Agenda and minutes

Members are asked to declare any interests in the items under consideration and in doing so state:

(1) the type of interest concerned; and

(2) the nature of the interest concerned

If any member requires advice on declarations of interests, they are advised to contact the Head of Democratic Governance in advance of the meeting.

There were no declarations of interest on this occasion.

To agree the minutes of the last meeting held on 2^nd September 2015 as a true and correct record.

Resolved:

That the minutes of the meeting held on the 2^nd September 2015 be approved and signed as a correct record.

To update the Board on the activity of the Strategic Commissioning Group since the last meeting.

The Board received an update on the work of the Strategic Commissioning Group from Delyth Curtis, Director of People- Blackpool Council. The Board noted the minutes of the meeting held on the 13^th August 2015 and also received a verbal update on the meeting held on the 7^th October 2015.

Resolved:

That the update on the work of the Strategic Commissioning Group be noted.

To propose that the Children and Young People’s Partnership becomes a sub-group of the Health and Wellbeing Board and present the terms of reference for the Partnership, which have been revised to reflect this relationship. The report also informs the Board of the activity of the Children and Young People’s Partnership over the last twelve months.

The Board considered a proposal from the Children and Young People’s Partnership that that partnership becomes a sub-group of the Health and Wellbeing Board and present the terms of reference for the Partnership, which have been revised to reflect this relationship. The Board noted the partnership while having strategic oversight on all issues to children and young people had focussed on the following key areas since its establishment last year namely:

·         0 – 5 years public health commissioning transfer – a number of updates and reports had been discussed regarding the transfer of commissioning responsibility for children aged 0-5 years to the local authority and the implications for future commissioning and service delivery.

·         Strategic oversight of the Children’s Improvement Plan; developed in response to the ‘requires improvement’ judgement in the July 2014 Ofsted inspection of children’s social care and safeguarding services. The Partnership had responsibility for overseeing and scrutinising the implementation of actions related to children’s emotional health and wellbeing and early help services.

·         Considered and gave feedback on the Lancashire Child Death Overview Panel Annual Report 2014, proposing that Blackpool should consider having its own specific Child Death Overview Panel to consider the issues within Blackpool’s context.

·         had oversight of and had discussed and contributed towards the Head Start bid and input into the governance structure.

·         Considered the draft Commissioning Strategy and had fed into the consultation process, approving the finalised document.

·         Considered the updated Children’s Strategic Needs Assessment and Schools and Student Health Education Unit (SHEU) survey, which would be used to inform the priorities in Partnership’s forthcoming strategy.

·         Discussed and fed back on the Lancashire Children and Young People Emotional Health and Wellbeing Transformation Plan,

·         Better Start

·         Blackpool Challenge Partnership

Resolved:

1.      To agree that the Children and Young People’s Partnership becomes a sub-group of the Board

2.      To approve the terms of reference as set out in Appendix 4a.

3.      To note the areas of work that the Partnership has strategic oversight of.

To provide an update on work to accelerate service change for people with learning disabilities as part of a national transformation (fastrack) programme and to present the transformation (fastrack) plan for Lancashire.

The Board considered the Transforming Care- Learning Disabilities Fastrack Plan which was presented to the Board by Maria Howard, the Pan Lancashire Transforming Care Project Manager, from Chorley and South Ribble Clinical Commissioning Group. It was noted that Lancashire had been selected as one of the six fastrack areas where a plan was required to address the requirements of the Winterbourne review.

Members of the Board while agreeing the plan in principle, expressed concern as to the speed at which the plan had to be created, whether such services as required could be delivered in the community and the transfer of funding for the deliver y of the transformation service.

Resolved:

1. To approve the plan, agreeing the principles within it to develop the required transformation programme and create an integrated community approach for the Learning Disability population.

2. To support the financial bid and the Clinical Commissioning Groups (CCG) share of match funding (for the Discharge Co-ordinator and PMO elements) required to progress the work.

To provide the Board with an overview and background to the development of the Children and Young People’s Emotional Health and Wellbeing Transformational Plan 2015 – 20.

Claire Grant, Divisional Commissioning Manager, Blackpool Council provided the  Board with an overview and background to the development of the ‘Children and Young People’s Emotional Health and Wellbeing Transformational Plan 2015 – 2020’; including an overview of the requirements of NHS England in terms of system change and specific service development.

The Board noted that the plan had been developed in response to the government’s taskforce on emotional wellbeing. The Plan included a need  for the NHS and all service within the local authority to work together to deliver services for all ages  between 0 and 25 by building resilience and early intervention, improving access to effective support, providing joined up approach to care for the most vulnerable as well as driving improvements through accountability and transparency, workforce development and resource planning. There was also a requirement to specifically address eating disorder services and provide specialist services to victims of child sexual exploitation.

