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 21^st October 2015 as a true and correct record.

Resolved:

That the minutes of the last meeting held on 21^st October be approved and signed by the Chairman as a correct record.

To receive an update on the work of the Strategic Commissioning Group including the meetings on the 7^th October 2015 and 11^th November 2015

The Board received an update on the work of Strategic Commissioning Group from Helen Lammond-Smith, Blackpool Clinical Commissioning Group.

The Board noted that the minutes of the meeting of the Group held on the 7^th October 2015 had been circulated with the agenda and included a number of items subsequently discussed at the last meeting of the Health and Wellbeing Board notably the Emotional and Health and Wellbeing Transformation Plan, the Learning Disability Transformation Plan and the Vanguard Value Proposition. In addition the Intermediate Care Commissioning Review had been included as an item on the agenda for consideration.

A verbal update on the meeting held on the 18^th November 2015 for which meeting the minutes were not yet available was also presented. It was noted that that meeting had focussed on two major discussion topics governance structures and future savings. Those areas would continue to be discussed at future meeting of the Strategic Commissioning Group.

Resolved:

That the update be noted.

To agree the terms of reference for the Health Protection Forum

The Board considered the terms of reference for the Health Protection Forum. It noted that at its meeting on the 25^th September 2015, it had agreed to the principle of the creation of a formalised structure for local health protection arrangements reporting to the Health and Wellbeing Board.

Resolved:

To approve the Terms of Reference for the Blackpool Health Protection Forum, as set out at Appendix 4a to the report.

To receive the Blackpool Safeguarding Children Board Annual Report for 2014/15.

Paul Threlfall, Blackpool Safeguarding Board Business Manager presented to the Board the annual report of the Blackpool Safeguarding Children Board 2045-15. He highlighted that the publication ‘Working Together’ required the Safeguarding Children Board to submit its annual report to Health and Wellbeing Board to ensure that the Board was aware of the work of the Blackpool Safeguarding Children Board during 2014/15 and its plans for 2015/16, and to draw upon and inform the Joint Strategic Needs Assessment.

Mr Threlfall outlined that the period covered in the annual report 2014/15 had been a period of significant challenge for the Board in view of the Ofsted review in 2014 and the appointment of a new Chairman in Dr David Sanders. There had also been a large number of Serious Case Reviews completed during the year although any outstanding reviews had now been completed. Mr Threlfall highlighted the four key areas that the Blackpool Safeguarding Children Board had identified namely Child Sexual Exploitation, Neglect, Early Help and the combination of parental mental health, domestic violence and drug and alcohol misuse. There were additional priority areas identified for 2015 namely the ‘Prevent’ agenda for tackling extremism and the issue of female genital mutilation.

Members of the Health and Wellbeing Board expressed concern at the increase in Child Protection Plans referred to at page 47 of the report and the impact on resources. Mr Threlfall explained that the increase had not been sustained and that the focus on early help had helped to address this. In response to a direct question from the Board, Mr Threlfall confirmed that he was comfortable that children were being kept safe in Blackpool.

It was suggested that the Health and Wellbeing Board suggested that it would be beneficial to hold a training session for members on Children’s Safeguarding to further develop good working arrangements and linkages with the Safeguarding Children Board.

Resolved:

To note the contents of the Blackpool Safeguarding Children Board Annual Report 2014-2015.

To consider the draft Health and Wellbeing Board annual report 2014/15

The Board considered a draft annual report as attached at Appendix 6a to the agenda. The draft report provided a summary of key achievements of the Board and emphasised the key linkages with the Due North report recommendations as well as details of the thematic debates that had contributed to the strategic direction of the Board, approaches taken in terms of quality of care and priorities for the year ahead.

Resolved:

To agree the draft annual report as attached at Appendix 6a.

To receive an update on the progress of the Intermediate Care Review Recommendations and Implementation Plan.

The Board received an update on the progress made on the Intermediate Care Review Recommendations and Implementation Plan from Helen Lammond-Smith, Blackpool Clinical Commissioning Group which was centred mainly on the shift from bed based care to care at home and included recommendations for 24/7 nursing through enhanced beds for those patients who initially required nursing care.

It was noted that the plan had been agreed at the September meeting of the Health and Wellbeing Board and that significant progress had been made since that meeting, including the creation of four sub-groups: Operational, Financial, Human Resources and Communications to allow for a start date of the 1^st April 2016 for the new model of Blackpool Intermediate Care.

The Board in noting the update agreed that the Intermediate Care Review should be a key piece of work and suggested that it be added to the forward plan under agenda Item 12.

Resolved:

To note the updates in the report on the Intermediate Care Review.

To consider the future direction of the Healthy Weight Strategy 2014-16.

The Board received a presentation on the Healthy Weight Strategy from Nicky Dennison and Lynn Donkin, Public Health, Blackpool Council.

