Agenda and minutes

The Board is asked to note that in accordance with the Terms of Reference, County Councillor J Mein, Leader of the County Council, is appointed as the Chair for the remainder of the 2016/2017 municipal year.

Resolved:  that in accordance with the Terms of Reference, County Councillor Jennifer Mein, as the Leader of the County Council, is appointed as the Chair for the remainder of the 2016/2017 municipal year.

The Board to appoint a Deputy chairman for the municipal year 2016/2017 as set out in the Terms of Reference.

Resolved:  that Dr Tony Naughton is appointed as the Deputy Chair of the Board for the remainder of the 2016/2017 municipal year.

To note the membership and terms of reference.

A report was presented in connection with the membership and Terms of Reference of the Board.

Resolved:  that the Board accept the current Terms of Reference and Membership.

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

Apologies for absence were noted as above.

Replacements were as follows:

Janet Thomas for Dee Roach (Lancashire NHS Foundation Trust)

Sharon Martin for Mark Youlton – East Lancashire CCG

Jan Ledward for Dr Gora Banghi – Chorley and South Ribble CCG and Dr Dinesh Patel – 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 items appearing on the agenda.

To agree the minutes of the previous meeting.

The Chair informed the meeting that the Better Care Fund evaluation that was due to come to this meeting, be brought to the next meeting as Paul Robinson and Mark Youlton were unable to attend this meeting.

Resolved:  i)  that the minutes of the meeting held on 28 April 2016 are confirmed as an accurate record.

ii)  that the BCF evaluation report is on the next agenda on 2 September 2016.

To note the report and support the recommendations.

Dr Sakthi Karunanithi gave a detailed account of the report Securing our Health and Wellbeing, highlighting key points.

The report is aimed at all partnerships and for them to raise awareness of it with the public.

The Board felt the report was excellent and it was clear that partnership working had to be effective in order to deliver the health outcomes needed.  The report should also link in with the Sustainability Transformation Plan (STP).

It was noted that telecare/teleaccess to clinicians from the local hospital is available in parts of Lancashire.

Sakthi agreed to update the Board regularly on progress on the report.

Resolved:  that the Board noted the Director of Public Health's Annual Report and agreed to support the recommendations within it.

Progress to date.

Sam Nicol, Healthier Lancashire was welcomed to the meeting.

The purpose of the report was to provide the HWBB with an update on the development of the Lancashire and South Cumbria STP.  The original NHS England guidance regarding the STP which was published in December 2015, advised that STPs are approved by the HWBB prior to 30 June 2016 submission deadline.  However, on Friday 20 May 2016, NHS England issued new guidance as follows:

“The plans that you submit on 30 June will form the basis for a face to face personal conversation with the national leadership in the NHS throughout July, and will be a key part of a subsequent managerial process to inform decisions about the geographical targeting of growth in the intervening years to 2020.  Your submissions will therefore be work in progress, and as such we do not anticipate the requirement for formal approval from your boards and/or consultation at this early stage.  We will, however, wish to be assured that your plans reflect a shared view from your leadership team where possible, based upon the needs of patients and taxpayers, and a robust plan to engage more formally with boards and partners following the July conversations.”

Sam also spoke about the meeting that had taken place recently with Councillors and County Councillors from Lancashire.  One clear message that came from the session was that we cannot hold on to what we have – we have to have more joined up working and provide what works and what there is a demand for, within the resources available.  The same message came from a session with Blackburn with Darwen also.

Local Delivery Plans (LDPs) have to be accountable to the delivery of local outcomes.

The public need to be aware of what is going on and it needs to be communicated in plain English.

The STP needs to focus on financial sustainability and get people's minds to look to the future and how it will work.

There needs to be a communication plan for the STP for County Councillors, Chief Executives and District HWB Partnerships so they can feed into other groups along with the LDPs.

It is now expected that the third, and final version of the STP will be required in October 2016.  The Case for Change will be utilised at pace to agree a future system model and to mobilise the work required, with a strong focus on delivery of our ambitions set out in the STP, and the 10 priority areas.

Sounding Boards will be set up which will include politicians who will meet in September 2016.

Resolved:  that the Board:

i)  noted the contents of the report

ii)  provided relevant comments on the Lancashire and South Cumbria STP

Sam was thanked for her report.

To note progress on this issue and identify any action, if needed.

Links to agendas/minutes for Healthy Scrutiny Committee to note what has been discussed previously:

26 April 2016

24 May 2016

14 June 2016

Karen Partington tabled and gave a detailed description to the attached Briefing Paper to the HWBB and brought attention to the fact that this item had been discussed as set out in the agenda papers at Health Scrutiny also on a number of occasions.

The Board felt that the public needs to be clearly aware of the position around locums and how that affects the department, when quick decisions are needed.

Karen also expressed her personal thanks for support from various members of the Board around this issue.

To note the verbal report and support the recommendations.

Julie Haywood, Midlands and Lancashire Commissioning Support Unit (MLCSU) and Peter Tinson, Fylde and Wyre Clinical Commissioning Group (CCG) were welcomed to the meeting.

They took the Board through the presentation attached to these minutes.

If anybody wished to receive any district specific information which can be shared with the Children's Partnership Boards then please contact Julie Haywood, email: Julie julie.haywood1@nhs.net or Peter Tinson, email:  Peter.Tinson@fyldeandwyreccg.nhs.uk.

The workstream proposals for 2016/2017 are as follows:

·  Promoting Resilience

·  Improving Access

·  Care of the Most Vulnerable

·  Accountability and Transparency

·  Developing the Workforce

A digital concept called 'Thrive' is currently being scoped out for Lancashire which is a tool which provides:

i)  a system overview

ii)  integrated performance reporting

iii)  enabling an interactive offer

It was noted that monthly newsletters and an expanded quarterly newsletter will expand on what is and what is not working.  A quarterly report will come back to the Board.

Following on from the CQC Inspection and the issues raised, the Board needs to feel confident that everything that is planned in the transformation covers the concerns expressed by the CQC.

Resolved:  that the Board receive a quarterly update on the transformation.

To note progress to date.

Sakthi gave a brief insight into the development of a Pan Lancashire HWBB working across three Authorities, Lancashire, Blackburn with Darwen and Blackpool.

A workshop will be held to discuss further development.  To include the Third Sector and Local HWB Partnerships in these discussions.

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.

CQC Inspection

The Authority has recently undergone a CQC Inspection.  A final report will be available mid-August and will bring it to a future Board meeting.

Resolved:  that an item on the CQC Inspection is put on the agenda for a future meeting.

The next scheduled meeting of the Board will be held at 10am on Friday, 2 September 2016 in the Henry Bollingbroke Room (formerly Cabinet Room 'D' at County Hall, Preston, PR1 8RJ.

The next scheduled meeting of the Board will be held at 10.00am on Friday, 2 September 2016 in the Henry Bollingbroke Room (formerly Cabinet Room 'D' at County Hall, Preston, PR1 8RJ.