Agenda and minutes

The Chair welcomed Councillor L Bigham to the Board.

There were no declarations of interest.

The minutes of the meeting held on 23^rd January 2023 were agreed as a true record.

There were no matters arising.

The Chair, Councillor Caan, welcomed everyone to the first meeting of the new Municipal Year, in particular, Councillor L Bigham and Neil MacDonald, Interim Director of Children’s Services.  The Chair placed on record his thanks to Julie Grant, the Board’s National Health Service England (NHSE) representative who had stepped down from the Board due to a reconfiguration of the commissioning of services, advising the ICB would provide the NHSE’s views going forward.

The Chair welcomed the recent visit to the City by Professor Dame Carol Black to look at the prevention, treatment and long-term recovery of substance misuse services, advising he was proud to show Professor Dame Carol Black the achievements in Coventry in terms of bringing partners together to prevent and tackle the harms associated with drug and alcohol use and to support people to recover and build healthy, fulfilled lives.

Coventry had also welcomed MP, Dame Andrea Leadsom to see the pioneering work of the City’s Family Hubs and how this would be developed.  The Marmot Partnership was going from strength to strength, with collaborations being developed with the Universities to deliver this important agenda.  The National Institute for Health and Care Research (NIHR) was progressing well and a webinar had been hosted recently, chaired by Sir Michael Marmot.

Finally, the Chair welcomed the Sports Fest event, which was taking place this week in Broadgate, featuring a wide variety of sports and wellbeing activities.

The Chair thanked everyone involved in hosting and supporting these events.

Presentation of Chief Superintendent K Madill, West Midlands Police

The Chair welcomed Chief Superintendent Kim Madill, West Midlands Police, to the meeting.

The Board received a presentation by CS K Madill regarding Right Care Right Person (RCRP), an operating model for police and partners to ensure health and concern for welfare calls for service were responded to by those with the right skills and expertise to provide the best possible service.

The presentation highlighted:

·  Aims and objectives

·  Reasons for implementation

·  Current policing model

·  West Midlands Police case examples

·  Types of Call 1 and Call 2

·  Expected impact

·  Phases of implementation (informed by KPI’s)

·  Key concerns – prevention of the vulnerability vacuum

The Board discussed:

·  Managing acronyms and knowledge

·  999 operating model and backlog

·  Local working group led by Coventry & Warwickshire Partnership Mental Health

·  Recognising vulnerability and putting in place early help

·  Monitoring, evaluation and timeframes

·  Vulnerability hubs

·  Capacity and ability to meet additional needs

·  Level of public awareness

·  Use of Incident Logs and Records of Contact

·  Numbers detained under Section 136 in Coventry

Following discussion, Chief Superintendent Madill undertook to:

·  Ensure acronyms and the different use of phrases/words by partners are fed into the Right Care Right Person model.

·  Share the codes used on incident logs/records of contact in partnership meetings.

·  Share numbers detained under Section 136 in Coventry and the length of time police sit with detainees.

RESOLVED that the Coventry Health and Wellbeing Board note the presentation from West Midlands Police regarding Right Care Right Person.

Report of P Johns, Coventry and Warwickshire Integrated Care Board.

The Board received a verbal update by Rachael Danter, Coventry and Warwickshire ICB, regarding the Coventry and Warwickshire Integrated Health Care Delivery Plan. 

The verbal updated detailed:

·  Ambulance delays

·  Handovers and ongoing improvements

·  Ambulance service category 2 response

·  Improvements in emergency care targets

·  Modernising primary care:  improved access, workforce issues

·  GP Recovery Action Plan launch

·  The Integrated Care Strategy – available to read on the ICB website

·  Overview of industrial action

The Board discussed local implementation of the GP Recovery Action Plan, including funding and the local communication strategy, evidence of improvements in GP access, process redesign to improve call and consultation issues and the expansion of pharmacy services.  Information on local implementation of the GP Recovery Action Plan including communication to the public, would be brought back to the Board when available.

RESOLVED that the Coventry Health and Wellbeing Board notes the verbal report.

Report of A Duggal, Director of Public Health and Wellbeing

The Board received a Briefing Note of the Director of Public Health and Wellbeing, detailing the progress made towards the refresh of the Health and Wellbeing Strategy (H&WBS) and the Joint Strategic Needs Assessment (JSNA)

The update highlighted:

·  Progress

·  Summaries of feedback from the H&WBS and JSNA

·  Further considerations and gaps to be explored

·  Short-term priority areas of focus

The Board welcomed the update and discussed:

·  How the strategy ensures services are delivered and embedded across Coventry and Warwickshire.

·  Working in partnership including opportunities to align resources in expertise, knowledge and experience ie. Family hubs

·  Prevention as a first step

·  A hyper-local approach – whether it is beneficial for different services to be provided in different communities.

·  Return of the Fitness in the Parks Programme and acceleration of the programme in the city

·  Advantages and benefits of GO CV.

