Surrey Health and Wellbeing Board: February 2017 Update
“Through mutual trust, strong leadership, and shared values, we will improve the health and wellbeing of Surrey people”
About the Health and Wellbeing Board
Surrey’s Health and Wellbeing Board is a forum for health and social care leaders in Surrey to come together and improve the health and wellbeing of the people of Surrey. The Board holds a meeting in public or a business meeting in private every month. It has several responsibilities:
Leadership: The Board leads partners in improving the health and care of Surrey residents
Integration: The Board encourages health and social care organisations to work together and produce more joined-up, co-ordinated services.
Understanding Needs: The Board identifies the health and social care needs of Surrey’s residents. This information informs its strategy.
The Health and Wellbeing Board: February 2017
The Surrey Health and Wellbeing Board held a business meeting on 2 February 2017. This update provides a summary of the meeting.
What was discussed:
- The impact of good information and signposting in a health and social care pathway
- Consultation and engagement
- Entry to the System
- Joint Strategic Needs Assessment (JSNA) and Joint Health and Wellbeing Strategy Review
- Sharing Budget Forecast Position
Who was there:
Councillor Helyn Clack (co-chair), Cabinet Member for Wellbeing and Health, Surrey County Council
Sue Tresman, Guildford & Waverley Clinical Commissioning Group
Helen Atkinson, Strategic Director of Adult Social Care & Public Health, Surrey County Council
Dr Andy Brooks, Surrey Heath Clinical Commissioning Group
Councillor Tim Evans, Associate Cabinet Member for Adult Social Care, Wellbeing and Independence, Surrey County Council
Dr Claire Fuller, Surrey Downs Clinical Commissioning Group
Tom Kealey, Reigate and Banstead Borough Council
Peter Gordon,Healthwatch Surrey
Dr Andrew Whitfield, North East Hampshire and Farnham CCG
Sam Stanbridge, East Surrey Clinical Commissioning Group
Dr Charlotte Canniff, North West Surrey CCG
Dr Andrew Whitfield, North East Hampshire and Farnham CCG
Presenters:
Siobhan Abernethy, Surrey County Council
Kate Scribbins, Surrey Heath CCG
Rob Morgan, Surrey Heath CCG
Julie George, Surrey County Council
Sian Ferrison, Surrey County Council
Rich Stockley, Surrey County Council
Making health and social care information accessible
The NHS Accessible Information Standard (the “Standard”) is a new legal requirement (2016) which health and social care providers are required to comply with when delivering care services to a person who has an information and/or communication need related to or caused by a disability, impairment or sensory loss, and to parents and carers.
The Standard sets out a consistent approach to making health and social care information accessible for residents through five key steps. Organisations must identify, record, flag and share information and/or communication needs, and act to ensure that these needs are met.
Surrey County Council has completed a project for implementing the Standard and ensuring compliance. The including:
- Worked with partners to develop new resources, including Accessibility Guidance and a Quick Reference Guide
- Mandatory questions built into our client recording system
- Updated staff induction and training
- Prepared a standard clause on NHS AIS compliance for future health and adult social care commissioned contracts
- Produced a checklist for use at contract review meetings by commissioners and a template letter to send to provider organisations.
Resources are available to support organisations to comply with the Standard and to avoid duplication. For more information and/or to access these resources, please contact Natalie Gordon in Adult Social Care at or telephone 0208 213 2878 / 07976 58396.
Board Business
Pharmacy Notifications
Statutory regulations governing various aspects of pharmacies were changed in autumn 2016. One of the changes was the creation of a new responsibility for Health and Wellbeing Boards to respond to proposals relating to pharmacies. Specifically, the HWBBmust give their opinion on whether the "proposed removal of the one or more of the premises would or would not create a gap in pharmaceutical services provision."
The Board agreed to a process where Public Health and Surrey County Council officers supporting the HWBB deal with any requests coming to the board. The relevant Clinical Commissioning Group and Healthwatch will be consulted and a short paper with a recommended response will be prepared for the Health and Wellbeing Board. If the deadline to respond does not allow the full Board to be consulted, Chairmans’ actions will be taken. This will be trialled with the first notification and then reviewed.
Resident Experience Board
The Resident Experience Board has made a recommendation to the Health and Wellbeing following a review of Safe & Well Visits by Surrey Fire and Rescue Service. It was felt this recommendation was outside of the remit of the Health and Wellbeing Board and this will be communicated with the Chair of the Resident Experience Board.
Case Study: The impact of good information and signposting in a health and social care pathway
Presented by:
Siobhan Abernethy, Surrey County Council
What was discussed:
The Surrey Information and Advice Strategy 2016-2020 sets outs how key agencies working in health and social care can support people to take control of, and make well-informed choices about their care and support. Key aspects of the strategy include:
•Maintaining an effective public information service and delivering impactful public awareness campaigns
•Developing area-based local plans to improve information and advice in health settings, and greater access to community support
•Working with key agencies to commission and deliver quality information and effective signposting representing value for money
•Delivering opportunities to increase resident self-service and self-care using digital channels to support people's wellbeing whilst managing demand on services.
The Board heard two case studies demonstrating the impact of good information and advice and the difference these made to patients. Case studies included a story of an elderly couple who were referred to Neighbourhood Connections by a GP. The couple were seeking help with home cleaning initially. Through conversations it transpired that the couple were struggling in a whole range of areas affecting their daily lives and wellbeing. The Neighbourhood Connections in Guildford were able to signpost the couple to relevant vetted providers for such as cleaning, garden maintenance, preparing meals, transportation and telecare, thereby significantly improving the quality of their lives.
