Sandwell Health and Wellbeing Board – plain English blog – March 2019

Hello there,

This month we held the Health and Wellbeing Board at the Wesley Centre for All in Wednesbury.  You can see the papers here

Sadly, we had to say farewell to the current Chair of Healthwatch Sandwell John Clothier.  John attended whenever he could at both the board and Executive meetings and his contribution was valued.  The board also welcomed the new appointment of Chief Supt. Richard Youds, who replaced Richard Baker as the local police representative.

The first item was the Sandwell Safeguarding Adult’s Board annual report for 2017-2018, which the board manager, Deb Ward presented.   The report is written a year behind so that we can understand what activity went on. Key highlights included the development of a safeguarding self-audit tool for all partners, subsequently adopted on a regional basis and a successful conference, focusing on Prevention.

Next we had an update from Dr Alison Knight, Exec Director for Neighbourhoods Inclusive Growth in Sandwell.  Inclusive Growth is a term used to describe economic growth that is distributed fairly across society.  Following a council peer review in 2018, it was recommended that Sandwell develop a regeneration and inclusive growth deal. It will address issues of poverty and create a flexible borough that builds a stronger more resilient community network that can shift away from a benefits society to an actively employed and engaged labour force that is agile and willing.  The board was pleased to receive this update and a sub-group will be created that will report future progress at regular intervals.

The next item on our packed agenda was from Sharon Liggins, Chief Officer for Strategic Commissioning and Redesign of Sandwell and West Birmingham CCG who updated us on the future of health commissioning and provision in Sandwell. A single outcomes framework has been jointly developed with colleagues from the CCG and council public health team.  This means that in future; the Board will have oversight of 1 plan which will be aligned to the borough Vision for 2030 that will contain detail on how local health services will run and be paid for. The board noted the first draft of the plan and I look forward to receiving updates on progress in the future.

Lesley Hagger, Exec Director for Children’s Services spoke to the board about how Children’s Services have responded to recommendations made in the most recent Ofsted inspection. One of the recommendations was to develop and implement a children and young people’s strategic commissioning partnership across Sandwell. The partnership environment for children’s services includes SMBC, health, police, schools, fire service, and the voluntary/community sector.

The partnership will be accountable to the Health and Wellbeing board and we look forward to monitoring progress to ensure improved outcomes for children and young people in Sandwell.

We then heard again from Sharon Liggins, who shared detail about proposals to change the current CCG footprint following publication of the NHS long term plan. The NHS are challenging the CCG to ensure that management and administration functions are delivered in as efficient a way as possible and take into account the process that the Black Country commissioners are working on to progress to a single commissioning voice.

A comprehensive consultation plan has been developed and the board is keen to be assured that health care for local people is not affected as the footprints alter. I will ensure we receive an update in the near future.

Moving to my chair’s correspondence and I was happy to hear more about a feasibility study for a West Midlands Safe Centre, which Lesley Hagger told us more about. Currently, there is no centre for children who are at high risk of entering secure care and custody settings in the West Midlands, which means that children often have to travel long distances away from family members. A study is taking place currently to understand need and evidence of ‘what works’. I hope to hear more about this study in the near future.

News that a Joint dementia strategy is in development has been shared with me. Led by adult social care and the CCG, the plan will consist of 9 promises covering:

  • Dementia awareness, information and advice
  • Prevention
  • Diagnosis and assessment
  • Living well in the community
  • Supporting carers
  • Reducing the risk of crisis
  • Living well in long-term care
  • End of life
  • A knowledgeable and skilled workforce

This strategy is a draft and it is key that the finer details of the plan are co-produced with local people. We will approve the final strategy and accompanying delivery plan in September.

Future meeting: Our next meeting will be held on 6 June 2019. Venue to be confirmed, at 4.30pm. Meetings are open to the public and papers can be found on the council CMIS page.

As I mentioned earlier, if you have any ideas of where we can hold the meetings, please get in touch with the board project officer Rachel Allchurch on 0121 569 5163 or tweet us @SandwellHWBB. (This blog does not replace the formal minute of the board meeting).

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Sandwell Health and Wellbeing Board Chair’s blog – January 2019

Hello there,

This month we held the Health and Wellbeing board meeting at the Haden Cross Community Fire Station in Cradley Heath. You can see the papers here

We welcomed a new GP to the Board Dr Ayaz Ahmed, the Clinical Commissioning group (CCG) primary care network representative.

