Agenda and draft minutes

The Chair, County Councillor Valerie Wilson welcomed all to the Shadow Health and Wellbeing Board meeting and introduced the items on the agenda.

Apologies for absence were received from Maggi Morris (Director of Public Health), Dr Simon Frampton (West Lancashire CCG), Janet Soo-Chung (Chief Executive of Lancashire PCT Cluster) and Professor Heather Tierney-Moore (Chief Executive of Lancashire Care Foundation Trust).

To agree the minutes of the meeting held on 18 October 2012 as an accurate record.

The minutes of the meeting held on 18 October 2012 were agreed as an accurate record.

Report attached

Habib Patel, Debs Harkins and Mike Leaf (All Lancashire County Council), gave a presentation on the Feedback and Recommendations as a result of the recent series of one to one meetings held with Board members.

Habib explained that the purpose of the feedback was for Board members:

·  To understand perceptions of members’ role on the Board.

·  To provide opportunities for Board members to make recommendations to the strategy narrative.

·  To elicit views on how the Health and Wellbeing Strategy can be delivered.

·  To understand Board members’ commitment to contributing to the delivery of the overall strategy.

·  To consider partner’s contribution to the delivery of the 4 chosen interventions.

Role of the Board - Feedback:

Habib presented feedback received from Board Members regarding the Role of the Board:

·  Board members were in agreement that they have a leadership role across the whole County.

·  Some members have a link role.

·  Board members are "Holding the ring on health and wellbeing in Lancashire"

·  Board members should hold each other to account.

·  Some Board members were unclear about how partners will hold each other to account.

·  Some Board members expressed concerns that they have not had the opportunity through the Board to explore the most significant challenges facing the Lancashire health system.

Recommendations regarding the Role of the Board were presented to the Board as follows:

·  To hold a facilitated development session for Board members to work through  a number of scenarios providing opportunities to challenge in a safe environment and to agree how Board members  will hold each other to account.

·  Develop a process by which the “sustainability issues” that need discussion are identified and a programme of work to take these forward.

·  Hold facilitated development sessions to work through a number of “sustainability "scenarios.

·  Explore the Board’s vision for the Lancashire JSNA and how it wants to provide leadership of its development.

Strategy Narrative – Feedback

Habib presented feedback from Board Members on their views of the Strategy Narrative:

·  The strategy does have clear outcomes (but they aren’t measureable).

·  It does not establish how public and patient experience  of health and wellbeing services will be improved.

·  It does not describe how the system will be sustainable.

·  Board members did not make the link between the shifts and sustainability and experience.

·  Need to be more explicit about what success would look like.

·  Mixed views about measures against outcomes, interventions and shifts.

·  How can we hold each other to account if we don’t know what success will look like?

·  Mixed views about rigorous performance management framework.

Recommendations regarding the Strategy Narrative were presented to the Board as follows:

·  The strategy narrative should be explicit about the three goals of an effective H&W system: improving outcomes, experience and sustainability.

·  It should describe how the strategy shifts contribute to improving outcomes, citizen’s experience and the sustainability of the system.

·  It needs an overarching measurable goal for the strategy.

·  It should be "SMART" success measures for each outcome, shift and intervention and progress should be  ...  view the full minutes text for item 4.

Verbal update

Roy Jones, Assistant County Secretary, Lancashire County Council gave an update on the new Health and Wellbeing regulations due to be published by central government.

At the present time the new regulations have not been published, they are due in the next few days. 

As part of the new regulations the new Lancashire Health and Wellbeing Board will become a formal committee of the County Council.  It is unknown at this stage what impact the new regulations will have on the set up of the Board but elements such as public attendance, representation, voting rights and other aspects could be different. 

A report will be presented to the County Council to formally approve the constitution of the new Lancashire Health and Wellbeing Board to ensure arrangements are in place for the 1 April 2013 when the formal Health and Wellbeing Board come into existence.

Resolved: The Shadow Health and Wellbeing Board noted the verbal update.

Report attached

Michael Wedgeworth, Chair Third Sector Lancashire, presented the report (circulated) regarding the Third Sector approach to Health and Wellbeing.

A Third Sector Health and Wellbeing Group has been established through a One Lancashire initiative, with the intention of working collaboratively.  The Group believes that they are stronger together, offering the best prospects for the Third Sector's contribution to the health and wellbeing of the people of Lancashire.

