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 either a

(a)   personal interest

(b)   prejudicial interest

(c)    disclosable pecuniary interest (DPI)

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 31 March 2021 as a true and correct record.

The Health and Wellbeing Board considered the minutes of the last meeting of the Board held on 31 March 2021.

Resolved:

That the minutes of the meeting of the Health and Wellbeing Board held on 31 March 2021 be approved and signed by the Chairman as a correct record.

This report considers the Health Equity Commission recommendations for Lancashire and  Cumbria and asks the Board to provide comments to inform the Health Equity Commission panel; which recommendations give the greatest opportunities for impact and scale, those where pace is most important, and how locally partners can most effectively action them.

The Board received a presentation from Tammy Boyce, University College London, on the Health Equity Commission review recommendations for Lancashire and  Cumbria. The Health Equity Commission review had engaged more people, partners, and community organisations than any previous Marmot Commission with over 2000 organisations having been engaged. This had resulted in over 70 recommendations which were noted by the Board and outlined in Appendix 3 to the agenda.

The Health Equity Commission report centred around a number of system-wide recommendations covering wider detriments of health in the longer term including ill health prevention, digital inclusion and equitable access. The Board noted that the recommendations of the Marmot review would impact upon all levels of the health economy.

The Board considered that, in terms of the recommendations, a number already reflected existing projects and/or aspirations within the area such as Betterstart, Housing regeneration and Place based approach and that it would be useful to evaluate where these areas were already under consideration. It also agreed with the Marmot recommendations as a basis for developing other strategies.

Resolved:

1.      To endorse the Marmot recommendations and agree their use as part of policy and strategy development.

2.      To map where recommendations are already being reflected in existing workstreams and practice.

To summarise the governance structures put in place to oversee the Council’s statutory duty for Health Protection in Blackpool.

The Board received an update on the work of the Health Protection Board from Dr Arif Rajpura, Director of Public Health. Dr Rajpura reminded members of the longstanding commitment to health protection activities but equally that the Forum had been reconvened following the emergency measures for the Coronavirus pandemic.

Dr Rajpura highlighted that the membership of the Health Protection Board was as outlined at Appendix 4a to the agenda and included representatives of the Council (including social services and public protection), Blackpool Teaching Hospitals and UK Health Security Agency (UKHSA). Dr Rajpura remarked that it had represented a positive situation that the same representative of the UK Health Security Agency was on a number of Health Protection Forums including neighbouring Council areas as this allowed approaches and intelligence to be shared.

The Board noted that the Health Protection Board would have as its key priority to provide assurance to the Health and Wellbeing Board and its partner organisations on the delivery of health protection plans including outbreak management, infection prevention and control, public protection and the performance of immunisation programmes.

Resolved:

1.      To endorse the structures and note the terms of reference of the Health Protection Board attached at Appendix 4a to the agenda and priorities summarised in the report.

2.      To agree that the Health Protection Board will report at least every six months to the Health and Wellbeing Board and on additional occasions if significant concerns are raised by the Health Protection Board.

To update members of the Health and Wellbeing Board of the work undertaken by the Pan-Lancashire Child Death Overview Panel (CDOP) during 2020/21, which includes key findings from child death data, progress made on last year’s recommendations (2019/20), partnership achievements; priorities and recommendations for 2020/21.

The Health and Wellbeing Board considered a presentation on the work undertaken by the Pan-Lancashire Child Death Overview Panel (CDOP) during 2020/21, which included key findings from child death data, progress made on 2019/20 recommendations, partnership achievements; priorities and recommendations for 2020/21.

The Board noted modifiable factors identified to relate to child deaths in Blackpool namely smoking, alcohol/substance misuse in parent / carer, domestic abuse / violence, safer sleep and service provision. Members of the Board expressed concern particularly at the issue of alcohol abuse and the need to make progress on that issue with access to services and particularly community based services highlighted as a concern.

The Board considered the priorities identified which reflected a continuation of those previously identified issues:

• Improving the quality and outputs of the child death review processes by ensuring all child death review meetings inform the Child Death Overview Panel process.
• Strengthening exiting pathways
• Reducing the variability of reporting forms and routinely missing information e.g. male partners.
• Demonstrating improvements against national standards through self-assessment.
• Continuing to collect data for Adverse Childhood Experiences (ACEs) and analyse patterns in links between ACEs and child deaths.

Resolved:

1.      To undertake a review of the modifiable factors and actions/response to these to be integrated into existing work-streams across the Council’s Public Health team and with core partners.

2.      That Blackpool as one of the (upper tier) locality area will develop over the next 12 months an Infant Mortality Strategy and Action Plan with an identified Group that leads, or it reports to, which is then accountable to the appropriate Health and Wellbeing Board.

3.      To continuously improve data completeness, partners must ensure all professionals providing information to Child Death Overview Panel complete the forms as fully as possible before they are submitted. Improving this data will enable National Child Mortality Database to link with other data sets, leading to more comprehensive analysis in future.

For the Health and Wellbeing Board to be aware of the newly published Pan-Lancashire Pharmaceutical Needs Assessment.

The Board considered the updated Pharmaceutical Needs Assessment which had been completed across a pan-Lancashire footprint, which outlined the pharmaceutical services available to the population and also included a number of key recommendations covering the period 2022 through to 20245. Mr Stephen Boydell, Principal Epimedologist,  explained that the Pharmaceutical Needs Assessment would once approved be used to support NHS England in making decisions to approve/reject applications to join the pharmaceutical list (also known as market entry), as well as applications to change existing pharmaceutical services. The Board noted that when making a decision NHS England would be required to refer to this document as the local Pharmaceutical Needs Assessment.

The Board noted that a significant finding of the updating of the needs assessment was that Blackpool was currently well served for pharmaceutical services with virtually all residents within a fifteen minute walk of a pharmacy.

Resolved:

To agree the development of a new Blackpool Joint Health and Wellbeing Board Strategy.

The Health and Wellbeing Board considered developing a new Health and Wellbeing Strategy as the previous Joint Health and Wellbeing Strategy 2016-2019 had elapsed. It considered that it would be beneficial to create a strategy that had strong links to the Health Equity Commission report and developing Lancashire and South Cumbria Integrated Care Board priorities.

The Board considered that the next strategy should be based on a 10 year timeframe with emphasis on the place-based aspects with care and wider detriments of health.

Resolved:

1.      To agree the need to write a new Joint Health and Wellbeing Strategy for Blackpool.

2.      To agree to appoint a task and finish group consisting of Councillor Jo Farrell, Dr Arif Rajpura, Director of Public Health and Steve Christian, Blackpool Teaching Hospitals Trust to develop an evidence-based strategy and report back to the Board.

To request the Health and Wellbeing Board members to discuss issues and develop a draft Forward Plan for the meetings of the Board in 2022/23.

The Board considered the development of a forward plan of items for future meetings. It noted the need to address the priorities outlined in the Health Equity Commission review and agreed that a report with a forward plan of future items be brought to each future meeting to ensure that these were addressed.  

To note the date of next meeting as the 14 December 2022.

To note the date of next meeting as the 14 December 2022. The Board considered that it would be beneficial to hold this meeting and other future meetings at a range of community venues to improve accessibility.