Agenda and minutes

To report any changes to the Membership of the meeting.

1.1         Apologies for absence were received from Councillor Richard Holloway (Cabinet Member for Children, Families and Young People) and Dr David Finch (NHS England).

1.2         Apologies for absence were also received from John Forde (Tri-borough Public Health), Melissa Caslake (Tri-borough Children’s Services), Barbara Brownlee (Director of Housing and Regeneration) Dr Philip Mackney ((NHS West London Clinical Commissioning Group) and Janice Horsman (Healthwatch Westminster). Mike Robinson (Tri-borough Director of Public Health), Rachael Wright-Turner (Tri-borough Director for Children’s Commissioning, Tri-borough Children’s Services), Andrea Luker (Head of Strategy and Quality, Housing and Regeneration), Dr Naomi Katz (NHS West London Clinical Commissioning Group) and Olivia Clymer (Chief Executive, Healthwatch Westminster) attended respectively as Deputies for John Forde, Melissa Caslake, Barbara Brownlee, Dr Philip Mackney and Janice Horsman.

1.3         Jules Martin (Managing Director, NHS Central London Clinical Commissioning Group), Anne Mottram (Imperial College Healthcare NHS Trust), Chris Neill (Interim Deputy Managing Director, NHS Central London Clinical Commissioning Group) and Louise Proctor (NHS West London Clinical Commissioning Group) were also in attendance.

To receive declarations of interest by Board Members and Officers of any personal or prejudicial interests.

2.1       There were no declarations of interest.

a)            To agree the Minutes of the meeting held on 2 February 2017.

b)            To note progress in actions arising.

3.1       RESOLVED:

1.    That the Minutes of the meeting held on 2 February 2017 be signed by the Chairman as a correct record of proceedings.

2.    That progress in implementing actions and recommendations agreed by the Westminster Health and Wellbeing Board be noted.

To consider an update on the Better Care Fund 2017-2018.

4.1       Dylan Champion (Interim Head of Health Partnerships) presented the report and advised that final guidance from the Government with regard to Better Care Fund (BCF) plans for 2017-2019 was due to be published sometime in June. Action would need to be taken quickly to complete the BCF plan for 2017-2019 and there would be high level discussions on what should be included. Dylan Champion advised that the BCF Policy Framework guidance which had been published required BCF plans to focus on fewer key priorities, which was welcomed as it would allow greater focus on the priorities identified. Every effort would be made for partner organisations to work together to provide the best out of hospital care and managing the transfer of care which would mean ensuring the right pathways were in place. Dylan Champion advised that there would be a requirement to provide quarterly updates on the BCF plan to NHS England in future. With regard to the 2016-2017 plan, Members noted that good progress had been made.

4.2       Dylan Champion stated that a BCF plan for 2017-2019 had been drafted, however the final plan would be produced around six to eight weeks after the publication of the guidance. The final detail BCF 2017-12019 draft plan would then be put before the Board for its consideration at the next meeting on 13 July.

4.3       Members agreed to the Chairman’s suggestion that there should be more detailed discussions on the BCF plan in future. A Member requested that future reports also include adult social care matters.

To consider an update on the progress in delivering the actions agreed at the Health and Wellbeing Board briefings that took place on 23 March 2017 and 27 April 2017 respectively.

5.1       Ezra Wallace (Head of Corporate Strategy) presented the report and referred to the actions agreed by the Board at the two briefings held on March and April. It had been agreed that the agenda be split into Part A, consisting of the formal and statutory business of the Board, and Part B, to focus on the collaborative partnership to implement the strategy’s three priorities. The Director of Law had advised that the 25 May Board meeting could go ahead even though it was during the General Election Purdah period. Ezra Wallace advised that the Chairman and Dr Neville Purssell (NHS Central London Clinical Commissioning Group) were also meeting with larger provider organisations to discuss how they would be involved. It was also agreed that the Board consider how to engage with other providers, possibly through a provider event or through utilising existing provider fora.

To consider an update on delivering the Health and Wellbeing Strategy for Westminster.

6.1       Dylan Champion gave a detailed presentation on delivering the Health and Wellbeing Strategy 2017-2022. Work had been undertaken to identify the priorities that were key to the strategy’s delivery. Dylan Champion stated that good progress had already been made in agreeing and developing the strategy which also complemented the Council’s ‘City for All’, the North West London CCGs Sustainability and Transformation Plan (STP), the BCF plan, NHS Central and London NHS West London Clinical Commissioning Groups’ (CCGs’) Business Plans 2017-18, the Public Health Business Plan 2017-18, the Adult Social Care Transformation Programme and the Children’s Services Transformation Programme. Dylan Champion then referred to the strategy’s five priorities, these being:

·           Improving health and care for children, young people and families

·           Reducing the risk factors for and improving the management of long term conditions such as dementia

·           Improving mental health outcomes through prevention and self-management

·           Creating a leading and sustainable and effective local health and care system

·           Radically upgrade prevention and early intervention.

6.2       Dylan Champion advised that there were a number of public health and health and social care objectives within the Council’s City for All. For example, within the “Opportunities and fairness across the city” key priority, it was stated that a positive approach would be taken to adult social care by working with partners to provide quality care and encourage residents to enjoy active, fulfilling, healthy and happy lives, whilst focusing resources on the most vulnerable.

6.3       Chris Neill (Interim Deputy Director, NHS Central London CCG) then addressed the Board in respect of the North West London STP. He referred to the STP’s priorities in improving health and wellbeing, improving care and quality and improving productivity and closing the financial gap. A number of high level conversations had taken place in respect of delivering the STP and how it related to the Health and Wellbeing Strategy. The Primary Care Strategy was identifying budgets and consideration was also being given about the role of a user panel. Chris Neill then referred to the STP’s delivery areas and how they related to the Health and Wellbeing Strategy’s priorities.

6.4       In order to review the Health and Wellbeing Strategy’s priorities, Dylan Champion advised that these would be reviewed in the context of focus, sponsor and monitoring elements. The focus element would assist collaborative work to help delivery in respect of care coordination, children and young people and prevention, and mental health and wellbeing. The sponsor element would include areas where the Board was receiving and considering key decisions and updates, including the BCF Plan, the STP and strategies and plans in the Forward Plan. The monitor element would monitor progress in delivering the strategy as part of a six month monitoring report and would also be included in the annual report. There was also a gap element that addresses where insufficient or limited activity to deliver a priority had been identified. Dylan Champion advised that work would be undertaken to ensure that the views of residents and customers were heard in  ...  view the full minutes text for item 6.

To note the Minutes of the last Joint Strategic Needs Assessment Steering Group meeting held on 23 February 2017.

7.1       The Board noted the Minutes of the last Joint Strategic Needs Assessment Steering Group meeting held on 23 February 2017.

To consider the Work Programme for 2017.

Work Programme to follow.

8.1       Dylan Champion advised that there was a full agenda for the next meeting on 13 July and that he would circulate an updated work programme to Members for consideration in the next two weeks. Chris Neill also agreed to circulate the Primary Care Strategy as it was currently titled in around two weeks.

9.1       There was no other business.