Agenda and minutes

Members of the public are welcome to attend our meetings to watch them in person at any of the venues across the County. Publicly accessible meetings held in County Hall will be webcast, which means they are available to be watched live or recorded on our website. Please see our webcasting notice here. The Committee may, in certain circumstances, resolve to hold part of the meeting in private. If this is the case, you will be required to leave the meeting.

Venue: Committee Room 'D' - The Henry Bolingbroke Room, County Hall, Preston. View directions

Contact: Samantha Gorton  Tel: 01772 532471, mobile 07585 983954 . Email -  sam.gorton@lancashire.gov.uk

Items
Note No. Item

2.00pm-2.05pm

1.

Welcome, introductions and apologies

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

Minutes:

Welcome and introductions were made.

 

Apologies were noted as above.

 

Replacement as follows:

 

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

 

Resignation as follows:

 

Dr Tony Naughton, Deputy Chair of Health and Wellbeing Board (HWBB), representing Fylde and Wyre CCG and Fylde and Wyre Health and Wellbeing Partnership.

 

New member as follows:

 

Jennifer Aldridge, representing Fylde and Wyre CCG and Fylde and Wyre Health and Wellbeing Partnership (for Dr Tony Naughton).

 

2.05pm-2.10pm

2.

Disclosure of Pecuniary and Non-Pecuniary Interests

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.

Minutes:

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

 

2.10pm-2.20pm

3.

Minutes of the Last Meeting pdf icon PDF 92 KB

To agree the minutes of the previous meeting.

Additional documents:

Minutes:

The Board were asked to agree the minutes with the amended wording at Item 5 – last paragraph "With regards to…comparative data sets".

 

Amended Paragraph

 

"With regards to inspection risk, most adult services are inspected regularly through the Care Quality Commission (CQC), however the Council are not and work is commencing on audits and looking at comparative data sets".

 

At Item 9 the Board requested that the formal response to the relevant recommendations to Health Scrutiny be attached to these minutes.

 

Resolved:  that the Board agree the minutes of the meeting held on 24 October 2016 with the amended paragraph for Item 5 as detailed above and the formal response at Item 9 be attached to these minutes.

 

2.20pm-2.30pm

4.

Appointment of Deputy Chair

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

 

Minutes:

The Board were requested to nominate a Deputy Chair following the resignation of Dr Tony Naughton. 

 

Resolved:  that the CCGs nominate and inform the Chair prior to the next meeting who they would to nominate as Deputy Chair.

 

2.30pm-2.40pm

5.

CQC Action Plans pdf icon PDF 93 KB

To note and endorse the action plan.

Additional documents:

Minutes:

The CQC report was published in August 2016 and records the findings of the review of health services in safeguarding and looked after children services in Lancashire.  The action plan relevant to Lancashire County Council was reported to the HWBB on 24 October 2016.  The Board is now requested to consider and endorse the action plan which is relevant to other local NHS agencies as attached to the agenda at Appendix A.

 

Jane Booth queried the timescale in relation to Action 17.1 (protection planning) and was advised that the service redesign had not yet commenced.

 

Resolved:  that the Board considered and endorsed the Action Plan (appendix A).

2.40pm-3.00pm

6.

Vaccination and Immunisation Update Screening pdf icon PDF 409 KB

To receive an update of issues relevant to Lancashire.

Minutes:

Jane Cass and Christine Khiroya from NHS Screening and Immunisation were welcomed to the meeting and provided an oversight of uptake at a Lancashire level of screening and immunisation programmes.  These focused on:

 

·  The national 0-5 years, school aged HPV (Human Papilloma Virus) and the seasonal influenza immunisation programmes

·  The three national cancer screening programmes – breast, cervical and bowel

 

There has been a decrease in Lancashire in uptake on screening and immunisation over the last five years which the Board are concerned about and this is also the case nationally.  Details of the collaborative action plan can be found along with the figures in the powerpoint attached where actions taken to improve uptake vary in accordance to programme and evidence.

 

The HWBB requested that an action plan be presented at a future meeting of the Board on how targets will be met and what the timescales are.  The Board also requested information on whether there has been any increase in conditions due to people not being immunised/screened.  Jane and Christine agreed to provide this information and the Chair thanked them for their report.

 

The Board agreed to support the programmes and help to improve the uptake of screening and immunisations in Lancashire with its' partners around the table.

 

Resolved:  i)  that an action plan on how targets and timescales will be met be presented to a future meeting

 

ii)  that further information on whether there has been an increase in people with health conditions because they had not been immunised/screened, also be presented. 

 

3.00pm-3.20pm

7.

Update on the Sustainability and Transformation Plan (STP) pdf icon PDF 141 KB

To receive an update on:

 

·  STP – solutions and workstreams

·  STP – summary document

·  Case for Change

 

Minutes:

Following receipt of the Lancashire and South Cumbria STP on 19 October 2016, this report was to update the HWBB on:

 

·  STP – solutions and workstreams

·  STP – summary document

·  Case for Change

 

It was felt that further discussions on the STP with Elected Members across Lancashire and at a District Level were required and Sam Nicol agreed to convene further briefing sessions.

