Agenda and minutes

None.

None.

RESOLVED – that the minutes of the previous meeting were agreed and signed by the Chair.

Councillor A J Burford asked the Interim Accountable Officer, Shropshire, Telford and Wrekin CCG questions in relation to the hospital transformation programme. He raised concerns regarding the transparency of the project, as well as escalating costs. He asked for assurances that the full programme would be completed, including the investment in the Princess Royal Hospital.

The Interim Accountable Officer, Shropshire, Telford and Wrekin CCG recognised that many members of the public felt that things had gone quiet around the programme. A refresh of the programme board had taken place and it was agreed that an update report would be bought to the next committee.

It was recognised that there were questions around affordability, however, the programme board remained committed to the programme. The works to the Princess Royal remained part of the proposals. It was agreed that should there need to be a significant deviation from the proposals, then the CCG would be required to re-consult.

To receive the report on Reframing the Health and Wellbeing Board.  

The Chair advised that during May, a board development session had taken place, looking at health inequalities. This led to a discussion regarding the work of the Board moving forward and the report captured what the agreed ways of working would look like.

It was recommended that the Terms of Reference for the Board be reviewed over the coming months, and for the interim Terms of Reference to be approved in the meantime.

RESOLVED that:

a)    The terms of reference attached at Appendix A of the report be approved; and

b)   The proposal for a wholescale review of the Terms of Reference be presented to the Board in September 2021 be approved.

To receive the presentation on The Year of Wellbeing from the Service Delivery Manager Health Improvement & Libraries, Telford & Wrekin Council.

The Board received the presentation. The presentation outlined the proposals to support residents to make positive actions for their wellbeing. There were a number of objectives to the proposals, including encouraging at least 5000 residents to sign a pledge to improve their wellbeing. The aim of the programme was to reach as many people within the Borough as possible and targeted activity had been planned to reach those who had been disproportionately affected by the Covid-19 pandemic, such as Black, Asian and minority ethnic communities, lower socio-economic background groups and those who were lonely or socially isolated.

A successful pilot that ran earlier in the year, had encouraged sign up to an email based campaign, providing simple ways to make positive impacts.

The proposed branding of the scheme was outlined, which was bright and colourful. It was noted that wellbeing was centred around people and communities.

An outline of planned activity during the year was discussed, including weekly social media posts. It was noted that there needed to be activities aimed at those who did not use social media and work had been included in the programme for those who did not want to or could not access digital activities.

Members welcomed the scheme. A discussion was held in regards to youth involvement, it was confirmed that there were youth health champions. A discussion took place in respect of Mental Health representatives on all Town and Parish Councils in the Borough and how these representatives could work with young people as well.

To receive the report of the Service Delivery Manager Health Improvement & Libraries, Telford & Wrekin Council.

The Board received the report of the Service Delivery Manager: Health Improvement. The report summarised the main programmes of work contributing to the Health and Wellbeing Strategy, and provided an update on the main prevention and healthy lifestyle services, and focused on Covid-19 recovery.

It was noted that during the pandemic, providers had continued to provide support, which had led to an increase in digital services. The report highlighted a number of challenges but also noted a number of achievements.

Board Members raised that smoking in pregnancy section did not mention fathers at all, although the dangers and risks of passive smoking were well known. It was noted that there was a new service model being implemented which would encompass a whole family approach.

Board Members praised the testimonials within the report and welcomed the range of work that was being undertaken in Telford and Wrekin.

RESOLVED that:

a)    the impact that Covid-19 has had on the provision of prevention and healthy lifestyle services be noted;

b)   the action taken by service providers to work creatively and flexibly to continue to provide some support during the pandemic to people wanting to make positive changes to their lifestyle be noted: and

c)      the number of initiatives that have been made possible from non-recurrent funding linked to Covid-19 grants – consideration will need to be given to how we can sustain activity for those initiatives that deliver improved outcomes linked to our priorities be noted.

To receive the joint report of the Director for Public Health and Director for Housing, Employment & Infrastructure, Telford & Wrekin Council.

The Board received the joint report of the Director of Health, Wellbeing and Commissioning and the Director of Housing, Employment & Infrastructure. The report provided an update on the Covid-19 response to those experiencing homelessness and rough sleeping in Telford and Wrekin.

The key points included:

·         ‘Everyone In’ was first launched in March 2020 and the Council had committed since this date to ‘No Return to Rough Sleeping’.

·         A multi-agency approach, ensuring partners were jointly responding to clients and that information was shared appropriately to develop plans

·         A rough sleeping task force was established in March 2020, which met daily and included representatives from the Council, Maninplace, Kip@Maninpace, STAY, STaRS, MPFT and the police.

·         The task force had supported over 360 clients from sleeping rough through providing emergency accommodation and over 320 clients had been re-housed into their own accommodation.

·         All clients had been supported to register with a GP and a programme to offer vaccinations against Covid-19 had been arranged to those within emergency accommodation.

There had been several successful funding bids to enable to support of some of these services, such as next steps accommodation funding which enabled the purchase of 13 homes. Peer mentors had also been established, as some clients wanted to speak to someone who had lived through those experiences.

Board Members welcomed the report and praised the work that had taken place. Members discussed wrap around support and the importance of partnership working.

A discussion was held regarding the number of rough sleepers in the Borough, it was acknowledged that this was extremely difficult to count, as it changed daily.

To receive the presentation of the Managing Director, Shropshire, Telford & Wrekin Care Group.

The SRO for Mental Health, Learning Difficulties and Autism, MPFT, presented a report to the board. The presentation provided an update on the S.31 conditions placed on Shrewsbury and Telford Hospitals (SaTH) in relation to children and young people.

The report highlighted the actions taken to improve the care and support for children and young people at SaTH, including internal actions in SaTH and system level actions, such as weekly system operational and professionals meetings to provide senior support.

Members discussed the waiting list for access to CAMHS and the impact this was having on children, young people and their families. A discussion was held regarding early intervention work and support in schools.

To receive the joint report of the Director for Adult Social Care, Telford & Wrekin Council, the Chief Executive, Age UK Shropshire, Telford & Wrekin, the Chair, Healthwatch Telford & Wrekin and the Deputy Director of Partnerships, Shropshire, Telford & Wrekin Clinical Commissioning Group.

The Board received the joint paper of the Director: Adult Social Care, Telford & Wrekin Council, The Chief Executive, Age UK Shropshire Telford and Wrekin, the Chair, Healthwatch Telford & Wrekin and the Deputy Director of Partnerships, Shropshire, Telford and Wrekin CCG.

The paper outlined the multiagency work that had been undertaken to support people in later life in Telford and Wrekin. Telford & Wrekin’s population was aging quicker than other areas. Partner organisations were working together to develop a task force and an action plan to show how these organisations would help people live independently in their later lives.

The Board heard that there was a need for older age to have a more positive focus, especially on the language used around the older person.

The vision moving forward would be ‘that Telford be the best place to grow old’.

Members welcomed the report and noted the role of the community in supporting residents in later life.

RESOLVED that:

a)    The direction of travel focusing on the positive contribution that people later in life can make within our communities be supported and championed;

b)   The Health and Wellbeing Board will remain a part of the journey to improve outcomes, independence and opportunities for people later in life in Telford and Wrekin; and

c)    All organisations and services in our place be challenged to take a positive, enabling and independence-led approach to people in later life.