Agenda and minutes

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

The Chair welcomed all to the meeting and thanked those who had attended the informal workshop prior to the meeting with Lancashire Place Partnership.

Apologies were noted as above.

The Board noted that former Councillor Barbara Ashworth, East Lancashire, Lancashire Leaders representative had resigned from the Board as she had not stood for Election and that former Councillor Jenny Mein, Central, Lancashire Leaders Group had also resigned due to non-election for Preston City Council on 1 May 2024.  The Chair thanked both Councillors for their commitment to the Board and their communities over their tenure and requested that a letter of thanks be sent to both.

The Board also noted that work continues to appoint a representative from the Voluntary, Community, Faith and Social Enterprise and it was hoped that someone would be appointed prior to the next Board meeting in July.

Resolved:  That County Councillor Michael Green send a letter of thanks on behalf of the Board to former Councillors Barbara Ashworth and Jenny Mein.

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 meeting held on 5 March 2024.

There were no matters arising from the minutes.

To receive and comment on the draft 2024/25 plan, engage in the Leadership and Governance Workshop and consider the proposals relating to engagement and feedback from people with lived experience of services and support funded by the Better Care Fund.

Sue Lott, Adult Social Care – Urgent Care, Acute and Prisons, Lancashire County Council provided a short progress update of the Better Care Fund support actions taken since the last report.

It was noted that the focus of the Better Care Fund session had involved a workshop (prior to this meeting) to receive the outputs from the initial phase of the Leadership and Governance project. Whole Systems Partnership (WSP) and the Local Government Association (LGA) facilitated the session and provided feedback and analysis on the series of 1:1s and small focus groups they had engaged with, plus the relational survey shared with system leaders. The Board were asked to consider and discuss the outputs and determine the next steps which included a Task and Finish Group to be formed to move forward with this area of work.

The Board were also informed that the 2024/25 Better Care Fund Plan was due for submission on 10 June 2024. The issuing of the guidance and template was delayed by several months, meaning that there is a short timescale to collect and update all the information required. The draft plan was shared with the Board prior to this meeting date which enabled as much information as possible to be collated across the partnership by the date of the Board.

It was noted that high level finance discussions continue between the Council and the Integrated Care Board, which will support the baseline conditions upon which the partnership will be able to build good, evidence based, joint financial decision making.

The Board were informed that discussions were developing on the opportunity to build a framework to collect, report on, and use, feedback from people with lived experience of support and services funded by the Better Care Fund.

The Board received a presentation on the following and further details can be found in the report that was attached to the agenda:

Lancashire Better Care Fund – Support Projects

There are three support projects in place:

Leadership and Governance

·  Informal Workshop that was held today prior to the Health and Wellbeing Board

Intermediate Care Demand and Capacity Planning

·  Workshop held to map out intermediate care services

·  Dataset request being developed

·  Intermediate care 'flow' modelling being developed

Discharge to Assess

·  Data being submitted for analysis

·  Survey out with health and social care staff involved in hospital discharge

·  Case review days held in each of the five main Acute Trusts week commencing 22 April – 143 reviews

·  'Voice of the person' interviews being undertaken

·  Mirroring the process for Mental Health discharges

Lancashire Better Care Fund 2024/25 Plan

·  Full narrative plan update not required

·  National template – draft submission 17 May 2024/final submission 10 June 2024

·  Signed off by both Integrated Care Board and the Chair of Lancashire Health and Wellbeing Board, Lancashire County Council

·  Information required:

Ø  Intermediate care demand and capacity across the 12 months

o  For people being discharged from hospital

o  For people avoiding a hospital/care home admission

·  Income into the pool

·  Expenditure from the pool  ...  view the full minutes text for item 4.

To consider and endorse the Annual Report of the Director of Public Health for 2023/24, and its recommendations.

Dr Sakthi Karunanithi, Public Health, Lancashire County Council presented the Annual Report of the Director of Public Health which identifies that the key health indicators show that outcomes have slowed down across Lancashire since the pandemic. It identifies poor health as a key factor affecting economic progress in Lancashire, and vice-versa. The report also highlights that the ongoing problems related to health and wealth are distributed unequally across Lancashire communities. This is happening in the context of a demographic shift towards an increasing proportion of unhealthy ageing population in Lancashire communities that requires more joined up work across the sectors.

The report also highlights the devolution proposal and the evolution of Lancashire and South Cumbria Integrated Care System as key strategic opportunities in Lancashire to adopt a systematic and joined up approach to address inequalities to create a more favourable future for Lancashire residents, communities, and businesses.

