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 Roy Fisher be appointed Chairman for the meeting.

Richard Emmess declared a prejudicial interest in Item 6- Social Isolation Update as his organisation may consider bidding for the provision of services.

Resolved:

That the minutes of the meeting held on the 3^rd September 2014 be approved as a correct record.

The Board received an update on the work of the Strategic Commissioning Group including the notes of the meeting held on the 25^th September 2014.

It was noted that a number of items were dealt with elsewhere on the agenda.

Resolved:

To note the update and the notes of the meeting held on the 25^th September 2014.

The Board received an update on the Better Care Fund from David Bonson (Blackpool CCG). It was noted that the submission had informally received positive feedback that the submission would be assured with conditions.

The Board held a discussion under this item, the Operational Resilience Plan and the Due North regarding the extreme budgetary pressures on Blackpool Council and the impact that these would have on  and it was agreed that a letter be sent by the Board to Central Government on these issues.

Resolved:

To note the update on the revised Better Care Fund submission.

The Board considered three documents the Tobacco Free Lancashire Strategy 2014-2016, the Pan-Lancashire Smoking in Pregnancy Action Plan and the Blackpool Tobacco Control Strategy.

Liz Petch presented the documents and highlighted the key priority areas of prevention, protection and cessation. It was noted that reducing smoking was a key driver to improve health outcomes and reduce health inequality. 

It was noted that the full version of the Blackpool Tobacco Control Strategy had yet to be circulated but it was noted that the key principles were in line with the other documents and that the document would be agreed in principle with the full document to be circulated and any comments on the full document to be forwarded to Liz before the end of November 2014.

Resolved:

1.       To endorse the Tobacco Free Lancashire Strategy 2014 – 2016. This pan-Lancashire document has already been agreed by the Lancashire and Blackburn with Darwen Health and Wellbeing Boards.

2.       To be in receipt of the Pan-Lancashire Smoking in Pregnancy Action Plan and agree work to develop local solutions to the actions identified.

3.       To agree in principle that the Blackpool Tobacco Control Strategy and Action Plan 2014 – 2016 focuses on a range of actions across three priority themes as we believe these to be the areas of greatest opportunity where the greatest differences can be made:

·         Prevention - creating an environment where (young) people choose not to smoke

·         Protection - protecting people from second-hand smoke

·         Cessation - helping people to quit smoking

Further to the meeting on the 4^th June 2014 of the Board and the thematic debate on Social Isolation, the Board received an update report from Val Raynor on the work undertaken and proposed future actions. It was agreed that the proposed actions could be achieved in cooperation with the Fairness Commission which had already undertaken some work in that area.

Resolved:

1.      To, in conjunction or through the Fairness Commission,  commission a third sector organisation to engage with the community, public and private sector to develop a vision and strategy to reduce isolation of people in Blackpool.

• The lead organisation will develop a partnership to work collaboratively to develop the plan.
• The partnership will comprise of third sector representatives and other stakeholders that may have a strong understanding of the needs of isolated people.
• There will be meaningful and genuine community engagement with groups representing isolated people.
• The strategy will produce a plan and recommendations to meet priority outcomes identified.

2.      To report back to the next meeting on the appointment process.

The Board received the Public Health Annual Report. The report was completed by Dr Arif Rajpura, the Director of Public Health who has a statutory duty to write an annual report on the health of the local population.

Resolved:

To receive the Public Health Annual Report 2013.

David Bonson presented  a report on the Board on the Blackpool CCG’s Quality Premium intentions for 2014/2015 and on that body’s proposal for the chosen target for the Friends and Family test  score for patients in the stroke unit.

Resolved:

1.      To note the Clinical Commissioning Group’s Quality Premium goals for 2014

2.      To support the Clinical Commissioning Group with their choice of local metric for the Friends and Family Test element of Quality Premium

The Board received an update on Operational Resilience and Winter Planning from David Bonson Chief Operating Officer from Blackpool CCG.

The Board noted the update on the steps that were being undertaken to plan for winter and that the Fylde Coast Operational Resilience plan had been signed off the Local Area Team and that monitoring procedures were in place through the Clinical Commissioning Group. It further noted that funding would be transferred from NHS England in October.

The Board continued to express the concern regarding the risks outlined in Item 5 and also later under Item 10.

Resolved:

That the update be noted.

The Board considered an update on the proposed services and values in respect of the funding transfer for Adult Social Care from NHS England to Blackpool Council from Karen Smith, Deputy Director for People, Blackpool Council.  

It was highlighted that the specified amount for Blackpool would be £4,141,888 in total as a transfer from NHS England to Blackpool Council under Section 256 of NHS Act 2006. It was noted that the funding must be used to support Adult Social Care services in each Local Authority which also has a health benefit.  There will be a responsibility to link the funding proposals to joint commissioning plans with regard also to the joint strategic needs assessment for our local population.

The Board noted that the schedule attached to the agenda meet these requirements and had already been approved by the Blackpool Clinical Commissioning Group.

Resolved:

To accept the proposed schedule from the funding transfer, which was in accordance with the joint working of Health and Social Care services

The Board received a presentation on the Due North report from Dr Arif Rajpura, Director for Public Health on the Due North report.

The Board noted the report as a key piece of evidence on health inequality. It endorsed the key actions outlined in the report and suggested that this Board and its partners and other Health and Wellbeing Board across the region lobbied government regarding these issues.

The Board had also agreed under a previous item to write a letter lobbying the government.

Resolved:

1.       To note the Due North report.

2.       That the Deputy Chief Executive, Blackpool Council, following consultation with the Chairman of the Health and Wellbeing Board to write a letter to the Secretary of State for Education and the Secretary of State for Communities and Local Government expressing the Board’s concern on the impact on the reduction of funding for Local Government services on health issues particularly health inequality.

The Board noted that the date of the next meeting as the 3^rd December 2014 at 3pm in the Solaris Centre