Agenda and minutes

Shadow Health and Wellbeing Board - Tuesday, 29th May, 2012 2.00 pm

Members of the public are welcome to attend our meetings to watch them in person at any of the venues across the County. Publicly accessible meetings held in County Hall will be webcast, which means they are available to be watched live or recorded on our website. Please see our webcasting notice here. The Committee may, in certain circumstances, resolve to hold part of the meeting in private. If this is the case, you will be required to leave the meeting.

Venue: Rowan Room - Woodlands. View directions

Contact: Andy Milroy  Tel: 01772 536050 Email:  andy.milroy@lancashire.gov.uk

Items
No. Item

1.

Welcome from the Chair and overview of the agenda

Minutes:

The Chair, County Councillor Valerie Wilson, welcomed all the meeting and in particular welcomed Councillor Julie Cooper who has replaced Councillor Margaret Lishman as the East Lancashire District Councils representative.  County Councillor Wilson also provided an overview of the agenda.

2.

Apologies for absence

Minutes:

Apologies were noted.

3.

Minutes of the meeting held on 9 May 2012 pdf icon PDF 78 KB

To approve the minutes of the meeting held on 9 May 2012.

Minutes:

The minutes of the previous meeting held on 9 May 2012 were agreed as an accurate record.

4.

Strategy and Interventions - How they will be delivered

Presentation

Minutes:

Habib Patel, Lancashire County Council, began the presentation by reminding the Board of the purpose of the Strategy:

 

Work together...

  Achieve shifts in the way that partners work; resulting in more effective collaboration and greater impact on health and wellbeing.

  Learn the lessons arising from this collaboration to strengthen future working together.

... Get results

  Deliver improvements in ‘priority outcomes’.

  Deliver early interventions i.e. specific areas for action that will help deliver the priority outcomes whilst ‘modelling’ desired shifts in the ways that partners work together.

 

Habib highlighted the four long term priority outcomes for the Health and Wellbeing Strategy 2012 – 2020:

 

·  Maternal and child health

·  Mental Health and Wellbeing

·  Long term conditions

·  Improve health and independence of older people

 

It was then explained that some Board members would take the lead role on certain key areas and a "Health and Wellbeing Interventions Leads" document was circulated.  Board members confirmed they were happy with the suggested Board members for each intervention and it was agreed a final version would be circulated in due course.

 

Habib finished his presentation by outlining the timescales for approval of the Health and Wellbeing Strategy as follows:

 

  Draft Strategy sign off (10th July)

  Interventions (2nd September)

  Final Strategy and Interventions ( 18th Oct)

  Launch Strategy and intervention programme  (16th Nov)

 

At this point Ian Roberts asked the Board in groups to consider any "concerns" they have and any "recommendations" for addressing those concerns.  The Board then fed back the following results:

 

Concerns

Recommendation

Clinical Commissioning Group (CCG) Plans need to match with the Health and Wellbeing Strategy / Ensure dynamic processes in relationship between SHWB and CCG's

Involve CCG so that they be involved and take ownership of matching CCG Plans to Health and Wellbeing Strategy.

Duplication, Isolation and Buy In.

Ensure existing mechanisms are used to avoid duplication.  Ensure communication between various groups and shared membership of groups.

Concern the Interventions become "too big" / Time commitment needed.

Clear idea of time required and timescales for completion.

Summer Holidays.

Work smarter – not everyone has to attend all meetings.

Lack of clarity of tasks.

Outcome measures and indicators

Lack of consistent approach.

Refer to framework to ensure consistent approach.

Overcomplication

Establish very clear narrative / goals.

"Re-inventing the wheel".

Share existing good practice.

Risk of "tribalism".

Whole systems approach.

Repeating failure.

Learn from mistakes.

Lack of evidence.

Ensure interventions evidence based.

Where does Public Health fit in.

New DPH sits on Health and Wellbeing Board.

"Alcohol liaison nurse" intervention too narrow.

 

What is the definition of Health and Wellbeing.

The Board to do further work on this.

