Agenda and minutes

The Board is asked to note that in accordance with the Terms of Reference, County Councillor Vivien Taylor, Cabinet Member for Health and Wellbeing is appointed as the Chair for 2017/2018 municipal year.

Resolved:  that in accordance with the Terms of Reference, County Councillor Vivien Taylor, as the Cabinet Member for Health and Wellbeing, is appointed as the Chair for the remainder of the 2017/2018 municipal year.

To note the membership and terms of reference.

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

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

Welcomes and introductions were made.

Apologies were noted as above.

New members as follows:

County Councillor Geoff Driver CBE, Leader of the Council

County Councillor Vivien Taylor, Cabinet Member for Health and Wellbeing

County Councillor Susie Charles, Cabinet Member for Children, Young People and Schools

County Councillor Graham Gooch, Cabinet Member for Adult Services

Amanda Hatton, Director of Children's Services

Councillor Peter Moss, Central Lancashire Health and Wellbeing Partnership

Replacements were as follows:

County Councillor Shaun Turner for County Councillor Graham Gooch, Lancashire County Council

Jan Ledward for Dr Gora Banghi, Chorley and South Ribble CCG and Dr Sumantra Mukerji, Greater Preston CCG

Greg Mitten for David Tilleray, West Lancashire Health and Wellbeing Partnership

David Keddie for Dee Roach, Lancashire Care NHS Foundation Trust

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.

Resolved:  that the Board agreed the minutes of the last meeting.

To introduce to the Board and seek the mandate to refresh and bring it up to date.

Sakthi Karunanithi, Lancashire County Council, presented the report to members and requested that they provide a mandate for its refresh and update.

It was noted that the strategy should have smarter targets on what the Board wants to achieve and ensure it links into the Sustainability and Transformation Plans (STP), Local Delivery Plans (LDPs), commissioning plans and have an overarching health and wellbeing plan that will drive it all.

Resolved:  that the members of the Health and Wellbeing Board are requested to consider the current Health and Wellbeing Strategy, and agree that it be refreshed and updated, with a further update provided at the next board meeting on 5 September 2017.

The Board approve the main outputs from the 2016/17 work programme and comment on and approve the plans for 2017/218 JSNA project year.

Jessica Moore and Mike Walker, Lancashire County Council, informed the Board of the JSNA 2016/17 Project Outputs and the recommended programme of work for 2017/18 as detailed in the report.  A presentation was given on the intelligence tool and its benefits to services and partners and the Board were told that workshops would be held in the near future for partners on how to use the tool.

Resolved:  that the Health and Wellbeing Board:

i)  Received the main outputs from the 2016/17 work programme.

ii)  Endorsed a commitment that action plans will be developed by partner organisations on the Health and Wellbeing, based on the recommendations from the working age population JSNA and report back to a future meeting of this Board.

iii)  Demonstrated commitment from the partner organisations that they will consider and demonstrate how the JSNA findings are reflected in their plans and strategic decisions.

iv)  Commented on and approved the JSNA plans for the 2017/18 as recommended by the JSNA Leadership Group at its 8 June 2017 meeting:

·  Utilised the neighbourhood intelligence tool along with other intelligence sources from across the health, care and public services sector to support the planning, delivery, monitoring and evaluation of sustainability and transformation programmes across Lancashire and South Cumbria STP area.

·  Developed a JSNA service that is dynamic and responsive that includes relevant information sharing agreements with NHS providers and commissioners, the Commissioning Support Unit, and the wider public sector organisations, to understand the service level quality and performance.

The Board to note the report, ratify the submission to NHS England and agree that the final draft Lancashire iBCF and core BCF plans for 2017/19 be presented to the Board for consideration and approval.

Paul Robinson, NHS Midlands and Lancashire Commissioning Support Unit, provided an update on progress on development of the Better Care Fund (BCF) plan for 2017/19 and the use of the 'improved' BCF (iBCF).

The quarterly trend for performance at better than plan for non-elective admissions but worse than plan for delayed transfers of care has continued.  The latter showing the size of the challenge faced.  Against trend Residential and Nursing Home admissions showed a surprising increase in Q4 unexpectedly resulting in missing the annual target.  The positive impact of Reablement Services has remained at a good level and stabilised above target.

The Board agreed that the details of the 21 schemes that the BCF stems from be presented to the Board so it can be assured that they have an impact and that the BCF Steering Group supports the Board.

Resolved:  that the Health and Wellbeing Board:

i)  Noted the level of performance, in quarter 4 and annually for 2016/17, against the BCF metrics.

ii)  Ratified the submission of the Lancashire BCF quarterly / annual performance update to NHS England as set out in the report.

iii)  Agreed that the final draft Lancashire iBCF and core BCF plans for 2017/19 be presented to the Board for consideration and approval and if necessary this to be done outside of the Board meeting arrangements so as to meet submission requirements.

iv)  To look at convening a special meeting to receive a report on the 21 schemes and to agree where the money should be allocated.

To receive an update on proposals to redesign part of the system.

Dawn Howarth and Julie Heywood, Midlands and Lancashire Commissioning Support Unit gave the attached presentation to the Board.

The Lancashire Children and Young People's Emotional Wellbeing and Mental Health Transformation Programme has developed an Options Appraisal for the redesign of Child and Adolescent Mental Health Services (CAMHS).  The Options Appraisal was presented to the Collaborative Commissioning Board (CCB) on 13 June 2017.

It was reported that there were still concerns around safeguarding for children and young people and that there is still not a joined up approach.  There has to be a way of delivering a single service for children and young people.  Discussions around delivering a single service specification and standards are starting to happen.

There is still concern around what is expected of schools around health service support and also that the STP appears to be mainly focused on adults and as a Board we are the accountable body.

Resolved:  that the Health and Wellbeing Board:

i)  Noted that the County Council does not intend to support all the proposals presented to CCB on 13^th June 2017

ii)  Considered the key issues raised and actions that can be taken through the Health and Wellbeing Board to ensure an appropriate approach to investment and delivery model across the Sustainability and Transformation Plan (STP) footprint.  For example, to recommend that additional funding secured through the STP contributes to investment in proactive earlier interventions to prevent the need for more specialist clinical services.

iii)  Agreed that CAMHS present their proposals at a future meeting and that the Board receive this information prior to the meeting.

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.

There were no matters of urgent business received.

The next scheduled meeting of the Board will be held at 2pm on 5 September 2017 in the Duke of Lancaster Room - Cabinet Room 'C' at County Hall, Preston.

The next scheduled meeting of the Board will be held at 10.00am on 5 September 2017 in the Duke of Lancaster Room – Cabinet Room 'C', County Hall, Preston. 

The Chair also requested that all meeting be held at 10.00am with the agreement of the Board.

Resolved:  that the Board agreed to the meetings being rescheduled to 10.00am in the future.  Sam Gorton to rearrange future meetings to 10.00am.