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 9 November 2017 as a true and correct record.

The Health and Wellbeing Board considered the minutes of the previous meeting held on 9 November 2017.

Resolved:

That the minutes of the meeting held on 9 November 2017 be approved and signed by the Chairman as a correct record.

To provide the Board with details of the Blackpool Better Care Fund 2017-19, and to confirm monitoring arrangements for the next period

Mrs Jayne Bentley, Better Care Project Lead, gave a brief update to the Board on the Blackpool Better Care Fund 2017-2019. Mrs Bentley reminded members that at the meeting of the Board held on the 19 April 2017 the Board had agreed the Blackpool Better Care Fund 2017-2019 in principle delegating the approval of the final document to the Chairman as the final version of the relevant government guidance had still been outstanding at the April 2017 meeting.

Mrs Bentley further explained that the documents attached to the agenda at Appendices 3a and 3b formed the submitted narrative plan and planning template. The documents had been completed to meet the national requirements, set performance targets and detailed how the additional funding from 2017 would be directed to meet unmet needs for the older population, reduce delayed transfers of care and

Following the approval of the final document by the Chairman on behalf of the Board it had been submitted to NHS England on 11 September 2017 and formally approved by that body on the 27 October 2017.

Mrs Bentley reminded members of the Board that the delivery of the improved integration between health and adult social care as outlined in the Better Care Fund remained a key driver for improvements in health and wellbeing.

Resolved:

1.      To note the contents of the report.

2.      To agree to the arrangements for the monitoring of the implementation of the Better Care Fund, as outlined in paragraph 5.4.

To update the Health and Wellbeing Board on progress with the development of an Integrated Care Partnership.

The Health and Wellbeing Board received an update from Mr David Bonson, Chief Executive Officer, Blackpool, Fylde and Wyre Clinical Commissioning Group, on the development of initiatives that had been taken towards the acceleration and expansion of collaborative working across the Fylde Coast.

Mr Bonson highlighted that there had been a change in name from Accountable Care Partnership to the Integrated Care Partnership but emphasised that the approach remained based on integration at a sustainable neighbourhood level based on eight neighbourhoods across the Fylde Coast of which six were wholly within Blackpool. Although there would be further consideration of amendments to the number and arrangements of neighbourhoods.

Mr Bonson emphasised that it remained a work in development and suggested that a further update would be brought to the next meeting. The Board highlighted their wish to be keenly involved in the development process.

Resolved:

1.      To note the update.

2.      To agree to receive a further update at the next meeting of the Health and Wellbeing Board.

To consult on the draft Adult Learning Service priorities for 2018/2021 which are Health and Wellbeing related.

Mr Mike Taplin, Head of Adult and Community Learning, Blackpool Council, provided consulted the board members at the meeting on emerging priorities for the next three years of adult and community learning.

Mr Taplin reminded members of the board that adult and community had been completely funded by central government. The key priorities for community learning that the government had defined were maximising access, bringing communities together and promoting social renewal and maximising impact for the most disadvantaged.

Mr Taplin highlighted that the national priorities were then cross-referenced with three local drivers; the Council Plan 2015 – 2020, the  Joint Health and Well Being Strategy 2016 – 19 and the Lancashire Skills and Employment Strategic Framework 2016 – 2021. This had previously lead to a focus on a core curriculum of basic skills, a pathway to work, family learning and lifeskills which included emotional wellbeing. It was considered by the Adult Learning Management Committee that the core curriculum remained relevant for 2018-2021. The previously priority groups had been; adults in the poorest areas, those who were unemployed, those with learning disabilities, the homeless, those with low to moderate mental health needs and vulnerable families. The Adult Learning Management Committee considered that the priority group should remain for 2018-2021 but noted the significant omission of the older age group. The Adult Learning Management Committee had also endorsed the continuation of the current delivery model where learning had been directly delivered in 50 community locations, contracted to community groups and Blackpool and the Fylde College.

The Board considered the three key areas of core curriculum to remain key. It also endorsed the addition of older adults to the priority groups. The Board supported a continuation of the model but expressed a wish to ensure that adult and community learning made the most of potential synergies between delivery of adult education and the neighbourhood model of integrated commissioning.

