Agenda and minutes

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

10.00am

1.

Welcome, introductions and apologies

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

Minutes:

The Chair welcomed all to the meeting.

 

Apologies were noted as above.

 

Replacements were as follows:

 

Alex Walker for Mark Youlton, East Lancashire CCG

Professor Max Marshall for Professor Heather Tierney-Moore, Lancashire Care NHS Foundation Trust

Dr Tom Marland for Peter Tinson, Fylde and Wyre CCG

Julia Westway for Dr Geoff Jolliffe, Morecambe Bay CCG

 

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.

 

10.05am

3.

Minutes of the Last Meeting held on 18 September 2019 pdf icon PDF 100 KB

To agree the minutes of the previous meeting.

Minutes:

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

 

10.10am

4.

Action Sheet and Forward Plan pdf icon PDF 56 KB

To note the action updates from the previous meeting and the forward plan for future meetings.

 

Additional documents:

Minutes:

Updates on actions from 18 September 2018 were received.

 

Mental Health and Wellbeing – Time to Change Hub – The application for a Time to Change Hub had been submitted and the outcome was due mid-December 2018.

 

All other actions had been added to the forward plan.

 

Since the circulation of the agenda papers, the forward plan had been revised.

 

Resolved:  Sam Gorton to circulate a copy of the revised forward plan for comments to the Board.

 

If there were any other items for the forward plan, these should be sent to Sam Gorton, email sam.gorton@lancashire.gov.uk  who would bring them to the Chair's attention for consideration.

10.20am

5.

Adult Services and Health and Wellbeing Update pdf icon PDF 101 KB

To receive an update on the:

 

Care, Support and Wellbeing of Adults in Lancashire, Vision and Housing with Care Strategy

Additional documents:

Minutes:

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  ...  view the full minutes text for item 5.

11.20am

6.

Children's Services Update pdf icon PDF 101 KB

To receive an update on:

 

·  Special Educational Needs and Disabilities (SEND) Improvement Plan

·  Children and Young People Emotional Wellbeing and Mental Health Transformation Plan

Additional documents:

Minutes:

Children and Young People's Emotional Wellbeing and Mental Health Transformation Programme

 

Dave Carr, Head of Service, Policy, Information and Commissioning and Gillian Simpson, NHS Midlands and Lancashire Commissioning Support Unit were welcomed to the meeting for another update on the Children and Young People's Emotional Wellbeing and Mental Health Transformation Programme.

 

This was the third year of delivery against the pan Lancashire Children and Young People's Emotional Wellbeing and Mental Health Transformation Programme which had resulted in the delivery of a number of key objectives which enabled children and young people to benefit from enhanced services and greater access to support.  There had been significant engagement to inform the redesign of NHS funded Child and Adolescent Mental Health Services (CAMHS) and a core design developed for the future delivery of CAMHS services across the Lancashire and South Cumbria footprint.  During the coming weeks, dialogue was expected to progress with NHS Providers and Clinical Commissioning Groups (CCGs) to agree a timeline for the further development of costed proposals, subsequent evaluation and implementation.

 

This report provided an update relating to the Lancashire Children and Young People's Emotional Wellbeing and Mental Health Transformation Programme including an overview of achievements during the past year and progress in the redesign of community Child and Adolescent Mental Health Services (CAMHS).

 

The last update to the Lancashire Health and Wellbeing Board, in January 2018, highlighted good progress in delivery against the 26 objectives in the pan Lancashire Transformation Programme.  The work had continued during 2018. 

 

Key achievements included:

 

·  Consulting with schools to inform the development of a Resilience Framework which would provide a common understanding of what was meant by resilience, the activities which could build resilience and provide opportunities to share good practice.

·  Continued funding for the Lancashire Sports Trust to support young people in building resilience.

·  Defining a "complementary offer" of non-clinical support to children, young people and their families.

·  Increasing access to Youth Mental Health First Aid (YMHFA) Training, delivered through the new network of Primary Mental Health Workers across Lancashire and complementing YMHFA training commissioned by the County Council.

·  Engagement with children, young people and stakeholders and the first stages of development of a new "Digital" offer for professionals, children, young people and their families.

·  Progressing the redesign of NHS funded CAMHS services. NHS CAMHS provider organisations had worked collaboratively with voluntary community and faith sector providers and with Clinical Commissioning Groups to co-produce a core model for CAMHS services across Lancashire and South Cumbria through a process of engagement and co-production with children, young people, families and wider stakeholders. Work was now progressing to establish the potential impact on funding and to agree timescales for the production of a final costed proposal, evaluation and potential implementation.

·  Securing interim community services to support “children with behaviours that challenge”, pending the CAMHS redesign.

·  Opening the Specialist In-patient Mother and Baby Unit in October 2018.

 

There were a number of challenges which create pressure in the system and acted as a catalyst for the  ...  view the full minutes text for item 6.

12.20pm

7.

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:

An issue was raised with regards the continued rail disruption across Lancashire and citizens unable to make hospital/GP appontments, commute to and from work especially in rural areas which is now causing health problems due to the stress this is causing.

 

Resolved:  That the Health and Wellbeing Board noted this issue and would discuss at a future meeting.

 

12.25pm

8.

Date of Next Meeting

The next scheduled meeting of the Board will be held at 10am on Tuesday, 29 January 2019 in Committee Room 'C' – Duke of Lancaster Room at County Hall, Preston.

Minutes:

The next scheduled meeting of the Board will be held at 10am on Tuesday, 29 January 2019 in Committee Room 'C' – Duke of Lancaster Room at County Hall, Preston.