Ms Dennison highlighted the main issues regarding obesity in Blackpool and the country as a whole. The cost to country as a whole was £27billion to the wider economy and a direct cost to the Health Service of £5.1 billion. She highlighted that two thirds of adults in Blackpool, one quarter of young people aged 2-10 and one third of young people aged 11-15 were overweight or obese although obesity did not affect all groups equally with more deprived groups and older age groups notably more affected. The Board noted that the Blackpool Lifestyle Survey had identified significant concerns regarding food and nutrition in particular sugar sweetened beverages, takeaway food or ready meals and lack of physical activity.

The Board considered that the Healthy Weight Strategy if implemented would result in improvements and noted that the Strategy proposed a whole system approach to the problem.  Members expressed concern however as to how deliverable the Strategy would be as a result of the ongoing reduction in Public Health funding. Members of the Board also suggested that there should be strong links to the Betterstart programme as that could be a key opportunity to make a difference. The Board also expressed concern as to whether actions on influencing government policy would be possible given the government’s reluctance to impose an additional taxation on sugar sweetened products.

While endorsing the updated Healthy Weight Strategy, it was agreed that the Board should consider having a future thematic debate on obesity and that an item be added to the forward plan.

Resolved:

1.      To continue to support the delivery of the Health Weight Strategy.

2.      To agree to support sign up by the Council to the Local Authority Declaration on Healthy Weight.

To receive an update on the proposed funding allocation for Public Health.

Further to the previous meetings of the Health and Wellbeing Board, a discussion was held on the Council’s response to the Department for Health’s consultation on the proposed allocation formula for Public Health for 2016/17. The Board noted that circulated with the agenda at Appendix 9a was the Director of Public Health’s representations to the Department for Health’s consultation

The Board expressed serious concerns as to the significant impact on Blackpool  if the proposed allocation formula was to be implemented as it could mean a recuction of up to £7million in Public Health funding for Blackpool and on the implications in terms of being able to deliver the Board’s priorities. It endorsed the view expressed by the Director of Public Health in his consultation and agreed to continue to lobby government.

Resolved:

1.      To support the response to the consultation submitted by the Director of Public Health on behalf of Blackpool Council.

2.      To agree to continue to lobby the Department for Health to reconsider its proposals for the allocation formula.

To hold a thematic debate on the analysis of the 2015 Indices of Deprivation.

The Board received a presentation from Mr John Patterson, Research Officer, Blackpool Council on the analysis of the 2015 Indices of Deprivation. The presentation outlined an overall picture of where Blackpool lies on the seven domains of deprivation. Mr Patterson highlighted that Blackpool was relatively more deprived than in 2004 and had no areas in the least deprived 30%. The largest shift had been within the health domain and overall Blackpool was the most deprived of the 326 local authority areas.

The Board noted that this highlighted some of the significant challenges needed to be addressed by the Board and also agreed that it further demonstrated the need to address the transience and the supply of poor quality housing.

Resolved:

To note the presentation and agree to consider this information alongside the Joint Strategic Needs Assessment.

To update the Board on the current position in relation to developing the next Health and Wellbeing Strategy and present options for discussion.

The Board received an update from Venessa Beckett, Project Developer, on developing the next Health and Wellbeing Strategy. Ms Beckett explained that the Board at its away day held during May 2014, had identified four key drivers namely: Stabilising the Housing Market, Substance Misuse (alcohol, drugs and tobacco), Social Isolation/Community Resilience and Early Intervention and suggested that new strategy centred around those key drivers. That would also align with the feedback from the Health and Wellbeing Peer Challenge in March 2014 which had suggested making sure that priority actions were joined up and focussed. The Board also considered that it would be beneficial to ensure that there were key linkages to the ‘Due North’ recommendations as outlined in the Director of Public Health’s annual report 2014/15.

Ms Beckett suggested as outlined at Paragraph 5.6 of the report that once the strategy had begun its development that there could be two phases of consultation- firstly with partner organisations including Blackpool Healthwatch and then a subsequent public consultation for six to eight weeks starting in January 2016.

Resolved:

1.                  To agree that the Health and Wellbeing Board uses the drivers agreed at the Board Away Day in May 2014 as the basis for the new strategy.

2.                  To agree to incorporate the key recommendations from the Due North report into the strategy and action plan, and align it with the priorities arising from other key strategic documents.

3.                  To agree the proposed consultation process and timeline for development as set out in Paragraph 5.6 of the report.

To consider the draft forward plan.

The Board considered the draft forward plan for forthcoming agendas, which would enable the Board to strategically plan its future agendas and ensure that items were relevant to the Board’s priorities.

The Board agreed that in relation to Agenda Item 7, Intermediate Care Review Update, that further reports be brought to Board on  progress on implementing the Intermediate Care Review and   Agenda Item 8, Healthy Weight Strategy, that a future thematic debate be held on Healthy Weight.

The Board additionally identified that a further thematic debate should be organised on mental health issues for a future meeting.

Resolved:

To approve the Health and Wellbeing Board Forward Plan as set out in Appendix 12a to the report subject to the additions outlined.

To note the date of future meetings as follows:

27^th January 2016

2^nd March 2016

20^th April 2016

Resolved:

To note the dates of future meetings as follows:

27^th January 2016

2^nd March 2016

20^th April 2016