Resolved:

1.       To endorse the continuing core curriculum for Adult and Community Learning

2.       To agree to the priority groups for Adult and Community Learning subject to the addition of older adults experiencing social exclusion.

3.       To support the continuing model of delivery.  

To present Tobacco Free Lancashire’s ‘Towards a smokefree generation 2018-2023’ strategy.

Mrs Rachel Swindells, Public Health Practitioner and Ms Liz Petch, Public Health Specialist presented the Tobacco Free Lancashire Strategy 2018-2023- titled “Towards a Smoke Free Generation 2018-2023”. The presenters highlighted that smoking remained the single largest preventable cause of ill health and disproportionally affected those in poverty and had been a major contributor to health inequalities. There had been great variations in levels of smoking but overall Lancashire remained above national averages and had within it even higher levels in some areas.

The Tobacco Free Lancashire Strategy had been developed with a range of partners on pan-Lancashire and started with three key national strands in the Tobacco Control Plan for Lancashire: stopping people starting smoking, tackling those areas which caused the greatest inequalities especially smoking in pregnancy and helping smokers to give up. The key ambition outlined had been identified as reducing smoking from the Lancashire from the 2016 levels of 16.9% to the national average by 2022. 

The Board’s attention was drawn to the key target of reducing smoking prevalence in the following groups: pregnant women, people with mental health conditions and people with long-term conditions as these groups were most affected by smoking related health inequalities. The activities to reach the plan’s objectives would be focussed around broad categories of action plans; communication, training, advocacy, performance management, specialist support, and regulation and enforcement.

Mrs Swindells highlighted to the Board the re-commissioning of the smoking cessation service which would form a key step in the Council’s approach to meeting the Tobacco Free Lancashire’s key target in helping smokers stop. Mrs Swindells in respond to question highlighted the development of targeted low key interventions which could be used in informal settings by the third sector.

The issue of counterfeit and smuggled tobacco was raised by members and the need to utilise effective tools to deal with this issue by both enforcement and awareness raising.

The Board expressed the need to develop effective communication plans and especially to utilise more informal methods to reach the target audience.

Resolved:

To support and approve the content of the Tobacco Free Lancashire’s ‘Towards a smokefree generation 2018-2023’ strategy.

To consider and approve the revised pan-Lancashire Pharmaceutical Needs Assessment.

The Health and Wellbeing Board considered the draft Pharmaceutical Needs Assessment which had been completed on a pan-Lancashire basis. The Board had been reminded that it was a duty of Boards to complete a Pharmaceutical Needs Assessment at least once every three years.

Officers across Blackpool, Lancashire and Blackburn with Darwen had been working since November 2016 on the renewal of the previous Pan-Lancashire Pharmaceutical Needs. A full report had been produced and a 60-day public consultation had been undertaken to seek the views of stakeholders. Mr Stephen Boydell, Principal Public Health Intelligence Officer, presented the key findings namely:

    There are 26 pharmaceutical service providers per 100,000 registered population in pan-Lancashire, with the England average being 21

•  There is currently no need for any further additional pharmacies as current pharmaceutical service provision is deemed adequate across pan-Lancashire

•  Across Blackpool there is a good coverage of pharmacies and over 98% of the population has access to a pharmacy within a 20 minute walk

•  The majority of citizens are aware of the different services available at the pharmacy, although most people are only able to mention a few of them

Resolved:

1.      To agree the draft pan-Lancashire Pharmaceutical Needs Assessment 2018.

2.      To note the finding that there is currently no need for any further additional pharmacies as current pharmaceutical service provision is deemed adequate across pan-Lancashire.

3.      To note the recommendations from the Pharmaceutical Needs Assessment 2018.

4.      To approve the pan-Lancashire Pharmaceutical Needs Assessment for publication by 31 March 2018.

Members of the Board to discuss forthcoming agenda items and agree the frequency of future meetings.  

The Board did not agree future meeting dates but agreed to meet on a quarterly basis going forward.