Agenda and minutes

To welcome all to the meeting, introduction and receive apologies.

To receive an overview from the community venue manager.

The Deputy Chair, James Fleet commenced the meeting on behalf of the Chair who was delayed.

The Deputy Chair welcomed all to the meeting and thanked the staff at YMCA Lofthouse Buildings, Fleetwood.

Apologies were noted as above.

Replacements were noted as follows:

County Councillor Shaun Turner was attending of behalf of County Councillor Sue Whittam, Lancashire County Council.

Dave Carr, Director of Policy, Commissioning and Children's Health was attending on behalf of Jacqui Old, Executive Director for Education and Children's Services, Lancashire County Council.

Mo Girach, Lancashire Teaching Hospitals Trust also attended the meeting as an Observer.

Colin Hutchinson, YMCA Fleetwood, gave a brief overview of how the YMCA supports residents in Fleetwood and surrounding areas, particularly in relation to substance abuse and housing.  Fielding House provides housing and support to vulnerable young adults (16 to 22 years). The Lofthouse Building similarly provides housing and support for older adults. Brookfield School supports children who may have been excluded from mainstream education. There is also YMCA leisure provision and 'warm spaces' have also been provided utilising the funding from Lancashire County Council. 

The Chair joined the meeting during the presentation.

Following the overview from Colin Hutchinson, the Chair, thanked him for his passionate and informative overview and was thanked for everything he and the staff did for the locality.

Members of the Board are asked to consider any Pecuniary and Non-Pecuniary Interests they may have to disclose to the meeting in relation to matters under consideration on the Agenda.

There were no disclosures of interest in relation to items appearing on the agenda.

To agree the minutes of the previous meeting and to receive updates on Health Hearts/Weight Declaration and discuss further.

Resolved:  That the Board agreed the minutes of the meeting held on 7 March 2023.

There were no matters arising from the minutes.

To receive a real life story from a citizen or group in Fleetwood and what they want to see different or expect the Health and Wellbeing Board to support/change ways of working.

The Chair welcomed Lucy MacNeill who provided the Board with an overview of the activity in Fleetwood, and that of Future Fleetwood, supporting access to food and initiatives for children and young people locally.

Through the pandemic Lucy started working closely with partners across the town working with the NHS and Future Fleetwood.  It was noted that post pandemic the food banks continued and are now run by different local groups.  Lucy also runs youth activities and works in very close partnership with organisations in the town, such as Lancashire County Council, Wyre Borough Council and the NHS as well as the voluntary sector organisations.

A key area of focus is to raise aspirations for the young people, which can then effect change throughout the generations going forward.  Throughout the pandemic, the young people helped with food banks, supporting every age group, they made phone calls for the elderly and toy donations at Christmas.  Subsequently there has been an increase in mental health issues with people finding it difficult to access timely support. 

A Youth Hub has been funded by the Department for Work and Pensions (DWP) and is working with school leavers who are distanced from the employment market and dealing with mental health issues and improving basic skills.

The discussion highlighted the need to work in partnership (Lancashire County Council, Wyre Borough Council, NHS, Schools and voluntary organisations) to address the local needs. There is a need to build on what is available, working in partnership and utilising space/buildings that are available such as Milton Street and working with Early Help services.

The discussion highlighted a need for both universal and targeted services to support young people, raising aspirations and effective partnership working.

Resolved:  That the Board noted the update and look to support work with children and young people by improving partnership working.

To receive a progress report on the actions taken to develop the Lancashire Place Based Partnership and to receive the draft Whole System Plan.

Louise Taylor, Executive Director for Health and Wellbeing, Lancashire County Council and Director of Health and Care Integration, Lancashire and South Cumbria, NHS provided the Board with a progress report on the actions taken to develop the Lancashire Place-Based Partnership.  The report covers the period March-May 2023 following the last update to the Board in March 2023 and intends to ensure that the Health and Wellbeing Board are fully sighted on the progress during the development stage.

The report provides further information:

·  Developing the Lancashire Place – Workshops

·  Developing ways of working in the three localities

·  Developing ways of working – the governance options appraisal

·  Developing a Health and Care Integration Deal

Appendix 'A' – Workshop Summary Report

Appendix 'B' – Locality Arrangements

Following the presentation, the following issues were discussed:

·  The challenge is to effectively engage communities and effective partnership working

·  The starting point is to understand what is working well and to be much better at evaluating what is being done and understand the money that is being spent on schemes which are currently having the greatest impact from a population health perspective, in order to start to be able to scales things better.

·  Need to look at more effective partnership

·  Identify the added value of what different sectors can bring to the table.

·  Listen to local concerns and then use evidence with data to address issues.

·  There are common features in communities across Lancashire and there needs to be a sustainable approach.

·  Need to recognise the important role of the Voluntary, Community and Faith Sector (VCFSE) where often the money tends to go further with a greater degree of flexibility and a more creative way of delivery.

Resolved:  That the Health and Wellbeing Board considered and commented as appropriate on the progress report on the development of the Lancashire Place-Based Partnership.

Dave Carr, Policy, Commissioning and Children's Health, Lancashire County Council provided an update on the Family Hubs Networks.

The Board were informed that the development of the Family Hubs Networks continues to progress, with local project teams established in six districts across Lancashire. These teams have identified local assets which could form part of the network and have undertaken user research which is informing the development of networks. Alongside this, work is underway to capture and share information on services and to strengthen the communication of the service offer to parents, carers, young people and practitioners.

