Agenda and minutes

Dr John Caine replaced Dr Simon Frampton

Andrew Bennett replaced Dr David Wrigley

Gill Brown replaced Gail Stanley

Apologies were received from CC T Martin, CC M Tomlinson, Dr Peter Bennet and Richard Jones

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.

None noted

The minutes of the meeting held on 16 October 2014 were agreed as a correct record

CC Ali provided the Board with a brief introduction and explained that the previous submission in September had not been approved by NHS England (NHSE) following the NCAR process and that a Steering Group was formed to produce a resubmission with support from Carnall Farrar Consultants and John Bewick from NHSE

The revised version is to be submitted on Friday 9 January for the approval process.

The consultants, Carnall Farrar, have supported the Lancashire BCF Steering Group to develop a resubmission and the presentation identified some of the key reflections of that process:

·  The BCF plan is a reflection of the current ongoing work.

·  Lancashire is a complex area and that produces challenges to articulate the specific areas of work within, 6 CCGs, Healthier Lancashire, BCF and work of Lancashire County Council and District Authorities.

·  The Steering Group have risen well to the challenge. There isn’t a single county/district footprint in the country that have managed to produce an excellent BCF plan at the first attempt.

·  Carnall Farrar provided senior leadership and drive.

·  The plan is robust and has a strong analytical foundation – the model that has been created puts us in a good position.

·  Good engagement over a short period of time and particularly over the busy time at Christmas.

·  Everyone needs to sign up to the plan.

·  Good workshop on governance prior to resubmission which looked at ways forward

·  Critical thing was to make a rapid difference to the plan, and it was important to demonstrate that the resubmission was done quickly to prove we could work together effectively and efficiently.

·  The plan is a complete rewrite taking on boards the comments by NCAR and looking at best practice

·  Going through the process in a systematic way has been really useful and will help with future plans and revisions/updates to existing ones

·  Major difference between the previous version and the resubmission was the disaggregation of the number of schemes. Half of the review comments related to the ability to actually carry out what is to be delivered.

·  Key is reducing non-elective admission to hospital – now have stronger level of ambition.

·  It's helpful for us to do this now and as we can factor in the recent increased level of activity.

·  It's about bottom up modelling and being realistic about what the actual schemes can deliver. Delivering things can that improve the health and wellbeing for the population e.g., dementia care and admission to residential/nursing homes.

A discussion took place and the main points were:

·  Relating to admissions targets and the impact of cross border migration – how is this dealt with in terms of practicality of data collection. The teams who collect the data for hospitals will know where the patient flows comes from, the risks are that the non-elective targets are mis-attributed but the statisticians should take account of this.

·  A bigger risk,  and this is on the risk register, is if we are relying on neighbouring authorities to deliver some of our targets  ...  view the full minutes text for item 4.

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.

None noted

The next scheduled meeting of the Board will be held at 2pm on 29 January 2015 in Cabinet Room C at County Hall, Preston.

The next scheduled meeting of the Board will be held at 2pm on 29 January 2015 in Cabinet Room D at County Hall, Preston.