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 18 January 2017 as a true and correct record.

The Board considered the minutes of the last meeting held on 18 January 2017.

Resolved:

That the minutes of the meeting held on 18 January 2017 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 from Dr Arif Rajpura, Director of Public Health, on the work of the Strategic Commissioning Group. Dr Rajpura presented to the Board the final approved minutes of the meeting held on 4 January 2017 on which a verbal update had already been given to the Health and Wellbeing Board at its last meeting.

Dr Rajpura then highlighted the items discussed at the meeting of the Strategic Commissioning Group held on the 6 April 2017 which he had been in attendance. Dr Rajpura explained that one of the items, the Better Care Fund Update, was dealt with elsewhere on the agenda for this meeting. He highlighted the focus on engagement with the 3^rd sector and the Hub and Wish service commissioning review.

Resolved:

1.      To note the minutes of the meeting held on 4 January 2017 as attached at Appendix 3a to the agenda.

2.      To note the verbal update from the meeting on 6 April 2017.

3.      To note that the minutes of the meeting held on 6 April 2017 will be brought to a future meeting of the Health and Wellbeing Board once approved by the Strategic Commissioning Group.

To receive the bi-annual report of the Health Protection Forum and consider any issues raised by that Forum.

The Health and Wellbeing Board received an update on the work over the last 6 months of the Blackpool Health Protection Forum from Dr Arif Rajpura, Director of Public Health. Dr Rajpura highlighted the topics that had been considered by that Forum over the past 6 months notably high levels of Group A Streptococcal infection (Scarlet Fever) in comparison with other areas of Lancashire, Seasonal Flu Vaccination Update, Healthcare acquired infection updates and the flu pandemic exercise held on the 14 March 2017.

Dr Rajpura highlighted the improvements in flu vaccination by pregnant women and the ongoing good work by Blackpool Victoria Hospital. There continued to be a need for further improvements in take up by frontline workers in social care within the Council however and further needed to be undertaken within the Council to learn from the success of the hospital.

Dr Rajpura then outlined the Health Protection Forum’s concerns about e-coli blood streams infections and its links both nationally and locally to unnecessary or excessive catheter use.

Resolved:

1.      To receive the Health Protection Report for the period September 2016- 31 March 2017.

2.      To note the work being undertaken by partners to address the key issues outlined.

To update the board on the progress of Intermediate Care Services in Blackpool.

The Board received a presentation from Ms Kate Aldridge on the progress of integrated Intermediate Care services. Ms Aldridge highlighted the progress made since the decision in early 2016 by Blackpool Clinical Commissioning Group (BCCG), Blackpool Council and Blackpool Fylde and Wyre Teaching Hospitals (BFWTH) refocussed investment in Blackpool to focus on delivering a more intensive service from one site and directly routing more people directly home from hospital to receive support. The ARC centre had now been focussed on integration between Health and Social Care. There had been a significant reduction in bed spaces allied with the provision of more reablement services in the home but there had equally been clear success in increasing the capacity by reducing length of stay. Both by having clear pathways and equally by focussing on returning to home in fewer than 30 days.

Resolved:

To note the update on Intermediate Care.

To update the Board on progress in delivering the New Models of Care Programme.

The Health and Wellbeing Board received a presentation from Howard Naylor, Head of Programme Management, Blackpool Clinical Commissioning Group

To update the Board on progress in delivering the actions in the Health and Wellbeing Strategy and to provide an update on the performance indicators.

Dr Rajpura provided the Board with the first six-monthly update on the progress in delivering the actions in the Health and Wellbeing Strategy which included an update on the performance indicators identified within the strategy.

Dr Rajpura reminded members of the four identified priorities of Housing, Substance misuse including alcohol and tobacco, reducing social isolation and building community resilience and early intervention. He highlighted the progress already made towards the priorities and that this update was timely given the proposed transition to a pan-Lancashire Health and Wellbeing Board

Resolved:

To note the six monthly update on the Health and Wellbeing Strategy.

