Agenda and minutes

Apologies for absence were received from Sarah Alldis (Sefton Council), Mark Thomas (Merseyside Fire and Rescue) and John Turner (Healthwatch, Sefton).

Minutes of the meeting held on 13 September 2023

That the Minutes of the meeting held on 13 September 2023 be confirmed as a correct record.

Members are requested at a meeting where a disclosable pecuniary interest or personal interest arises, which is not already included in their Register of Members' Interests, todeclare any interests that relate to an item on the agenda.

Where a Member discloses a Disclosable Pecuniary Interest, he/she must withdraw from the meeting room, including from the public gallery, during the whole consideration of any item of business in which he/she has an interest, except where he/she is permitted to remain as a result of a grant of a dispensation.

Where a Member discloses a personal interest he/she must seek advice from the Monitoring Officer or staff member representing the Monitoring Officer to determine whether the Member should withdraw from the meeting room, including from the public gallery, during the whole consideration of any item of business in which he/she has an interest or whether the Member can remain in the meeting or remain in the meeting and vote on the relevant decision.

No declarations of any disclosable pecuniary interests or personal interests were received.

Report of the Director of Public Health

The Board considered the report of the Director of Public Health which presented examples of actions that had been taken by Members of the Health and Wellbeing Board, Public Health Team, and partners.

Further to Minute No. 89 of the meeting held on 8 March 2023, the report incorporated further recommendations from the latest Public Health Annual Report; and advised that, recently, the annual report of the Chief Medical Officer for England had been published which also focused on ‘Health in an Ageing Society’ and emphasised very similar priorities.

The Public Health Annual Report combined evidence-based health information and data, and the voices of senior residents to capture a more balanced, nuanced, and positive view of ageing. The main chapters of the report were:

·       Talking about ageing

·       Sefton’s population

·       Health of older adults

·       Prevention and healthy ageing

·       Living Well

The Board discussed the impacts of the cost-of-living crisis and isolation on Sefton’s Ageing population, the implications of being a coastal borough and complex lives.

The Board thanked the report authors for their report.

RESOLVED:

Report of the Director of Public Health

The Board considered the report of the Director of Public Health which provided an overview and update of the development of Sefton’s Combating Drugs Partnership. The report included a summary of the partnership development, structures, and progress against national milestones.

Local governance structures required the Health and Wellbeing Board to have oversight and reporting from the Sefton Combating Drugs Partnership via the Senior Responsible Owner. Quarterly updates were provided as part of the Sub-Committee report to the Board.

The report outlined the Partnership Memberships, the Function of the Partnership, Governance Structures, Developments, Performance and Moving Forward.

The Board discussed the key challenges for the Combating Drugs Partnership and how different partners across Sefton could get involved.

RESOLVED: That

Report of the Director of Public Health

RESOLVED:

That this item be deferred to the next meeting of the Health and Wellbeing Board, to be held on 6 March 2024.

Report of the Executive Director of Adult Social Care and Health

The Board considered the report of the Executive Director of Adult Social Care and Health which set out the development of the Sefton Carers Strategy 2024-2027. The Strategy set out a commitment to carers and showed how partners in the Borough would work together to support carers of all ages in Sefton. The Strategy was owned by a partnership of organisations in Sefton, together with carers and residents. The report sought to present the most current draft of the strategy for comment and review and detailed the ongoing public consultation to ensure the voice of carers was clear within the final strategy document.

The Strategy outlined the process of development, the consultation process, and the aims of the strategy.

RESOLVED: That

Presentation of Chief Executive, Community Pharmacy Sefton

The Board received a presentation from  the Chief Officer, Community Pharmacy Sefton which covered community pharmacy, current service provision and local intelligence regarding closures.

The presentation covered the following points:

·       Pharmacy Closures

·       National Pharmacy Services

·       Sefton Local Enhanced Pharmacy Services

·       Care at the Chemist

·       Pharmacy First Service

·       Sefton CATC Service

·       GP CPCS Sefton / GP Practice CPCS Referrals

·       Hypertension Case Finding Service – ABPM Referrals / Clinic Check Referrals / Total Clinic Check

·       Cheshire and Merseyside ICB Primary Care Strategy

RESOLVED:

That the presentation be noted.

Presentation(s) of South Sefton Primary Care Network and Southport and Formby Primary Care Network

The Board received presentations from the South Sefton Primary Care Network and the Southport and Formby Primary Care Network. The presentations highlighted details of key programmes which demonstrated partnership working to improve health and wellbeing and reduce health inequalities for Sefton residents.

The South Sefton Primary Care Network presentation primarily addressed capacity and access and also covered:

·       South Sefton Access Service

·       Enhanced Health in Care Home

·       Care Home Networking Event

·       Integrating Care – Enhanced Health at Home

·       Learning Disability Health Checks

·       Primary Care Mental Health Team

·       Gap Analysis

·       Examples of positive actions taken by the Primary Care Network

The Southport and Formby Primary Care Network presentation outlined:

·       Social Prescribing Link Workers

·       Health and Wellbeing Coach Role

·       Mental Health Practitioners

·       Cancer Care

·       Early Diagnosis of Cancer

·       Complex Lives

·       Aims and Objectives

·       Attitudes and Behaviours

·       Stakeholders

·       Engagement and Outputs

·       Risks and Barriers

The Board discussed exploring the introduction of a recognition service for front-line staff, mental health, and dementia.

RESOLVED:

That the presentations be noted.

Report of the Director of Public Health

The Board considered the report of the Director of Public Health which presented the Board with a summary of activity from the five identified subgroups and sought approval for the Better Care Fund 2023-25 Quarter 2 Quarterly Reporting Template. The report also included a summary of activity from the Combatting Drugs Partnership and the Board’s Terms of Reference which were to be reviewed on a 12 monthly basis. The report outlined activity since the last update received by the Board on 13 of September 2023, namely:

The Board received updates on the Primary Care Fund, Children’s Social Care, delivering better value, sufficiency and EHCP progress.

The Board also received an update from the Combatting Drugs Partnership (CDP) which had met once since the last update, on 28 September 2023. The meeting had a themed spotlight session on Criminal Justice. The Board received updates from the CDP subgroups.

The Board also considered the Health and Wellbeing Terms of Reference.

RESOLVED: That