local partners be reviewed. 

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.