Agenda and minutes

To confirm as a true record the Minutes of the meeting held on 18 March 2021.

THAT the Minutes of the meeting held on 18 March 2021 be confirmed as a true record.

To invite Members to declare any interest they might have in the matters on the agenda.

No declarations were received.

Questions may be asked of the Chairman without notice but to guarantee a full reply at the meeting such questions must be delivered in writing or by electronic mail to Democratic Services at democratic.services@iow.gov.uk no later than 9.30 am on Monday, 26 July 2021. Each question must give the name and address of the questioner.

No written public questions were received.

Cllr Brodie asked a question in relation to health inequalities and the impact of deprivation and poverty. Reassurance was sought to ensure that the Council would commit to spend money in Pan and Barton to address these issues with particular regard to affordable housing. The chairman reassured that this would be considered, and requested that specific details on this matter be forwarded in order for them to be looked into. The Director of Public Health noted that health inequalities, including those in Pan and Ryde East, would be addressed in the refreshed Health and Wellbeing Strategy.

The chairman to verbally update the board on progress on actions since the last meeting, including actions that have not been dealt with as a separate agenda item and to invite partners to advise on any extraordinary issues which may affect the work of the board and have been drawn to his attention.

The chairman invited the Chief Executive to advise on any issues which may affect the work of the Board.

Attention was drawn to the Health and Care Bill which was set to allow the establishment of new integrated care systems (ICS) to bring together providers and commissioners of NHS services, local authorities, and other health partners, to plan health and care services to meet the needs of their population. It was advised that the  Hampshire and Isle of Wight ICS was operational in shadow form and was set to go live from April 2022. It was not yet clear in the legislation how ICS’s would work alongside health and wellbeing boards and work needed to be done to establish the boundaries between the two bodies. It was agreed that an update would be provided at a future meeting.

The Chief Executive of the IW NHS Trust provided an update on the recent CQC inspections of core services and management which had taken place in June 2021. A letter from the CQC found that clear progress had been achieved and the full report would be published in due course. Questions were raised in relation to the interactive mental health service platform and the integrated mental health hub, and it was confirmed that all plans were on track.

RESOLVED:

THAT the updates be noted.

To receive an update on Covid-19.

The Director of Public Health provided an update on Covid-19 which included an overview of current infection rates, the roll out of the vaccination programme, and contact tracing. It was highlighted that work was underway to prepare schools to restart in the Autumn term.

The Chairman of the Isle of Wight Voluntary Sector Forum reflected on feedback from the community which highlighted concerns around isolation and its impact on staffing shortages. The voluntary sector were thanked for its consistent efforts throughout the pandemic.

The Director of Adult Social Care thanked Public Health for its support in providing clarity around recent government guidance which made some health and social care staff exempt from isolation.

The Vice-Chairman provided an update with regards to the roll out of the vaccination booster programme from September 2021. It was advised that initial guidance had been issued by NHS England however this was likely to be updated over the summer period.

RESOLVED:

THAT the update on Covid-19 be noted.

To receive a presentation on progress to date and next phase of recovery.

The Director of Regeneration delivered a presentation on the progress to date and the next phase of recovery, which included an outline of the recovery plan themes, (community, economic, place), and the island profile recovery. The Board considered the proposed recovery priorities for continuing oversight of the Board, which included; housing needs and supply, anti-poverty, community recovery and hub sustainability, education recovery, wellbeing, commemoration and celebration, ‘kickstart’ and other unemployment responses, and Island Place marketing.

The Chairman of the Isle of Wight Voluntary Sector Forum highlighted issues around health inequalities and collaboration with town and parish councils.

Discussion took place regarding housing issues, and the Deputy Leader confirmed the commitment of the Council for housing to be a key priority. The Director of Adult Social Care and Housing Needs advised on key steps to move forward which could include assessing the supply of housing, working with registered social landlords, supporting private landlords, and the delivery of the Empty Home Strategy. The representative of Hampshire Constabulary reflected on housing issues from a policing context and reported that a lack of accommodation was a contributing factor in reoffending and had a significant impact on recovery in terms of substance misuse, mental health issues, and domestic abuse.

