Agenda and minutes

            The Minutes of the meeting held on 23 March 2022 having been circulated were signed as a correct record.

            The Board received a report of the Director of Public Health, on the Public Health Annual Report (PHAR) 2021/22. Each year a theme was chosen for the PHAR and for 2021/22 the report focussed upon the social determinants of health, particularly highlighting how individuals, communities, services and organisations could contribute to opportunities for everyone to benefit from good health and protected from harm. The report used the social determinants model as a guide to the key issues and included a chapter on the summary of the topic, why it was important and what work had been done or would be done. The following sections were included within the report:

·         Social and community networks;

·         Living and working conditions; and

·         General socioeconomic, cultural and economic conditions.

            A copy of the report was provided to the Board members and was also available on the Council website.

            RESOLVED: That the theme and development of the Public Health Annual Report be noted.

            The Board received a presentation from Sarah Ashcroft which set out the opportunities and challenges for local authorities to implement the Domestic Abuse Act 2021. The presentation provided the Board with information on:

·         the Halton approach to implementing the statutory duty the Act placed on local authorities to provide support for victims and children;

·         local and national data on domestic abuse related crimes; and

·         understanding the trend which illustrated a rise in the numbers of domestic abuse numbers recorded in Halton.

            The Board was advised that Halton had received £326,978 for 2021-22 and a further £327,883 for 2022-23 to assist providing the necessary support for domestic violence victims and children. Members were advised on some of the initiatives this money would help to support such as a new accommodation offer and commissioning children’s services with a counselling and therapy offer.

            RESOLVED: That the presentation be noted.

            The Board received a copy of the final version of the Pharmaceutical Needs Assessment (PNA) and an update on the results of the statutory 60-day consultation.

            The PNA was a statutory document that stated the pharmacy needs of the local population. This included dispensing services as well as public health and other services that pharmacies may provide. It was used as the framework for making decisions when granting new contracts and approving changes to existing contracts as well as for commissioning pharmacy services.

            Following the conclusion of the 60 day consultation period, the Steering Group had met to consider responses and any amends required in order to present the Board with the final version of the PNA.

            The Board was advised that the proposed next steps for the PNA document were:

·         the document would published no later than 1 October 2022 and uploaded onto the Council’s website; and

·         the Steering Group would meet periodically and/or communicate electronically to produce supplementary statements as required.

            The Board discussed the ‘Care at the Chemist’ scheme and if this was still available in Halton and how it was promoted.

RESOLVED: That the Board

1)    approve the PNA for publication; and

2)    delegate the Steering Group to deal with production of supplementary statements needed throughout the lifetime of the PNA.

            The Board received an update on One Halton Place Based Partnership development with Cheshire Merseyside Integrated Care System (ICS) context. On 1 July 2022 all Clinical Commissioning Groups were dissolved and 42 ICS began operating. Halton was within the Cheshire and Merseyside ICS which consisted of nine place based partnerships each with a NHS Place Director. On behalf of the Board the Chair welcomed to the meeting Mr Anthony Leo, Halton NHS Place Director, who commenced in post on 1 July 2022.

            The ICS also consisted of an Integrated Care Board (ICB) and Integrated Care Partnership (ICP) and Halton’s representative on the ICP was Councillor Wright. The ICB was the main delivery arm of the structure and the report included a diagram on the ICS structures which illustrated the responsibilities of both the ICP and ICB.

            In addition the report set out the governance structure which had been developed for Halton’s place based partnership and how it related to the ICS. One Halton had been developed to be a Joint Committee to the ICS so that it could receive delegated responsibilities from the Integrated Care Board. The Board were advised on the Officer’s appointed to the One Halton Programme Management Office to date and the support received from external organisations to support the development of One Halton. Four One Halton Sub-Committees and three One Halton work streams had been established and the Board was provided with a progress report on each of these.

            RESOLVED: That the report be noted.

            The Board considered a report of the Director of Public Health, which advised that the Marmot Report – All Together Fairer, written by Professor Sir Michael Marmot and a team of researchers in partnership with Cheshire and Merseyside local authorities, had been launched at an event on 26 May 2022. A link to the full report had been previously circulated to the Board and a copy of the executive summary was attached to the report.

            The Marmot Report set out measurable actions for each area within Cheshire and Merseyside as well as the sub region as a whole, to create a fairer, equitable society. A set of local Marmot Beacon indicators had been developed in partnership with local stakeholders, and these would monitor actions on local determinants of health in Cheshire and Merseyside.

            RESOLVED: That the content of the report be noted.

            The Board received a report from the Director of Adult Social Services, which provided an update on the Better Care Fund 2021/22 Year-End return, following its submission on 27 May. The update provided the Board with information on the four national conditions which had been met, progress on the five national metrics, income and expenditure actual, year-end feedback and adult social care fee rates.

            RESOLVED: The Better Care Fund Year-End return for 2021/22 be noted for information.

            The Board received an update on the progress on the work by Officers to:

·         refresh the Halton Health and Wellbeing Board terms of reference;

·         develop the Board membership;

·         explore the possibility of themed meetings; and

·         Board members could submit suggestions for future agenda items.

RESOLVED: That the update be noted.