Agenda and minutes

            The Minutes of the meeting held on 2^nd October 2019 having been circulated were signed as a correct record.

            The report was deferred until the next meeting.

            The Board considered a report and a presentation which provided an update on the implementation of national recommendations to improve the lives of people with learning disabilities and/or autism and/or behaviours that challenge services within the Borough.

            As a result of Sir Stephen Bubb’s report Winterbourne View – Time for Change (2014), NHS England, the Department of Health, the Local Government Association, the Association of Directors of Adult Social Care, the Care Quality Commission and Health Education England united and confirmed their commitment to strengthen the Transforming Care delivery programme by creating a new delivery board, bringing together the senior responsible owners from all our organisations. Nationally the programme would focus action on:

·         ensuring joint health and care planning and commissioning of services to meet the needs of children and adults with behaviours described as challenging;

·         incentivise the right model of local responsive personalised care;

·         thereby prevent the placing of people inappropriately in in-patient settings;

·         driving up quality in specialist health and care settings; and

·         establishing robust monitoring of progress.

            Members were advised on the progress that had been made to date in Halton to implement the Transforming Care national programme of work in conjunction with service users, their families, key stakeholders, clinicians and commissioners.

            As part of the national service model, 48 Transforming Care Partnerships had been established and Halton was a member of the Cheshire and Merseyside Transforming Care Partnership Board. It was noted that there was still further work to be undertaken to achieve all the service model requirements.  It was therefore proposed that an annual report would be presented to Halton Health and Wellbeing Board by way of assurance that the needs of people with learning disabilities and/or autism and/or behaviours that challenge were being met.

            In addition, Members had received a copy of the Expression of Interest for the Shaping Places bid and approval was requested to submit Board Member signatures to the document before the bid was submitted.

            RESOLVED: That

1.    the report be noted;

2.    the current Halton position and progress outlined in Appendix 4 be acknowledged;

3.    the Board agreed to submit their signatures in support of the Expression of Interest for the Shaping Places bid; and

4.    the Board receive an annual update report on progress made against the implementation of the national recommendations in Halton.

            The Board considered a report of the Director of Public Health, which set out the benefits to Halton, Cheshire and Merseyside of becoming a Marmot sub region. In common with Halton’s Health and Wellbeing Board, the Cheshire and Merseyside (C&M) Health and Care Partnership had identified tackling the difference between England and C&M in life expectancy and healthy life as its core purpose. Aligned to this there was an ambition to reduce inequalities in health outcomes within C&M. In order to achieve this ambition, it was proposed that the C&M Health and Care Partnership should become a Marmot Community.

            Members considered a report which highlighted the benefits of a Marmot Community which included:

·         Access to international expertise;

·         Developing excellence in systems leadership for Population Health;

·         Strengthening joint working with the NHS and local authorities;

·         Maximising our impact on health inequalities together; and

·         Promoting excellence in practice in C&M.

            In addition the report detailed the role of the C&M Health and Care Partnership throughout the process and how they would build on current work and collaborate with the Marmot Team.

            RESOLVED: That

1.    the proposal of Cheshire and Merseyside becoming a Marmot Community be supported; and

2.    the Cheshire and Merseyside Health and Care Partnership will finance, oversee and assure this initiative with the support of partners.

            The Board considered an update report on the development of One Halton which included the work of the One Halton Forum, the Integrated Commissioning Group and the Provider Alliance. Since the last meeting the following progress had been made:

·         The One Halton Plan was submitted to Cheshire and Merseyside Health and Care Partnership on the 31^st October 2019 and positive feedback had been received;

·         Organisations within the One Halton had been asked to share the One Halton Plan through their relevant Boards for endorsement;

·         A One Halton summary document had been produced and a copy circulated to the Board;

·         Development of a One Halton Delivery Plan;

·         Cancer and Cardiovascular Disease had been chosen as the first two programmes of disease specific work to be reviewed collaboratively across Provider and Commissioner; and

·         A request for funding had been received and approved. Full details of the request were detailed in the report together with a One Halton Budget Statement.

RESOLVED: That

1.    the contents of the report be noted;

2.    the final version of the One Halton Plan 2019-2024 be endorsed;

3.    the One Halton Plan on a page be approved;

4.    the initial priorities for a One Halton Delivery Plan were agreed as Cancer and Cardiovascular Disease;

5.    One Halton Funding requests have been noted; and

6.    the budget statement be noted.

            The Board considered a report which provided an overview of the current partnership working arrangements between the Council, Adult Social Care and NHS Halton Clinical Commissioning Group (CCG).

            In April 2013, NHS Halton CCG and Halton Borough Council (HBC) had established joint working arrangements which culminated in the organisations entering into an initial 3 year Joint Working Agreement (hosted by HBC) from April 2013 (Pursuant to Section 75 of the National Health Service Act 2006) for the commissioning of services for people with Complex Care needs.

            Subsequently, in April 2015 with the introduction of the Better Care Fund (BCF), a revised Joint Work Agreement was agreed which included BCF allocation for 2015/16, along with Disabled Facility Grant for capital projects.

            Members considered the current Joint Working Agreement and Governance Arrangements, including examples of joint working arrangements and future opportunities.

            RESOLVED: That the Board note the contents of the report.

            The Board considered an update report on the work of the One Halton Provider Alliance. Since the last meeting the Provider Alliance had met on three occasions on 9^th October, 6^th November and 4^th December 2019. The Alliance had identified key workstreams and dedicated projects which were included in the One Halton Plan 2019-2024. Specific updates in respect of those areas were provided to the Board, together with a draft ten year vision document for Halton Place Based Integration.

            RESOLVED: That the report be noted.

            The Board received an update report on the two formal meetings of the Integrated Commissioning Group which had taken place on 15^th October and 27^th November 2019. In addition, the Board was provided with an update on the Integrated Commissioning Workshop which had taken place on 12^th November 2019.

            RESOLVED: That the report be noted.