RESOLVED:

THAT the presentation of the Director of Regeneration on Covid-19 recovery be noted.

To receive a presentation from the Director of Public Health.

The Director of Public Health delivered a presentation which outlined the process for the development of the Health and Wellbeing Strategy which needed to be refreshed for 2022. The aim was to set out a shared vision in which people live healthy and independent lives, supported by thriving and connected communities, with timely and easy access to high-quality and integrated public services when they need them. Key themes identified for further development included inequalities and the impact of deprivation and poverty, children and young people, the long term impact of Covid-19, community recovery, mental health and wellbeing, getting people physically active, and housing and health.

The Cabinet Member for Children’s Services highlighted concerns around the effects of Covid-19 on children and young people. Collective priorities of the Board were considered, and it was suggested that a focus be placed on the mental health and wellbeing of children and young people, housing and health, and health inequalities.

It was agreed that specific questions in relation to the report should be submitted to the Director of Public Health for consideration and inclusion in the development of the strategy.

RESOLVED:

i)               THAT the progress towards the development of the refreshed Health and Wellbeing Strategy be noted.

ii)              THAT specific questions in relation to the report be submitted to the Director of Public Health for consideration and inclusion in the development of the strategy.

To receive a report from the Director of Public Health.

The Director of Public Health presented the report which provided the Board with an update on the Isle of Wight Joint Strategic Needs Assessment (JSNA) work programme. It was advised that the JSNA work programme had been suspended due to the need of the Public Health Intelligence Team to undertake Covid-19 data response work. It was anticipated that the JSNA work programme would recommence in Summer 2021,  dependent on the Covid-19 response work reducing significantly. 

Comments were made in relation to the interventions which had been working well, and it was noted that these activities could be highlighted in the work of the Recovery Cell.

RESOLVED:

THAT the Joint Strategic Needs Assessment (JSNA) work programme be noted, and the development engagement by member organisations be noted.

To receive a report regarding the final submission of the Better Care Fund 2020/21.

The Director of Adult Social Care and Housing Needs presented the report which updated the Board on the Better Care Fund (BCF) 2020-21 final submission to the National Better Care Fund team, as was required at the end of May 2021. The Assistant Director of Adult Social Care highlighted that majority of funding had been allocated to care and support in the community through rehabilitation, crisis response, and the development of the Integrated Discharge Team. It was noted that all mandatory conditions had been met, and it was confirmed that the Improved Better Care Fund formed part of the reporting arrangements. Questions were raised in relation to the Woodlands provision.

RESOLVED:

THAT the report be noted.

To receive an update presentation on the new Hampshire and Isle of Wight Physical Activity Strategy included in the document pack. The strategy draws on the “Impact of Covid-19 on physical activity plans” that was presented at the last Health and Wellbeing Board.

The presentation will include how and with whom the strategy has been developed, the 5 strategic goals, how the strategy might be implemented on the Isle of Wight and the governance arrangements to oversee its progress impact.

The Strategic Lead for Physical Activity and Health of Energise Me delivered a presentation which provided an update on the Hampshire and Isle of Wight Physical Activity Strategy. The strategy drew on the “Impact of Covid-19 on physical activity plans” which was presented to the Board at its meeting held on 18 March 2021.

The Board received information around the development of the strategy, the strategic goals, how the strategy could be implemented on the Isle of Wight, and the governance arrangements to oversee its progress and impact. Clarification was sought regarding the consultation process and discussion took place regarding physical activity as a part of wellbeing for children and young people. It was noted that various activities were available however work was needed to reach out to those families who would not usually participate.

RESOLVED:

i)               THAT the Isle of Wight and Hampshire We Can Be Active strategy be adopted.

ii)              THAT a representative from each member organisation support the Isle of Wight We Can Be Active event on the 23 September 2021.

A question must be submitted in writing or by electronic mail to Democratic Services no later than 9.30 am onTuesday, 27 July 2021.

No written questions were received.