Agenda and minutes

None received.

Resolved – That the minutes of the meeting held on the 9 June 2022 by confirmed and signed by the Chair.

None received.

Following the recent changes in membership of the Health and Wellbeing Board, it was announced that Councillor Mark Sutton and Councillor Julia Jessel were to become the new Chair and Vice-Chair of the Staffordshire Health and Wellbeing Board.

Both Councillor Sutton and Councillor Jessel gave their opening remarks. It was noted that this was the first Health and Wellbeing Board since the new ICS and ICB were in place. A meeting had taken place between Councillor Sutton and Peter Axon to discuss how the systems work together and how the Board can have a distinct role moving forward.

The Board received a report and presentation from Natasha Moody on the Healthy Start work which is a priority for the Board.

The presentation provided an update on Children’s Health and how this work was contributing to the overarching Health and Wellbeing Board Strategy. The presentation noted that the Families Health and Wellbeing (0-19) service supported the ‘Health in early life’ priority.

It was noted that the following steps were being looked at, or were in place, to support infant mortality:

-      A whole system approach to Infant Mortality across Staffordshire and Stoke-on-Trent

-      A commissioned ‘stop smoking in pregnancy’ service

-      A whole system approach to infant feeding (breastfeeding) across Staffordshire and Stoke-on-Trent

-      Implementation of ICON campaign (prevention of abusive head trauma in babies) across Staffordshire and Stoke-on-Trent

An update was provided on the ‘Good mental health’ priority, which included a commissioned Emotional Health and Wellbeing Service, and ongoing work with the ICS Children and Young People Mental Health System Improvement Board, for which several working groups had been developed looking at the following areas:

-      Access

-      Care Experienced Children and Young People

-      Capacity and Demand

-      Workforce

-      Prevention

-      Outcomes

-      Service Delivery / iThrive

Some of the additional work that the partnerships had undertaken included:

-      Kind Minds newsletter

-      Senior Mental Health Leads in education network meetings

-      Anna Freud School and College Links Programme (Jan-Mar 2022)

-      i-Thrive workshops

-      DfE Wellbeing for Education Return / Recovery project

Finally, the ‘Healthy Weight’ priority was discussed. A Family Weight Management Service had been commissioned and delivery of the Better Health Staffordshire programme which was being extended to three further districts.

The report provided an update on the current governance arrangements and asked the Board to review and agree a way forward regarding the effective governance reporting for this work.

The priority featured heavily across the partnership as the data for infant mortality was poor. Multiple boards regarding this as a priority, including: the Integrated Care System (ICS) Children and Young People’s Programme Board; the Families Strategic Partnership; and the Health and Wellbeing Board. Often this resulted in multiple reports being provided to multiple boards.

Current challenges faced centred around a lack of clarity about the different roles of the Integrated Care System and the Health and Wellbeing Board, and therefore the role and relationship between the boards on key priorities like this.

A business case regarding the development of a Staffordshire and Stoke-on-Trent Infant Mortality Steering Group had already been presented at and endorsed by the ICS Children and Young People’s Programme Board and the Maternity & Neonatal Partnership Board (of the Maternity Transformation Programme). Clarity was therefore required on which board the steering group is accountable to.

It was agreed for the Chairs of the four Boards listed in the Governance Map to come together and discuss a way forward. The Board were supportive of this approach.

Resolved – The Board was asked to review the report and agree a way forward  ...  view the full minutes text for item 11.

The Board received an update on the 2022/23 Better Care Fund (BCF) for Staffordshire.

The Board were reminded that at their meeting in September 2021, the 2021/22 national BCF Policy Framework had been published with a requirement for the submission of BCF Plans in September 2021. The Board therefore delegated approval of the 2021/22 Staffordshire BCF Plan to the Health and Wellbeing Board Co-Chairs.

In March 2022, the Board noted that the 2021/22 BCF Plan was submitted to NHSE&I in December 2021 and approval was received in January 2022.

An update on the BCF 2022/23 policy framework was provided to the Board, with an ask to delegate approval to the Health and Wellbeing Board chairs as in previous years. This would then inform a Section 75 agreement which would be approved and signed by the Council and Staffordshire Integrated Care Boards.

Resolved – The Board were asked to:

a)   Note that the 2022/23 national BCF Policy Framework had been published, with a requirement for submission of an expenditure plan, narrative plan, and a capacity and demand plan in September 2022;

b)   Note that the BCF 2022/23 funding had been confirmed (as outlined in table 1 of the report);

c)   Delegate approval of the 2022/23 BCF Plans, and BCF reporting to the Health and Wellbeing Board Chairs; and

d)   Note that the contracts for the Disabled Facilities Grant (DFG) for 2022/23 had been issued to the District and Borough Councils, and upon their return, the funding would be passported over as required by the Ministry of Housing, Communities and Local Government.

The Board received a report on a proposal to deliver a Healthy Ageing Workshop which would develop a Healthy Ageing Plan for Staffordshire.

The Board were reminded that at their meeting in March 2022, they received a report and presentation on the ICS Healthy Aging and Managing Frailty in Older Age Strategy. The Board were supportive of the Strategy and noted that it complimented the Health and Wellbeing Strategy.

The intention was to develop a single Healthy Ageing Plan for Staffordshire, which would deliver the Healthy Ageing aspects of the ICS Healthy Ageing and Managing Frailty in Older Age Strategy as well as the Healthy Ageing priority of the Health and Wellbeing Strategy.

The proposal to the Board was that they sponsored a workshop to develop the plan. The workshop would engage key stakeholders, consider population needs and assets, map activities already underway, and consider any additional actions required. The opportunity to invite Sir Muir Gray (a national expert in this field, to share best practice) was available.

Invitees to the Workshop would include, along with Health and Wellbeing Board members:

-      Together Active

-      Staffordshire University

-      Age UK

-      Social prescribing leads

-      Primary care clinical leads

-      NHS Secondary Care and community representatives

-      Community and public representatives

The Board were supportive of the workshops. Options for the workshops were discussed, whether an existing meeting of the Board could be utilised, or a bespoke session created. It was agreed to organise a standalone workshop.

Resolved – The Board were asked to:

a)   Sponsor a workshop to develop a Healthy Ageing Plan for Staffordshire; and

b)   Consider the invitees and format for the workshop.

Resolved – That the Forward Plan for 2022/23 be received and noted.

Resolved – That the date, time and venue of the next meeting of the Board (Thursday 1^st December at 2:00pm in the Oak Room, County Buildings, Stafford), be noted.