Agenda and minutes

None.

Resolved-  That the minutes of the meeting held on the 19^th July 2017 be approved as a correct record.

The Board received and noted the updated Action Progress Report. It was requested that all completed actions be removed from the Action Progress report. Members were asked to advise the Democratic Services Officer when actions were completed.

Resolved- That the Action Progress Report be noted.

The Director of Adult Social Care updated the Board on the progress made with the Frimley Health & Care Sustainability and Transformation Partnership Plan (STP). The STP was noted to be making good progress through the relevant work streams. The Board was advised that the Clinical Commissioning Group Governing body had agreed to pursue a formal merger with support from the membership of the 3 CCGs and from NHS England, it is expected that this will take place from April 2018. 

The Vice Chair updated the Board in relation to the first Alliance Board meeting which was held on the 27^th September 2017. The terms of reference for this meeting had been agreed. A dash board had been set up, work streams had been updated, and feedback would be sought from each local STP. The Board welcomed the update and the intended work of the Alliance Board as a positive example of cohesive working. 

The first tangible piece of work from the STP would be the launch of the Shared Care Record, which would be rolled out over the next few months. Previous attempts to have a shared database for all NHS professionals had been unsuccessful. The implementation of a Shared Care Record would be a major IT implementation project as it would share various data systems to NHS professionals for a more joint up approach. The system would help to alleviate the pressures currently placed on the accident and emergency department and care provided by local GPs as they would be able to access all patient admission or visit  records. The Shared Care Record would act as an easier tool professionals could use which would reduce delays in gaining access to client information.

Board Members discussed the good work that had been carried out to reduce admissions to hospital, however acknowledged that there was further work to be done with reducing Accident and Emergency admissions which were still high compared with national average targets. The Director of Adult Social Care advised that consideration would need to be given towards the design of the health and social care model for the upcoming years. It was also reported that there was a need to look at children’s needs as part of the ongoing delivery of the model. The Board was advised that transformation funding capital had been used to start the delivery of the hub projects and that there was a decision pending for NHS capital which would also help support delivery of key projects for the transformational change. It was noted that there was less revenue received from the funding than anticipated and that the capital decisions would be issued in the Autumn quarter.

Resolved-   That the report be noted.

The Public Health Consultant Officer outlined the report to the Board which sought approval for the draft multi agency Suicide Prevention Strategy for Berkshire along with the Suicide Prevention Action Plan for Slough. The strategy would be reviewed annually and would return to the Board for approval.

The Chief Executive of Slough Children’s Services Trust stated that a reference to ‘ The little book of Sunshine’ should be included in the report as it had received good feedback from children in care. Members discussed that other services should be referenced, and it was noted that the Fire & Rescue Services- ‘safe and well’ campaign and neighbourhood services provided by Slough CVS would be added to the report. Members stated that clarity around referral pathways was needed and that this should be included in the document. The Director of Children’s Services advised that stronger wording was needed in relation to the reporting of suicide in children and adolescents.

The difference between the national suicide reduction target of 10% versus the 25% reduction rate as set out in the report was discussed. A member raised concerns that any arbitrary target setting should be avoided and that clarification behind the ambitious target should be set out. Interventions should also be documented as a percentage target when setting the new ‘stretch goal’.

Resolved-   (a) That the Strategy and Action plan be approved.

  (b) That the progress report be bought back to the Wellbeing    Board on an annual basis

The Head of Adult Social Care and Rebecca Howell Jones outlined the Prevention Strategy report and gave Members the opportunity to discuss and add input to the strategy. It was outlined that at the onset of the strategy there had been 20 priorities which had been prioritised to 7. A need for action planning was raised in relation to high risk groups and that a matrix was needed to add/fill any gaps which had not been addressed. A need to address any gaps relating to preventing and reducing delayed care was a competing interest along with eradicating any replication of work.

There were two main areas that had been prioritised at the recent Partnership Conference and these included obesity and social isolation. The Head of Children Services advised that a conversation about the links to Children’s Services would show a good example of cross departmental working and that the same approach was occurring. The Chief Executive of the Slough Children’s Services Trust advised that some of the links to Children’s strategies and plans were outdated and needed to be amended. Board Members agreed that clear links to the Children’s agenda should be added to reflect the crossover of work around children’s pathways as per previous discussions and some confirmation was needed around protecting vulnerable children.

Members were advised that the Early Help Board had become part of a work stream which had a particular focus on children and that discussion surrounding the impact of work undertaken and how objectives could be met should be discussed. A Member highlighted that a ‘one stop’ approach based resource concerning victims of domestic violence had been launched and details of this would be circulated to the Board. It was also stated that details of the Fire Rescue’s- Fire Fit programme could be specified as an initiative. The Head of Adult Social Care advised that work was being carried out and that an opportunity should be given for the Board to reflect on the positive work and where improvement was needed at a later meeting.

