Agenda and minutes

In the absence of the Chairman and Vice-Chairman, the Board considered the appointment of a Chairman for the meeting.

Resolved:

That Mr Roy Fisher be appointed Chairman for the meeting.

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 19 October 2016 as a true and correct record.

The Board considered the minutes of the last meeting held on 19 October 2016.

Resolved:

That the minutes of the last meeting held on 19 October 2016 be approved and signed by the Chairman 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 last meeting of the Strategic Commissioning Group from Ms Helen Lammond-Smith, Blackpool Clinical Commissioning Group.

The Board received the final minutes of the meeting held on 20 October 2016 on which a verbal update had been given at the last meeting of the Health and Wellbeing Board.

Ms Lammond-Smith provided the Board with a verbal update on the meeting of the Strategic Commissioning Group held on 4 January 2017. She explained that the Better Care Fund 6 Month Update formed part of the agenda of this meeting of the Board and that both the Mental Health and Sexual Health Action Plans would be brought for approval to the March Board meeting. Ms Lammond-Smith highlighted the report on the redesign of Community Therapy noting that the redesign would work with the new models of care to deliver better outcomes. The Board noted that the Group had also considered an update on the changes to Reablement services delivered through the ARC centre and the start of the commissioning review of the Hub/Wish service.

Resolved:

To receive an update on the progress in the last six month towards the Better Care Fund.

Mrs Jayne Bentley,Care Bill Implementation and Better Care Fund Project Lead, and

Mrs Janet Watson,Better Care Fund Accountant, Blackpool Council provided the Board with the mid-year update on the Better Care Fund and the requirements for the future development of the fund.

Mrs Bentley started her presentation by providing a brief recap of the development of the Better Care Fund and the development of pooled budgets between the Clinical Commissioning Group and the Council’s Social Care under Section 75. She then outlined how the plan had met its objectives so far during the plan and that as required NHS England had received quarterly updates on the plan. In terms of future developments for the fund, the Board was informed that the 2017/2019 was currently under development and would be brought to a future board meeting for approval and this would be included further information on the use of the increase in funding available through the Improved Better Care Fund.

Resolved:

To note the update on the Better Care Fund.

To consider a report on proposals for future Pan-Lancashire Health and Wellbeing Governance Arrangements

Mr L Beattie, Executive and Regulatory Manager, Blackpool Council presented to the Board on the transition towards a Health and Wellbeing Board on larger footprint over Lancashire, Blackpool and Blackburn with Darwen. Mr Beattie explained that as previously presented to the Board the Lancashire Leaders had agreed to work to towards the creation of a joint Health and Wellbeing Board supported by five more local Health and Wellbeing partnerships. The approach had been subsequently endorsed a summit held in July 2016 in Preston.

Mr Beattie explained that more detailed proposals had now been approved by the various Councils’ Executives  and it was proposed that the new pan-Lancashire model operate in a shadow form before final approval of the operating structure in May 2017.

Resolved:

To receive a report updating the Board on the Lancashire and South Cumbria Change Programme.

Mr Gary Raphael, Finance Lead, Healthier Lancashire Programme provided an update to the Health and Wellbeing Board on the Lancashire and South Cumbria. He reminded members that the Sustainability and Transformation Plan had been previously approved by a Joint meeting of Health and Wellbeing Boards on 19 October 2016 and then submitted to NHS England.

Mr Raphael highlighted to members that the plan consisted of a technical document addressing the need to work together across Clinical Commissioning Group to address future demographic pressure to address the funding gap. Mr Raphael explained how the plan was to be developed going forward with the addressing of areas of interest where economies of scale could be developed across Lancashire and further alignment of health and social care.

Members of the Board while continuing to endorse the aspirations of the plan expressed concern as to how the implementation would work in practice and asked for further updates on progress to be brought to future meetings of the Health and Wellbeing Board.  

Resolved:

To note the content of the update report.

To consider proposals for rationalising the governance and meeting arrangements of the Council’s partnerships and other statutory boards.

The Board received a report on the Review of Partnerships and Forums of the Council which included proposals for rationalising the governance and meeting arrangements of the Council’s partnerships and other statutory boards. The review had been undertaken to consider the membership, purpose and activity of the various boards and sub-groups to identify any crossover, duplication or further potential areas for alignment. The review had now taken place and the key outcomes were highlighted in the report namely a rationalisation of meetings, the development of linkages in data analysis and the creation of quality assurance workshops.  

Resolved:

To note the report and support the proposals for new ways of working to be developed, to include consideration of partnership arrangements where possible and appropriate.

To update the Health and Wellbeing Board on the 0-5 Children’s Public Health Services (Enhanced Health Visiting Model) 2017-18.

The Board received an update from Lynn Donkin and Donna Taylor, Blackpool Council, on the development of the Enhanced Health Visiting Model from children from zero to five.

Ms Donkin reminded members that the new Enhanced Health Visiting Model had been developed to transform this vital stage in the delivery of Public Health. The model had been agreed through the Better Start Partnership with its four levels of intervention (Universal, Universal Plus, Universal Partnership plus and Safeguarding) which would be supported by an increased universal offer to all parents. The  universal level the model consists of eight home visits to all families, six within the first year of life plus two additional health reviews, including a school readiness child health review.  The enhanced health visiting model was developed from consultation with a wide range of stakeholders as part of the Health Visitor review over the summer led by Public Health in partnership with a Better Start. The model was jointly developed by stakeholders representing the Better Start Partnership.

The Board considered it beneficial that the Better Start partners had been involved in the development of the new model but emphasised their view that it was important to ensure that the implementation was properly monitored against outcomes.

Resolved:

To note the update.

To receive an overview and update on progress with regard to the ‘Children and Young People’s Emotional Health and Wellbeing Transformational Plan 2015/ 2020’.

The Board received an update on the Children and Young People’s Emotional Health and Wellbeing Transformation Plan from Ms Helen Lammond-Smith, Blackpool Clinical Commissioning Group. She reminded board members that the eight Clinical Commissioning Groups across Lancashire had submitted to NHS England a joint Transformation Plan designed to address and take ownership of children and young people’s emotional health and wellbeing.

Ms Lammond-Smith highlighted the development of five key workstreams: Promoting resilience, Prevention and Early Intervention, Improving access to effective support, Care for the most vulnerable, Accountability and Transparency and Developing the Workforce. This pan-Lancashire plan had been translated into an robust action plan for Blackpool and the Fylde area with contributions from Better Start, Head Start, council services e.g. Youth Offending, and emotional health and wellbeing services (CASHER, Connect and CAMHS). 

Ms Lammond-Smith then highlighted the key achievements so far of the plan including the co-designed community eating disorder service, the creation of a full 0-19 CAMHS service including opening until 7pm and reductions in waiting times and the ongoing development of safe places for children and young people in crisis. Ms Lammond-Smith also explained about the work of the CASHER team for those presenting at Accident and Emergency in mental health crisis and its further development.

Resolved:

To endorse the progress made in delivering the Transformational Plan

To consider the draft Forward Plan for the Health and Wellbeing Board.

To note the dates of future meetings as follows:

1 March 2017

19 April 2017

To note the dates of future meetings as follows:

1 March 2017

19 April 2017