Agenda item

To receive the Winter Preparedness plans and consider any future areas for improvement and collaboration.

Clare Platt, Health Equity, Welfare and Partnerships, Sue Lott, Adult Social Care – Urgent Care, Acute and Prisons, Lancashire County Council and Craig Frost, Urgent and Emergency Care, Lancashire and South Cumbria Integrated Care Board provided members with a collaborated report which highlighted plans in place across NHS and Local Government organisations to support health and wellbeing needs of Lancashire residents during the winter.

A presentation was given to the Board and is appended to the minutes and was circulated to members following the meeting.  It provides further information on the following:

·  Winter Preparedness 2023/24

Ø  Public Health, Wellbeing and Communities

Ø  Highways

·  Adult Social Care Winter Plan 2023/24

Ø  Winter Planning - Context

Ø  Winter Planning – Funding and Oversight

Ø  Winter Planning – What's in the Plan

·  Resilience and Surge Planning for Winter 2023/24

Ø  Winter Planning Guidance 2023/24

Ø  Winter Planning Process 2023/24

Ø  Place Winter Plans 2023/24

Ø  Urgent and Emergency Care (UEC) Investment Schemes 2023/24

Ø  Winter Campaign

Ø  Governance

Ø  Summary of Key Changes to System Co-ordination Centres (SCC) and Operational Pressures Escalation Levels (OPEL)

Following the presentation, the following comments were made:

·  In terms of the discharge to assess, the offer is being expanded.  Currently there are a number of beds in in-house older people's care homes, which are dedicated to residential rehabilitation and also spend on discharge to assess beds which is in the independent sector.  Therefore, people being discharged from hospital who cannot return directly home, go into a care home for a period of up to four weeks and are assessed in that care home.  The offer is now expanding on in-house beds by widening the criteria to include people who need a period of recovery, recuperation or a period of assessment.  Currently people who are going into the independent sector are not always getting therapy intervention and through in-house beds they will receive this quicker by working collaboratively between Adult Social Care and the NHS as well colleagues who support those beds from a therapy provision.

·  With the help of the Better Care Fund, it is hoped that improvements will be made as currently, too many people are going from hospital into a care home placement and that is an action from the Better Care Fund to improve that metric.  The Board noted that there is a working group set up around discharge to assess and part of the work is to review some of the procedures and ensure they are aligned with national guidance.

·  The independent sector care homes will still be required, particularly for people who need a nursing level of care that the Local Authority do not provide.

·  In terms of support through public health, it is improving, however, there is still work to do, which also short-term depends on funding from year to year, as well as having discussions on collaboration work and working with Districts and their communities.

Resolved:  That the Health and Wellbeing Board:

(i)  Endorsed the plans.

(ii)  Considered any future areas for improvement and collaboration.