Agenda and minutes

The Chairman reminded Board members that since the last meeting Councillor Eddie Collett a Board Member and the Blackpool Council Cabinet Member for School Improvement and Children’s Safeguarding had sadly passed away.

The Board expressed condolences on this sad event and held a minutes silence.

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 20 July 2016 as a true and correct record.

The Health and Wellbeing Board considered the minutes of its last meeting held on 20 July 2016.

Resolved:

That the minutes of the meeting held on 20 July 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 on the work of the Strategic Commissioning Group from Dr Arif Rajpura, Director of Public Health.

Dr Rajpura reminded members that a verbal update had been given to the Board at its last meeting on the items considered by the Strategic Commissioning Group at its meeting on the 20 July 2016 and Dr Rajpura highlighted the shift by Lancashire Fire and Rescue to a new, co-designed, more holistic Prevention and Wellbeing Visit.

Dr Rajpura then outlined that the next meeting of the Strategic Commissioning Group would be the 20 October 2016 and that from this point on the agenda of the Group’s meetings would be split between the regular agenda and a thematic debate.

Representatives of Blackpool Healthwatch noted that the monitoring of the Better Care Fund had been highlighted as a key role for the Strategic Commissioning Group and requested that further information on the activities undertaken to meet this role be brought to a future meeting of the Health and Wellbeing Board to provide assurance to Board members. The Board noted that plans were already in place with this to take place and agreed to add this to the forward plan.

Resolved:

1.      To note that the Board has already received at its last meeting a verbal update from the meeting on 20 July 2016 and to note that the minutes of this meeting will be brought to the Health and Wellbeing Board meeting in November.

2.      To note that the next meeting is on 20 October 2016 and that the structure of future meetings will include a focus on a particular theme or issue to be debated and resolved.

3.      To receive an update on the Monitoring of the Better Care Fund at a future meeting and add that item to the forward plan.

To receive a biannual update on work of the Health Protection Forum.

The Health and Wellbeing Board received its second biannual update on the work of the Health Protection Forum from Mrs Lynn Donkin, Public Health Specialist.

Mrs Donkin highlighted the key actions of the Health Protection Forum over the past six months. Mrs Donkin particularly emphasised the elevated rates of Scarlet Fever over the past year or so while the elevated rates were likely to be as part of a normal cycle publicity including guidelines on infection control had taken place with schools and nurseries. Mrs Donkin also drew the Board’s attention the development actions that had been undertaken to review the Severe Weather Plan.

Resolved:

1.      To receive the Health Protection Report for the period 1 February 2015 to 31August 2016 to be given verbally at the meeting.

2.      That having considered further the issues outlined at Paragraph 5.2 , to  agree that no further action as necessary.

To receive an update on the latest stages of the development of the new pan-Lancashire model for health and wellbeing board governance, including key recommendations emerging from the Health and Wellbeing Board Summit held on 26 July 2016.

Mr Lennox Beattie, Executive and Regulatory Manager, provided a brief update to the Board on the development of joint arrangements including new pan-Lancashire model for health and wellbeing board governance.

Mr Beattie explained that the Lancashire Leaders had previously agreed to commence work to investigate a move to a new model of health and wellbeing board governance, in the form of a single Health and Wellbeing Board for Lancashire with five local area health and wellbeing partnerships.

Mr Beattie reminded members that in order to develop the model further via engagement with existing Board members a summit had been held on 26 July 2016 in Preston attended by a number of board members. The summit had been focussed on four key areas:  Governance and democratic influence, Promoting integration, Joint strategic needs assessments and health and wellbeing strategies, and Membership. The summit had successful identified a substantial number of areas of agreement between partners and this would allow the Lancashire Leaders at their next meeting to consider firm proposals for further development based on the principles agreed at the summit and these would be reported to the next meeting of the Board.

In response to questions, Mr Beattie clarified that any changes to be undertaken would require the approval of each Health and Wellbeing Board and it had been intended would be implemented from May 2017.  

Resolved:

1.      To note the development of the new pan-Lancashire model for health and wellbeing board governance.

2.      To note that a report is to be considered by the Lancashire Leaders Group at its meeting on the 15 September 2016.

3.      To agree to receive a further update at the next meeting. 

To receive a report outlining the activities of the Lancashire and South Cumbria Change Programme over the last month and includes details on the progress to establishing the governance and programme structure arrangements. 

Ms Sam Nicol, Healthier Lancashire Programme Director, provided the Board with an update on the recent activities of the Lancashire and South Cumbria Change Programme.

