
Meeting
Health and Wellbeing Board - Hampshire
Scheduled Time
Thursday, 13th March 2025
9:30 AM
Thursday, 13th March 2025
1:30 PM
Confirmed
13 Mar 2025
Mitchell Room - HCC
Laura Taylor
District/Borough Council Chief Executives
Apologies
Penny Emerit
Acute Health NHS Trusts
Apologies
Paula Anderson
Community and Mental Health NHS Trusts
Apologies
Mary O'Brien
NHS England
Apologies
Julie Amies
Voluntary and Community Sector
Present, as expected
Stuart Ashley
Director of Children's Services
Apologies, sent representative
Simon Bryant
Director of Public Health
Present, as expected
Sam Burrows
Frimley Integrated Care Board
Apologies, sent representative
Councillor Anne Crampton
District/Borough Local Authorities
Present, as expected
Ros Hartley
Hampshire and Isle of Wight Integrated Care Board
Present, as expected
Phil Jones
Hampshire and Isle of Wight Constabulary
Absent
Siobhain McCurrach
Hampshire Healthwatch
Apologies
David Radbourne
NHS England
Apologies
Ron Shields
Community and Mental Health NHS Trusts
Apologies
Alex Whitfield
Acute Health NHS Trusts
Apologies
Clare Hedgecock
Present, as expected
Dr Karl Graham
Hampshire & IoW ICB
Apologies, sent representative
Glenn Bowyer
Hampshire Fire and Rescue Service
Absent
Jessica Hutchinson
Director of Adults' Health and Care
Present, as expected
Liz Butterfield
Healthwatch Hampshire
In attendance
Karen Dawes
Police & Crime Commissioner
Apologies
Philip Barrett
Hampshire & IoW Fire & Rescue
Expected
Vacancy
Voluntary and Community sector
Expected
Johanna Jefferies
Deputy to Director of Public Health
Not required
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.
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.
- Document Minutes Public Pack, 12/12/2024 Health and Wellbeing Board 05 Mar 2025
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.
- Document Draft Hampshire Joint Local Health and Wellbeing Strategy 2025-2035 05 Mar 2025
- Document Draft Hampshire Health and Wellbeing Strategy 2025- 2035 05 Mar 2025
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.
- Document Domestic Abuse as a Health and Wellbeing Issue 05 Mar 2025
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.
- Document 2025-03-13 HWB Better Care Fund Quarter 3 05 Mar 2025
- Document 2025-03-13 HWB Better Care Fund Update 05 Mar 2025
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.
- Document Corporate report Annual Report of the Director of Public Health 2025 for HWB Board 05 Mar 2025
- Document Director Public Health Annual Report 24-25 05 Mar 2025
- Document Feb 25 Member Presentation 05 Mar 2025
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
- Document Health and Wellbeing Board Forward Plan 2024-2025 05 Mar 2025
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.
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