Many of the core services that are expected to be delivered through the Family Hubs Networks are in place across Lancashire, either fully or partially, but need to be better connected, so that more families, children and young people can get the right support at the right time.

The work to develop networks at that local level is underpinned with a digital programme which will help families to connect to services without having to retell their stories, and a digitally enabled community of practice to strengthen links between practitioners.

Further details can be found in the report.

Dave Carr and Marc Hodges, Programme Office, Lancashire County Council gave a presentation (Appendix 'A' attached to the agenda) which contained further information on:

·  Lancashire Hubs Networks

·  Components for District Family Hubs Network – Not Just a Building

·  Who is involved with Family Hubs Network Implementation

·  The Importance of District Crews

·  Lancashire Family Hubs Networks Approach

·  Working with Districts

·  Annex F – Updated April 2023

·  RAG System

·  Digital Products

·  Family Hubs Information Sharing Service

·  Connecting to Families to Support

·  Milestones and Insights

·  Insights from User Research and Crews

Following the presentation to the Board, the following issues were discussed:

·  Best Start in Life is one of the Health and Wellbeing Boards strategic priorities

·  Family hubs are a good example of partnership working with Public Health, Children's Services, NHS and the voluntary, community and faith sector.

·  The service and provision will just grow over time and colleagues are linking in with National and Regional Family Hubs Groups.

Resolved:  That the Health and Wellbeing Board considered and commented as appropriate on the progress report on the development of Family Hubs Networks in Lancashire.

To receive an update and participate in a workshop style discussion.

Sue Lott, Adult Social Care, Lancashire County Council and Paul Robinson, Midlands and Lancashire Commissioning Support Unit updated the Board on the Lancashire Better Care Fund Reset work. 

The Board noted that the Better Care Fund End of Year (2022/23) is being completed.

The Adult Social Care Discharge Fund has been confirmed for 2023-25, with planning in progress. The monies will be fully pooled into the Better Care Fund.

The Better Care Fund Plan is a two-year plan, with the ability to review and amend at the end of 2023/24. Planning is in progress, with the multi-agency steering group leading the work together on populating the plan and bringing the narrative together. The engagement with the Health and Wellbeing Board at this meeting is part of the information gathering and ambition setting for the Lancashire Plan.

Further details can be found within the report and in Appendix 'A'.

The Board also received a presentation which is appended to these minutes which provides further information on:

Lancashire Better Care Fund Update

·  Lancashire Better Care Fund Reset

·  Metrics and Performance

·  Adult Social Care Discharge Fund

·  Better Care Fund 2022/23 End of Year Reporting

Health and Wellbeing Board guidance and support

Lancashire Better Care Fund Planning 2023 and beyond

·  Stakeholders …engagement and involvement

·  The approach to embedding integrated, person-centred health, social care and housing

·  How will we enable people to stay well, safe and independent at home for longer?

·  How will we provide the right care in the right place at the right time?

·  How do we best support unpaid carers using the Better Care Fund?

·  How do we make the most of Disabled Facilities Grants (DFG) and wider housing support to achieve the above?

·  How do we use the Better Care Fund to address and reduce health inequalities for the local population?

Following the presentation, the following issues were discussed:

·  Generally the severity of illness being presented may mean that targets in Lancashire may not be met.

·  Citizen engagement is really promising, however need to ensure that there is no fatigue and look at joining engagement up.

·  From a citizen engagement approach, it was noted that the providers will be brought together for a day to ask them what they are currently dealing with and joining up the feedback with the people making decisions.

·  There were also two areas which needed deep dive sessions around unpaid carers and housing.

·  Look at joining up the funding for housing that comes into local areas.

·  The Board noted that there was report going to Lancashire County Council's Cabinet on 8 June 2023 on Lancashire Accommodation with Support Plan, identifying the need for joined up working with services.

·  The Board requested that an informal meeting be arranged to continue discussions further around Lancashire Better Care Fund Planning 2023.

Resolved:  That the Health and Wellbeing Board:

i)  Considered and commented as appropriate on the progress in the “reset” of the Lancashire Better Care Fund and next steps.

ii)  Received further updates on Lancashire Better Care  ...  view the full minutes text for item 7.

An item of Urgent Business may only be considered under this heading, where, by reason of special circumstances to be recorded in the minutes, the Chair of the meeting is of the opinion that the item should be considered at the meeting as a matter of urgency.  Wherever possible, the Chief Executive should be given advance warning of any Members' intention to raise a matter under this heading.

Integrated Care Board (ICB) Joint Resource Capital Plans 2022/2023

The Board were asked to note that the Integrated Care Board (ICB) Joint Resource Capital Plans 2022/2023 had been produced and there was a requirement for the Health and Wellbeing Board to receive them.  It was also noted that the 2023/2024 plans would also need to come to the Board.

Resolved:  That the Health and Wellbeing Board would receive both the Integrated Care Board Joint Resource Capital Plans 2022/2023 and 2023/2024 at its next meeting in July 2023.

The next scheduled meeting of the Board will be held at 2.00pm on 18 July 2023, venue to be confirmed.

The next scheduled meeting of the Board will be held at 2.00pm on 18 July 2023, venue to be confirmed.

The informal meeting to discuss the Lancashire Better Fund Planning 2023 and beyond key questions including housing and unpaid carers, will be arranged as soon as possible, and details confirmed with members.