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Hampshire County Council
Councillors: 78
Wards: 76
Committees: 49
Meetings (2025): 165
Meetings (2024): 156

Meeting

Health and Wellbeing Board - Hampshire

Meeting Times
Scheduled Time
Start:
Thursday, 13th March 2025
9:30 AM
End:
Thursday, 13th March 2025
1:30 PM
Meeting Status
Status:
Confirmed
Date:
13 Mar 2025
Location:
Mitchell Room - HCC
Meeting Attendees
Co-opted Deputy
Laura Taylor

District/Borough Council Chief Executives

Apologies

Co-opted Deputy
Penny Emerit

Acute Health NHS Trusts

Apologies

Co-opted Deputy
Paula Anderson

Community and Mental Health NHS Trusts

Apologies

Co-opted Deputy
Mary O'Brien

NHS England

Apologies

Committee Member
Julie Amies

Voluntary and Community Sector

Present, as expected

Committee Member
Director of Children's Services
Stuart Ashley

Director of Children's Services

Apologies, sent representative

Committee Member
Director of Public Health
Simon Bryant

Director of Public Health

Present, as expected

Committee Member
Sam Burrows

Frimley Integrated Care Board

Apologies, sent representative

Committee Member
Councillor Anne Crampton

District/Borough Local Authorities

Present, as expected

Committee Member
Ros Hartley

Hampshire and Isle of Wight Integrated Care Board

Present, as expected

Committee Member
Supt
Phil Jones

Hampshire and Isle of Wight Constabulary

Absent

Committee Member
Siobhain McCurrach

Hampshire Healthwatch

Apologies

Councillor Jackie Porter photo
Committee Member
Councillor Jackie Porter

Liberal Democrat

Apologies

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Committee Member
David Radbourne

NHS England

Apologies

Committee Member
Ron Shields

Community and Mental Health NHS Trusts

Apologies

Committee Member
Alex Whitfield

Acute Health NHS Trusts

Apologies

Councillor Liz Fairhurst photo
Deputy
Councillor Liz Fairhurst

Conservative

In attendance

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Councillor Steve Forster photo
Deputy
Councillor Steve Forster

Conservative

In attendance

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Council Staff
Clare Hedgecock

Present, as expected

Vice-Chairman
Dr Karl Graham

Hampshire & IoW ICB

Apologies, sent representative

Committee Member
Glenn Bowyer

Hampshire Fire and Rescue Service

Absent

Councillor Roz Chadd photo
Co-opted Member
Councillor Roz Chadd

Conservative

Present, as expected

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Co-opted Member
Jessica Hutchinson

Director of Adults' Health and Care

Present, as expected

Deputy
Liz Butterfield

Healthwatch Hampshire

In attendance

Co-opted Deputy
Partnerships Lead
Karen Dawes

Police & Crime Commissioner

Apologies

Co-opted Deputy
Philip Barrett

Hampshire & IoW Fire & Rescue

Expected

Co-opted Deputy
Vacancy

Voluntary and Community sector

Expected

Councillor Russell Oppenheimer photo
Chairman
Councillor Russell Oppenheimer

Conservative

Present, as expected

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Deputy
Deputy to Director of Public Health
Johanna Jefferies

Deputy to Director of Public Health

Not required

Agenda
1 Apologies for Absence
To receive any apologies for absence received.
Minutes An apologies for absence was received from the following Health and Wellbeing Board members.

Dr Karl Graham, Deputy Chairman, Councillor Jackie Porter, David Radbourne NHS England, Laura Taylor, Hampshire Children’s Services, Alex Whitfield, Hampshire Hospitals, Ron Shields Hampshire and Isle of Wight NHS Trust, John Amos Hampshire Fire, Karen Karr, Hampshire Fire, Sam Burrows, NHS Frimley ICB, Siobhain McCurrach, Hampshire Healthwatch

The following Health and Wellbeing Board deputies were in attendance

Dr Andrew Bill, deputising for Dr Karl Graham, Heather Mitchell deputising for Ron Shields, Nicola Airey, deputising for Sam Burrows.
2 Declarations of Interest
All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to Part 3 Paragraph 1.5 of the County Council's Members’ Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore all Members with a Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.
Minutes Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Personal interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.

