Agenda item

The report seeks to provide the Committee with an overview of progress towards the objectives set out in the Joint Local Health and Wellbeing Strategy (JLHWS) and Integrated Care System Strategy Implementation Plan.

The Chairman noted that this report was an overview of progress towards the objectives set out in the Joint Local Health and Wellbeing Strategy (JLHWS) and Integrated Care System Strategy Implementation Plan.

The Chairman invited Cllr Jane Davies (Cabinet Member for Adult Social Care, SEND and Inclusion) and Emma Higgins (Swindon and Wiltshire Integrated Care Board) to introduce the report. The report included, but was not limited to, that the paper had been brought to the Health and Wellbeing Board and set out how joint work had taken place to produce the Joint Local Health and Wellbeing Strategy (JLHWS) and Integrated Care System Strategy Implementation Plan. It was noted that the two documents aligned with each other as well as having a shared set of priorities which would be taken forward across the delivery of work. Included within the agenda was a document which set out the schedule of work taking place, which would provide assurance.

Regarding assurance, it was noted that elements of the assurance process had changed with KPIs and data sets evolving to improve in line with the work being conducted each year. It was stated that progress and key highlights were included within the paper as well as the work to be conducted over the coming year.

The Committee asked the following questions, which included but was not limited to whether it would be possible in the future for a report to be presented in a more accessible format for lay readers. It was noted that there was the intention for narrative reports to be produced including assessments against the performance standards articulated within the spreadsheet.

Further detail was requested on the uptake of health checks for the population, particularly for those with autism, to which it was agreed that this would be taken away and investigated for an answer. It was stated that within the spreadsheet clear indicators had been included for the uptake of health checks for the population and though this had improved there was still work to be done and remained a high priority.

It was questioned how “Caring Steps Together” was developing, to which it as outlined that this had been a piece of work led by the Wiltshire part of the Integrated Care Board and was to be developed across the whole of the BSW. It was outlined that currently this was going through evaluation to understand where and how it could be used.

The need to understand the different operating parts of the NHS and care system was discussed, with a need to understand who was driving outcomes and who was auditing them. Clarity was provided that it is clear who has a commissioned responsibility for the delivery of each area, however it is incumbent on all partners to provide outcomes, for example increasing vaccination rates.

A brief overview of Neighbourhood Collaboratives was provided, with it noted that Neighbourhood Collaboratives are groups based on Primary Care Network footprints that aim to share intelligence, expertise and resources to enable local solutions to local need, tackle health inequalities. Examples of Neighbourhood Collaboratives taking place were cited, including work relating to falls in Melksham and a livestock pilot in Salisbury working with farming and rural communities. A set of slides was provided to be attached to the minutes to provide a greater overview of Neighbourhood Collaboratives.

Clarity was sought regarding carer breakdown, to which it was noted that this was where an individual had come into the system and required support as arrangements at home had broken down. It was stated that this was acknowledged as a key priority with work taking place across the system to prevent such situations.

At the conclusion of the discussion, it was;

Resolved:

1. The Health Select Committee noted the update,

2. The Health Select Committee would receive brief updates on Collaboratives through the year, including:

A)  Chippenham, Corsham and Box Launch programme, starting with theroll out then measuring of impact/success.

B) the Salisbury collaborative including roll out and measuring of impact/success.

C) Progress on the target that each of the 13 areas would have an established collaborative by 2025.

3.    That the Health Select Committee would receive an overall Progress and Performance Report in a year’s time which would be in a more accessible format. This should include an update on the additional capacity for domiciliary care to support carer breakdown, preventing avoidable admissions to hospital.