To provide the Board with an update on activity to meet NHS England (NHSE) requirements for the Better Care Fund 2017-19.

The Health and Wellbeing Board received an update on the Blackpool Better Care Fund from Ms Jayne Bentley, Care Bill Implementation and Better Care Fund Project Lead, Blackpool Council. Ms Bentley reminded members of the context of the Better Care Fund and she had intended to bring the full submission document for the Better Care Fund 2017/2019 but there had been further delay in the publication of the Policy Framework and Planning Guidance for the Better Care Fund 2017-19.

While the submission document had been completed as far as possible it had not been possible to complete work on it while this document remained outstanding.

Ms Bentley further explained that frustratingly there had not been extension to the deadline for submission.

The Board expressed concerns as to this but noted that the only possible way forward would be to delegate approval of the final submission document to the Chairman.

Resolved:

That the approval of the final Better Care Fund be delegated to the Chairman.

To consider the Sexual Health Strategy and Action Plan 2017-20.

The Board received a presentation from Mrs Judith Mills, Consultant in Public Helath on the Blackpool Sexual Health Strategy and Action Plan 2017-20. The plan built upon the successes of the previous strategy which had reduced rates of teenage pregnancy and rates of sexually transmitted infections.

 The strategy therefore  identified six locally agreed strategic priorities to deliver on these outcomes, providing clear direction and focus for sexual health improvement in Blackpool going forward. These are:-

i.          Reduce unplanned pregnancies among all women of fertile age

ii.         Reduce the rate of sexually transmitted infections and re-infections

iii.        Improve detection rate in chlamydia diagnosis in 15-24

iv.        Reduce onward transmission and proportion of late diagnoses of HIV.

v.         Reduce inequalities and improve sexual health outcomes

i.                Tackling sexual violence

Resolved:

To approve the draft Blackpool Sexual Health Strategy and Action Plan

To present the Public Mental Health Action Plan 2016-19 for approval.

Mrs Judith Mills presented The Public Mental Health Action Plan uses a public health approach to promoting mental wellbeing in Blackpool and preventing mental health problems.  The action plan incorporates interventions at both a universal level (to improve the mental wellbeing of our population) and targeted (targeting those communities most at risk of poor mental health).

Resolved:

To approve the Public Mental Health Action Plan 2016-2019.

To highlight the key issues as a result of the changes to legislation which requires the Health and Wellbeing Board to comment upon Pharmaceutical Applications and thereafter the requirement to produce a supplementary statement to the Pharmaceutical Needs Assessment.

Ms Jessica Partington, NHS England, gave a presentation on the key issues as a result of the changes to legislation which requires the Health and Wellbeing Board to comment upon Pharmaceutical Applications where the merger of two or more sites had been proposed.  If the application was then granted and pharmacy premises are removed  and the Health and Wellbeing Board does not consider that a gap in service provision is created as a consequence, it must publish a supplementary statement to be published alongside its pharmaceutical needs assessment recording its view.

Ms Partington then explained that the key changes were around the need for the Board to provide comments when mergers took place and to ensure that Pharmaceutical Needs Assessment  it was further agreed that the relevant formal consultee would be the Director of Public Health, Blackpool Council.

Ms Liz Petch, Public Health Specialist, was also in attendance and provided a general overview of the current Pharmaceutical Needs Assessment reminded members that the assessment was currently in the process of being reviewed and that Blackpool was currently well served for pharmacy services.

Resolved:

1.      To note the process for reviewing Pharmaceutical Applications.

2.      To note the requirement for the Health and Wellbeing Board to provide comment in relation to any Pharmaceutical Applications and to issue a supplementary statement to the Pharmaceutical Needs Assessment when required as per the legislation.

3.      To note the request for NHS England to receive a copy of any such additional statements, ensuring that they are emailed to england.lancsat-pharmacy@nhs.net for reference purposes.