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 19 April 2017 as a true and correct record.

The Health and Wellbeing Board considered the minutes of the last meeting held on 19 April 2017.

Resolved:

That the minutes of the meeting

To present the Director of Public Health’s independent assessment of local health needs, determinants and concerns.

Dr Arif Rajpura, Director of Public Health, presented his independent assessment of local health needs, determinants and concerns for 2016. This being the ninth annual assessment presented by Dr Rajpura.

He explained that the central theme of community resilience and presented selection of work and initiatives relevant to the topic. The report outlined areas including vaccine coverage emergency preparedness arrangements and NHS Screening Programmes. Then under health promotion the promotion of good mental health in terms of initiatives such as Better Start and HeadStart and reducing smoking and the Healthy Weight Strategy. The healthcare section concentrated on the opportunities for improving public health offered by the NHS-led Fylde Coast New Models of Care programme, transforming mental health services, strengthening public health services for 0-5 year olds, and the NHS Health Check Programme. 

Resolved:

1.      To receive the Public Health Annual Report 2016 (attached at Appendix 3a).

2.      To note the recommendations made in the report and request that they be forwarded to the Public Services Board and the Vanguard New Models of Care System for their consideration to ensure that the ley recommendation of delivering

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

The Board received from Dr Arif Rajpura, Director of Public Health, the second update to the Board on progress in delivering the actions in the Health and Wellbeing Strategy and to provide an update on the performance indicators.

The Board was reminded of the priorities namely Housing, Substance misuse including alcohol and tobacco, Reducing social isolation and building community resilience, and Early intervention

Dr Rajpura highlighted the good progress made in terms of childhood obesity  through the Healthy Weight Strategy dealt with elsewhere on the agenda.

He then highlighted progress in terms of alcohol abuse  particularly that naationally and locally, the number of persons under 18 admitted to hospital for alcohol-specific conditions continues on a downward trend. Blackpool remains higher than the national average but still seeing a downward trend. 

Dr Rajpura highlighted the on going issue of self-harm

in young people There are a number of developments looking to address children and young people's emotional health and wellbeing: 

As part of the pan-Lancashire children and young people's emotional health and wellbeing transformation plans, there is a robust local action plan in place – co-produced with Better Start, Head Start and emotional health and wellbeing services.  Local developments  have included: 

•CASHER (Child and Adolescent Support and Help Enhanced Response) out of hours support for young people that are self-harming 

•Duty hours (for emergency paediatric psychosocial assessments) extended until 4:40pm – CASHER on duty at 5:00pm 

•CAMHS extended opening until 7pm twice a week 

Dr Rajpura emphasised the issues regarding breast feeding and smoking in pregnancy. He explained that it was intended to address this issue in all contacts and by genuine peer support.

Dr Rajpura highlighted the revised Public Health dashboard which compared Blackpool with the most similar authorities for a more correct comparison.

Resolved:

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

To update the board on the progress with regard to the implementation of Blackpool’s Healthy Weight Strategy and Local Authority Declaration on Healthy Weight.

The Board received an update on the previously agreed Healthy Weight Strategy.

A Healthy Weight summit was held in February 2017 to encourage organisations to follow the Council’s lead and develop their own declaration on Healthy Weight.  Following the event over 20 organisations, including Health and Wellbeing members, pledged to develop their own declaration.  Since the event, Blackpool Teaching Hospitals became the first NHS organisation to sign a declaration on Healthy Weight. To keep the momentum going a further two summits were held in June and October, for organisations to share and update on the work they are undertaking on the healthy weight agenda. This approach had been endorsed by Food Active and in addition the GULP agenda had been endorsed by the Chief Dental Officer

The Board noted the progress in schools towards reducing childhood obesity notably by the following initiatives:

• Free School Breakfast with an evaluation which concludes the scheme is contributing to healthy preference learning and international evidence that regular, healthy breakfast habits are associated with reduced likelihood of obesity
• Walk to school project is in 28 primary schools
• Fit2Go in Year 4 across 33 schools
• Sport for Champions programme in Year 6
• Give up Loving Pop (GULP) campaigns
• Daily Mile in a small number of schools
• School Nurses offer weight management/monitoring support and onward referral
• Making Changes programme – child and family weight management programme

The results of these had been reflected in the most recent National Child Measurement Programme data.  The national average for 2016/17 is 22.6% of children in Reception and 34.2% in Year 6 are overweight or obese. This means Blackpool Reception children are slightly more likely to be overweight or obese than the national average, but the Year 6 figure is in line with the national average

Resolved:

To receive updates on

1. Progress on Healthy Weight Strategy and the Local Authority Declaration on Healthy Weight
2. Report on the 2016/17 National Child Measurement Programme data

To discuss the opportunities for further local action across members and partners, in particular regard to shaping the development and re-write of the Healthy Weight Strategy.

The report provides the Board with the Drug Strategy 2017-2020, the future direction and action plan for tackling substance misuse in the town.

A presentation will be given to the Board to provide an overview of how and why the Strategy was developed.  In addition the presentation will highlight the key objectives and the actions which will be delivered as part of the strategy.

Dr Rajpura presented the Board with the Drug Strategy 2017-2020 which outlined the future direction and action plan for tackling substance misuse in the town.

This strategy has been developed in conjunction with the Health and Wellbeing Strategy.  The overarching vision of the strategy is “Together we will make Blackpool a place where all people can live, long, happy and healthy lives” and as part of this substance misuse has been highlighted as a key priority.

The overall aim of this strategy is to prevent drug misuse, reduce the negative impact it has on Blackpool and build resilience by creating a supportive environment for individuals and communities to rebuild their lives.  This will be achieved by:

• Educating young people
• Preventing harm to individuals
• Building recovery
• Preventing harm to the community
• Keeping children safe and rebuilding families
• Building community and increasing engagement and inclusiveness in Blackpool

Resolved:

1.      To approve the Drug Strategy 2017-2020 and action plan at Appendix 6a.

2.      To agree any actions by Board Members to support the Drug Strategy’s implementation.

Update on the progress of the Pan Lancashire Pharmaceutical Needs Assessment (PNA) 2018 – 2021 (3-year)

The Board noted that Pan-Lancashire Pharmaceutical Needs Assessment Steering Group has been meeting for the last 9 months in order to prepare the publication of a new Pan-Lancashire Pharmaceutical Needs Assessment in April 2018. 

A public consultation on the draft document will be launched at the beginning of December 2017.

Resolved:

1.      To note the progress made so far in the production of a new Pan-Lancashire Pharmaceutical Needs Assessment 2018 -2021.

2.      To note That the formal 60-day public consultation period will commence in early December 2017.

3.      To agree to receive an update on responses to the comments and feedback received as a result of the 60-day consultation and formally approve the Pan-Lancashire Pharmaceutical Needs Assessment 2018 -2021 at a future meeting.

Members to discuss future agenda items from their area.

The Board agreed that subsequent to the meeting, the Chairman would develop a forward plan and a draft calendar of meetings and bring it to the next meeting for approval.

Members to discuss dates of future meetings.

The Board agreed that subsequent to the meeting, the Chairman would develop a forward plan and a draft calendar of meetings and bring it to the next meeting for approval.