The Board were also asked to note that confirmation had been received from the Integrated Care Board that Lancashire, following the bid that it had put forwards to link work and health, to reduce economic inactivity due to ill health as a Work Well pilot, had been selected as one of the 15 systems, with the Integrated Care Board being the lead partner.

Dr Sakthi Karunanithi alluded to the recommendations in the Annual Report of the Director of Public Health which formed further discussions.

Following the presentation, discussion ensued, and comments provided as below:

·  Economic inactivity is an area that needs to be addressed and should be raised at every opportunity as there is a link between people's poor health and their ability to add to the economy.

·  With regards to housing, it was felt that there needs to be a concerted effort once the Disabled Facilities Grant and Better Care Fund piece of work is completed, where District Councils will then be in a position to lead on this work in terms of reviewing the quality of housing across Lancashire.

·  In terms of working with employers across Lancashire to reduce ill health a piece of work had been commissioned to work together with the Skills and Employment Hub to understand what are the drivers, which included listening to people who are economically inactive which has led to a greater understanding of what the core drivers are of people coming out of employment and being inactive in the economy and is leading to the development of more  joined up work with the Economic Development and Skills Team within the County Council. There is also ongoing work with supporting young people, not in education, employment or training, people known to social care, especially those with learning difficulties and mental health supporting them to get back into employment and finding out risk factors by going into workplaces and giving colleagues the opportunity to get the blood pressure checked or talk about mental health and wellbeing.

·  Look at cross pollination of resources and support through Economic Development and Skills and Employment Hub and the policy in  ...  view the full minutes text for item 5.

To approve two thematic joint strategic needs assessment (JSNA) projects to be carried out during 2024/25.

Mike Walker, Business Intelligence, Lancashire County Council provided the report which seeks approval from the Health and Wellbeing Board (HWB) to carry out two thematic joint strategic needs assessment (JSNA) projects during 2024/25. These are: an adults' and older people's care needs Joint Strategic Needs Assessment (JSNA); and a children and young people's Joint Strategic Needs Assessment (JSNA).

The Board noted the information presented in the report where further information can be found.

Following the presentation, discussed ensued and the following comments were made:

·  In terms of socialising and using data and information, it was noted that this area is where improvement is required to work better with the NHS to gain further intelligence and understand the data literacy.

·  The Health and Wellbeing Board need to outline what questions they wish to ask of the data and then use the opportunity to simplify the results.

·  It was proposed that there is a forum that meets regularly between the NHS and Local Authority to join together and share intelligence.

·  To receive further intelligence and data at a future meeting.

Resolved:  That the Health and Wellbeing Board approved

(i)  The two proposed Joint Strategic Needs Assessment (JSNA) thematic projects for 2024/25:

·  Adults and Older People's Care Needs Joint Strategic Needs Assessment

·  Children and Young People's Joint Strategic Needs Assessment

(ii)  A request to invite senior data professionals from the Local Authority and NHS together to look at opportunities for collaboration and to develop a Joint Intelligence Programme.

To review and comment on the Annual Report.

Dr Sakthi Karunanithi, Public Health, Lancashire County Council outlined to the Board the report which provides the analysis of cases derived from panels held across Blackburn with Darwen, Blackpool and Lancashire and provides information on trends and patterns in child deaths reviewed during the reporting year (2022/23) and notified deaths (2022/23). The report also highlights key achievements and priority areas for 2023/24, and further details can be found here.

Following the presentation, discussion ensued, and the following comments were made:

·  This area of work needs to be at the forefront of early years and to be able to act on the modifiable factors.

·  Projects/campaigns are reviewed regularly such as Safer Sleep.

·  There needs to be more attention on mental health issues and supporting young peoples and families in this area.

·  As technology improves, more premature babies are surviving through medical intervention.

·  One of the detrimental aspects of suicide is social media and the escalation of mental health through bullying and work has been invested heavily with schools around some of the preventative work.

·  The Council is also working in partnership with the NHS, Education and Police with young people who are at the higher end of mental health need and developing a workforce with the relevant skill set to be able to support people.

Resolved:  That the Health and Wellbeing Board:

(i)  Reviewed and commented on the key findings including modifiable factors associated with child deaths.

(ii)  Sought assurance on the progress being made through the Best Start in Life priority workstream.

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 items of urgent business received.

The next scheduled meeting of the Board will be held at 2pm on 16 July 2024, venue to be confirmed.

The next scheduled meeting of the Board is Tuesday, 16 July 2024 at 2pm, venue to be confirmed.