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.

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Surrey Health and Wellbeing Board:

March – April 2016 Update

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:  

www.healthysurrey.org.uk

“Through mutual trust, strong leadership, and shared values, we will improve the health and wellbeing of Surrey people”

Who was there:Councillor Helyn Clack (co-chair), Cabinet Member for Wellbeing and Health at Surrey County CouncilDr Liz Lawn (co-chair), North West Surrey Clinical Commissioning GroupHelen Atkinson, Director of Public Health, Surrey County CouncilDr Andy Brooks, Surrey Heath Clinical Commissioning GroupDr David Eyre-Brook, Guildford & Waverley Clinical Commissioning GroupTim Evans, Cabinet Associate for Adult Social Care, Wellbeing and Independence at Surrey County CouncilTom Kealey, Reigate and Banstead Borough CouncilKate Scribbens, Healthwatch SurreyJulie Fisher, Deputy Chief Executive including statutory lead for Children, Schools and FamiliesMary Lewis, Cabinet Associate for Children and Families Wellbeing

Dr Claire Fuller, Surrey Downs Clinical Commissioning Group

Councillor John Kingsbury, Woking Borough Council

Councillor James Friend, Mole Valley District Council

Nick Ephgrave, Deputy Chief Constable, Surrey Police

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The Health and Wellbeing Board: March 2016 

The Surrey Health and Wellbeing Board held a meeting in public on 10 March 2016. This update provides a summary of the meeting. 

What was discussed: Surrey Heath Clinical Commissioning Group’s Integrated Care

Teams. Surrey County Council and Clinical Commissioning Group

Financial Challenges Summary Surrey Footprint Digital Roadmap Priority Update – Improving Children’s Health and Wellbeing Priority Update – Developing a Preventative Approach

Spotlight on: Surrey Heath Integrating Care Teams

About the Surrey Heath Integrated Care Teams:

Integrated Care is a new way of supporting local people, their families and carers, by bringing together professionals involved in providing care for those with health or personal care needs who live at home.

Launched in April 2016, there are three integrated care teams in Surrey Heath. The teams bring together a whole range of health and social care professionals from doctors to dieticians and physiotherapists to pharmacists who ensure that patients receive a bespoke shared care plan having only had to tell their story once.

Integrated Care Teams not only improve outcomes through effective shared care plans which enables more patients to remain at home. They also help to manage demand on acute hospitals by reducing the number of patients who are required to remain in hospital for a protracted period of time.

The work of Surrey Heath CCG and its partners in developing integrated care teams paints a vivid picture of how combining health and social care resources, can not only improve outcomes for patients but also reduce demand and lower cost within the health and social care system as a whole.

Find Out More:Find out more on the Surrey Heath Integrated Care Teams online: http://www.surreyheathccg.nhs.uk/integration-of-care/integrated-care-teams

Surrey County Council and Clinical Commissioning Groups Financial Challenges Summary

Presented by:Sheila Little, Director of Finance, Surrey County CouncilRob Morgan, Chief Finance Officer, Surrey Heath CCG

What was discussed:Surrey County Council Financial Challenges

Members heard about the significant financial challenges facing Surrey County Council (SCC) up to 2019/20. The Board was advised that despite securing some transitional funding to assist in smoothing the challenge, the council plans to use £24.8m of reserves to deliver a balanced budget for 2016/17. In addition, the council has put in place a number of measurers to achieve a sustainable budget for future years, including a Public Value transformation programme.

Clinical Commissioning Group Financial Challenges

The Board was informed that Surrey’s Clinical Commissioning Groups (CCGs) were forecast to post a collective deficit of around £50 million for 2015/16. The additional £10billion funding nationally frontloaded by the Chancellor to facilitate the delivery of the NHS Five Year Forward View is not available to help with these deficits. NHS business rules attached to the funding requires CCGs to commit some of their budget to specific, pre-determined areas such as achieving mental health parity of esteem.