A number of benefits for Commissioners and benefits for the Third Sector were presented (as circulated) for endorsement by the Shadow Health and Wellbeing Board.

Board Members were fully supportive of the benefits presented.

Resolved: The Shadow Health and Wellbeing Board noted the report and endorsed the benefits presented in the report.

Report attached

Habib Patel, Lancashire County Council introduced the report and explained that at the Health Scrutiny Committee on the 12 July 2011 a report on the mental health inpatient reconfiguration proposals was discussed. Elected Members decided to set up a task group to review the services and support available to dementia patients with a particular focus on respite provision.

The task group focused on the following stages:

·  Prevention and early diagnosis

·  Home and community based provision

·  Residential care

·  End of life care

The task group conducted their research by carrying out discussions with relevant professionals, carrying out care home visits and considering a range of documentary evidence.

The task group conclusions were presented in the report (circulated).  The Shadow Health and Wellbeing Board were asked to note the report and consider the report in more detail at a future Health and Wellbeing Board meeting.

Resolved: The Shadow Health and Wellbeing Board agreed to note the report and consider the report in more detail at a future Health and Wellbeing Board meeting.

A report was presented by members of PULSE – Lancashire Children and Young People's Health and Wellbeing Board.

It was reported that the aim of the report was to give young people's views on the Lancashire Health and Wellbeing Strategy, promote the work of PULSE and explore how the Lancashire Health and Wellbeing Board and PULSE could work together in the future.

PULSE believe that children and young people's views about health and wellbeing are important and should be gathered, shared, listened to and acted upon.

The aims of PULSE are:

·  To make a positive difference to children and young people’s health and wellbeing.

·  To make sure the voice of children and young people is heard by decision makers.

·  To advise these decision makers on how to make health services and health education more children and young people friendly.

The current priorities of PULSE are:

·  Making sure the voices of children and young people are heard by decision makers.

·  Emotional Health and Wellbeing.

·  Substance Misuse (including alcohol and tobacco).

·  Access to health information and services.

PULSE presented Young People’s Views on the Health and Wellbeing Strategy:

·  Mental Health and Wellbeing, Early Response to Domestic Violence, Long Term Conditions and Support for Carers were seen as being most important to young people.

·  All of the remaining priorities/ actions were identified as being important to young people by at least one of the groups involved.

It was recognised that the following actions from the Health and Wellbeing Strategy link to PULSE priorities

·  Smoking in Pregnancy.

·  Alcohol Liaison Nurses.

·  Self Care - Encouraging People to Take Control of their own Health and Wellbeing.

Suggestions were presented for how PULSE and the Lancashire Health and Wellbeing Board could work together:

·  PULSE would like to support the Health and Wellbeing Board with our identified priorities i.e. Emotional Health and Wellbeing, Substance Misuse, Access to Health Information.

·  PULSE would also like to offer support with the areas of the Strategy which we feel are most important to young people i.e. domestic violence and long term conditions.

·  Representatives from PULSE would like to attend relevant Health and Wellbeing Board meetings and would like to invite the Board to attend relevant PULSE meetings.

·  PULSE would welcome discussions about:

o  how we could be kept updated on the work of the Health and Wellbeing Board

o  how the Health and Wellbeing Board could be kept updated on the work of PULSE

o  how children and young people’s views should be shared with the Board and wider groups

·  PULSE would like the Health and Wellbeing Board to help us champion the views of children and young people and encourage other decision makers to listen to and act upon our views.

·  PULSE would welcome a response to the questions and suggestions within our report.

Board members thanked the Young People for their presentation which was informative and excellently presented.  Board members were encouraged to attend future PULSE meetings.

Resolved: The Shadow Health and Wellbeing Board welcomed the presentation of PULSE, endorsed  ...  view the full minutes text for item 8.

It was noted that this meeting was the last time Walter D Park (Chair of Lancashire Link) and Peter Kenyon (Chair of Lancashire PCT Cluster Board) would be attending the Board.  The Shadow Health and Wellbeing Board thanked Walter and Peter for all their work on the Board and wished them well for the future.

The next meeting of the Shadow Health and Wellbeing Board will take place on Thursday 25 April 2013, 2pm at Woodlands Conference Centre, Chorley.

This is the last meeting of the Shadow Health and Wellbeing Board before it is replaced by the Lancashire Health and Wellbeing Board.

The Lancashire Health and Wellbeing Board is scheduled to hold it's first meeting on 25 April 2013.