The first item was an update from the Transforming Care Partnership on the actions set by the board in November.  Our local partnership is made up of Black Country health reps and was set up in response to the Winterbourne View scandal in 2012. The programme aims to reduce the number of people with learning disabilities and/or autism residing in hospital so that more people can live in the community, with the right support, close to their home.

We had an update on the engagement work taking place and further detail on the money it costs to do this work. The board will hear from the partnership again at a future meeting.

Next we had an update on the Sandwell Safeguarding Children’s Board (SSCB). Following a national directive, the multi-agency safeguarding arrangements were shared with the board and later on this year, the SSCB will be known as the Sandwell Children’s Safeguarding Partnership (SCSP)

The new partnership will promote the interdependence of organisations and agencies including the voluntary, community sector in safeguarding and promoting the welfare of children and their families.

Responsibility for the partnership rests with Sandwell Council, the Chief of Police, the local Clinical Commissioning Group and Sandwell Children’s Trust.

This is positive news and the cabinet member for Children’s Services Cllr Simon Hackett has challenged the health and wellbeing board to consider how it can support the new partnership. A key support mechanism will be the statutory 4 board’s partnership, a meeting where the Chairs of our statutory boards come together.

We will hear more about the development of the new partnership later on in the year.

Andy Williams, Accountable Officer of Sandwell and West Birmingham CCG then presented an update on the future of health commissioning and provision in Sandwell.

The main focus of work so far has been on the development of a single outcomes framework and the building of a provider alliance in Sandwell. This means that the board will have oversight of 1 plan which will be focused around the Vision for 2030 that will contain detail on how local health services will run and be paid for. The board were receptive of the plan and asked that Andy bring the first draft to the next meeting. I will share more in March’s blog.

 

Following on from the board’s decision in 2017 to make mental health a focus theme and the young person and people’s parliament mental health takeover that took place in September 2018, the board received an update on mental health and wellbeing in Sandwell. Jayne Leeson, from Changing our Lives and Colin Marsh, a Service Manager for Sandwell Council presented a proposal for re-shaping the adult governance arrangements of mental health. The health and wellbeing board champions co-production and was pleased to accept the recommendation that the board receives and supports future white papers submitted by the People’s Parliament; a strategic body led by MPs with recent lived experience of mental health difficulties.

We also agreed that a new adult mental health and wellbeing strategic steering group should be set up led by the Parliament and supported by the Board and practitioners.
To encourage a joined up approach, the board asked that Children’s Services and the Children’s Trust consider this framework in line with their existing mental health governance model. I am delighted that this work-stream is progressing as I believe strongly in the aim to ensure mental health achieves parity with physical health.

 

We then received an update from Andy Williams on the social and health care centre in Rowley Regis.  Plans are moving along at speed and I am delighted that this Better Care funded project is taking shape so quickly.

We then heard about an exciting initiative led by Cllr Elaine Costigan called Fizz Free February. Healthy Sandwell are challenging Sandwell residents to give up fizzy drinks this month. You can find out more about it including ideas for healthy swaps and make a pledge here

Finally,  the board was also informed that Chief Superintendent Richard Baker was moving on from Sandwell. Sincere thanks were extended to him for his leadership on the prevention of violence and exploitation work-stream and his chairing of the statutory 4 board chairs group. His contribution was invaluable.

Future meeting: Our next meeting will be held on 14 March 2019 in Wednesbury – venue to be confirmed, at 4.30pm. Meetings are open to the public and papers can be found on the council CMIS page.

As I mentioned earlier, if you have any ideas of where we can hold the meeting, please get in touch with the board project officer Rachel Allchurch on 0121 569 5163 or tweet us @SandwellHWBB. (This blog does not replace the formal minute of the board meeting).

Sandwell Health and Wellbeing Board, Chairs blog, November 2018

Hello there,

This month we held the Health and Wellbeing board meeting at Tipton Muslim Community Centre.

We heard the news that Dr Basil Andreou, GP and Vice Chair of the Health and Wellbeing Board will be stepping down.  The board thanked him for his dedication and support to our board over the last five years.