Members discussed whether further savings could be achieved through closer integration of back office functions. It was concluded that, as CCGs already collaborate closely on back office functions and that these account for just 2% of CCG budgets, focus should be maintained on developing healthcare services which are sustainable and cost-effective.

What was agreed: The Board noted the financial challenges facing both Surrey

County Council and the County’s six Clinical Commissioning Groups

The Board agreed to maintain focus on developing sustainable and cost-effective services over further integration of back office functions.

Find out more:Read the report at the link

Surrey Footprint Digital Roadmaps

Presented by:Steve Abbott, IMT Programme Director, North West Surrey CCG

What was discussed:Digital roadmaps set out how CCGs will integrate to fulfil the digital requirements outlined in the NHS Five Year Forward View. The aim of the roadmap is to be a framework for digital projects being implemented by CCGs in Surrey. It will support the creation of a shared care record for patients as well as facilitating the development of a connected communications network.

Digital Interoperability

NHS England’s requirement that CCGs work collaboratively to develop Sustainability and Transformation Plans (STPs) meant that it would be necessary to have three separate digital roadmaps operating in Surrey that correspond to each STP area. Members stressed the importance of designing roadmaps in Surrey that could interface seamlessly to avoid creating artificial boundaries to effective healthcare delivery. The IMT Programme Director confirmed that interoperability was central to the development of digital roadmaps. The Board was also informed that the second phase of

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the project would be to work with the County Council as well as with District and Borough Councils to explore how these roadmaps could facilitate more effective digital integration between health and social care.

What was agreed: The Health and Wellbeing Board noted the progress of the

Digital Roadmap programme.

Find Out More:Read the report at the link

Priority Update: Improving Children’s Health and Wellbeing

Presented by:Julie Fisher, Deputy Chief Executive including statutory lead for Children, Schools and FamiliesSarah Parker, Director of Children’s Commissioning (Surreywide), Guildford and Waverley CCG

What was discussed:

Children and Young People’s Partnership Board

Members heard that the first meeting of the Children and Young People’s Partnership Board (CYPP) had taken place in February 2016. The focus of this meeting had been for CYPP Board members to identify shared ambitions and challenges across partner organisations to be synthesised into a coherent set of priorities to inform the work of the CYPP Board. The list of priorities for the CYPP Board included reviewing the Early Help Service as well as increasing the capacity of capability of children’s Special Educational Needs and Disabilities (SEND) services in the County.

Child and Adolescent Mental Health Services

The Board received an update on the work being undertaken to commission Child and Adolescent Mental Health Services (CAMHS) and were informed that the contract for providing these services had been awarded to Surrey and Border Partnership (SABP). Members expressed support for the work that had been done in commissioning CAMHS in Surrey and highlighted that the £2 million in transformational funding secured from NHS England had the potential to deliver significantly improved outcomes for children with mental health problems in the County.

What was agreed: The Board noted the development of the new Children and

Young People’s Partnership arrangements; The Board noted the progress report for the ‘improving

children’s health and wellbeing’ priority; and The Board would like to receive a further update for the

‘improving children’s health and wellbeing’ priority in six months’ time, including a draft of a new Children and Young People’s Partnership Plan.

Find Out More:Read the report at the link

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Spotlight on: One You

About One You:On 7 March 2016, Public Health England launched its ground-breaking new One You campaign which aims to improve the health of adults across the country. It is the most significant new public health campaign in the last eight years in England.

The campaign is looking to encourage adults to take a moment to think about how their current lifestyle could be impacting their health and will support them to make positive changes. It consists of seven elements: Drink less, become smokefree, move more, sleep better, stress less, check yourself and eat well; the objective being the prevention of long term chronic conditions.

How:Adults in England will be encouraged to take part in a new online quiz called ‘How Are You’, which assesses people’s current behaviours and lifestyle and shows them the areas they should prioritise to improve their health. The free quiz will give adults a health score and provide them with tools and support to help make simple changes for a healthier life. For Surrey http://po.st/OneYou_Surrey

Priority Update: Developing a preventative approach

Presented by:Julie George, Public Health Consultant, Surrey County Council

What was discussed:Child Obesity Prioritisation Toolkit

Members were informed that a Child Obesity Prioritisation Toolkit developed by Public Health England was being tested in Surrey with the aim of developing a coordinated approach to reducing childhood obesity levels across the County. A whole systems approach to tacking the issue will be embedded by producing a Child and Family Healthy Weight Strategy.