Ms Nicol highlighted the strong progress towards the development of the Sustainability and Transformation Plan but emphasised the challenges by the deadlines for its submission given the recent change of deadline from the 30 to the 20 October. Ms Nicol reminded members that all three Health and Wellbeing Boards (Blackpool, Blackburn with Darwen and Lancashire) must approve the final plan before the 20 October deadline. The Board suggested that a way forward would be to hold a joint meeting of all three Boards immediately before the next scheduled Board meeting on the 19 October 2016.

The Healthwatch representatives noted the positive level of engagement by the Change Programme with the relevant Healthwatch organisations so far but emphasised that the patient voice in improving patient outcomes must continue to be a key factor.

Resolved:

1.      To note the progress that the Lancashire and South Cumbria Change Programme has made in establishing the requisite governance and programme structure arrangements.

2.      To note the requirements of the Sustainability and Transformation Plans NHS and local government organisations and further deadlines of 16 September 2016 for financial plans, and supporting detailed narrative by 20 October 2016 to provide assurance that the health and care system can achieve financial sustainability at the end of this year and through to 2018.

3.      To agree to receive the Sustainability and Transformation Plan at either the next meeting or a special joint meeting of Blackpool, Blackburn with Darwen and Lancashire Health and Wellbeing Boards to take place immediately before the next s

To consider and approve the Fylde Coast Cancer Strategy (2016-2021)

The Board considered the  Fylde Coast Cancer Strategy for 2016-2021, which had been developed in conjunction with the key stakeholders of the Fylde Coast Cancer Steering Group.

Mr Calum Dixon, Commissioning Manager, Blackpool Clinical Commissioning Group, briefly highlighted the process for the development of the strategy. Mr Dixon emphasised the particular challenges for the Fylde Coast notably the high levels of deprivation in Blackpool and associated rates of smoking and the aging population in the other areas of the Fylde Coast. The key aim of the strategy aims to outline the changes required to further improve cancer services, patient outcomes and experiences for the Fylde Coast over the next 5 years.  Fylde and Wyre Clinical Commissioning Group, Blackpool Clinical Commissioning Group and Blackpool Teaching Hospitals would be jointly responsible for the achievement of the actions identified within the Strategy.

The Board endorsed the key outcomes of the strategy and had been pleased to note their development in conjunction with patients’ views.

The outcomes identified were:

•      Raising awareness of and improving earlier diagnosis to reduce the number of late presentations

•      Promoting lifestyle changes to reduce cases of preventable cancers

•      Improving survival rates, improve support services for those living with and beyond cancer

•      Reducing Variations in care between diagnoses

•      Prompt treatment following diagnosis

•      Implementing comprehensive holistic care and support for increasing numbers of

patients in recovery

•      Improving patient experience of cancer services

•      Providing the best possible quality of life, including end of life

Resolved:

To support and endorse the implementation of the Fylde Coast Cancer Strategy as attached at Appendix 7a, to the agenda.

To update the board on the progress of the implementation of the 2014 Children and Families Act across agencies and outline recent developmentsin the area.

Further to the previous presentation in October 2014 and 2015, the Board received its annual update presentation on the implementation of the 2014 Children and Families Act across agencies.

Dr Simon Jenner, Principal Educational Psychologist/Service Manager Special Educational Needs and Disabilities, Blackpool Council, presented the annual report to the Board. Dr Jenner reminded members of the context of the changes arising from the Children and Families Act 2014 and the progress that had already taken place in the full implementation of the act. Dr Jenner outlined what he viewed as some of the key positives as regards the ethos of developing Educational and Health Care plans with parents and guardians. The potential for an Ofsted inspection and the relevant considerations were also highlighted to Board members.

Resolved:

1.      To note the presentation on Special Educational Needs and Disability and note that the presentation that outlined that current work continues to meet statutory obligations and to prepare for external inspections.

2.      To agree to continue to have an annual monitoring report on the implementation of the SEND aspects of the Children and Families Act and the impact of this.

To consider the draft Forward Plan for the Health and Wellbeing 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.

The Board noted that it had already agreed under Minute Item 4 to receive an update on the monitoring of the Better Care Fund.

Resolved:

 To approve the Health and Wellbeing Board Forward Plan as set out in Appendix 7a, to the report.

To note the dates of future meetings as follows:

19 October 2016

30 November 2016

18 January 2017

1 March 2017

19 April 2017

Resolved:

To note the dates of future meetings as follows:

19 October 2016

30 November 2016

18 January 2017

1 March 2017

19 April 2017