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 'C' - The Duke of Lancaster 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

10.30am - 10.35am

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.

 

Replacements as follows:

 

Damian Gallagher for Dee Roach, Lancashire NHS Foundation Trust.

Victoria Gibson for Jane Booth, Lancashire Adult and Children Safeguarding Boards.

Carole Spencer for Karen Partington, Lancashire Teaching Hospitals Foundation.

Jan Ledward for Dr Gora Banghi, Chorley and South Ribble Clinical Commissioning Group (CCG) and Dr Dinesh Patel, Greater Preston CCG.

Sue Lott for Tony Pounder, Lancashire County Council (LCC).

 

 

10.35am - 10.40am

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.

 

 

10.40am - 10.45am

3.

Minutes of the Last Meeting pdf icon PDF 84 KB

To agree the minutes of the previous meeting.

Minutes:

The Board were asked to agree the minutes of the last meeting.

 

Item 4 – Appointment of Deputy Chair – the CCGs nominated Mark Youlton as Deputy Chair of the Health and Wellbeing Board (HWBB) for the remainder of the municipal year.

 

Resolved:  the Board agreed that Mark Youlton be appointed as the Deputy Chair for the remainder of this municipal year.

 

Item 8 – Q2 Better Care Fund (BCF) Report - Sakthi Karunanithi updated the Board following a meeting he had had with Paul Robinson to discuss evidence based progress on reablement.  The Steering Group was leading on this and it was being built into next year's planning, however this had not been received yet.  When the planning was available would will be presented to Board to be signed off.  Guidance was still expected from NHS England for 2017/18 but was not yet available.

 

With regards the clarification around setting up another Voluntary, Community and Faith Sector (VCFS) organisation, Sakthi reported that he is preparing a paper in collaboration with representatives of the VCFS sector to propose a co-ordinated way for the health and care sector to work with the VCFS.

 

Sakthi still had to draft a letter with CC Mein, to Central Government in behalf of the HWBB on Adult Social Care and further funding requirements.

 

Resolved:  the Board agreed that a BCF report be brought to the next meeting before the guidance was issued to ensure the Steering Group was looking at more investment into providing evidence that home care needs were working and promote how they were turned into deliverables and build on reablement success, staffing and workforce.

 

Item 9 – Winter Plan Report – the NHS Winter Plans that were requested by the Board are as follows:

 

Across Lancashire there are four Accident and Emergency Delivery Boards (AEDBS), Morecambe Bay, Fylde Coast, Central Lancashire and Pennine Lancashire.  Each AEDB assured the winter plans from their constituent partners including acute trust, community, mental health, ambulance and local authorities.  They included confirming actions for escalation and surge across the winter period and additional initiatives in place to respond to expected pressure.

 

Each AEDB provided assurance against the NHS England winter assurance template which also included their progress to implementing the five key Accident and Emergency (A & E) initiatives.

 

NHS England assured the winter plans from each AEDB as partially assured due to the five key A & E initiatives not being fully implemented.

 

Resolved:  that the Board agree the minutes of the meeting held on 13 December 2016 and note the responses to actions raised at this meeting.

 

 

10.45am - 11.00am

4.

Pharmaceutical Needs Assessment - Legislative Briefing (NHS England) pdf icon PDF 103 KB

To discuss and agree the role of the Health and Wellbeing Board in Pharmaceutical Needs Assessment.

Minutes:

Sheena Wood and Jessica Partington, NHS England presented the report as attached to the agenda.

 

The Board were informed of the changes in legislation which requires the HWBB to comment upon Pharmaceutical Applications and thereafter the requirement to produce a supplementary statement to the Pharmaceutical Needs Assessment (PNA).  The HWBB required assurance from NHS England that they would work in tandem with the Board, in particular on the community engagement aspects of the PNA before producing a supplementary statement.

 

Resolved:  that the Board noted the recommendations as set out in the report with a further recommendation at set out at point 4:

 

i)  The process for reviewing Pharmaceutical Applications.

ii)  The requirement for the HWBB to provide comment in relation to any Pharmaceutical Applications and to issue a supplementary statement to the PNA when required as per the legislation.

iii)  The request for NHS England to receive a copy of any such additional statements, ensuring that they are emailed to england.lancsat-pharmacy@nhs.net for reference.

iv)  The HWBB delegates its function with regards PNA to the Director of Public Health and Wellbeing.

v)  The PNA will be an agenda item at the next meeting.

 

 

11.00am - 11.15am

5.