The Board, while endorsing the principle of the transformational plan, expressed concern as to the short timescale that NHS England had required for the production this plan.

Resolved:

To approve the Lancashire Children and Young People’s Mental Health, Emotional Wellbeing and Resilience Transformational Plan

To inform the Board of the objectives, purpose and value of a Third Sector Infrastructure Organisation (Blackpool, Wyre and Fylde Council for Voluntary Service) and to request that fund holders consider funding to enable the Council for Voluntary Services to continue the work it has been undertaking.

 The Board received a report and presentation from  Paul Greenwood, Chairman Blackpool, Wyre and Fylde Council for Voluntary Services. He outlined the aims and core functions of the Council for Voluntary Services and highlighted the request  that the constituent organisations represented on the Health and Wellbeing Board consider jointly funding the Blackpool element of Blackpool Wyre and Fylde Council for Voluntary Services in the sum of £150,000 per year to enable it to continue to function.

The Board expressed general support for the work of the Blackpool, Wyre and Fylde Council for Voluntary Services but suggested that before support could be offered a more detailed plan should be developed and therefore referred the request for further consideration by the Strategic Commissioning Group.

Resolved:

That the request be referred to the Strategic Commissioning Group for further consideration along with a detailed plan.

To update the Board on the progress of the implementation of the 2014 Children and Families’ Act across agencies and the new OFSTED/ Care Quality Commission inspection framework for Special Education Needs (0-25 year olds and their families) in a local area.

The Board received an update on special educational needs and disabilities. Further to the meeting of the Board on the 9^th July 2014, when the Board received a presentation on the implications of the implementation of the Children and Families Act 2014.

Simon Jenner, Principal Educational Psychologist/ SEND Service Manager, Blackpool Council, provided an update to the Board on the progress in the first twelve months of the implementation. Dr Jenner highlighted the key aspects of the initiatives undertaken notably the change from identifying Special Educational Needs from service led to person centred, the transition to Education, Health and Care Plans and that Blackpool had a 100% record for on time completion of those and need for plans to be co-produced with parents and young people where it was noted that there was good stakeholder involvement.

The Board noted that Blackpool is one of 13 local authorities nationally to be engaged in a pilot to extend the remit of tribunal to rule on care and health aspects of an Education, Health and Care Plan as well as education ones although historically there were low levels of tribunals.

The possibility of a short notice inspection by Ofsted was noted by the Board.

Resolved:

To note that current work continues to meet statutory obligations and that work to prepare for external inspections should continue.

To inform the Board of the Value Proposition for New Models of Care on the Fylde Coast that was submitted to NHS England for their Investment Board meeting week beginning 28^th September.

The Board received an update on the New Models of Care Value Proposition. It was noted that the  Fylde Coast Vanguard – New Models of Care Value Proposition had been submitted to NHS England for consideration in advance of the NHS England Investment board meeting in late September. Dr Amanda Doyle advised that Fylde Coast partners had just received a response that the Investment Board supported the proposition and would allocate the full £4.6 million that had been requested to assist in rolling out Extensive Care services across the Fylde coast and begin the implementation of Enhanced Primary and Community Care services. She reported that there would therefore be ongoing discussions as to how to ensure that partners were in a position to deliver the new models of care.

Resolved:

To agree the contents of the Value Proposition for New Models of Care on the Fylde Coast as attached at Appendix 9a to the agenda.

To inform the Board of the Section 75 Pooled Budget Agreement that has been developed by Blackpool Council and Blackpool Clinical Commissioning Group.

Hilary Shaw, Head of Business Support and Resources, presented a report to the Board on the Section 75 Pooled Budget Agreement that had been developed by the Strategic Commissioning Group. Ms Shaw explained that the Better Care Fund was a type of partnership agreement whereby NHS organisations and local authorities contributed an agreed level of resource into a single pot (the “pooled budget”) which was then used to commission or deliver health and social care services.

The Board was aware that the Strategic Commissioning Group had considered and initially approved the Pooled Budgets Agreement and had agreed for a number of aspects to be incorporated including that the Strategic Commissioning Group would be the decision making body that risks and rewards would remain with the lead commissioning organisation for each of the scheme within the Better Care Fund, the Clinical Commissioning Group to bear the risk of the performance-related element of the funding and Blackpool Council to be the host organisation for the pooled budget.

Resolved:

To ratify the Section 75 Pooled Budget Agreement as attached to the report at Appendix 10a, which has been approved by Blackpool Clinical Commissioning Group and by Blackpool Council.

To inform members that a draft Forward Plan has been developed for the Board.

 The Board considered the draft forward plan for forthcoming agendas, which would enable the Board to strategically plan its future agendas and ensure that items were relevant to the Board’s priorities.

Resolved:

To approve the Health and Wellbeing Board Forward Plan as set out in Appendix 11a to the report.