Agenda and minutes

As the meeting was Inquorate, those present received an informal update on the matters listed on the agenda.

There were no declarations of interest.

a)  To agree the minutes of the meeting held on 4^th July 2022

b)  Matters arising

The minutes of the meeting held on 4^th July 2022 were agreed as a true record.

There were no matters arising.

The Chair, Councillor Caan, will report at the meeting.

The Chair, Councillor Caan, welcomed everyone to the meeting.  He reported a brilliant summer of sport with the Commonwealth Games and the International Children’s Games hosted in and around Coventry and Warwickshire.  Councillor Caan thanked Councillor M Mutton and the late Councillor J Mutton for their work in bringing the International Children’s Games to the city which had been inspirational, inclusive and had great reviews.

The Chair placed on record his encouragement for all Members of the Coventry Health and Wellbeing Board to attend the first Integrated Health and Wellbeing Forum due to be held on 13 October 2022.  The Forum would ensure a unity of support for Health and Wellbeing across the area, working very closely with Warwickshire.

a)  Living safely with Covid

Presentation by Allison Duggal, Director of Public Health and Wellbeing

b)  NHS Capacity

Presentation by Phil Johns, Coventry and Warwickshire CCG

c)  Vaccinating Coventry

Presentation by Valerie De Souzan, Consultant, Public Health

The Board received a verbal update of Allison Duggal, Director of Public Health and Wellbeing about Living Safely with Covid-19 and presentations in two parts for the discussion about the Covid-19 Ongoing Response:

a)  NHS Capacity

b)  Vaccinating Coventry

The verbal update detailed:

• Routine testing for Covid-19 was no longer taking place.
• A recent increase in Covid-19 cases had been noted: 1 in 65 people had the virus equating to 6,000 people in Coventry.
• Covid booster vaccinations had started to roll out for people at greater risk and those over the age of 50. Flu vaccination roll out had also started.
• An increase in other infections such as Scarlet Fever had been noted.
• An increase in old childhood illnesses ie. diptheria had been seen recently. An MMR campaign was about to start.
• Monkey pox cases were decreasing due to changes in behaviour/adequate isolation.

The Board received a presentation by Philip Johns, Coventry and Warwickshire Integrated Care Board to discuss NHS Capacity.

The presentation highlighted:

• Total appointment activity
• Delivery of the Covid-19 vaccination programme
• Patient Survey
• Enhanced Access Service delivered by PCN’s
• Winter Planning
• Workforce Wellbeing
• General Practice Nursing Strategy
• Estates/premises future needs

The Board discussed:

• First point of call being A&E rather than GP
• Low percentage of face-to-face GP appointments/ increasing virtual capacity of GP’s
• Consultants appointed into Integrated Medicine
• Integration of services in the community via the Integrated Care Strategy
• Improvements in waiting times for children/young people’s mental health and wellbeing
• Rebalancing estates expenditure

The Board received a presentation by Valerie De Souza, Public Health to discuss Covid-19 and Flu Vaccination.

The presentation highlighted:

• Eligible cohorts for flu and Covid-19 vaccinations
• Delivery and uptake of autumn booster vaccinations
• Vaccination clinics and sites and coverage by MSOAs
• Communication to local communities regarding understanding/uptake of the vaccine

The Board discussed vaccine supplies and shelf life, confirming there were currently no supply or shelf-life issues.

The Board requested that further information be brought back to the Coventry Health and Wellbeing Board as follows:

1.  Inequality of expenditure on premises.

2.  Correlation between patients failing to access their GP and those who access A&E.

3.  Wait times for children and young people’s mental health appointments.

Report of the Coventry Marmot Partnership

The Board received a report by Ed Hodson and Emma Bates on behalf of the Coventry Marmot Partnership regarding the Marmot update on the cost-of-living crisis.

The purpose of the report was to improve the health, well being and life chances of the people of Coventry and reducing inequality was vital.  The report highlighted:

·  The increase in demand for advice services and the importance of acting now to ensure the ‘inequalities gap’ in the city does not continue to widen under the cost-of-living crisis

·  The call for more action to be taken to support those on lower incomes and the more marginalised groups in the community; specifically, to prevent an intensifying fuel poverty crisis turning into a winter health crisis.