·  Investment in physical activity and expansion within the strategy.

·  The inclusion of immunisation for older people and infographics

The Board undertook to provide feedback by the deadline of 14^th August 2023.

RESOLVED that the Coventry Health and Wellbeing Board notes the Health and Wellbeing Strategy and Joint Strategic Needs Assessment Progress Update.

Report of P Johns, Coventry and Warwickshire Integrated Care Board

The Board received a Briefing Note and Presentation of the Chief Transformation Officer, NHS Coventry & Warwickshire Integrated Care Board, providing an overview of the development of the five-year Coventry and Warwickshire Integrated Health and Care Delivery Plan (IH&CDP).

National guidance required the NHS Coventry and Warwickshire ICB to seek the opinion of the Health and Wellbeing Board as to whether the IH&CDP “takes proper account” of the Coventry Health and Wellbeing Strategy.  The report also summarised the connectivity between the Coventry Health and Wellbeing Strategy, the Coventry and Warwickshire Integrated Care Strategy and the IH&CDP.

The Board welcomed the report and discussed:

The Board discussed working in partnership to prevent health issues caused by housing densification, prevention as a priority and public accessibility.  Future improvements in mental health and wellbeing services for children with access to CAHMS and RISE and information on metrics and KPI’s would be brought back to the Board.

RESOLVED that the Coventry Health and Wellbeing Board: 

1. Notes the Integrated Care Strategy and Integrated Health and Care Delivery Plan.

2. Notes that the IH&CDP has been developed as the health care system shared delivery plan for the Integrated Care Strategy, with the three strategic priorities and nine aligned areas of focus identified in the Integrated Care Strategy providing a ‘golden thread’ across the two documents.

3. Recognises the connectivity between the Coventry Health and Wellbeing Strategy, the Integrated Care Strategy and the IH&CDP.

4. Agrees that the ICB Chief Transformation officer liaises with the Chair outside of the meeting to agree an approach to obtaining confirmation of the Board’s opinion as to whether the IH&CDP “takes proper account of” the Coventry Health and Wellbeing Strategy.

Report of A Duggal, Director of Public Health and Wellbeing

The Board received a report of the Director of Public Health and Wellbeing regarding the Drugs and Alcohol Strategy, the purpose of which was to present the local response to the National Drugs Strategy “From Harm to Hope”.

The Programme Manager, Drugs and Alcohol advised the Board of the key outcome areas arising from a needs assessment, feedback and priorities; which were:  reducing supply, reducing crimes of drugs and alcohol, reducing demand for and over use, reducing harms, improving quality of treatment provision, importance of long term recovery and ensuring services and support available was accessible for all.

The Board discussed recognising the hidden harm to children from drugs and alcohol, importance of family networks and ensuring the right support is in place for both families and individuals, vaping by school children and the steps being put in place to prevent it.

RESOLVED that the Coventry Health and Wellbeing Board: 

1.  Notes the steps taken in the development of the strategy, in particular the level of engagement that has taken part with partners and stakeholders across the system at all stages of strategy development.

2.  Continues to support attendance at the Coventry Drugs and Alcohol Partnership Steering Group from all identified partners.

3.  Agrees and signs off Coventry Drug and Alcohol Strategy 2023 – 2033.

Report of P Fahy, Director of Adult Services and Housing

The Board received a report of the Director of Adult Services and Housing regarding the Better Care Fund Year End Template 2022/23.

The aim of the Better Care Fund (BCF) was to bring together the NHS, social care and housing services so that older people and those with complex needs can manage their own health and wellbeing and live independently in their communities for as long as possible.

The governance associated with the BCF programme requires approval by the ICB and the Council through the Health and Wellbeing Board.

RESOLVED that the Coventry Health and Wellbeing Board note the content of the report and approve the Better Care Fund Year End Template for 2022/23.

Report of P Fahy, Director of Adult Services and Housing

The Board received a report of the Director of Adult Services and Housing regarding the Better Care Plan Approval 2023/24 and 2024/25.

The aim of the Better Care Fund (BCF) was to bring together the NHS, social care and housing services so that older people and those with complex needs, can manage their own health and wellbeing and live independently in their communities for as long as possible.

It was based on the concept of a pooled budget between Clinical Commissioners and Local Authorities with one party agreeing to host the pool which is managed by a s75 legal agreement.  The Coventry BCF pool is hosted by the Council.

The planning process spans two years for 2023/24 and 2024/25 although final funding for the second year is not yet confirmed.  Planning Guidance was not published until 12^th April 2023 and the narrative plan and template was required to be submitted within a very tight timescale of 28^th June 2023.

The submissions were approved by the ICB Executive Committee on 27^th June 2023.

The national process required the plan to be signed off by the HWBB and, following submission, a regional and national approval process would be completed.

RESOLVED that the Coventry Health and Wellbeing Board note the content of the report and approve the Better Care Fund Plan 23/25 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.