Heather Mitchell declared a non-pecuniary interest as a Board Member of EnergiseME.

Simon Bryant declared a non-pecuniary interest as the Chairman of the Domestic Abuse Partnership Board.
3 Minutes of Previous Meeting
To confirm the minutes of the previous meeting.
Minutes The minutes of the last meeting were reviewed and agreed.
4 Deputations
To receive any deputations notified under Standing Order 12.
Minutes No deputations were received.
5 Chairman's Announcements
To receive any announcements the Chairman may wish to make.
Minutes The Chairman welcomed the HWB members back to The Castle and extended a further welcome to Councillor colleagues, Liz Fairhurst, Roz Chadd, Steve Forster and Councillor Bill Withers, Chairman of the Health and Adult Social Care Select Committee.

The Hampshire Place Assembly, which took place after the Board meeting, focused on dementia and older people.

Hampshire and Isle of Wight Integrated Care Partnership Update

The Hampshire and Isle of Wight Integrated Care Partnership continues to progress workstreams for Cardio Vascular Disease, Mental Wellbeing, Social isolation, and the First 1001 days. Moving forward it was agreed that the ICP Workforce priority would bring these together and be a catalyst for improving the health of the population focussing on workforce health and how partners can work together to support specific populations into employment.

There Board received a progress report on the recommendations from the Young People’s Assembly held in November 2024, and how this was a positive programme for further youth engagement. Key resources from the ICP include Workplace Mental Health and Wellbeing Guide led by Hampshire County Council.

Physical Activity Clinical Champion

We know if physical activity was a 'pill' every doctor would prescribe it. Working together Hampshire County Council and EnergiseME are recruiting a Physical Activity Clinical Champion (PACC) to deliver a programme of work that will up skill healthcare professionals to improve their knowledge and confidence to engage in conversations that will lead to behaviour change and increased physical activity.

The Board were in agreement that the continued programme of practitioner support and training would build future confidence and that partnership working would enable continued mental health and wellbeing. Members would look forward to a progress report in a year’s time.
6 Draft Hampshire Joint Local Health and Wellbeing Strategy 2025-2035
To receive the report of the Director of Public Health.
Minutes The Chairman invited the Director of Public Health to present the draft Hampshire Joint Health and Wellbeing Strategy 2025-2035. The paper outlined the County Council’s statutory duties and responsibilities and the requirement to produce a strategy. The document, in consultation with partners, conversations with stakeholders, colleagues and districts focused on 5 main health inequalities and drivers that impact on health. Areas of concern included children and young people, known inequalities around employment, health and work and climate change. Officers were conscious of the need to actively promote these initiatives and commented that there were no plans to change priorities, however following review the structure may be updated, being mindful of the future impacts of devolution.

The Board discussed future evaluation and monitoring to realise ambitions. Officers were confident in reporting that conversations with partners would continue to ensure the direction of travel is maintained and all cores aspects of the strategy are delivered.

The Chairman noted that in times of a changing landscape that the Health and Wellbeing Board would play an important role, future discussions would need to be had in terms of potential risks regarding devolution and local government in general and this would be an opportunity to embed health and wellbeing practices which we would hope that the unitary authorises will support and help the deliver.

The Board were assured by the details of delivering the strategy and the main drivers, for example childhood obesity etc would be discussed further during the setting of the action plan, the strategy as a document sets out what will be achieved, the plan would give demonstrations of how it would be achieved and information would be provided later in the process.

Members were concerned that with several strategy in circulation with similar aims, how would all the different strands be pulled together. Officers confirmed that a separate session would bring all the elements and strategies together, this would also include working with colleagues at Frimley ICB.

