Decision details

Louise Taylor, Executive Director of Adult Services and Health and Wellbeing presented the attached PowerPoint.

The Care, Support and Wellbeing of Adults in Lancashire Vision, which was recently approved by Lancashire County Council's Cabinet,  set out how the county council, together with its partners, would help people to live as independently and healthily as possible.  The document recognised the need to keep pace with people's changing needs and expectations, whilst addressing the increasing demands upon public services at a time of significant financial pressure. 

The Vision also signalled how services would be designed and delivered in the future, acknowledging that partners, the NHS in particular, had a key role to play in preventing and reducing long term physical and mental health conditions, and addressing the significant variations in health outcomes within the Lancashire population.

The Housing with Care Strategy which was also approved by Lancashire County Council's Cabinet, outlined the county council's intentions in relation to the development of housing with care and support for older adults and younger adults with disabilities.  It would be used to engage with a wider audience as part of a collaborative approach to developing a range of high quality housing with care and support schemes across Lancashire by 2025 for both older adults and younger adults with disabilities.

The Care, Support and Wellbeing of Adults in Lancashire, and the Housing with Care Strategy documents were attached to the agenda and are currently being consulted upon.  The documents set out in context what we are doing for adults in Lancashire and what was planned going forward and also recognised that there was a lack of suitable modern housing to support adults with care and support needs across Lancashire, which meant that some people moved into residential care prematurely or some people received care and support in housing that was not ideal.  It would also be used to engage with a wider audience as part of a collaborative approach developing housing with care and support across Lancashire.

Schemes that were working already were:

·  Reablement

·  Home First

·  Telecare

·  Night time support/falls lifting service – starting to see a big difference with this service

·  Trusted Assessors – asking home care providers what it felt like to work alongside the county council, trialling providers to do revies, which would release social workers to carry out other duties and avoid the individual telling their story more than once

·  Shared Lives would hopefully be extended

·  Passport to Independence where the reablement strategy had been highly effective alongside more efficient ways of working

The presentation also emphasised what would be done differently and what needed to be done together – the system is health and care, an equal partnership.

Specific areas for collaboration were as follows and would be reported on at future Health and Wellbeing Board meetings:

·  Market Position Statement

·  Better Care Fund

·  Fee Uplifts

·  Home response/falls lifting service

·  Extra Care Housing

·  Additional funding for winter pressures

·  Intermediate care

·  Workforce/apprenticeships

Colleagues around the table offered further support from Housing and Lancashire Fire and Rescue and would speak to Louise Taylor outside the meeting.

The Board raised that there needed to be one common language which had to be repeated again and again so it became a common language ie people instead of patient, wellbeing instead of sickness.

Louise Taylor confirmed that the presentation would be shown to Integrated Care Partnerships across the County and would see if the presentation could be filmed and then made available on line.

The Board agreed that this area had to be owned by all partners and stakeholders across Lancashire and needed to do more to bring it together under one workstream and own it collectively.

Resolved:  That the Health and Wellbeing Board received a presentation from Louise Taylor, the Executive Director for Adults and Health and Wellbeing, who outlined the key elements of each of the documents, highlighted the main issues and discussed the next steps.