Agenda and minutes

            The Minutes of the meeting held on 7 July 2021 having been circulated were signed as a correct record.

            The Board received an update on the most recent Covid-19 coronavirus figures for Halton and how the Halton outbreak support team were working successfully to identify and manage local outbreaks. The presentation also outlined the most recent information on testing and vaccination for people in Halton.

            RESOLVED: That the Board note the presentation.

            The Board received a report of the Director of Social Services, which provided an overview of the work carried out over the year in order to ensure that the Better Care (Pooled) Fund (BCF) was balanced at the end of the financial year 2020/21. As a result of the Pandemic, although there were significant challenges across the system during 2020/21, under the direction of the Pooled Budget Manager, work was undertaken by colleagues across the Council and the Clinical Commissioning Group, to review the BCF schemes within the pooled budget. The work identified areas for savings and introduced new ways of working/reconfigured services within the Borough to relieve pressures across the system, including financial pressures. Examples of the work undertaken was outlined in the report.

            The Board noted that as a consequence of the work undertaken during the previous 12-18 months, at the end of the financial year 202/21 the BCF budget was £157k under budget. After deducting the overspend for the previous financial year, this left an underspend positon of 40k.

            RESOLVED: That the report be noted.

            The Board considered a report which provided a position statement in relation to:

·         The development of Cheshire & Merseyside Health and Care Partnership as an Integrated Care System (ICS)

·         One Halton and the development of the One Halton Integrated Care Partnership (ICP)

The ICS guidance had been published on 2^nd September and as part of new ICS arrangements from April 2021 ICS Leaders should confirm their proposed place-based partnership arrangements for 2022/23, including their boundaries, leadership and membership.

In addition, the Board were updated on the One Halton Integrated Partnership meetings held on 18 August and 15 September and the Workshops held on 18 August and 17 September.

            RESOLVED: That the report be noted.

            The Board were updated on the Joint Strategic Needs Assessment which analysed the health needs of the population to inform and guide commissioning of health, well-being and social care services within local authority areas. The JSNA underpins the health and well-being strategy and commissioning plans. A copy of the summary document for the Halton JSNA 2021 had been previously circulated to the Board.

            In 2012 the first executive summary of the JSNA mapped across the life course was presented. This approach had continued to receive good feedback from various partnerships and stakeholders. As a consequence the revised annual summary had used broadly the same approach, updating data and information since the previous version.

            The Board received an update on the latest published whole year data in the 2021 JSNA summary which was 2019/20. The update provided the Board with the highlights of the 2021 JSNA, those areas which had remained difficult to improve, those that had worsened and the developments for the JSNA going forward. It was also noted that the JSNA  did not take the impacts of the Covid-19 pandemic into account.  

            RESOLVED: That the report be noted and the draft summary document be approved for publication.

            The Board considered a report of the Director of Public Health, which provided an update on the Covid vaccination programme for Halton. As of 13 September:

·         90.48% of eligible people in Halton have had their first dose of vaccination and 82.51% of eligible people have had their second dose of vaccine;

·         Around 50% of 16/17 year olds were vaccinated;

·         the 12-15 year olds vaccination programme had also began;

·         the booster vaccine had began to be rolled out to those in high risk groups; and

·         the flu vaccine had also began.

            RESOLVED: That the Health and Wellbeing Board note the content of the report.

Ofeoma 90k 81% had 1^st vac. 75% had 2^nd. All invites have gone out to over 16s. 12-15 vaccine programme started. Booster has started for those in high risk. Flu vac has started.

            The Board considered a report of the Director of Public Health, which provided an update on the Marmot Review including next steps following publication of ‘Health Equity in England: The Marmot Review 10 years on’ document in 2020; and informed the Board about the Marmot Community Review project.

            The Board was advised that Cheshire and Merseyside (through CHAMPS and Cheshire and Merseyside Health Care Partnership) were working to achieve Marmot Community Status. Areas that are awarded the status of Marmot Community are those that can provide evidence that the six goals as set out in Sir Michael’s Marmot’s report from 2010 are addressed. As part of the next steps:

·         the Marmot national team were looking to gain feedback from the nine local areas across Merseyside and Cheshire to develop action plans to tackle inequalities across local areas and to ensure local perspectives are incorporated into the national review report due to be published in 2022;

·         the feedback would be provided by individual local area workshops. The Halton one would take place October/November 2021;

·         following the workshop, a Marmot Communities working group would be established with representation from all partners across Halton already working to tackle inequalities;

·         the working group would establish a local work programme for the Marmot Community programme; and

·         feedback from the programme would be provided to the Board.

RESOLVED: That the Board notes the content of the report and supports the Marmot Community programme workshop.