The Health and Wellbeing Board RESOLVED: to

Approved the draft Joint Local Health and Wellbeing Strategy; and

Receive a final Strategy for sign-off at its meeting on the 13 June 2025.
7 Domestic abuse as a Health and Wellbeing Issue
To receive a report of the Director of Public Health highlighting the issues of domestic abuse in Hampshire and the impact of health and well-being. To receive the Hampshire Domestic Strategy.
Attachments:
Minutes The Chairman welcomed Helen Cruickshank, Public Health Consultant, Jude Rudduck – Atcherley, Strategic Domestic Abuse Partnership Manager and Claire Lambon of Stop Domestic Abuse to the meeting as they made their presentation to the Health and Wellbeing Board.

The Board heard from Helen Cruickshank that domestic abuse was considered to be a health and wellbeing issue and the Board also heard the following:

- The statutory definition as per the wording in the Domestic Abuse Act 2021

- That DA took many different forms.

- Use of alternative language, for example “victim” had been replaced by the more acceptable phasing “survivor”.

- A highlighted inequality of Circa 57,000, predominantly women, however anyone could be a survivor of DA

- 19% of incidents recorded, however not all are reported

- An estimated 43,000 children had been linked to some form of DA

- Risk factors explored showed the possibility that an individual could be in more one group as there was some cross over

- There were some documented links to suicide

- Non-fatal strangulation had been added to the categories of DA and had seen incidences of up to 892.

Claire Lambon of Stop Domestic Abuse shared the detail around DA survivors and how all aspects of their health and wellbeing were affected.

- Survivors may wait up to 3 years before seeking help, during that time they would have visited a clinician around 3 times without asking for support

- The stress and long lasting emotional distress had resulted in 30% of individuals accessing various parts of the mental health system, this could take the form of self-harming or suicidal thoughts.

- Other medical consequences included chronic pain, gynaecological issues, 80% of survivors will have had at some stage a blow to head or other brain injuries, 75% of individual reported being held so that they were unable to move.

- Figures related to death due to DA were shared

- Reproductive health and sexual health clinics do report instances of DA, with stress causing high risks to pregnancies, mother, baby and could result in low birth rates and development of the foetus

- Food and drink spiking was also used as a form of cohesive control

- Children may face long lasting emotional problems which may affect their health and wellbeing

- Alcohol and drug substance misuse was common way to deal with DA

- During professional risk assessments, safety plans were put in place, and would include longer term supported health needs of the entire family

- Journey of the victim and window into the issues faced by victims was explained this would include ill health outcomes, routine medical appointments missed, unplanned pregnancy etc.

When reviewing the Domestic Abuse Strategy, Jude Rudduck-Atcherley reported that

- As the existing strategy closed and the new strategy 2025-2023, set to launch on 1 April would continue to meet the aims and objectives.

- Continued compliance with the statutory duty to establish a partnership board, Hampshire County Council were looking at how to deliver the objectives more effectively

- Putting survivors at the heart of everything.

- HWB heard a selection of soundbites from workers

- The Domestic Abuse Authentic Voice panel consisted of voices from all areas across society.

- The strategy would informed and re-enforce officers commitment to working with and representing services users

- Procurement for support services was live

- Conscious that any comms for children and young people should be relevant

- The service continued to be monitored and evaluated by a set of standards and were accountable to the panel who shared the mission, vision and values.

- Focus on 5 key strategic priorities that underpin the work to deliver the strategy

- A link to additional resources was shared with the HWB.

HWB highlighted their shared concern regarding domestic abuse and the long term impact on children and young people.

The office of the Police and Crime Commissioner stated that domestic abuse contributed to around 2.6% of crime (26,000 calls) officers in attendance had reported that these calls were often the gateway to many other related issues. The numbers of sexual offences were on the increase, work continued with appropriate partners including the nighttime economy. Peaks in reporting had a direct correlation with publicity around national cases.