The Board discussed:

·  Working in partnership to solve the issues affecting the city.

·  Finding collective solutions to ongoing winter-based issues.

·  Financing the cost-of-living crisis with limited resources.

The Chair advised whilst he was in support of the four recommendations, they would require partner support to progress.

RESOLVED that the Coventry Health and Wellbeing Board notes that all partners:

1. Work locally towards a long-term sustainable funding settlement to strengthen and support independent advice services to deliver vital advice and advocacy support to marginalised communities (employment rights, benefits entitlements, debt/money advice, energy advice, housing support, support to apply for grants etc).

2. Sufficiently strengthen and resource frontline services to effectively meet the needs of our communities. This is critical for both the Local Authority and for community-based services.

3. Support the Council Teams to revise, update and/or develop a ‘Cold Weather Plan’ that includes, but is not restricted to, current Severe Weather Emergency Protocols (SWEP).

4. Use the Marmot Partnership to monitor whether frontline demand is being met.

Report of the Director of Public Health and Wellbeing

The Board received a comprehensive report and presentation by Allison Duggal on the Coventry and Warwickshire Pharmaceutical Needs Assessment.  The purpose of a PNA was to assess local needs and identify gaps for pharmaceutical provision across Coventry and Warwickshire.  At the Health and Wellbeing Board on 4 July 2022, the PNA had been discussed and the Board had agreed to provide comments during the formal consultation period.  The final document, containing comments from the survey had been publicised on 1 October 2022.

A number of recommendations arising out of the PNA were set out at pages 7-9 of the report submitted and were acknowledged by the Board.

RESOLVED that the Coventry Health and Wellbeing Board notes the Coventry & Warwickshire Pharmaceutical Needs Assessment.

Report of Liz Gaulton, NHS Coventry and Warwickshire Integrated Care Board

The Board received a briefing note by Liz Gaulton, NHS Coventry and Warwickshire Integrated Care Board regarding the Coventry and Warwickshire Population Health Management Roadmap.

The Board were advised of plans to spread, scale and sustain Population Health Management (PHM) capability at all levels of the Integrated Care System (ICS) over the next 5 years.  The appended PHM Roadmap had been approved by the Integrated Care Board on 20 July 2022.

PHM was about creating data-informed, integrated, health and care that embraced the wider determinants of health and helped to design services that better reflected the needs of the communities.  Implementation of the Roadmap required a significant shift in culture and every part of the system had a role to play in embedding PHM as ‘business as usual’ across each level of the ICS.

RESOLVED that the Coventry Health and Wellbeing Board notes the implementation of the PHM Roadmap for Coventry and Warwickshire.

Report of the Chief Partnerships Officer

The Board received a briefing note of Kirston Nelson, Chief Partnerships Officer, regarding the Coventry and Warwickshire Integrated Health and Wellbeing Forum.  Proposals were outlined for the establishment of Coventry and Warwickshire Integrated Health and Wellbeing Forum, which would replace the Coventry and Warwickshire Joint Place Forum. 

The Forum would provide system leadership around the wider health and wellbeing agenda and contribute to achievement of the aims of the ICS, specifically tackling inequalities in outcomes, experience and access, and helping the NHS support broader social and economic development.

RESOLVED that the Coventry Health and Wellbeing Board notes the establishment of Coventry and Warwickshire Integrated Health and Wellbeing Forum as outlined in the report, with the two Health and Wellbeing Boards and the Integrated Care Partnership as core members.

Report of the Director of Public Health and Wellbeing

The Board received a briefing note of Valerie De Souza, on behalf of the Director of Health and Wellbeing regarding the delivery of the Joint Strategic Needs Assessment (JSNA).