What was agreed:
The Board agreed to the development of a standardised approach to information and signposting to access care and support.
Find out more:
Resources to help with consistent signposting please contact Siobhan Abernethy:
Public consultations and engagement
Presented by:
Peter Gordon, Healthwatch Surrey
What was discussed:
As agreed at the December 2016 Health and Wellbeing Board, this item took an in depth look at public consultations and engagement relating to health and social care services.
Healthwatch Surrey shared concerns that have been raised with them in relation to consultation and engagement. Concerns include issues relating to processes, timing, effort and feedback of engagement and consultation. A detailed discussion took place regarding the role of the voluntary, community and faith sector (VCFS) in improving the health and wellbeing of Surrey residents. The Board recognised the importance of the VCFS and have expressed a desire to strengthen the relationship between the Board and the VCFS.
What was agreed:
The Board agreed to discuss the role of the VCFS in more detail at a future meeting
Entry to the system: update on progress
Presented by:
Kate Scribbins, Healthwatch Surrey
What was discussed:
This was an update on an item that came to the Health and Wellbeing Board in November 2015 relating to how residents enter the health and social care system. Kate highlighted the progress made since the first discussion and outlined areas that require continued focus based on feedback from residents.
Progress has been made with communications - in particular through the work of the Health and Wellbeing Board Communications Sub-Group in relation to co-ordinated communications and consistent messaging; and also with advancements in the digital roadmaps.
Healthwatch Surrey outlined areas they felt require continued focus:
-Improvements to the processes in place to book appointments in the health and care system
-Increasing awareness of online booking processes, certain services such as NHS 111 and self-care advice
-Removing barriers relating to transport
The Board discussed the vast amount of existing research/ evidence available that could be used alongside the information presented by Healthwatch Surrey to inform this work. Suggestions included using the national patient surveys and other information collected by CCGs. The Board felt that a paper outlining some of this evidence would be useful and requested that a desk-based research exercise to gather this insight be undertaken.
What was agreed:
- The Health and Wellbeing Programme Manager toco-ordinate and collate an evidence paper to be brought back to a future Board meeting.
Joint Strategic Needs Assessment (JSNA) and Joint Health and Wellbeing Strategy Review
Presented by:
Julie George, Surrey County Council
Rich Stockley, Surrey County Council
What was discussed:
To produce a Joint Strategic Needs Assessment (JSNA) is a statutory duty of the Health and Wellbeing Board. In September 2015 the Board approved the approach to updating the JSNA systematically, and a group was formed to set the assessment’s strategic direction.
Rich informed the Board of the progress of the JSNA update, with chapters being published online as they are completed. The Board had an opportunity to explore completed chapters and followed this with a discussion as to how best to use the chapters to inform the strategic direction for health and wellbeing in Surrey.
The Board agreed a set of principles outlining the approach to be used to consider how to prioritise issues raised in the JSNA. This information will be used to inform a discussion on future Board priorities. The principles included those focused on issues, e.g. size of population affected, impact of the issue on health and wellbeing, extent of inequality, as well as those that are Board focused, e.g. opportunities for joint action which will have more chance to succeed and a social problem that’s difficult to solve to be addressed by Health and Wellbeing board.
What was agreed:
- The JSNA strategic group would use the principles identified and apply them to the JSNA chapters to make recommendations for strategic priorities for the Health and Wellbeing Board to consider.
Relevant documents: To access JSNA please follow this link
Sharing Budget Forecast Position
Presented by:
Sian Ferrison, Surrey County Council
Rob Morgan, Surrey Heath CCG on behalf of all CCG Chief Finance Officers
What was discussed:
The Board had a discussion relating to the current position relating of budget forecasts for both Surrey County Council and the six Clinical Commissioning Groups in Surrey.
There is a huge financial gap in Surrey across the health and social care system, due to reductions in funding, increased demand and increased responsibility. Since 2010 the Government has cut Surrey County Council's annual grant by £170m, leaving a huge gap in the budget. At the same time demand for adult social care, learning disabilities, and children’s services has increased every year. So despite finding £450m worth of savings from the annual budget, the budgets are becoming unsustainable.
To avoid cuts in services, both Council and CCG colleagues continue to work together to improve funding and realise possible efficiencies across the whole system.
Spotlight on: Change 4 Life – Be Food Smart
This is a new campaign that highlights the surprising amount of sugar, saturated fat and salt found in everyday food and drink. It has been launched to encourage parents to ‘Be Food Smart’ and take control of their children’s diet.
Without realising it, we are all eating too much sugar, saturated fat and salt. Over time this can lead to harmful changes on the inside and increases the risk of serious diseases in the future. Childhood obesity is a growing issue with figures showing that in England, more than 1 in 4 children aged 4-to 5-years-old and more than 1 in 3 children aged 10 and 11-years-old are overweight or obese.
The Be Food Smart campaign empowers families to take control of their diet by making healthier food and drink choices. The free new app works by scanning the barcode of products, revealing the total sugar, saturated fat and salt inside and providing hints and tips for parents and carersplus fun food detectives activities for kids. Please follow this link to access the app and click here to access Change 4 Life website.
What the Board will focus on next
The Board will hold a meeting in public on 9th of March.
- Case Study: Locality Hubs
- Clinical Commissioning Groups Annual Reports and Operating Plans: Process for meeting the Health and Wellbeing Board statutory responsibilities
- Joint Health and Wellbeing Strategy priority status update: Improving children's health and wellbeing
- Joint Health and Wellbeing Strategy priority update: Improving older adults' health and wellbeing
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