Agenda and minutes

None.

To confirm the minutes of the previous meeting.

RESOLVED– that the minutes from the meeting on the 13 July 2020 be

approved by the Chair.

None.

To receive a report from Liz Noakes, Director of Public Health, Telford & Wrekin Council.

The Health and Wellbeing Board received a report from Liz Noakes, Director of Public Health at Telford and Wrekin Council detailing the Telford & Wrekin Local Outbreak Prevention & Control Plan. The report defined the system wide collaborative approach that the Plan intended to take in preventing and containing outbreaks of COVID-19 within Telford & Wrekin. This was to be done through working with key partners such as the NHS, the Public Health England and others, in conjunction with the wider NHS Test and Trace programme. Likewise, the report also detailed the newly established governance and coordination arrangements for outbreak prevention within Telford and Wrekin, which would receive oversight from the COVID Health Protection Board and the Member-led Local Outbreak Engagement Board.

The Health and Wellbeing Board also received a presentation from the Director of Public Health during the meeting which included the following topics:

·         The number of COVID-19 cases in Telford & Wrekin in the week ending July 5^th 2020.

·         The number of reported Outbreaks within Telford & Wrekin until the date of the meeting.

·         The number of COVID-19 related deaths in Telford & Wrekin until the date of the meeting.

·         The Telford and Wrekin Local Outbreak Prevention and Control Plan.

·         The Telford & Wrekin Council Health Protection Hub.

·         Delivering the Plan and the expectations and risks associated.

·         Proposed governance of the Shropshire, Telford & Wrekin response to the prevention of the spread of COVID-19 infections and deaths.

·         The Communication Plan to ensure that everyone is able to be COVID secured and what to do if there is an outbreak.

Members congratulated officers for the Telford & Wrekin Local Outbreak Prevention & Control Plan, however warned that there was no room for complacency, as the current number of cases was expected to fluctuate as lockdown was eased.

Members expressed their concern about the Test and Trace Programme and how historically this information was not shared with the Council by the central government. Members wondered what data the Council had available to use. The Director for Public Health responded by confirming the types of data she had available to use, which were postcode, the age and the type of test was done on individuals that had tested positive for COVID-19 within the borough. However she did not have the contact details for the individual cases to be able to track and trace as this was done a national level for a simple cases, or regional if they were more complicated cases. The Director for Public Health concluded that she did not see the see connections or linkages between the cases and the contact until there is an outbreak.

Members followed this up by asking if it was possible within the near future that local government would have access to this data because it was a cause for concern that they did not already. The Director for Public Health responded by saying she did not know if this would happen, but wanted to assure the Board that if she was notified of a case and are able to contact the  ...  view the full minutes text for item HWB14

To receive a presentation from David Stout, Chief Executive, Shropshire Community Health NHS Trust.

The Health and wellbeing Board received a presentation from David Stout, Chief Executive for Shropshire Community Health Trust which summarised key themes that had been highlighted in individual interviews with senior officers from a variety of healthcare organisations about working toward an Integrated Care Provider (ICP) model in Shropshire, Telford and Wrekin. The Chief Executive for Shropshire Community Health Trust emphasised that the presentation represented initial views on working towards an Integrated Care Provider model, and was presented to the Health and Wellbeing board to gain an insight on Members thoughts. The presentation outlined the following topics:

·         The Purpose of the ICP

·         The Key Components of the ICP model.

·         The potential organisational makeup of the model: Integrated Care Partnership or Integrated Care Provider?

·         The levels in which integration could take place: Neighbourhood, Place, System and Supra System Level.

·         The scope in the services that could be included in the ICP model.

·         Issues for discussion

·         Proposed priorities and next steps.

Following the presentation and as requested by the Chief Executive for Shropshire Community Health Trust, Members expressed their thoughts in relation to what they had heard.

Members welcomed the paper and the possibility of a more collaborative approach taken within the system in regards to the ICP model. Members used the Telford and Wrekin Integrated Place Partnership as an example of collaborative partnership which was recognised and had formal status as a basis. Members did note that in some examples that collaboration and informality can lead to inconsistency and therefore the collaborative approach needs to be agreed by all parties.

In response to the form of which the ICP could take, Members expressed concern that former attempts at merger or acquisition within Shropshire, Telford & Wrekin had not resulted in the desired outcomes and believed that more informal working arrangements should be supported, so that there was an active willingness from different organisations to work together, rather than being forced too.