 

A proposal for a 12 week review of acute, specialised and urgent and emergency care services is being developed through the workstream and the primary care, prevention and population health and mental health workstreams are all presenting their initiation documents to the Programme Board on 7 December 2016 to enable the Board to consider priorities and utilisation of resources and recommend to the Joint Committee of Clinical Commissioning Groups (JCCCGs) a work programme for 2017/2018.  Sam agreed to share the outcomes from this meeting at the next HWBB.

 

Mark Youlton agreed to bring a Local Delivery Plan (LDP) to the next meeting for the Board to have sight of its' content indicating that this is also a learning curve for District Councils too.

 

There is still a lot of work to be done around public understanding of the STP and this is something that the Communications Group is working on.

 

Resolved:  i)  that the Board note the content of the update report

 

ii)  that Sam Nicol presents an update, including the Programme Board meeting to a future meeting of the HWBB

 

iii)  that Mark Youlton present an LDP at the next scheduled meeting.

 

3.20pm-3.40pm

8.

Q2 Better Care Fund (BCF) Report pdf icon PDF 103 KB

To receive the report.

Additional documents:

Minutes:

Paul Robinson, NHS Midlands and Lancashire Commissioning Support Unit, presented the Lancashire BCF Quarter 2 update to the Board.  The purpose of the report is to update on the progress of the delivery of the (BCF) Plan through updates of performance against the BCF metrics and BCF associated development. In addition it gives further detail, in Appendix A attached to the agenda, of Reablement services as previously requested by the HWBB.

 

The two hospital related metrics, (non elective admissions and delayed transfers of care), both show variance from target, 6.7% and 11.5% respectively.  Both were affected by spikes in single months where these are likely to be linked as Delayed Transfers of Care levels lag behind Non Elective Admissions.  Beyond continuing growth in demand it is a challenge to identify clear reasons for the performance.

 

Residential and Nursing Care admissions continue to fall and are on track.  The positive impact of Reablement is seen in its 91% performance that supports a strong argument for continued investment in and development of the service.  Appendix A gives further detail.

 

The dementia diagnosis rate continues to exceed target and has settled at a meaningful and manageable level.

 

The voluntary sector in Lancashire has recognised the opportunity to bring a different set of skills and strengths to the BCF and has developed a comprehensive offer that is being further considered by all commissioners.  Connections across boundaries continue to develop and meetings are now taking place to lay the ground to ensure that BCF plans are aligned within the STP footprint.

 

The Board queried as to why another VCFS organisation is going to be set up to bid for BCF funds, when there is already One Lancashire.  Paul Robinson agreed to get this information clarified and inform the Chair of the Board.  In particular Sakthi Karunanithi and Paul Robinson emphasised the need to concentrate on mobilising the VCFS sector at a grass roots level.

 

With regards the rise in demand for Reablement Services and funding required to meet demand, which is not available currently, conversations are being had with all partners.

 

There was a discussion was had with regards the Board lobbying Central Government about further funding for Adult Social Care (ASC) as there are serious concerns about lack of funding and insufficient staff to meet demand.  CC Mein informed the Board that she had already written to the Prime Minister and Secretary of State as Leader of the County Council, however the Board felt that it should be done again as Chair of the HWBB and put more arguments forward.  Sakthi Karunanithi agreed to work on this with CC Mein.

 

There was a discussion took place around more investment into providing evidence that home care needs are working and promote how they are being turned into deliverables and build on reablement success, staffing and workforce.  Paul agreed to take this back to the BCF Steering Group to consider this as a request from the HWBB with Sakthi also involved.  The next meeting of  ...  view the full minutes text for item 8.

3.40pm-3.50pm

9.

Winter Plan Report pdf icon PDF 91 KB

To receive the report.

Additional documents:

Minutes:

Tony Pounder, Director of Adult Services spoke to the report attached to the agenda.

 

The Board were informed that this was the first time that LCC Adult Social Care have produced such a plan, and it is anticipated that the plan will develop in future years as LCC participate in planning resilience across the Health economies.

 

The plan sets out the challenges for social care, and the contributions and actions being taken to mitigate these challenges, including expanded services where the NHS have transferred resilience monies to LCC.

 

The Board were encouraged to see what is actually provided over the winter and how it is covered over the Christmas period which is much appreciated.

 

The Board requested that the NHS provide them with a copy of their Winter Plan too.  Tony Pounder agreed to follow this up and then share with the Board at the next meeting.

 

Resolved:  i)  that the HWBB noted the production of the plan and its contents

  ii)  that NHS Winter Planning arrangements be presented back to a future meeting of the Board.

 

3.50pm-4.00pm

10.

Urgent Business

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.

Minutes:

There were no matters of urgent business received.

 

4.00pm

11.

Date of Next Meeting

The next scheduled meeting of the Board will be held at 2pm on 7 February 2017 in Cabinet Room C – Duke of Lancaster Room at County Hall, Preston, PR1 8RJ.

Minutes:

The next scheduled meeting of the Board will be held on Tuesday, 7 February 2017 at 2pm in Cabinet Room C – Duke of Lancaster Room at County Hall, Preston, PR1 8RJ.