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 27^th January 2016 as a true and correct record.

The Board considered the minutes of its last meeting.

Resolved:

That the minutes of the last meeting held on the 27^th January 2016 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 the Strategic Commissioning Group presented by Delyth Curtis, Director of People.

The Director of People presented the finalised minutes of the meeting held on the 16^th December 2015 on which a verbal presentation had been given at the last meeting. It was noted that this meeting included a presentation on Fulfilling Lives.

Mrs Curtis explained that the Group had been unable to support the application for funding from the Council for Voluntary Services but would be writing separately to the organisation with details of support in kind that partners could offer.

Resolved:

1.      To note the minutes from the Strategic Commissioning Group meeting on 16^th  December 2015.

2.      To receive a verbal update from the meeting on the 24^th February 2016.

3.      To note that the minutes from the meetings on the 20^th January 2016(on which a verbal update was given at the last meeting) and from the 24^th February 2016 will be brought to the next Board meeting in April.

To receive the first biannual report of the Health Protection Forum and consider issues raised by that Forum for escalation.

The Board received an update on the work of the Health Protection Forum from Mrs Donna Taylor (Lead Public Health Nurse). She reminded members that the Health Protection Forum had been created by the Health and Wellbeing Board to provide

mechanism for warning and informing on local health protection arrangements within Blackpool. The report was the first of six-monthly report of the Health Protection Forum.

Mrs Taylor highlighted the issues considered by the Health Protection Forum as outlined at Paragraph 5.2 of the report. The Board particularly noted the uptake of Seasonal Flu vaccination and the pending prosecution of a business regarding the undeclared presence of allergens.

Resolved:

1.      To receive the Health Protection Report for the period 1^st April 2015 to 31^st January  2016 attached at Appendix 4a.

2.      To note the issues outlined at Paragraph 5.2 and agree that no further action is necessary.

To provide an overview on the development of the Drug Strategy and future direction of the work required to reduce health inequalities due to the impact of drugs.

The Board received a presentation from Mrs Nicky Dennison (Senior Public Health Practioner) on the development of a refreshed drug strategy.

Mrs Dennison explained that it was intended the Drugs Strategy was the first to be created by the Council and other partners that included a whole system approach to the issue of drug use in contrast to previous strategies which concentrated on treatment plans for opiate and crack cocaine users.

The intention with the new Drug Strategy was to deal with the full range of issues acknowledging that problem drug use often linked to a range of other factors such as mental health, alcohol misuse, homelessness and crime and was therefore a key part of overall health and wellbeing.

Mrs Dennison highlighted the proposed key objectives of the strategy Prevent harm to individuals, Build recovery, Preventing harm to the community, Empower young people to make informed choices, Keep children safe and rebuild families and Build community and increasing engagement and inclusiveness in Blackpool.

The Board discussed the principles of the proposed drug strategy and endorsed these principles but considered that it was essential to also prioritise those areas with the greatest chance of success. The Board emphasised that given the impact on young people of drug use that linkages should be developed with the HeadStart and Betterstart programmes. The Board also considered a community rehabilitation and meaningful activities such as the Fulfilling Lives programme dealt with separately on the agenda as a key way to aid recovery.

Resolved:

1.      To agree to support the development the Drug Strategy.

2.      To agree the principles of the Drug Strategy outlined in the report at Paragraph 5.7 and presentation.

3.      To agree that the Stategic Commissioning Group consider further how partners can work together on the delivery of the strategy in light of substance misuse being one of the Board’s four priorities and align this with the Health and Wellbeing Strategy to maintain consistency and ensure a joined up approach.

To provide the Health and Wellbeing Board with a briefing on the Fulfilling Lives project and to provide an update on the current progress being made.

The Board received a presentation on the Fulfilling Lives project from Glyn Smithson and Martin Nield from the programme.

They outlined that Fulfilling Lives was a lottery funded project, with Blackpool being chosen as one of twelve areas selected by the Big Lottery Fund. The key aim of project was deal with people whose chaotic lifestyles inflicted harm on themselves and large costs on emergency services. The project was about creating pathways to ; help these people  make a positive contribution to local communities and  change systems to better deal with these people in the future. The project was set up for people involved in the criminal justice system, with drug and alcohol misuse and homelessness by dealing the range of problems that they were experiencing in totality. Mr Nield gave a number of case studies regarding how the service helped people and that often by finding for example a house, a meaningful activity or a job then this provided motivation for dealing with their other problems.

Mr Smithson explained that a major success for Fulfilling Lives in Blackpool involvement of ex-service users (people who previously had chaotic lifestyles caused by problems with alcohol, drugs, offending behaviour, homelessness and mental health issues) in the design and delivery of this programme.

The Board endorsed the Fulfilling Lives model but agreed that it would useful to receive a further update in the future.

Resolved:

1.      To note the Fulfilling lives project and promote the partnership working across Blackpool.

2.      To agree that the project plays a key role in e future commissioning of services for people with complex needs including the drug strategy.

3.      To receive a future update on the progress of the Fulfilling Lives programme.

To inform the Health and Wellbeing Board of local Mental Health Services andactivity undertakenwithin thearea toallow athematic discussionto takeplace onthe topic.

The Board received a presentation  on issues related to mental health services from Helen Lammond-Smith, Blackpool Clinical Commissioning Group.

Ms Lammond-Smith outlined the significant challenges for Blackpool, considering that Blackpool was the 5^th highest rate for all mental health conditions.

She outlined the provision available in Blackpool through the Harbour in patient provision.

BlackpoolClinical Commissioning Grouphasa waitinglistinitiativeinplaceto reducewaitingtimesforIAPT;Blackpool Teaching Hospital isaimingto meetthetargetsbyApril2016. The targets are 75% of people to be seen within 6 weeks of referral and 95% of people seen with 18 weeks of referral. Blackpool Teaching Hospital is reporting that as of January 2016, 80% of patients have been seen within 6 weeks and 98% seen within 18 weeks.

Ms Lammond-Smith outlined the advantages through the Blackpool Mental Health Alliance approach to dealing with community mental health.

The Board in noting the complex issues around mental health provision agreed that the issue should be one to be dealt with by the Healthier Lancashire plan.

Resolved:

To note the presentation and refer the issue for further consideration by the Healthier Lancashire Board.

To inform the Health and Wellbeing Board members of the draft Forward Plan that has been developed for the Board.

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. It was noted that the Board had agreed under Item 6 to receive a further update on the work of the Fulfilling Lives programme.

Resolved:

1.      To approve the Health and Wellbeing Board Forward Plan as set out in Appendix 8a to the report.

2.      To add a further update on the work of the Fulfilling Lives programme to Forward Plan.

To note the dates of future meetings as follows:

20^th April 2016

The Board noted the date of the next meeting as the 20^th April 2016.