Agenda and minutes

All Members who believe they have a Disclosable Pecuniary or other Pecuniary or non pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to the circumstances described in Section 4  paragraph 4.6 of the Councillors’ Code of Conduct, leave the meeting while the matter is discussed.

The Chair will ask Members to confirm that they do not have a declarable interest.

All Members making a declaration will be required to complete a Declaration of Interests at Meetings form detailing the nature of their interest.

Councillor Pantelic declared that she was the Council’s outside body representative on Frimley Health NHS Foundation Trust (as a stakeholder governor) and on Berkshire Healthcare NHS Foundation Trust (Council of Governors).

Resolved –  That the minutes of the meeting held on 26^th September 2018 be approved as a correct record.

The Action Progress Report was received that updated the Board on the recently completed and outstanding actions arising from previous meetings.

An update was provided on the recruitment to the two business representative vacancies on the Board.  The process had not been successful and the Chair would approach local business organisations.  The Chair also suggested a wider review of membership to ensure the Board engaged other relevant organisations that could contribute to improving health and wellbeing in Slough, possibly including DWP.

Resolved –  That the Action Progress Report be noted.

(Dr O’Donnell and Councillor Nazir joined the meeting)

The Board received an update on the progress being made to deliver the Frimley Health & Care Integrated Care System (ICS).  The following points were noted:

·  Sir Andrew Morris would be stepping down as chair of the ICS and a replacement was yet to be nominated.  It was likely that NHS England would nominate an independent chair.

·  The NHS 10-year plan was due to be published within the next month and the ICS operating plan for next year would be reviewed to reflect the strategic priorities.

·  The Green Paper on adult social care was due to published in December.

·  The ICS Board had met earlier in the day and had focused on transformation and the likely impacts of the NHS 10-year plan.

·  The feedback from the Big Conversation on the future of urgent care was being considered and the next stage through to May 2019 was for the CCG to develop models for the future with a decision expected by September 2019.  The feedback had been published and Board members were encouraged to read the Engagement Report and make any further comments to the CCG.

(Lloyd Palmer joined the meeting)

The Board discussed the need to ensure the ICS fully engaged non-NHS partners; had a strong focus on prevention; and was aligned to Population Health to tackle health inequalities.  It was noted that prevention featured strongly in ICS plans and whilst there was already wide stakeholder involvement it was recognised that communication and coordination was key across the system.  It was agreed that a report on the ICS Operational Plan for next year be circulated and considered at the next meeting on 14^th January 2019.

At the conclusion of the discussion, the update was noted.

Resolved – 

(a)  That the progress being made in developing the Integrated Care System be noted.

(b)  That an update on the ICS Operational Plan 2019/20 be received at the next meeting.

(c)  That partners make any further feedback to the CCG on the Engagement Report into urgent care.

(Councillor Nazir left the meeting)

The annual reports of the Slough Local Safeguarding Children Board and Slough Safeguarding Adults Board for 2017/18 were summarised by the Independent Chair of both boards, Nick Georgiou, and the Safeguarding Partnership Manager, Betty Lynch.

The Board discussed the proposed multi-agency safeguarding partnership arrangements in Slough, as at Appendix C to the report, which would further strengthen the links between the two bodies as it was recognised that there was significant commonality of membership, processes and core safeguarding issues.  Whilst the two boards would remain separate as statutory boards, it was proposed that their meetings would be coordinated, there would be a single safeguarding business plan and shared sub-groups.  The Board was very supportive of the principle of improving the joint working between the two boards.

There had been consideration of Slough joining the East Berkshire model for safeguarding boards and it was noted that Bracknell and Windsor & Maidenhead already had a joint adults board.  Whilst there were already many common procedures across Berkshire and potential to work together with a wider Quality Board, Slough had decided not the merge the boards.

Members discussed the application of thresholds and the work taking place to try to ensure consistency.  Threshold seminars had been held and advice was provided if the definitions needed clarity.  It was recognised that the professional judgement of social work teams would remain key is assessing each case and applying the thresholds.  The Board agreed that the early help offer was particularly important and this was a priority for the Council and the Slough Children’s Services Trust.

At the conclusion of the discussion the annual reports were noted.

Resolved –

(a)  That the Slough Local Safeguarding Children Board annual report 2017/18 be noted.

(b)  The Slough Safeguarding Adults Board annual report 2017/18 be noted.

The Board discussed a report that summarised the outcomes of the partnership conference held on 4^th October 2018 and considered the next steps.

The theme of the conference had been tackling inequalities across Slough to improve health and wellbeing outcomes.  The appendices to the report detailed the feedback from the ‘world café’ discussions which would help determine the next steps.  Members gave their feedback on some of the key themes which came through from the event which included the need to communicate effectively to help partners and other organisations in Slough be well informed; ensure the governance arrangements were in place to improve the connections between operational activity; and the importance of being able to measure and track the progress of long term interventions.

The Board agreed that it was important to agree the tangible actions and focus of activity for the coming year.  The way in which partners strategies and plans aligned was agreed to be critical to ensure that common objectives and outcomes could be achieved, particularly given resource pressures.  Identifying areas of strategic alignment and opportunities for joint commissioning were considered and it was agreed that further discussion would be required at Board and senior level to develop this thinking.

It was therefore proposed and agreed that the Board hold an away day on 14^th January 2019 prior to the next scheduled meeting of the Board, to develop One Plan for Slough.

Resolved –

(a)  That the report on the partnership conference be noted.

(b)  That the Board hold an away day on 14^th January 2019 to develop a One Plan for Slough.

The Chair and the Council’s Service Lead Public Health gave a presentation on the picture of oral health in Slough, its links with health inequalities and the current provision for supporting oral health.

Oral health was an important ‘marker’ of health inequality and was linked to deprivation.  There was particular concern about oral health of children in Slough with 41.5% of children having one or more decayed teeth compared to 23.3% in England.  The levels of decay were higher than would be expected taking into account Slough’s deprivation and there were therefore other factors such as culture and language which influenced the position.  The Council was taking action to address the issues and the evidence indicated that the greatest impact would be by focusing on oral health in children.

The Board noted the current oral health initiatives which included the oral health promotion project provided by Oxford Health NHS Foundation Trust; “Starting Well” initiative; Active Movement; and the Healthy Early Years and Healthy Schools coordinators.  The “Starting Well” scheme had received £85,000 from NHS England and initially linked six schools in the most deprived wards with local dental practices.  There were open days for families and it was considered that investing early would deliver long term results.  It was hoped that funding could be secured for a further year and that the work could be embedded.

Resolved –  That the update on oral health in Slough be noted.

(Alan Sinclair left the meeting)

Members reviewed the Forward Work Programme for the Board for the period between January and May 2019.

Resolved –  That the Forward Work Programme be agreed.

An information report was received that updated on the current homelessness and rough sleeping situation in the borough.  The report included the draft ‘Single homeless & rough sleeping reduction plan’ which was part of the Homelessness Prevention Action Plan 2018-2023.

Resolved –  That the update on homelessness and rough sleeping be noted.

An information report was received that updated on the recent activity under the #BeRealistic, #ReachOut and #NotAlone social media campaigns.

Resolved –  That the update on the Wellbeing Board’s social media campaigns be noted.

Resolved –  That the Members Attendance Report be noted.

The Board agreed to hold an away day on 14^th January 2019 to develop One Plan for Slough.  This would be followed by the Board meeting at 5pm.

Resolved –  That date of the next meeting be confirmed as 14^th January 2019.