Agenda and minutes

To elect the Chair for the meeting.

Clare Platt requested nominations for Chair for the meeting as County Councillor Jennifer Mein had presented her apologies.  County Councillor Matthew Tomlinson was nominated and seconded and subsequently took the chair for this meeting.

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

The Chair welcomed all to the meeting and introductions were made and apologies noted.  The Board were informed that Margaret Flynn (Chair of Lancashire Adult Safeguarding Board) had resigned and that Jane Booth would represent both the Children's and Adult's Safeguarding Boards for the interim.

Replacements were noted as follows:

Victoria Gibson for Jane Booth, Lancashire Children and Adults Safeguarding Boards

Andrew Bennett for Dr Alex Gaw, Lancashire North CCG

Jan Ledward for Dr Dinesh Patel and Dr Gora Banghi, Chorley and South Ribble CCG and Greater Preston CCG

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 matters appearing on the agenda.

To agree the minutes of the previous meeting.

Minutes from the meeting held on 29 October 2015 were agreed to be an accurate record.

i)  Performance report

ii)  Future scope and planning 2016/17

Paul Robinson, Senior Programme Manager, Lancashire Better Care Fund was welcomed to the meeting to discuss the reports circulated in the Supplementary Agenda.

i)  Performance Report

The performance report for Quarters 2 and 3 showed a positive outcome overall.  The Board requested that further evaluation be completed to provide a breakdown by districts to identify trends and drill down to provide insight into variations in performance. The evaluation can be used to support development of the Sustainability and Transformation Plan (STP).  Evaluation is ongoing still a work in progress and is required to develop the STP which will be submitted in June 2016.

ii)  Future Scope and Planning 2016/17

Appendices A and B were discussed with a view that the six top level priorities (App A) were looked at and used where there could be quick wins which will form part of the 2020 plan. 

Resolved:  That the Board:

i)  Noted the Quarter 2 and Quarter 3 Performance of the Better Care Fund Plan

ii)  Noted the activity and progress regarding the development of a Lancashire Better Care Fund Plan for 2016/17

iii)  Ratified the approach being taken to develop the Lancashire Better Care Fund plan 2016/17 and aligning it to the Healthier Lancashire Programme in developing the Sustainability and Transformation Plan.

To provide the focus of activity in 2016/17 for the Board.

Clare Platt presented the report and discussed the papers circulated with the agenda.  Feedback was welcomed on Appendix E and if there are any further comments, please send them to Clare at clare.platt@lancashire.gov.uk.

The role of the Third Sector does not appear to be strongly reflected in this.

The Board also felt it would be useful to have health data mapped against the action plan.

Resolved:  That the Board:

i)  considered and agreed the scope and content of the Health and Wellbeing Board Action Plan 2016/17

ii)  members will work collaboratively to ensure that the development of the Sustainability and Transformation Plan (STP) and associated local delivery plans (through Healthier Lancashire and the local Health and Wellbeing Partnerships) will deliver safe, sustainable health and care services, whilst also contributing to achievement of the Lancashire Health and Wellbeing Strategy outcomes

iii)  that the relevant dashboard is utilised to inform actions and monitor progress towards improving health and wellbeing outcomes; with the Board championing success and challenging poor outcomes

iv)  that the Board acknowledges its' role in signing off the STP and associated local delivery plans, in collaboration with neighbouring Health and Wellbeing Boards

To inform and support future work programmes.

Clare Platt presented the report.  It was discussed how the work from the JSNA will be fed back into this Board and it was noted that a report from the Neighbourhood Intelligence tool be presented at a future date. Also members queried how communication from these pieces of work would be passed back to the citizens of Lancashire.  The reports from the these meetings, agendas and minutes are publicly available and the Board needs to link in with established community groups, Parish Councils, Health Champions, CCGs and Health and Wellbeing Partners and build on existing networks.

Information required from the reports need to be from the three districts and then drilled down to street level.

In particular the JSNA team will support development of the STP.

The Leadership Group will be established following agreement at this meeting.  County Councillor Tony Martin requested that an Elected Member be part of the Leadership Group.

Resolved:  That the Board:

i)  Agreed the establishment of a JSNA leadership group with membership to include an Elected Member and broad remit as per the draft terms of reference.

ii)  Approved a programme of work for 2016/17 consisting of two projects:

·  a JSNA for the working age population including workplace health and wellbeing

·  a neighbourhood intelligence tool with interactive maps and bespoke reports for small areas and service planning footprints

iii)  Request an update to a future meeting on how the work of the group is communicated most effectively

To promote the resource and improve the health and wellbeing of care home residents.

The Board watched the short video about health and wellbeing initiatives in Lancashire care homes.

It was felt that the programme should be rolled out not only for the elderly in the care homes, but others also in care homes.

County Councillor Tony Martin highlighted the Extra Care and Specialist Housing Strategy for Lancashire as a useful piece of information to be shared across the Board. 

Resolved:  That the Board:

i)  Recognised this work and would help raise awareness of approaches focusing on wellbeing

ii)  Endorsed the recommendations included in the briefing note including:

a)  That the approach used is shared as good practice

b)  The research is repeated to further measure improvement and impact

c)  That the county council and partners explore how further work with residents to improve engagement and relationships can reduce safeguarding alerts

iii)   Agreed that learning from the project and follow on work reports to the County Council led Care Home Quality Assurance and Improvement Board Programme.

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.

Mike Wedgeworth raised an issue on the taxation of sugary drinks and that the Government were on the verge of introducing this.

Childhood obesity is a rising problem, which can lead to diabetes and actions to address it is via a multitude of interventions.

Resolved:  That the Board

i)  Request the Director of Public Health write to Government in support of taxation of sugary drinks on behalf of the HWB; and that Elected Members were requested to take this issue back to their districts also.

The next scheduled meeting of the Board will be a development session, held at 2pm on 28 April 2016 in the Henry Bollinbroke Room, (former Cabinet Room 'D'), County Hall, Preston, PR1 8RJ.

The next scheduled meeting of the Board will be a development session, held at 2pm on 28 April 2016 in the Henry Bollingbroke Room (formerly Cabinet Room 'D'), County Hall, Preston, PR1 8RJ.

The Board agreed that if a meeting is required earlier than this to discuss the STP they are happy to reconvene.