Update on the Sustainability and Transformation Plan (STP)

To receive an example of a Local Delivery Plan (LDP).

Additional documents:

Minutes:

Mark Youlton spoke to the presentation attached to the minutes on the Pennine Lancashire Local Delivery Plan (LDP).  He highlighted that there was one Sustainability and Transformation Plan (STP), eight priority workstreams across Lancashire and South Cumbria and five health and care local footprints (LDPs) all addressing the three major gaps:

 

Health and wellbeing

Care and equality

Finance and Efficiency

 

Money is growing in East Lancashire however so is the demand on Services.

 

The Board agreed that they would like to receive LDPs from across Lancashire at future meetings.  Jan Ledward agreed to present the Central Lancashire LDP at the next meeting in April.

 

Resolved:  that Jan Ledward report on Central Lancashire's LDP at the next meeting.

 

 

11.15am-11.30am

6.

Mobilising Communities - Well North in Lancashire

To discuss the opportunities in working with Well North in Lancashire.

 

Additional documents:

Minutes:

Sakthi Karunanithi presented the report to the Board setting out the Well North programme in strengthening communities and reducing inequalities and how this could be implemented in Lancashire to mobilise communities across Lancashire.

 

Discussion ensued on how the programme could work in Lancashire and that there was already a similar programme in Skelmersdale that was working well and the Board were encouraged to visit Well Skelmersdale and also the Bromley By Bow Centre in London to explore the potentials to be gained from further collaborating with, sharing some of the lessons from the Well Skelmersdale and exploring the potential elsewhere in Lancashire to collaborate. 

 

The proposed next steps as detailed in the report were agreed by the Board.

 

Resolved:  that the Board endorsed the approach to work with the Well North programme as outlined in the report.

 

 

11.30am - 11.45am

7.

Adult Social Care Redesign

To share information about current service redesign and discuss the issues and opportunities arising.

Additional documents:

Minutes:

Louise Taylor, Corporate Director, Operations and Delivery, LCC and Sue Lott, Area Operations Manager, Adult Services, LCC gave a presentation as attached on Passport to Independence and Delayed Transfers of Care (DTOC) Reduction.

 

New ways of working were being piloted in East Lancashire which will improve the services that were provided to people in need.

 

Since last year DTOC has been increasing.  Newton Europe were asked to undertake assessments of every major Hospital in Lancashire to gain clarity on the causes of the delays and what LCC, the Hospitals and the CCGs could each do to improve the situation.  The assessments have now been completed and workshops with LCC, each Hospital and the CCGs were currently in progress.  This integrated approach means solutions to some of the biggest problems could be agreed and implemented.

 

Resolved:  that the HWBB:

 

i)  receive further updates on Passport to Independence following rollout across the County;

ii)  receive a report regarding how continuing health care is operating in practice across Lancashire, including the pertinent issues and risks;

iii)  receive a future update on Delayed Transfers of Care.

 

 

11.45am - 11.50am

8.

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:

The Chair informed the Board that he had agreed that the following report should be considered at the meeting as an item of urgent business.  The special circumstances for the use of the urgent business procedure were set out under the heading to the report.

 

Fylde and Wyre CCG – Annual report and Accounts 2016/17

 

New guidance had been issued to CCGs in preparing their annual report and accounts for the 2016/17 financial year with regard to the health and wellbeing strategy.  CCGs were asked to review the extent to which the CCG had contributed to the delivery of any joint health and wellbeing strategy to which it was required to have had regard under section 116B(1)(b) of the Local Government and Public Involvement in Health Act 2007.  It was a statutory requirement to include the review in the annual report and to consult with each relevant Health and Wellbeing Board in preparing it.

 

The Board were asked to consider how it would like to be consulted with in terms of the preparation of the CCGs Annual Report and Account 2016/17.

 

Resolved:  that the CCGs:

 

i)  review their annual report against the joint health and wellbeing strategy with advice from the Director of Public Health and Wellbeing;

ii)  share their review with relevant local Health and Wellbeing Partnership;

iii)  table their draft reports to the next HWBB meeting on 7 April 2017.

11.50am - 11.55am

9.

Date of Next Meeting

The next scheduled meeting of the Board will be held at 10am on Friday, 7 April 2017 in the Duke of Lancaster Room - Cabinet Room 'C' at County Hall, Preston.

Minutes:

The next scheduled meeting of the Board will be held at 10.00am on Friday, 7 April 2017 in the Duke of Lancaster Room – Cabinet Room 'C', County Hall, Preston, PR1 8RJ.