Executive Lead and Executive Members for Children’s services both reported that they were proud of the work on going with Hampshire’s young population and praised the support from police officers that had visited schools in the area to meet with young students. There was a call for harder hitting comms around what was felt to be hidden crimes. The PCC confirmed their support in protecting young people around and mindful of what information was being given to children regarding relationships, cohesion and behaviours.

The PCC recognised the perceived gaps from reported to actions taken, outwardly it would appear that no investigation or action had been taken. This may not be the case as some outcomes required a level of confidentiality. It was acknowledged that there was a need to reflect and resolve the issue within the reporting system, use of the hotline 101 was suggested as one way to bridge the gap between reporting and feedback where possible.

Officers made a valid point that it was important to note that domestic abuse was not exclusive to younger people and that older adults were also affected.

Officers from the Children’s department reported that support for children came from many sources, support networks and domestic abuse charities etc. this would be explored to combat a range issues for young people including drug and alcohol misuse, the legacies associated with the pandemic and lockdown, the known challenges for care leavers etc.

From a health and wellbeing perspective there were known impacts associated with all organs, and part of the health economy and services, including CAMHS and A&E the HWB reflected on the right conversations, collectively. Relating that back to the strategy, trauma informed training is important and moving things forward with a wider focus on the whole person and not isolation to what an individual is presenting with.

Energise Me colleagues were encouraged to hear the links to the Health and Wellbeing Strategy, with some way to achieving all objectives. The involvement of Authentic Voices in procurement would also bring about change that would support communities facing domestic abuse. Energise Me colleagues offered support and training for those schools targeted as requiring enhanced levels of support.

Local clinicians reported positively that the environment shift had enabled survivors to feel confident to share their historical and more recent experiences with their GP and to seek help, this was a move in the right direction, the range of services are in place to support this moving forward.

Presenting officers found the comments helpful and would continue to share key commitments achievements with the HWB which had been a reflection of the work that was required deliver the strategy. The work and partnership with Authentic Voices was valuable, the data dashboard development would direct support all areas across Hampshire.

The Health and Wellbeing Board and partners RESOLVED to

Note the commencement of the a new Domestic Abuse Strategy for 2025 -2030 and use it to frame action, with a focus on:

How their organisation recognises the scale and impact of domestic abuse through policy and strategy; Ensuring staff in their organisations are completing appropriate training in domestic abuse, supported by the training offer from Hampshire Domestic Abuse Partnership; and How the domestic abuse referral pathways are embedded, to enable effective intervention and support.
8 Better Care Fund (BCF) Reporting Quarter 3 2024 to 2025
To receive a report of the Director of Adults’ Health and Care reviewing Quarter 3 (December 2024) system programme against the plans and matrics submitted with the BCFplan for 2024/2025.
Minutes The Chairman welcomed Gail Kirby, Assistant Director Business and Commissioning,HCC and Claire Whalley, Hampshire ICB to the meeting to provide the Board with an update on quarter 3 and the work of the better care fund (BCF) including the 2024/2025 position and a proposed plan for 2025/2026. The HWB were requested to endorsed the approach.

The report provided an overview of the current position, the main priorities to enable a reduction of pressures on emergency care and an improvement of discharge performance. Nicola Airey, Frimley ICB confirmed that joint working and a similar approach had enabled success to be achieved by both ICBs. This work included a focus and the inclusion of a discharge standard framework, a list of key KPIs and voices were heard from the workforce and also informed by the patient experience. This feedback had resulted in a shift in the current cultural approach.

In terms of community activity and performance, quarter 3 had started strong, with real examples of keeping people at home for longer, resulting in higher than planned local activity, saving on potential hospital admissions. The increased activity required additional investment in capacity to meet needs over the winter. Officers were on track to achieve the 4 discussed metrics.

In 2025/2026 officers reported on the second year of the vision for the health and wellbeing of the residents of Hampshire and the Isle of Wight. The Hampshire Integrated Systems of Hampshire, Frimley and the County Council, worked hard to ensure that national conditions continued to be met. The focus on the 4 metrics outlined the cultural shift from treating sickness to prevention and keeping patients at home for longer.