Are the interventions deliverable in a meaningful way.

Set achievable goals.

 

Board members discussed the establishment of CCG Plans and that the Board is currently carrying a Provider vacancy.  It was agreed that Sally Parnaby would look into the Provider vacancy and how the Board engage with providers.

 

Resolved: The Shadow Health and Wellbeing Board noted the presentation and comments  ...  view the full minutes text for item 4.

5.

Strategy Consultation Progress and Feedback pdf icon PDF 28 KB

Report attached

Minutes:

Habib Patel, Lancashire County Council, presented the report.  Habib explained that at the last Shadow Health and Wellbeing Board meeting (9th May 2012) it was decided that all the Board members as part of their leadership role would engage partners in the development of the strategy.

 

An engagement paper was written which was agreed to be distributed by the Board members to partners, stakeholder etc The Strategy engagement paper outlined:

·  The purpose of the strategy and how the Board would work to deliver outcomes

·  Shifts in the way partners would work

·  Priority health and wellbeing outcomes in Lancashire

·  Interventions

The engagement paper also proposed two questions for stakeholders to comment on:

·  What recommendations would you make to strengthen the emerging strategy?

·  What contribution can your organisation/partnership make in the delivery of the strategy?

Habib highlighted the progress made to date as follows:

 

Board members have been sharing and distributing the paper with stakeholders, below is a list of key stakeholders who have either been contacted for comment or will be contacted in the coming weeks.

 

Michael Wedgeworth

Has sent the Health and Wellbeing engagement paper to organisations on the Third Sector Lancashire mailing list. Michael Wedgeworth has agreed to collate their responses and provide an overview of the comments. 

Councillor Cheryl Little

Circulated to councillors in the Fylde Coast

Fylde Alcohol partnership

Health & Wellbeing Leads

Cllr Valerie Wilson

Cllr Susie Charles

Cllr Mike Calvert

 

Briefing seminar – All Lancashire Elected Members

LCC Cabinet

Dr Anne Bowman

CCG Greater Preston

Dr Peter Williams

CCG and forums in East Lancashire

Dr Robert Bennett

CCG South Ribble & Chorley

Lorraine Norris

Lancashire Chief Executives (Local Government)

Preston's various strategic partnerships

 

Helen Denton

Children's Trust and related partnerships

Children's Safeguarding Board

Lancashire Fire & Rescue Service

Lancashire Constabulary

 

Janet Soo Chung

Peter Kenyon

CCG Chairs

CCG Leads

Cluster Directors

Cluster Board

 

Richard Jones

Lorraine Norris

 

Lancashire Leaders (leaders of councils)

Lancashire Economic Partnership

 

 

It was noted that Board members have circulated the strategy engagement paper to other stakeholder for comments also. These may not have been captured in the table above. 

 

Resolved:

 

The Shadow Health and Wellbeing Board agreed:

 

·  For Board members to continue to engage partners with the development of the Health and Wellbeing strategy.

·  To note and send out the strategy engagement paper to any obvious partners who have not been covered to date.

·  To inform Habib Patel habib.patel@lancashire.gov.uk on circulation of engagement paper to key stakeholders.

6.

HealthWatch Update pdf icon PDF 47 KB

Report attached.

Minutes:

Habib Patel, Lancashire County Council, presented the report and explained that HealthWatch will be a local independent organisation, able to employ its own staff and volunteers, so it can become the influential and effective voice of the public. It will have to keep accounts and make its annual reports available to the public.

 

Habib explained that Lancashire County Council has a responsibility to ensure that Lancashire has its own Local HealthWatch by 1st April 2013.

 

As no Local HealthWatch structure is currently in place, Lancashire County Council are seeking a Host organisation to maintain the work of the current Local Involvement Network (LINk) and build an organisation called Local Lancashire HealthWatch which will operate within the County Council footprint.  The contract will be awarded to the organisation who most convincingly demonstrates how it will work with citizens, representing the twelve districts of Lancashire through Community HealthWatch Gateways.

