Agenda and minutes

Health and Wellbeing Board - Thursday, 13 June 2019 2.00 pm

Venue: Ascot Priory, Priory Rd, Ascot SL5 8RS

Contact: Lizzie Rich  01344 352253

No. Item


Election of Chair


RESOLVED that Councillor Dale Birch be elected Chairman of the Health and Wellbeing Board for the municipal year 2019-20.


Appointment of Vice-Chair


RESOLVED that Philip Cook be appointed Vice-Chairman of the Health and Wellbeing Board for the municipal year 2019-20.


Declarations of Interest

Members are asked to declare any disclosable pecuniary or affected interests in respect of any matter to be considered at this meeting.


Any Member with a Disclosable Pecuniary Interest in a matter should withdraw from the meeting when the matter is under consideration and should notify the Democratic Services Officer in attendance that they are withdrawing as they have such an interest. If the Disclosable Pecuniary Interest is not entered on the register of Members interests the Monitoring Officer must be notified of the interest within 28 days.


Any Member with an affected Interest in a matter must disclose the interest to the meeting.  There is no requirement to withdraw from the meeting when the interest is only an affected interest, but the Monitoring Officer should be notified of the interest, if not previously notified of it, within 28 days of the meeting.


There were no declarations of interest.


Urgent Items of Business

Any other items which the chairman decides are urgent.


There were no urgent items of business.


Minutes from Previous Meeting pdf icon PDF 146 KB

To approve as a correct record the minutes of the meeting of the Board held on


The minutes of the meeting held on 28 February 2019 were approved as a correct record.


Matters Arising


There were no matters arising.


Public Participation

QUESTIONS: If you would like to ask a question you must arrive 15 minutes before the start of the meeting to provide the clerk with your name, address and the question you would like to ask. Alternatively, you can provide this information by email to the clerk at at least two hours ahead of a meeting. The subject matter of questions must relate to an item on the Board’s agenda for that particular meeting. The clerk can provide advice on this where requested.



PETITIONS: A petition must be submitted a minimum of seven working days before a Board meeting and must be given to the clerk by this deadline. There must be a minimum of ten signatures for a petition to be submitted to the Board. The subject matter of a petition must be about something that is within the Board’s responsibilities. This includes matters of interest to the Board as a key stakeholder in improving the health and wellbeing of communities.


Councillor Mrs Isabel Mattick was present at the meeting as a member of the public, and asked a question regarding the move of Moorfields Eye Hospital, and whether patients had been consulted on this.


The answer to this question was not known, and the Board resolved to find out what had been done.





Agency Updates


There were no agency updates.


Children and Young People's Local Transformation Plan


Janette Fullwood, Head of Children, Young People and Families at East Berkshire CCG presented an update on the Children and Young People’s Local Transformation Plan.


The NHS Long Term Plan had pledged to invest £2.3billion in care for children and young people’s mental health. East Berkshire CCG had applied for over £1m of this funding, which was starting to take effect. Crisis care had been expanded to include at 24/7 hotline. The rapid response team and crisis service at Frimley Hospital had been invested in. The focus of developments was around earlier intervention, and crisis care.


Janette informed Board members of the Transforming Children and Young People’s Mental Health Provision green paper, which encouraged every school and college to appoint a designated mental health lead. Mental Health support teams would be working in one fifth of the country by 2023.


Partners were reminded that although Local Transformation Plans were co-ordinated by the CCG, the concept was a system-wide plan. The Plan had been completed in October 2018 and had been signed off by all statutory bodies. Education representatives were now included in the work, and the Local Authority had strong representation. The Joint Commissioning Board oversaw the work of the Local Transformation Plan.


Janette advised that the next area of work for the Local Transformation Plan was to co-author some work with children and young people themselves. Public Health colleagues in Slough had begun a co-production network of young people and a similar project may be established in Bracknell Forest.


The Young Minds participation and I Thrive programmes had influenced language change around tiers and allocations, to improve clarity around tiers of care.


Parenting support had been improved across Local Authorities, and workforce training was being launched in September 2019.


8 staff across partner organisations were being trained as Mental Health First Aid instructors. It was hoped that a ‘train the trainer’ approach could be adopted to train instructors in their own system. 


An external review of Autistic Spectrum Disorder and ADHD had been completed and signed off, and an action plan arising from this review was in production.


There remained a significant number of inappropriate referrals into specialist services, and work was ongoing to understand the reasons behind this. The LTP group would meet in July to formulate an action plan to address any reasons behind inappropriate referrals. 


A subgroup of the LTP for Children Looked After had been established to address past difficulties around the care of this demographic. A Looked After Children CAMHS worker post had been established to work across the three Local Authorities to give advice.


A Frimley Hospital Liaison post had been funded until April 2020 to provide support between Local Authorities and hospitals when children and young people present at hospital with a mental health crisis.



£300k had been invested into the CAMHS Eating Disorder service, which had been commissioned to see 100 referrals per year and currently saw 134 per year. The investment would be used to deliver educational preventative work.


The  ...  view the full minutes text for item 9.


CCG End of Life Care Transformation pdf icon PDF 469 KB


Joanne Greengrass presented on the CCG’s End of Life Care Transformation.


NHS England had offered an opportunity for CCGs to use their funding differently to support End of Life Care.


It was clarified that ordinarily, fast track funding had to be received within 48 hours of application but with fewer staff working at the weekend, there was some disparity around this.


The CCG was considering how to access fast track funding, and how to assess end of life care commissioned services.


Multi-agency workshops had been held to assess ambitions for end of life care, which had been attended by care homes, local authorities, acute trusts, community mental health teams and hospices. A second workshop was planned to establish a way forward.


The ambition for fast track funding was to develop a co-ordinated care approach, so a care home could understand the shared care plans for their residents, and to assist intermediate care teams working across different local authorities.


There were a number of areas for improvements which had been identified, including making Continuing Healthcare a 24/7 service with a advice hotline for professionals, and integrating fast track funding as a flexible service.


Joanne reported that she was attending the Bracknell carers group to consult on the proposed approach. An Integrated Care System End of Life Steering Group had also been established for consultation.


A Patient Passport group had been established to investigate the concept, and whether a single electronic advance care plan would be feasible.


Arising from questions, the following points were noted:

·        The Board asked for Joanne to investigate how the Frimley directory of services for End of Life Care could be aligned with other directories already in existence.

·        It was queried whether fast track funding could be extended to voluntary groups supporting this stage of life and the bereaved.

·        The Board agreed to invite Joanne back in 2020 for an update on this work.



Involve restructure and Voluntary and Community Sector


Phil Cook presented on the Involve restructure and the relationship with the voluntary and community sector.


It was explained that Involve had restructured to serve both Wokingham and Bracknell Forest Council as both Councils provided funding for the service.


Involve now provided specialist advice to the voluntary sector on a tiered approach, around funding, training and volunteer recruitment. Involve continued to offer a basic free service, but also provided subsidised and competitive packages.


The increase in funding and restructure would enable Involve to do more work across the two boroughs.


The Board thanked Phil and his colleagues at Involve for their continued professional approach to the voluntary and community sector in the borough.


Phil offered to present to any partner group to explain the role of Involve and the Voluntary and Community Sector.



Urgent Care On the Day conversation


Fiona Slevin-Brown reported that the next stage in Urgent Care On the Day conversations would be to enable the Primary Care Networks, and establish their role in communities.


Conversations were planned with partners to discuss the future model of On the Day care. The shortlist of options would be reviewed in 2020, for financial commitments to be made in 2021.