Prevention Plan Dashboard

The Board received a demonstration of a new online Prevention Plan dashboard created by the Public Health Team. The dashboard gives commissioners detailed information on how individual CCG areas within Surrey are performing. Key Performance Indicators are used and presented to measure the success of local Prevention Plans. These prevention plans constitute the Developing a Preventative Approach priority of the Joint Health and Wellbeing Strategy. The dashboard enables health and social care commissioners to compare performance against Surrey as a whole as well as with CCGs which were socioeconomically and demographically similar.

What was agreed: The Board noted the content of the report The Board supported the direction of travel around

development of a Child and Family Healthy Weight Strategy; The Board endorsed the use of the Prevention Plan

Dashboard;

Assuming a positive evaluation of the Surrey-wide Winter Preparedness Plan, the Board recommended that the Surrey Health and Wellbeing Board's Communications Sub-Group run a Surrey-wide Campaign for 2016-17.

Find Out More:Read the report at the link

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Councillor Helyn Clack (co-chair), Cabinet Member for Wellbeing and Health at Surrey County CouncilDr David Eyre-Brook, (co-chair), Guildford & Waverley Clinical Commissioning GroupDr Charlotte Canniff, North West Surrey Clinical Commissioning GroupHelen Atkinson, Strategic Director of Adult Social Care and Public Health, Surrey County CouncilNicola Airey, Surrey Heath Clinical Commissioning GroupTim Evans, Cabinet Associate for Adult Social Care, Wellbeing and Independence at Surrey County CouncilTom Kealey, Reigate and Banstead Borough CouncilPeter Gordon, Healthwatch SurreyFrank Offer, Head of Commissioning for Young People, Children,

Schools and Families, Surrey County Council

Dr Claire Fuller, Surrey Downs Clinical Commissioning Group

Dr Heidi Fahy, East Surrey Clinical Commissioning Group

Dr Andrew Whitfield, North East Hampshire and Farnham Clinical

Commissioning Group

Councillor James Friend, Mole Valley District Council6

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The Health and Wellbeing Board: April 2016 

The first item at the 7 April 2016 Surrey Health and Wellbeing Board was held in public with the rest of the meeting being held as a business meeting. This update provides a summary of the meeting.

 What was discussed:

Surrey Better Care Fund Plan 2016/17(in public) Surrey Transforming Care Plan Workforce and the impact of the National Living Wage in

Surrey

Spotlight on: Changes to the Board

New Co-Chair – Dr David Eyre-Brook

Dr Charlotte CanniffCharlotte replaces Dr Liz Lawn as the North West Surrey CCG representation on the Board. Charlotte took over as Clinical Chair of North West Surrey CCG when Dr Liz Lawn retired from this position in March 2016. We welcome Charlotte to the Board and wish her very best wishes in her new role.

Rotating CCG Co-ChairsEach year Board members from the six Clinical Commissioning Groups (CCGs) rotate as co-chair. This provides an opportunity for all CCG representatives to be equally involved in the activity of the Board.

Dr David Eyre-Brook became Co-Chair of the Health & Wellbeing Board in April. As the Clinical Chair of Guildford & Waverley (CCG), he has been a member of the Board since its inception in 2013. David has been a GP for over 35 years and has held a number of important positions within Surrey’s healthcare community which has included being Lead Clinician for the Guildford Primary Care Group.

Before becoming Clinical Chair of Guildford & Waverley CCG, David also spent three years as Chairman of Guildford & Waverley Primary Care Trust’s Professional Executive Committee.

