Agenda and minutes

Shadow Health and Wellbeing Board - Tuesday, 10th July, 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: Committee Room 'D' - The Henry Bolingbroke Room, County Hall, Preston. 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 to the meeting and in particular the guests attending to assist with presenting the Intervention items.  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 29 May 2012 pdf icon PDF 54 KB

To approve the minutes of the meeting held on 29 May 2012.

Minutes:

Resolved: The minutes of the meeting held on 29 May 2012 were agreed as an accurate record.

4.

Overview of the Interventions pdf icon PDF 305 KB

Report to attached.

Additional documents:

Minutes:

Habib Patel, Lancashire County Council, opened the presentation by explaining that the Board has been working to a tight timescale but has a bit more time to work on the chosen Interventions.  The intention is to agree which Interventions the Board will target with the aim of presenting firm proposals to the September 2012 Board meeting.  Habib thanked Board members for their hard work so far on each on the Interventions.

 

Habib drew the Boards attention to the 10 documents circulated in the agenda papers which give an overview of the work done on each Intervention to date.

 

Resolved: The Shadow Health and Wellbeing Board noted the presentation and documents circulated with the agenda.

5.

Progress on the Three Interventions

Presentations

Minutes:

Alcohol Liaison Intervention (Board Members County Councillor Mike Calvert and Dr David Wrigley)

 

Steve Owen, Lead Officer for the Alcohol Liaison Intervention gave a presentation on progress to date on this particular Intervention and what is working well / not well.

 

The current situation in Lancashire is that there are three distinct projects which follow a best fit model as resources allow.  Models are based on local priorities – i.e. reducing alcohol related admission rates and unscheduled care.  There is a good evidence base for interventions and some evidence of emerging partnerships between hospital and community services.

 

Steve explained that the outcomes for Alcohol Liaison had been split into short, medium and long term goals as follows:

 

Short

1year

·  Contracts agreed with providers based on the identified target groups for local projects.

·  Equitable access to liaison services.

·  Robust data collection and monitoring systems for evaluation.

·  Clinical pathways agreed between hospital, GP and community.

·  Increased clinician awareness of alcohol impacts and skills in Identification and Brief Advice.

 

Medium

3-5years

·  Reduce alcohol specific re-admissions and A&E representations within 30 days.

·  Reduce bed usage associated with acute alcohol withdrawal.

·  Improve quality of care for people admitted to hospital for alcohol specific and alcohol related conditions.

·  Reduce alcohol associated demand and cost burden to NHS and partners.

 

Long

2020

·  Reduction in the rate of increase of alcohol related hospital admissions.

·  Improvement in Lancashire Alcohol Profiles for England (LAPE) across Lancashire 12 districts.

·  Positive outcomes over the longer term on other conditions associated with alcohol including mental health, cancer and CVD.

 

 

Steve also highlighted some of the shifts or changes required to ensure the Intervention is effectively implemented as follows:

 

How must partners work to ensure that the ‘priority shifts’ are applied and the intervention is effectively implemented?

·  Partners need to commit to engagement and contribute to implementing alcohol liaison as a priority objective.

·  Partners need to commit resources

·  Partners need to ‘buy in’ to evidence of the benefits of alcohol liaison as an intervention to improve health and reduce demand for services.

·  Partners need to communicate openly regarding barriers to achieving objectives.

·  Partners need to commit to integrated pathways between hospital, community and primary care.

·  Partners need to commit to workforce training and adopting screening for alcohol related issues.

·  Influence of HWB/CCG’s to promote planning priorities.

Who needs to be involved to develop, commission and deliver the intervention?

·  Public Health Lancashire

·  CCG's

·  Acute Trust

·  Primary care services

 

·  Community treatment services

·  Service users

·  Leverage from HWB

What are the ‘milestones’ for the Task Group in the year ahead?

·  Resubmit alcohol liaison business case to funding groups and explore potential for ‘invest to save’ resource shift with providers.

·  Engage all key stakeholders in planning alcohol liaison services.