Resolved-   That the report be noted.

The Head of Policy, Partnerships and Programmes outlined the outcomes of the annual partnership conference and any next steps that would need to be implemented for the next conference. The Board was reminded that there had been a particular focus on three wicked issues, poverty, obesity and social isolation and that the partnership conference had changed its format to a world café. The three cross cutting issues were relevant as they had been identified as wider determinants of health and were not mutually exclusive of each other.

Speakers which included Naveed Ahmed ( Slough Wellbeing Board, Vice Chair), Alan Sinclair (Head of Adult Social Care), two representatives from Slough Youth Parliament (SYP) and Windsor Forest Colleges. Positive responses for the speakers were received and their responses were handled well. Since the last Partnership Conference there had been an increase in attendees and 90 individuals were welcomed. There was a clear shift in the attendance from council officers to a more partnership focused event. Members discussed the difference between last years event and this years and that they found it to be a more useful event, as there was more engagement from partners and discussions. A Member discussed that feedback to partners should be given regarding the ideas around tackling the three wicked issues.  Members stated that in consideration of the next partnership conference,  that more business partners should be invited and that business partners such as Morgan Sindell, SUR and Osbornes should be invited. Members were happy that the discussions that were had at the partnership conference related to all of the Wellbeing Board’s priorities.

(Dr Jim O’Donnell joined the meeting)

The Director of Adult Social Care proposed that he would be working on a series of campaigns around tacking the three “wicked issues” with Superintendent Wong and that he would bring this back to a future board meeting to discuss. The campaigns would include details of the three wicked issues with mental health and would be heard through and around the organisation and that the Slough Wellbeing Board would be the lead in delivering these campaigns.

Resolved-   That the feedback of the conference be noted and considered in preparing for the 2018 conference.

The Slough Wellbeing Board Forward Work Programme (FWP) for the period between November 2017- May 2018 were reviewed. The Vice Chair stated that he had a proposal which would be centred around a ‘model for high value keyworkers housing’ and that he would like to advance this with the themed discussion around housing. There were two themed discussions for the November meeting and the Director of Adult Social Care outlined details surrounding the update on the Draft Prevention Strategy.

The Board resolved that the FWP should include items on both Housing Strategy and Prevention taking into account the other necessary items to ensure there was sufficient time to give proper consideration to each report. Given the potential conflict of interest and need for further clarity on the purpose of a report to the Wellbeing Board it was agreed that a presentation by Naveed Ahmed on his proposal be made outside of the meeting.

Resolved-   That the work programme be agreed.

The Board were requested to note the approach taken to the procurement of the Local Healthwatch (LHW) service. The Board were informed that the LHW Service had been recommissioned and that Members considered the recommissioning options as set out in the report. The report stated that the Council would continue with the status quo individually commissioning a LHW for Slough only with the period of the contract aligned to the independent advocacy provision. The Service would be recommissioned from the 1^st October.

Resolved-   That the report be noted.

A report informing Members of local initiatives and commissioned services to promote mental wellbeing and prevent mental ill health. The report was submitted in response to a previous report submitted to the Board regarding the status of preventative services in Slough and is an update on progress being made and including other initiatives currently being delivered across Slough.

Resolved-  That the report be noted.

The Board considered a report on the progress being made in implementing the Local Safeguarding Children’s Board ( LSCB) delivery plan which was discussed at the November 2016 SWB meeting. The report summarised actions since the negative Ofsted report in November 2015 which informed the 2016/17 Business Plan. The LCSB Annual Report was currently in draft. Several developments were intended to promote closer partnership between agencies, a clear governance line to the responsible key partner for both adult and children’s safeguarding: SBC, and improved coherence across the span of partnership forums. 

Resolved-   That the report be noted.

A report outlining the recent work of the Preventing Violent Extremism (PVE) Coordinating Group, including activity to meet the Prevent Duty created by the Counter Terrorism and Security Act (CTSA) 2015 was bought to the Board. In 2014, SBC established a multi-agency group, the PVE Co-ordinating Group to bring together partners in the public and voluntary and community sectors to help coordinate work in this area and provide strategic oversight. The PVE Coordinating Group currently sits under the Slough Wellbeing Board and provides a regular ( bi annual) report to partners on its activities. The report included details of various ways in which the PVE Coordinating Group was ensure that the Prevent Duty for local authorities and other parts of the public sector is met.

Resolved-   That the report be noted.

Resolved-   That the attendance record be noted.

The Board reviewed key outcomes from the meeting and learning points for future meetings.

17^th November 2017

Wednesday 15^th November 2017.