This time around we had a number of really interesting topics to discuss. First we heard from the Transforming Care Partnership.  Our local partnership is made up of Black Country health reps and was set up in response to the Winterbourne View scandal in 2012. They are working to support people who have learning disabilities or complex mental health problems who need to be admitted to hospital.

We heard about the engagement work taking place and asked the partnership to ensure that key work-streams are linked up including Children and Adolescent mental health services (CAMHS), Special Educational Needs and Disability (SEND) and the Adverse Childhood Experiences (ACEs) programme.

The partnership also told us about the money it costs to do this work and the board asked that it reaches an agreement with its partners on how the costs will be met by early next year.

We then heard from Lesley Hagger, the new Executive Director of Children’s Services here at the council who updated the board on the Children and Adolescent mental health services (CAMHS) transformation plan. The plan was first developed in October 2015 following publication of the Future in Mind report in 2015 that identified the current challenges to children and young people’s mental health provision. Issues included long waiting lists and poor access to services.

The plans for next year include improving access so that people can get the help they need, supporting the wider children’s workforce, shaping the ACEs work streams and joining up engagement opportunities with key partners including the Children’s Trust and the local clinical commissioning group.

The board approved the interim plan and asked that a delivery plan be created and bought back to board in early 2019; I’ll update you on this in the future.

The final main discussion item focused on the Better Care Fund presented by Andy Williams, Accountable Officer from Sandwell and West Birmingham Clinical Commissioning Group (CCG). This work supports the reducing delayed transfers of care focus theme.

Andy asked the board to consider options for the future of social care-led bed-based intermediate care provision in Sandwell. The board approved option2 – the building of a specialist 80-bed integrated Social Care and Health Centre at the Knowle site, Harvest Road, Rowley Regis, with the Centre to be managed and staffed by the Council. This is an exciting piece of partnership work and we will hear more about developments next year.

I had a number of items on my chair’s correspondence list this time around.  Firstly, Cllr Syeda Khatun, Deputy Leader and cabinet member for Neighbourhoods and Communities updated the board on the improving end of life care focus theme of which she is Board sponsor.

Since the last update, engagement work has taken place including consulting on localising a national palliative care framework here in Sandwell. We asked council, CCG and Sandwell and West Birmingham Hospitals NHS Trust colleagues for their views on what was important and we will be asking local people what they think on 4 December at the CAP Centre in Smethwick between 12.30 and 3.00pm. If you want to come along, click here to register

Secondly, we had a good news story from our SHAPE team here at the council who won a BAPA (Black and Asian Police Association) Police & Community Inspirational Award for the work they do in inspiring young people through the programme to fulfil their potential – well done Neesha and team!

We then heard from Andy Williams, Accountable Officer for the CCG who confirmed that their GP leadership structure had changed and as of 2019, the health and wellbeing board will have new membership. I will share more about this in the next blog.

Finally, Chief Supt. Richard Baker updated the board on the work of the other 3 statutory boards, the Safer Sandwell Partnership Police and Crime Board (SSP), the Sandwell Safeguarding Children’s Board (SSCB) and the Sandwell Safeguarding Adult’s Board (SSAB).

The SSP have agreed new priorities and have aligned new sub-groups in support of the prevention of violence and exploitation (PoVE) work.  New programme managers for PoVE and Modern Slavery will be starting in the New Year.

The SSAB have appointed their new Chair, Sue Redmond and new priority areas have been identified including:

  • Voice of the service user
  • Data performance
  • Safeguarding pathways

The SSCB is making plans to transition to new multi-agency safeguarding arrangements (MASA) in 2019. Priorities for their approval are:

  • Improving SSCB performance
  • Improving services for Sandwell children
  • Improving response to exploitation

Work is currently being undertaken to consolidate a number of plans to strengthen SSCB governance in readiness for MASA.

Cllr Simon Hackett, cabinet member for Children’s Services updated the board on a recent inspection of the Youth Offending Service (YOS). The inspection is part of a new programme of Inspections led by HM Inspectorate of Probation. The board was pleased to note that the service received a ‘good’ rating. Read the rest of the inspection report by clicking on the above link.

Future meetings: Our next meeting will be held on 17 January 2019 at 4.30pm. Venue to be confirmed. Meetings are open to the public.

