· Update from the Integrated Care Board (ICB) on Health Summaries – Caroline Waldron, NHS Lancashire and South Cumbria Integrated Care Board (10 mins)
· Update from the Integrated Care Board (ICB) on Dental Pilot/Pathways – Caroline Waldron, NHS Lancashire and South Cumbria Integrated Care Board (10 mins)
· Update from Permanence Service on the Health Day held on 20 April 2023 – Andreas Feldhaar, Permanence Service, Lancashire County Council (on behalf of Gina Power, Permanence Service, Lancashire County Council) (5 mins)
Minutes:
Caroline Waldron, NHS Lancashire and South Cumbria Integrated Care Board provided an overview on Health Summaries and the Dental Pilot/Pathways in Lancashire and the plans to ensure that wherever a child lives in Lancashire, they will receive the same health offer.
The Board received a presentation which outlined the following:
What was the driver for a dedicated Children in Care Dental Pathway (Children in Care Pathway 3)?
What are the aims and objectives of the pathway?
How does the pathway work?
The Board noted the progress to date which was:
· Pathway 3 went live on the 13 March 2023 with dental clinics starting from the 1 May 2023.
· Comms brief shared across health and social care workforce for wider dissemination.
· Trauma informed training offer and guidance for dental practises to support positive experiences and knowledge.
· Referrals received are allocated to clinics across Lancashire and South Cumbria as appropriate.
· Monthly performance data to manage demand and ensure timely access.
· Includes breakdown of referrals by a source and location.
· Lancashire County Council has the highest number of current referrals of 30.
· Majority are for children living in Preston and Fylde and Wyre.
The Board were informed of the Next Steps-Phase 2 which were:
· Integrated Care Board Children in Care Steering group to lead on the development of a sustained offer for priority access to clinic appointments for both children in care and care leavers.
· Includes children and young people who are already registered with an NHS dentist.
· Aspiration for the offer to be embedded in all NHS dental practices.
· Project plan to be delivered for implementation of the offer.
Resolved: That the Board requested further data on the Dental Pathway at a future meeting.
Caroline Waldron then briefed the Board on the Care Leaver Health Summaries which included a brief outline of what the Care Leaver Health Summaries was which is:
Care leavers should be equipped to manage their own health needs wherever possible. They should have a summary of all health records (including genetic background and details of illnesses and treatments), which suggests how they can access a full copy if required. Information needs to be given to care leavers sensitively and with support, with an opportunity to discuss it with health professionals.
The Board then received an overview of the co-production of care leaver health summaries – an Integrated Care Board approach which is:
· To support co-production principles, a survey to seek the view of the population, children in care and care leavers has been produced in partnership with both Local Authority participation leads and children in care and care leavers.
· The Lundy Participation model is being utilised as the framework to support this approach.
· The final survey has been shared for all young people to complete.
· A series of Teams and face to face workshops supported by comms colleagues and members of the Task and Finish Group are due to be scheduled in May/June 2023.
· Participants will be thanked for their contributions.
· Details of the survey can be accessed via https://www.smartsurvey.co.uk/s/CLHSL23/.
· All feedback received will be analysed to inform a future delivery model and redesign of a single Integrated Care Board Care Leaver summary.
Andreas Feldhaar, Permanence Service, Lancashire County Council updated the Board on the Health Network event that was held on 20 April 2023 which involved 27 Services that had supported the event, such as Child Action North-West, Lancaster University, Positive Action in the Community (PAC), Lancashire County Council as well as others and there were over 260 professionals that had attended, and feedback had been received from over 100 attendees.
Following the event, the Board were informed that the next steps are:
· A post event evaluation.
· Child Action North-West (CANW) Trailblazer in East Lancashire
Ø 12-month pilot – evaluated by Lancaster University
Ø Identify models of working with children in our care who experienced trauma and need therapeutic support
· CAMHS regional redesign
Ø Health led focus groups and task and finish group
Ø Social approach to providing mental health services
· Strategic Partnership.
Resolved: That the Board noted the update on the Health Day held on 20 April 2023 and the next steps.