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 Mr Roy Fisher be appointed Chairman for the meeting.

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 4^th June 2014 as a true and correct record.

Resolved:

That the minutes of the meeting held on the 4^th June 2014 be approved as a correct record.

To receive a summary report of the Local Government Association Action Learning Set in June 2014.

The Board considered a summary report on the Local Government Association’s Action Learning Set held in June for Local Authorities that had completed the health and wellbeing peer challenge in 2014.

Ms Lloyd-Moore highlighted the key themes and issues raised at the meeting she had attended last month in London which included the role of Health and Wellbeing Boards in leading whole systems change; consideration of the impact of upstream and downstream interventions, the role of the voluntary and community sector and approaches to shared accountability for health outcomes across the system.

Resolved:

1. That the update be noted.

2. To agree to consider the main discussion points further at the next Board Development session.

To receive a report outlining the key outcomes of the development session and the first iteration of the improvement plan. 

The Board considered an initial report outlining the key outcomes of the development session and a first draft of the improvement plan including the four priorities areas the Board members had identified as the main drivers to focus on in the longer term.

Resolved:

1. To agree the principles of the improvement plan.

2. To refer the plan to the Strategic Commissioning Group and the Board’s next development session for future consideration.

To receive the draft annual report for the Health and Wellbeing Board for the period 2013-14.

The Board considered the draft annual report for the Health and Wellbeing Board which outlined the progress the Board had made since becoming a formal statutory committee and future areas of work.

Resolved:

1. To note the report

2.  To forward comments by the 21^st July 2014 to Ms Lloyd-Moore on the draft annual report.

3.   To hold a second stakeholder event in recognition of the work undertaken by the Board outlined the annual report and to look at future areas of work.

To receive a verbal update on issues related to the Strategic Commissioning Group.

 The Board received a verbal update on the work of the Strategic Commissioning Group including the minutes of the meeting held on the 18^th June 2014. David Bonson noted that the CCG Strategic Plan would be presented as a separate item at the meeting, but highlighted work around the Better Care Fund plan explaining that the Programme Board had established a series of workstreams to develop the model and an officer to support implementation was now in post. He added that work was also being undertaken to expand HIV services at the Acute. 

Resolved:

To note the update.

To consider the implications of the Children and Families Bill around Special Educational Needs and Disability and agree the proposed future actions.

 The Board received an update on the changes for services to children and young people aged 0-25 years old from Dr Simon Jenner, Chief Educational Psychologist, Blackpool Council.

Dr Jenner explained that the Children and Families Act 2014 has introduced large scale change in relation to such provision.

The key changes which were outlined were the creation of a local offer, joint commissioning between health and local authority, education, health and care plans replacing statements, full involvement of parents and young people in the creation of individual plans and the option of personal budgets for families and young people.

It was further noted that the report had been approved by the relevant Cabinet Member.

Resolved:

1. To endorse the approach taken by Blackpool Council and Health partners.

2.  To receive an annual update on the progress of further implementation.

To update the Health and Wellbeing Board on the Learning Disability Health Self Assessment.

The Board received an update on the Learning Disability self-assessment from Kelly Miller (Commissioning Manager- Blackpool Council).

Members of the Board asked questions around those targets rated amber and agreed that it should be a key priority to work towards improvements in those areas.

Resolved:

1. To note the report.

2. To receive the next self-assessment report in December 2014

To consider Blackpool Clinical Commissioning Group’s strategic plan for the period 2014-19.

The Board received a presentation on the Clinical Commissioning Group’s strategic plan for the period 2014-2019 from Dr Mark Johnston.

Dr Johnston explained that the plan had been developed in line with the NHS England’s Planning Guidance for NHS Clinical Commissioning Groups and had been submitted to NHS England on 20th June. He outlined the planning timeline and the current position of the plan which would involve peer review, modelling and sense checking. He stated that this is the overarching plan for commissioning healthcare services in Blackpool and is supported by a series of smaller plans including a two year operational plan, financial plan and Better Care Fund plan.

Dr Johnston added that the three cross cutting themes of Cardiovascular Disease, Respiratory Disease and Mental Health set out in the plan link across to the priorities of the Health and Wellbeing Board and Public Health and given that social isolation as a cross cutting theme impacts on all of these issues, greater focus would be given on upstream interventions and as a result.

Dr Johnston introduced the proposed neighbourhood model which had been informed by mosaic profiles, practice locations and existing services, stating that six neighbourhoods ‘hubs’ would be developed – covering the far north, north, central west and east, south central and south. He stated that new system will look very different, with clusters of GP practices working together, supported by appropriate services co-ordinating care closer to patients’ homes. Each neighbourhood would comprise of Self-care support, the GP practice identifying patients needs, groups of GP practises co-ordinating community care, delivering community based services which involved 7 day working and care for patients with complex needs and Hospital care when it is not safe for patients to be treated in their own home or close to home.   Dr Johnston encouraged the Board to sign up to the principal vision set out in the plan.

Members of the Board noted the plan and welcomed a further update at a future meeting.

Resolved:

1. To note the presentation.

2. To actively support the Blackpool CCG’s vision for the future