As I mentioned earlier, if you have any ideas of where we can hold the meeting please get in touch with the board project officer Rachel Allchurch on 0121 569 5163 or tweet us @SandwellHWBB

Sandwell Health and Wellbeing Board Chair’s Blog – 13 September 2018

Hello there,

September’s Health and Wellbeing Board was very different to the norm.

The Board was ‘taken over’ by SHAPE; Sandwell Councils initiative led by Neesha Patel to listen to the voice of children and young people.  The programme focuses on 5 outcomes; Staying Safe, Being Healthy, Enjoying and Achieving, Making a Positive Contribution and Economic Wellbeing.

We then heard from the People’s Parliament, a strategic body led by MPs with recent lived experience of mental health difficulties. They hold decision makers to account for improving services and support people to have greater control over their own mental health and wellbeing.

SHAPE co-designed their workshop with 10 young people, some who had lived experience of mental health and wellbeing issues. It focused on case-studies which prompted board members to really consider whether the services they are currently commissioning are really making a difference to local young people.  After each case-study young people got up and spoke to the Board, giving a summary and recommendations for change.

The young people think that mental health issues among their age group are getting worse and they provided the following reasons as a possible cause:

  • Too much pressure on young people during exam season, they are expected to do well and some end up being scared to sit exams as a result.
  • Being overweight/obese can affect your mental health.
  • Being focused on your image can adversely affect your mental health.
  • Young People aren’t educated enough on how to look after their own mental health.
  • Social media is a heavy influence on young people

Some of the young people had lived experience of being in the mental health ‘system’ and made the following observations about Children and Adolescent mental health service or CAMHS:

  • Long waits, at least 3 to 4 months on a list
  • They are reactive, should be more proactive
  • Poor follow ups

Young people Recommendations

  • The board should prioritise mental health
  • Current priorities of the board are too vague and aren’t measureable.
  • They think that mental health services could be improved by focusing on mental health in school and by offering more 1 to 1 sessions within the services.
  • Improve awareness of services for young people
  • Section of A&E for people struggling with their mental health with trained staff (a place of safety)
  • A separate area for children to feel safe and supported
  • Awareness that young people find it difficult to navigate the mental health system – some clarity of governance of current mental health strategy and leadership is required
  • Knowledge of current services is low and could be better coordinated
  • Bereavement and grief should also be tackled as a mental health issue and young people need more support to deal with this.

We then heard from a lady who is an MP with the People’s Parliament. The lady suffered from mental health difficulties and did a really good job of telling the board about their approach which includes:

  • The need for greater parity between mental and physical health.
  • We must find innovative and creative ways to challenge stigma.
  • Recovery informs all of our work.
  • Mental Health Rights are Human Rights Prevention can be naturally created within communities; local people are the catalyst for change

Board members and visitors who attended to be a part of the take-over told me what a valuable and needed meeting this was and we have a number of discussion points that were raised by both the young people and the Parliament that I will be taking forward with the Board next year; these include further considering how we can better connect various mental health strands so that everyone understands who does what and how different partners can support local people.

Of course, co-production will help develop this work, ensuring that local people, the voluntary sector and our partners are involved in shaping this important work.

Below is the graphic art that shows the outcomes of the take-over – thanks to Jane Thakoordin from Changing our Lives for her art skills!

HWB takeover graphic art - Sept 18

Health and Wellbeing Board Chair’s blog – 19 July 2018

Hello there,

You may be aware that we discussed progress with the Midland Met Hospital at last month’s meeting. One of my actions was to write to Stephen Barclay MP outlining the Boards concerns at the delays. I am pleased to report that a response has been received back (read my letter and the response here) – The board is keen to continue to push central government to support Sandwell and West Birmingham Hospital Trust and we will be contacting them again soon for an update.

 

The first agenda item at this month’s board was a presentation from Cllr Steve Trow cabinet member for Culture and Core Council Services and Darren Carter, Executive Director of Resources giving an update on the Vision for 2030.  The council is developing a journey tracker to make sure we realise our ambitions locally. We are looking at inclusive growth as a way of measuring progress and the Health and Wellbeing Board is doing what it can to support this work.

Alison Knight, Executive Director for Neighbourhoods then spoke to us about local housing regeneration and some of our successes.

We are also working in partnership with housing developers and have facilitated some award winning spaces including the Lyng redevelopment and energy projects focusing on renewable technologies and heat networks. The board is keen to support this work further and will be pulling together a health and regeneration steering group to focus on some key outcomes that will really support local regeneration.