 

The contract awarded will start no later than 1st July 2012 and a Lancashire Health Watch to be up and running by the 1st April 2013. Lancashire County Council as the top tier authority is responsible for commissioning Lancashire HealthWatch and have therefore made £60,000 available for the building an effective and inclusive Lancashire HealthWatch. The final figure for the running of a Lancashire HealthWatch will not be known till later in the year.

 

Resolved:  The Shadow Health and Wellbeing Board noted the progress being made on developing a Lancashire HealthWatch.

7.

Lancashire Children and Young People's Trusts - Links with the Shadow Health and Wellbeing Board pdf icon PDF 69 KB

Report attached.

Minutes:

Mike Hart, Director for Resources, Planning and Business Services, Directorate for Children and Young People gave a presentation on Children's Trusts and links with the Shadow Health and Wellbeing Board.


Mike gave some background to the Children's Trusts and explained that they have been in operation for around 6 or 7 years, they were statutory but are not anymore.  The Children's Trusts work to clear outcomes from OfSTED and to priorities set out in the Children and Young People's Plan, which was last refreshed around 18 months ago.

 

Mike explained that several partners are involved in the Trusts including:

 

  Borough Councils

  Children’s Centres

  Colleges

  Health – commissioners and providers

  Lancashire Constabulary

  Lancashire County Council

  Lancashire Fire and Rescue Service

  Schools – primary, secondary and special

  Voluntary Community and Faith Sector

 

The Children's Trusts have a number of health related priorities and central to that is "Working Together" to achieve healthy delivery, by sharing information across all the partners to benefit families and achieve long term intervention success.

 

The Children's Trusts achieve this by working with families as opposed to doing to, helping them to improve their situation and take greater control over changing their circumstances and improving outcomes for their children.

 

The Shadow Health and Wellbeing Board welcomed the presentation and discussed how the Children's Trusts could link to the Clinical Commissioning Groups (CCGs).


The following recommendations were set out in the report to the Board to build on the existing work of the CYP Trust; to strengthen the relationship between the Trust and the Health and Wellbeing Board and to reduce the risk of duplication in how we deliver services to children and young people.

 

·  The CYP Health and Wellbeing Priority Group is established as a sub group of both the Trust and the Health and Wellbeing Board with a remit to promote, improve and champion the health and wellbeing of CYP (as set out at Appendix 1 to the report).

·  The Director of Public Health to chair the CYP Health and Wellbeing Board Priority Group to ensure an appropriate flow of discussion, decision and information between the Priority Group and the HWB Board.

·  To establish a children and young people's version Health and Wellbeing Board whose membership will consist of children and young people from across Lancashire. This group will ensure and enable the voice, participation and engagement of children and young people in strategic decision making about health and wellbeing.

·  A protocol will be drafted to formally outline the relationship and responsibilities between the CYP Trust and the Health and Wellbeing Board and building on the above recommendations. This will be presented for discussion and agreement at a future meeting.

Resolved:  The Board welcomed the report on the Children's Trusts and welcomed the work being done by the Children's Trusts regarding Health and Wellbeing priorities.  The Board, agreed that whilst the Board was finalising the Health and Wellbeing Strategy, that at this time it would  ...  view the full minutes text for item 7.

8.

Any Other Urgent Business

Minutes:

None

9.

Programme of Meetings 2012 and Date of Next Meeting

Date of Meeting

 

10 July 2012, Cabinet Room 'D', County Hall, Preston

4 September 2012, Rowan Room, Woodlands, Chorley

18 October 2012**, Rowan Room, Woodlands, Chorley

16 November 2012***, Rowan Room, Woodlands, Chorley

 

All meetings are a 2pm start, with tea, coffee and biscuits available from 1.45pm.

Board members are asked to note that the next meeting will be held on 10 July 2012, Cabinet Room 'D', County Hall, Preston.

 

Minutes:

The programme of meetings for 2012 was noted and it was also noted that the next meeting would be held on 10 July 2012 at 2pm in Cabinet Room 'D', County Hall, Preston.