The JSNA was a statutory requirement for the Health and Wellbeing Board intended to inform and guide the planning and commissioning of health, wellbeing, and social care services within a local area.  It provided a snapshot of current and future health and care needs considering factors that impacted on health and wellbeing including economic, education, housing and environmental factors as well as local assets which could improve the area and reduce inequalities.

An evaluation of the previous years’ JSNA had been undertaken and based on feedback and to ensure the JSNA could be delivered within current staffing capacity, there would be a citywide profile along with 6 priority areas as follows:

• Foleshill and Longford
• Hillfields
• Binley and Willenhall
• Bell Green and WEHM Area
• Tile Hill
• Canley

The Board discussed:

·  Commitment to the JSNA

·  Making the JSNA a tool that could be used easily in the future through data sharing/IT solutions

·  Providing a JNSA citywide commitment to the priority areas through open data.

RESOLVED that the Coventry Health and Wellbeing Board notes:

1. The proposals on geographies and phasing

2. Local sponsors and lead officers are identified in each geographical area so that areas for development identified through the JSNA can be developed into local priorities and action planning can take place.  This must include a formal route to report problems and issues as they arise and address the immediate needs of the communities.

Report of Liz Gaulton, NHS Coventry and Warwickshire Integrated Care Board

Presentation from Phil Johns, Coventry and Warwickshire CCG and Danielle Oum, Chair of the Coventry and Warwickshire Integrated Care System

The Board received a briefing note of Liz Gaulton, NHS Coventry and Warwickshire Integrated Care Board regarding the Coventry and Warwickshire Integrated Care Strategy update which detailed progress to date in the development of the strategy and the next steps. 

The Integrated Health and Wellbeing Forum meeting on 13 October 2022 would provide the opportunity for members of the Health and Wellbeing Boards to inform the development of the Strategy.  The outcomes of that meeting would inform recommendations to the Integrated Care Partnership meeting on 31 October 2022 about the overall priorities and core content of the Strategy.  Further drafting would be completed in November ahead of consideration of a final draft by the ICP for submission to NHSE in December.

RESOLVED that the Coventry Health and Wellbeing Board notes:

1. The requirement for the Integrated Care Partnership to develop an Integrated Care Strategy, informed by the Joint Strategic Needs Assessments and Health and Wellbeing Strategies, by December 2022.

2. The approach to development of the Strategy in Coventry and Warwickshire, and progress to date.

The Board received a presentation of Phil Johns, Coventry and Warwickshire CCG and Danielle Oum, Chair of the Coventry and Warwickshire Integrated Care System regarding Integrated Care Development

The presentation highlighted the following:

·  The foundations and formal establishment of

o   The Integrated Care Board (ICB)

o   The Integrated Care Partnership (ICP)

o   The Coventry and Warwickshire Integrated Health and Wellbeing Forum

·  Developing and Integrated Care Strategy and a 5-year Joint Forward Plan by April 2023.

·  Advantages of the system

·  Progress since the ICP meeting on 26 July 2022.

·  Integrated Care Strategy priority lead areas

·  Strategy development and engagement pathways

RESOLVED that the Coventry Health and Wellbeing Board notes the content of the presentation: Integrated Care Development.

Report of the Director of Adult Services and Housing

The Board received a report of the Director of Adult Services and Housing on the Better Care Fund Plan 22/23.

The Better Care Fund commenced in 2015 with the aim of bringing together the NHS, adult social care and housing services so that older people, and those with complex needs, could manage their own health and wellbeing, and live independently in their communities for as long as possible.

The Planning process for 2022/23 was published on 19 July 2022 with the date for submission being 26 September 2022.  The submissions were approved by the ICB Finance and Performance committee held on 7 September 2022, followed by the Integrated Care Board meeting on 21 September 2022.

The national process requires the plan to be signed off by the HWBB.  If not signed off at the point of submission, details of the next meeting where it would be approved were required to be submitted.  Alongside the Narrative Plan and planning template appended, a demand and capacity template would also be required to be submitted however, this was not part of the assurance process that would be completed nationally.

RESOLVED that the Coventry Health and Wellbeing Board notes the content of the Better Care Fund Plan 2022/23 submissions.

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.