We then had an update from Chris Guest, a Service Manager in Adult Social Care on local health and social care integration.  The council and local clinical commissioning group are doing really well with targets to make sure people who are ready to leave hospital do so in a timely manner. We are number 1 in the West Midlands which is great news.

We also want to make sure people in care homes that need to visit hospital are looked after by rolling out the Red Bag Scheme

The bags will be given to care home residents when they leave for hospital. Patients will be able to keep personal items, key medication and paperwork inside them so that important items aren’t lost and patients feel secure and will also improve communications between care home staff and hospital staff.

We then heard from the Interim Director of Public Health Ansaf Azhar, who spoke to us about public health’s new priorities that will support the joint health and wellbeing strategy – they are:

  • Our children will get the best possible start in life
  • People will have better physical and mental health
  • Vulnerable people will be given the right support

The board wants to ensure that these priorities are supported across the partnership so we will be thinking more about how we can do this together at a future meeting.

We then received a presentation from Valerie Unsworth, Nurse Consultant for Health Protection. Valerie deals with infectious diseases, environmental threats and responding to health protection related emergencies. We learnt that Sandwell has high rates of TB and late diagnosis of HIV which we are working on as a partnership through the health protection board.

I will ensure that the Health and Wellbeing Board is kept up to date with progress, to be assured that local systems are in place to protect local residents.

John Clothier, Chair of Healthwatch Sandwell then briefed the Board on some recent engagement work with patient participation groups or PPGs. PPGs were created to act as a ‘critical friend’ to practices, be the patient advising forum and encourage and develop patient engagement and communications with the practice population.  We know that some surgeries in Sandwell have really effective groups that are making a positive difference for their patients and we want to share this good practice with other surgeries, who may be earlier on in their PPG journeys.

Finally, Rich Baker updated us on the on-going work of our other statutory boards; the Sandwell Safeguarding Adults Board (SSAB), the Sandwell Safeguarding Children’s Board (SSCB) and the Safer Sandwell Partnership, Police and Crime Board (SSP).

Amongst other key work, the SSAB has developed a new performance framework to reflect quantitative and qualitative data and are planning their annual conference planned for September 2018.

The SSCB published ‘Working Together to Safeguard Children 2018’ on 4 July 2018 and there has been 1 serious case review and 1 local learning review.

The SSP has restructured following identification of their new priorities, and the Prevention of Violence and Exploitation sub group will have their first meeting on 26th July. The Youth Justice plan has been finalised and the Combined Offer to schools was launched on 4th July.

Cllr Hackett then confirmed that the Children’s Trust had received a monitoring visit from Ofsted and had made a positive start to their journey. The Health and Wellbeing Board is keen to support this work and I am delighted to announce that a motion was passed at full council on the 17th July, approving that the CEO of the Children’s Trust, Frances Craven be invited to become a member of the board.

Thank you to everyone for their valued contributions to the agenda; the discussion was valuable and has created some tangible outcomes to be taken forward. The next meeting will be held 13 September, 4.30-6.30pm.Venue to be confirmed.

Want to find out more? Email HWB_Board@Sandwell.gov.uk, call Rachel Allchurch on 0121 569 5163 or tweet us @SandwellHWBB

HWB Chairs Blog – 7 June 2018

Sandwell Health and Wellbeing Board Chair’s Blog – 7 June 2018

Hello there,

First on the agenda this month was a topic high on everyone’s radar; progress with the Midland Met Hospital. Toby Lewis the Chief Executive of Sandwell and West Birmingham Hospital Trust spoke to the Board about future challenges facing the build and how we get it open to the public. He also spoke about plans to ensure service disruption is kept to a minimum.  The Board is keen to support Toby and his team wherever possible and I will ensure that local people are kept updated on this important work.

Next we heard from Andy Williams, Accountable Officer at Sandwell and West Birmingham Clinical Commissioning Group (CCG). The CCG are working alongside the council and the hospital Trust to develop a partnership approach to agreeing how they will spend their budget between 2019 and 2021. They said they will work with partners, providers and patients to help shape health outcomes for local people prioritising amongst other things the first 1,000 days and last 1,000 days of life.