The Health and Wellbeing Board heard that in 2025/26

- A total of £178m had been allocated through the BCF mechanism

- The 5 priorities would align with the health and wellbeing strategy.

- Evidence to support decision making

- Delayed discharge highlighted and sustainable improvements had influenced better outcomes

- Independent living would assist and give confidence to people to help themselves

- Frailty models would be reviewed and plans updated.

- How monies are currently allocated, 1/3 of monies going on provision schemes.

From a community clinical prospective Dr Bill acknowledged the transformative work carried out to address instances of poor quality discharge, and encouraged Board members to continue to support initiatives. There had been a focus on the management of emergency situations for those who were unwell and at hospital discharge. There had been a marked reduction in the instances of bounce back admissions.

The Health and Wellbeing Board discussed longer term plans to enhance community based geriatric support and frailty across all ages. There was a general consensus that greater joined up working would remain the focal point for success.

Officers confirmed that in quarter 2, work streams looked like they were going off track, by understanding and realising opportunities and other ways of doing things, this had helped to improve performance.

Healthwatch representatives were pleased to see the change in reporting systems and that by having the opportunities for a wider discussion at Health and Wellbeing Board meetings, performance and BCP funding could be reviewed.

The Chairman thanked officers and practitioners for a good year and was pleased to hear that plans were moving in the right direction.

RESOLVED: that the Health and Wellbeing Board, approved the findings as set out in the Quarter 3 report for submission to the national Better Care Fund team.
9 Annual Report of the Director of Public Health 2024-2025 - Make Smoking History
To receive a report of the Director of Public Health.
Minutes The Director of Public Health presented his annual report for 2024-2025 which would target making smoking history. The initiatives and would seek to change the narrative around smoking and support individuals in making healthier choices in terms of smoking with the ultimate aim of smoking cessation. In terms of vaping, the recommendation would be for existing smoker that it would be beneficial in the longer term to switch to vaping with the aim of quitting. The Chairman agreed that the direction of travel is moving towards making non-smoking normality. The available support and training came highly recommended by the Board’s GP representative.

The Health and Wellbeing Board RESOLVED to

· Note the Annual Report of the Director of Public Health 2024-2025 – Let’s Make Smoking History; and

· Endorsed the ambition within the Annual Report which is to envision a future where tobacco use is no longer the norm across Hampshire and to work together to cultivate smokefree cultures, enhance quitting opportunities and work towards achieving the smokefree 2030 ambition of bringing down the Hampshire smoking prevalence to 5% and below
10 Health and Wellbeing Board Forward Plan
The Health and Wellbeing Board are asked to note the Forward Plan and any suggestions for inclusion.
Attachments:
Minutes The Chairman assured the Board that a report on consequences of devolution and what it will mean for the Board would be received at the end of the year.

The Chairman and Councillor Bill Withers, Chairman of the Health and Adult Social Care Select Committee reported that early discussions had taken place with their counterparts across Hampshire and the Isle of Wight.

The Board reviewed the 2024/2025 Forward Plan.
Previous Meetings
Meeting

12th Jun 2025

Health and Wellbeing Board

Meeting

13th Mar 2025

Health and Wellbeing Board

Meeting

12th Dec 2024

Health and Wellbeing Board

Meeting

10th Oct 2024

Health and Wellbeing Board

Meeting

13th Jun 2024

Health and Wellbeing Board

Meeting

21st Mar 2024

Health and Wellbeing Board

Meeting

7th Dec 2023

Health and Wellbeing Board

Meeting

5th Oct 2023

Health and Wellbeing Board

Meeting

15th Jun 2023

Health and Wellbeing Board

Meeting

2nd Mar 2023

Health and Wellbeing Board

Future Meetings
Meeting

9th Oct 2025

Health and Wellbeing Board

Meeting

11th Dec 2025

Health and Wellbeing Board

Meeting

12th Mar 2026

Health and Wellbeing Board

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