·  Develop locality implementation plans.

 

 

Board members welcomed the presentation and commented that early intervention to educate people on a healthy lifestyle was important to intervention success, and also commented on some of the wider interventions related to alcohol such as enforcement of alcohol licensing.

 

Loneliness in Older People  ...  view the full minutes text for item 5.

6.

Health and Wellbeing Strategy Narrative Draft pdf icon PDF 321 KB

Report attached.

Minutes:

Habib Patel presented the report (circulated).  The Board provided comments and feedback on the progress to date on the narrative and it was suggested that a small group be formed to review the narrative.

 

Resolved: The Shadow Health and Wellbeing Board noted the report and agreed to that a small group be formed to review the narrative.

7.

Engagement Feedback and comments to date on Strategy pdf icon PDF 30 KB

Report attached.

Additional documents:

Minutes:

Habib Patel presented the report (circulated) on the Engagement Feedback and comments received to date on the Strategy.

 

Michael Wedgeworth, Third Sector Lancashire, was invited to comment on the work done by Third Sector Lancashire on collating responses from the Third Sector to the strategy. 


Michael reported back on a number of suggested recommendations received from the Third Sector organisations (document circulated) which included addressing inequalities, need for clarity around the role of the Voluntary, Community and Faith Sectors within the Health and Wellbeing Strategy, the need for two way communication and other suggested recommendations.

 

Resolved: The Shadow Health and Wellbeing Board noted the report and presentation.

8.

Role of the Shadow Health and Wellbeing Board in the authorisation of CCG Commissioning Plans pdf icon PDF 2 MB

Report attached.

Minutes:

Dr Ann Bowman, Greater Preston Clinical Commissioning Group (CCG), presented the Commissioning Plan (circulated).  Dr Bowman explained that the Plan had been written before the Health and Wellbeing Strategy so reference to the Health and Wellbeing Strategy will be included in future editions of the Plan. 

 

Dr Bowman explained that the Shadow Health and Wellbeing Board will play a significant role in informing CCGs of health and social care need, working with CCGs to develop their strategic thinking and shape their developing plans for the future. The Shadow Health and Wellbeing Board plays a part in the authorisation process, key areas were highlighted as follows:

 

·  Taking part in a 360 degree survey on each CCG within its footprint

·  Receiving and commenting on the vision and key priorities of each CCG within its footprint.

·  Working with CCGs, using refreshed JSNA ,to develop joint health and wellbeing strategy, to enable integrated commissioning where it is most useful on an on-going basis

·  Ensuring that Quality, Innovation, Productivity and Prevent ion (QIPP )is integrated within all plans on an on-going basis

 

The key questions within the 360 degree survey that will be asked of the Shadow Health and Wellbeing Board were circulated at Appendix 2.

Vision and key Priorities of each of the six CCGs within Lancashire’s Shadow Health and Wellbeing Board were circulated at Appendix 3.

A copy of Greater Preston’s Clear and Credible Plan (CCP) was circulated at Appendix 4.

 

Resolved: The Shadow Health and Wellbeing Board noted the presentation and noted their role in the future authorisation of CCG Commissioning Plans.

9.

Any Other Urgent Business

Minutes:

It was noted that with regard to the HealthWatch item discussed at the previous Board meeting that a contract had now been awarded to a provider.  The timescales are to be determined between now and November of how HealthWatch will be implemented.

10.

Programme of Meetings 2012 and Date of Next Meeting

Date of Meeting

 

4 September 2012, Rowan Room, Woodlands, Chorley

18 October 2012, Rowan Room, Woodlands, Chorley

16 November 2012, Rowan Room, Woodlands, Chorley

 

All main meetings are 1.45 pm tea, coffee and biscuits for a 2pm start. 

 

Next meeting 4 September 2012.

Minutes:

The programme of meetings was noted and it was noted that the next Shadow Health and Wellbeing Board meeting would be held on 4 September 2012 at 2pm in the Rowan Room, Woodlands Conference Centre, Chorley.