Valerie De Souza, our Consultant in Public Health then spoke to us about our 0-19s action plan. The plan contains a clear set of actions that will help to improve outcomes of children and young people aged between 0 and 19 years of age.  Cllr Simon Hackett is keen to ensure that strong links are made between the Health and Wellbeing Board and the Children’s Trust and has agreed to champion the plan. I will work alongside Cllr Hackett and the other board partners to ensure that the plan is supported and implemented.

We then had a discussion about the pharmaceutical needs assessment (PNA) that has been recently updated. A PNA is a document that shows us whether we have enough pharmacies in Sandwell and whether they offer local people the right services they need. The assessment demonstrated that here in Sandwell we have great service with plenty of pharmacy access for local people.

Steve Phillips, Divisional Director for the Black Country Partnership Foundation Trust presented the next item. He told the Board about the work that our mental health steering group is developing including raising awareness and rolling out a programme of mental health first aid training across Sandwell.

Finally, the board project officer updated us on the on-going work of two of our other statutory boards; the Sandwell Safeguarding Adults Board (SSAB) and the Sandwell Safeguarding Children’s Board (SSCB).

Amongst other key work, the SSAB continue to develop their awareness campaigns, with a key focus on improving awareness of Safeguarding and what ‘to do’ if you ‘see something’ with a considered focus on prevention of violence and exploitation.

The SSCB are continuing to develop their new priorities which include making sure safeguarding concerns are recognised and responded to in a timely manner and raising the profile of neglect  so that it is understood and comprehensively responded to by the partnership

Thank you to everyone involved in this very well attended HWB. The next meeting will be held in Smethwick, we don’t have a venue yet, so get in touch if you have a suggestion.

Want to find out more? Email HWB_Board@Sandwell.gov.uk, call Rachel Allchurch on 0121 569 5163 or tweet us @SandwellHWBB

 

HWB Chairs Blog – 29 March 2018

Chair’s Blog – 29 March 2018

This month the health and wellbeing board (HWB) was held at Langley Lodge Community centre, which backs onto the Oldbury Rep, Sandwell’s only purpose built theatre. Check what’s on here.

First on the agenda was the very important topic of Health and Social care Integration. This means that the board is making sure the Council, the N.H.S. and our other partners are doing their best to bring our health and social care services together. The board heard more about the idea of building 2 health and social care centres which would support local people who are ready to leave hospital and could include people suffering from mental health issues.

Next we heard from the Rt. Hon. Jacqui Smith who is the new Chair of Sandwell’s Children’s Trust. The Trust is tasked with improving the lives of the most vulnerable young people in the Borough. HWB members agreed to support the Trust in any way possible. A good example is the setting up of a reducing Adverse Childhood Experiences steering group and we have invited the Trust to be involved.

We then heard about the innovative ‘steps to work’ programme, a Charity which helps disabled people, the long-term unemployed and other disadvantaged groups to find and stay in work.

Following an introduction by Cllr Khatun, Dr Anna Lock updated us on our ‘End of Life’ focus theme. A Borough wide conversation is needed on this subject and a steering group has been set up to facilitate this. Awareness raising sessions will be held locally, probably on a town basis. The first will be held in Jack Judge House (Library) on May 16th, 11a.m. to 12 (noon)

We then heard an update on Adverse Childhood Experiences (ACEs) – a steering group will take this agenda forward. It will be led by David Stevens with support from our colleague Chief Supt. Richard Baker.

Eddie Clarke presented the Safeguarding Adults Board Annual Report. It is good to know that the recent Peer Challenge on Safeguarding recognised that Adults are safe in Sandwell and Eddie was identified as giving strong clear leadership. We thank Eddie for his work in Sandwell and wish him a long, happy and healthy retirement.

I recently attended a conference on Homelessness which placed an emphasis on the health and wellbeing of people affected by this issue. I have tasked the board with thinking more about how it can support this work.

Finally, Chief Supt. Richard Baker informed us that the Chairs of the 4 statutory boards continue to meet quarterly to identify where most value can be added to our priorities and includes the prevention of Violence and Exploitation (POVE) with an emphasis on improving communication, engagement and training opportunities for colleagues. It is hoped that we recruit a project manager to take this agenda forward.

Thank you to everyone involved in this very well attended HWB.

Any suggestions for a future venue! If so, please ring Rachel Allchurch on 0121 569 5163 or tweet us @sandwellHWBB