Surrey’s Better Care Fund Plan 2016/17

Presented by:Helen Atkinson, Strategic Director for Adult Social Care and Public Health

What was discussed:Helen Atkinson presented Surrey’s draft Better Care Fund (BCF) Plan for 2016/17 on behalf of all of the organisations that contribute to the plan due to be submitted to NHS England on 25 April 2016.

The BCF plan is part of the ambition to accelerate and scale the health and social care integration in Surrey, in line with emerging Sustainability and Transformation Plans in Surrey, The BCF in Surrey will total £73.1m in 2016/17 up from £71.4m in 2015/16. This is made up of £66.2m funding and revenue and £6.9m capital funding.

The draft BCF plan still required some additional information ahead of the final submission on 25 April 2016 and therefore Helen asked the Board to delegate authority for the finalised plan to be signed off on its behalf.

What was agreed: The Board agreed the Better Care Board would take

delegated responsibility for the sign off of the final plan. The Health and Wellbeing Board Communications sub-group

will be asked to consider how communicating delivery of the Better Care Fund could show joint working between health and social care commissioners.

Find Out More:Read the report at the link

Surrey’s Transforming Care Plan 2016

Presented by:Jo Poynter, Assistant Director, Transforming Care, LGA

What was discussed:Jo presented the Surrey Transforming Care Plan which has been developed to improve the lives of children, young people and adults with a learning disability and/or autism who display behaviours that challenge, including people who have mental health conditions.

Surrey’s Transforming Care Plan is focused on seven key areas of work:

1) Prevention, Information, Advice and Advocacy2) Workforce Development3) Quality4) Funding5) Estates6) Service Development7) Community Positive Behavioural Support Network

Health and Wellbeing Boards are required to have oversight and provide support of the Transforming Care Plan. The Board acknowledged progress made with integrating this work and discussed the proposal of including an eighth area of work to focus on 18 – 25 year olds.

What was agreed: The Board acknowledged that the Transforming Care Work

Programme is more integrated in Surrey. The Board endorsed the plan and the proposal of an eighth

work stream focusing on 18 – 25 year olds. To include the Council’s Autism Strategy in the SEND 2020

Vision which will be considered by the Board later this year. Receive an update on the progress of the plan at a future

Board meeting.

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Workforce and the impact of the National Living Wage in Surrey

Presented by:Sonya Sellar, Area Director, Adult Social Care, Surrey County Council

What was discussed:The National Living Wage was introduced on 1 April 2016 by the Government to improve living standards for low paid workers in England. The levels for the next five years are:

These changes apply to people aged over 25 years. The rate of pay for under 25s remains at the National Minimum Wage:

The Board discussed the following potential impacts: Improved income for direct care staff Potential improved retention and recruitment Increased staffing costs and potential impact for provider rates Workforce aged under 25 years.

The Board heard how this would affect workforce in direct care positions the most who do not work for the NHS.

What was agreed: The Board agreed to encourage organisations to pay under

25 year olds the National Living Wage as opposed to the National Minimum Wage.

The Board agreed to receive a further update on the impact of the National Living Wage in 2017.

What the Board will focus on nextThe Board will hold a business meeting on 26 May 2016. Items to be discussed:

Domestic abuse Air quality Sustainability and Transformation Plans (STPs)

Find out more

Sign up for updatesTo be sent these updates when they are published, please email:healthwellbeing@surreycc.gov.uk

Visit our websiteFor information about health and wellbeing in Surrey, visit the Board’s website:www.healthysurrey.org.uk

Follow us on Twitter @healthysurrey

Read the minutesTo read the minutes of previous formal Board meetings, visit the Surrey County Council Website:http://tinyurl.com/py5kwex

Attend the board meetingsThe Board regularly holds meetings in public. Anyone is welcome to observe these meetings, and ask the Board members questions about the items discussed. To find out details of the next meeting, visit the Board’s page on the Surrey County Council website: http://tinyurl.com/q2bcmyv

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FeedbackIf you have any questions or comments about this update, please contact us:Email: healthwellbeing@surreycc.gov.ukPhone: 03456 009 009Text: 07527 182 861 

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