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: Teams Virtual Meeting - Teams. View directions

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

Media

Items
Note No. Item

2.00pm

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 for the meeting were as follows:

 

·  Sarah Callaghan for Edwina Grant OBE, Lancashire County Council.

·  Jerry Hawker for Dr Geoff Jolliffe, Morecambe Bay Clinical Commissioning Group (CCG).

·  Gary Doherty for Dr Peter Gregory, West Lancashire Clinical Commissioning Group (CCG) and Karen Partington, Lancashire Teaching Hospitals Foundation Trust.

·  Sue Stevenson for David Blacklock, Healthwatch.

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.

 

3.

Minutes of the Last Meeting held on 3 November 2020 pdf icon PDF 235 KB

To agree the minutes of the previous meeting.

Minutes:

Resolved:  That the Board agreed the minutes of the meeting held on 3 November 2020.

 

4.

Action Sheet and Forward Plan pdf icon PDF 243 KB

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

Additional documents:

Minutes:

Resolved:  That the action sheet and forward plan was noted by the Board.

 

Any future items for the forward plan should be submitted to Sam Gorton, Clerk to the Board, email sam.gorton@lancashire.gov.uk.

 

2.10pm

5.

Lancashire Health and Wellbeing Board - SEND Sub-Committee pdf icon PDF 115 KB

To receive an update from the SEND Sub-Committee on the latest version of the Accelerated Progress Plan (APP).

Minutes:

Sarah Callaghan, Director of Education and Skills, Lancashire County Council, outlined the minutes from the Health and Wellbeing Board SEND Sub-Committee which met on the 18 December 2020 to discuss the Accelerated Progress Plan (APP) which includes the progress made by officers since the previous meeting of the Sub-Committee held on 24 September 2020.  Further details of the minutes from the meetings can be found here.

 

Following the inspection carried out by Ofsted and the Care Quality Commission (CQC) in February and March 2020, the report concluded that of the initial twelve areas of concern, seven had made sufficient progress and no longer required monitoring. 

 

It was noted from the most recent meeting of the Sub-Committee, that good progress was being made in each of the five areas of improvement detailed in the Accelerated Progress Plan (APP) which the SEND Sub-Committee scrutinise and challenge at its' meetings.

 

Resolved:  That the Health and Wellbeing Board noted the report of the Lancashire Health and Wellbeing Board – SEND Sub-Committee.

 

2.25pm

6.

National Consultation: Integrated Care System pdf icon PDF 183 KB

To note the next steps to building strong and effective integrated care systems across England.

 

 

Additional documents:

Minutes:

Andrew Bennett, Executive Director of Commissioning, Integrated Care Service, Lancashire and South Cumbria presented the report and presentation attached to the agenda, which detailed Integrating care: Next steps to building strong and effective integrated care systems across England, which was published by NHS England and Improvement in November 2020.  The report also introduces the keymessages from the consultation document and the Lancashire and South Cumbria Integrated Care System (ICS) response to the consultation which was submitted on 8 January 2021. The outcomes of that process are still awaited and discussion at this meeting, on potential changes are subject to the outcomes of the consultation and a process of legislation through parliament.  The consultation is suggesting that there are further ways to strengthen and collaborate working arrangements.  The purpose behind the reforms is directly relevant to Health and Wellbeing Boards with a reference to improving population health and health care, tackling unequal outcomes and access, enhancing productivity and value for money and enabling all the main organisations of the Health and Wellbeing Board to support social and economic development.

 

There were two options presented to support the continued development of integrated partnership models for health and care systems in England:

 

·  Option 1: a statutory Integrated Care System (ICS) Board/Joint Committee with an Accountable Officer. In this option, there would be one aligned Clinical Commissioning Group (CCG) only per Integrated Care System (ICS) footprint, and new powers would allow that Clinical Commissioning Groups (CCGs) are able to delegate many of its population health functions to providers.

 

·  Option 2: a statutory corporate NHS body model that additionally brings CCG statutory functions into the Integrated Care System (ICS).

 

Discussions ensued and it was noted that in response to the COVID-19 pandemic, the Local Authority has established up a Social Care Cell, which ostensibly is focusing its response to the vulnerable adult population.  Throughout the pandemic there has been a great strength in partnership in a very difficult and challenging situation, emphasising the strength of a place-based approach and recognising the challenges faced a key priority will continue to be population health and wellbeing across all ages.  There has also been a redesign of the Children and Families Wellbeing and Education Services on the Integrated Care Partnership footprint, so that the Local Authority can better collaborate with partners to both target and meet need.

 

It was also noted that more detailed guidance is expected that is referred to in the document which will be helpful and that the place-based approach across the NHS and Local Authorities has been a good starting point to build on going forward.

 

Dr Julie Higgins, East Lancashire CCG reported that she was leading on a piece of work on Health Inequalities on behalf of the Integrated Care System partners to make a difference.


It was confirmed that once the outcome of the national consultation is known and proposals are determined, then further discussion with the Health and Wellbeing Board will take place.

 

Resolved:  That the Health and Wellbeing  ...  view the full minutes text for item 6.

2.45pm

7.

Lancashire COVID-19 Outbreak Management Update

To receive an update on the current situation and what has happened since the last Board meeting.

 

Minutes:

Dr Sakthi Karunanithi, Director of Public Health, Lancashire County Council outlined the current situation with regards the COVID-19 pandemic and paid tribute to all the staff working across the agencies, both frontline as well as people in leadership roles for their continued effort; and to all the families who have been affected by COVID-19, especially those who have lost loved ones.

 

The Board were presented with the heatmap for the three Upper Tier Local Authorities, Lancashire, Blackpool and Blackburn with Darwen.  The rates are very high although the actual case numbers have started to show signs of decreasing in the last 4-5 days, therefore the impact of lockdown may be starting to show.  A breakdown by district was also presented to the Board and East Lancashire remains of concern.

 

Hospital occupancy has not seen a similar decline and remain extremely busy, particularly critical care occupancy levels are increasing, especially in East Lancashire.

 

There are three main priorities:

 

i)  Ongoing engagement with communities to support compliance with the rules and where necessary enforcement.

ii)  Testing – finding the cases and supporting them to stay at home, utilising the district hubs.

iii)  Vaccine programme support.

 

The pandemic has resulted in increasing demands for food support and support to the homeless, highlighting the need for temporary housing in particular.

 

The Board were also reminded that Lateral Flow/SMART testing is being rolled out, which repeats testing of individuals at least twice a week, particularly in workplaces and in community testing centres.

 

Work is ongoing to dispel myths around the vaccine and communities are being encouraged to take up the offer of the vaccine.  Vaccination inequality is not a new public health issue, it remains an issue in relation to Covid.

 

The Board were informed that 70% of care homes had been offered the vaccine and by the end of January this will be 100%.  There is still an issue however, with people who have learning difficulties, autism and other groups living in supported accommodation getting timely access to the vaccine. The decisions made by the Joint Committee of Vaccination and Immunisation (JCVI) are generally based on age and clinical risk factors, and the prioritisation of other vulnerable groups continues to be advocated. 

 

Resolved:  That the Board noted the update received from Dr Sakthi Karunanithi,     Director of Public Health, Lancashire County Council.

 

3.05pm

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:

There were no items of urgent business received.

 

3.10pm

9.

Date of Next Meeting

The next scheduled meeting of the Board will be held at 2pm on 9 March 2021, via Microsoft Teams.

Minutes:

The next scheduled meeting of the Board will be held on Tuesday, 9 March 2021 at 2pm, via Microsoft Teams.