Meeting documents

Health and Wellbeing Board
Tuesday 25th June 2019

Chairman: Councillor Waltham MBE
Venue: Function Room F01e, Church Square House
Time: 9.30 am
E-Mail Address: Dean.Gillon@northlincs.gov.uk

AGENDA

1. Welcome and Introductions.
2. Substitutions.
3. Declarations of Disclosable Pecuniary Interests and Personal or Personal and Prejudicial interests.
4. To approve as a correct record the minutes of the meeting of the Health and Wellbeing Board held on 12 October 2018
5. Forward Plan and Forthcoming Actions from previous meetings - Update by the Director: Governance and Partnerships.
6. Questions from members of the public.

PLEASE NOTE, ALL PAPERS WILL BE TAKEN 'AS READ' TO ENCOURAGE DISCUSSION AND DEBATE.

7. Wellbeing at Work - Workplace Health Scheme - presentation by the Director: Public Health
8. North Lincolnshire Integrated Strategic Assessment – Report by the Director: Public Health
9. CCG Strategy - Report by the Chief Operating Officer, North Lincolnshire Clinical Commissioning Group
10. Health and Care Integration Plan 2019/21 - Report and presentation by the Director: Adults & Community Wellbeing, & the Chief Operating Officer, North Lincolnshire Clinical Commissioning Group
11. Better Care Fund - Report by the Chief Operating Officer, North Lincolnshire Clinical Commissioning Group
12. SEND Annual Report 2017/18 - Report by the Director: Learning, Skills and Culture
13. Date and time of next meeting: 9:30am, 17 September 2019
14. Any other items which the Chairman decides are urgent by reason of special circumstances which must be specified

MINUTES

PRESENT: – Councillor Waltham MBE in the Chair

Dr Faisel Baig, Carrie Butler, Cheryl George, Mick Gibbs, Denise Hyde, Councillor Ogg, Karen Pavey, and Emma Sayner, Alex Searle, Councillor C Sherwood and Peter Thorpe.

Matthew Nundy was also in attendance.

The meeting was held at Church Square House, Scunthorpe.

271 WELCOME AND INTRODUCTIONS – The Chairman welcomed all those present to the meeting and invited all attendees to introduce themselves.

272 DECLARATIONS OF DISCLOSABLE PECUNIARY INTERESTS AND PERSONAL OR PERSONAL AND PREJUDICIAL INTERESTS - There were no declarations of disclosable pecuniary interests and personal or personal and prejudicial interests.

273 MINUTES – Resolved – That the minutes of the meeting of the Health and Wellbeing Board, held on 12 October 2018 be approved as a correct record.

274 FORWARD PLAN AND FORTHCOMING ACTIONS - Resolved - That the Forward Plan and Forthcoming Actions report be noted.

275 QUESTIONS FROM MEMBERS OF THE PUBLIC - There were no questions from members of the public.

276 Wellbeing at Work - Workplace Health Scheme - The Director: Public Health delivered a presentation on the council's Wellbeing at Work initiative. The presentation focused on -

  • Why the council prioritised workplace health?
  • Why workplaces were targeted locally?
  • Current performance.
  • Themed focused mental wellbeing, and
  • Performance targets for 2019-20.

Following the presentation, the Chairman facilitated a discussion between the Director: Public Health and the Board members on Wellbeing at Work.

Resolved – (a) That the presentation be received with thanks, and (b) that Wellbeing at Work be considered at the following -

  • Schools forum for school leaders
  • North Lincolnshire Place partnership
  • North Lincolnshire Place Marketing Board
  • Federation for Small Businesses
  • Chamber of Commerce
  • Future commissioning and contract letting

277 NORTH LINCOLNSHIRE INTEGRATED STRATEGIC ASSESSMENT - The Director: Public Health submitted a report on the Integrated Strategic Assessment (ISA). The Board heard that the ISA provided an evidence-based overview of the population of North Lincolnshire, highlighting the strengths and challenges, with spotlights on key assets and areas for improvement.

The objective of the ISA is to provide an integrated picture of the strengths and challenges facing the local population - providing an evidence-based single assessment to inform strategic place planning across North Lincolnshire.

The production of the ISA had been led by a system-wide group and involved the bringing together of a wide range of local data sources which had been interpreted and collated to provide a holistic overview of the needs of the population in North Lincolnshire.

The ISA was structured into four key outcome chapters, namely - Safe, Well, Prosperous and Connected. The Well chapter of the ISA was based on the evidence drawn from the Joint Strategic Needs Assessment, which was received by the Health and Wellbeing Board at its meeting in October 2018.

The Chair then facilitated a discussion amongst Board members on the North Lincolnshire Integrated Strategic Assessment.

Resolved - (a) That the Integrated Strategic Assessment be endorsed; (b) that an 'executive summary' of the Integrated Strategic Assessment be written; (c) that the Integrated Strategic Assessment be published in an interactive format on the data observatory website; (d) that Board Members be invited to the Joint Health and Wellbeing Strategy Workshop, and (e) that all partners proactively use the Integrated Strategic Assessment to shape future commissioning plans.

278 NORTH LINCOLNSHIRE CLINICAL COMMISSIONING GROUP STRATEGY - The Chief Operating Officer at North Lincolnshire Clinical Commissioning Group (CCG) informed the Board that the CCG had developed a 5 year Strategy which outlined its strategic vision and objectives for the next 5 years. The Strategy reflected local priorities and the direction articulated in the recently published NHS Long Term Plan.

The Plan had been developed in consultation with local partners and reflected feedback from local engagement activity

The Strategy set out a blueprint for how the CCG would deliver a healthy future for the local population through high quality, proactive care; which was more joined up, improved outcomes, safety and experience; and increased value for the North Lincolnshire pound. It would act as a guiding framework for local commissioning intentions and for partner health and care organisations, community partners, professionals, service users and local population.

At the heart of the Strategy was a new approach based on the principles of population health management – targeting local resources where they had the greatest impact on health and wellbeing outcomes, care quality, and sustainability.

The Board members then engaged in a discussion on the North Lincolnshire Clinical Commissioning Group Strategy.

Resolved - (a) That the North Lincolnshire Clinical Commissioning Group Strategy be noted, and (b) that Board members give consideration to a 'one public estate' to allow services and accommodation to be accessible in the community.

279 Health and Care Integration Plan 2019-24 - The Director: Adults and Community Wellbeing at North Lincolnshire Council and the Chief Operating Officer at North Lincolnshire Clinical Commissioning Group submitted a joint report on the Health and Care Integration Plan 2019-24.

The Board were informed that the plan intended to create the conditions that enabled services to transform the lives of people of North Lincolnshire.

The national policy objective over many years had been the integration of health, social care and related services. This objective had been pursued through national initiatives such as integration pilot schemes, the New Models of Care Programme and the Better Care Fund. Underpinned by a government intention that by 2020 integration should be achieved across the country.

The Board heard that research about integration was variable but there was a wide spread belief that integration was a means to improve outcomes and made better use of available resources.

In order for North Lincolnshire to have high quality, progressive, enabling, sustainable health and care services, it was imperative to make the best use of all current available resources.

Locally the council Clinical Commissioning Group and other NHS providers were coming together around the ambition for North Lincolnshire to be the best place to live work visit and invest. It was also important to join up commissioning into a single approach and use the North Lincolnshire pound more effectively.

Health and social care providers in North Lincolnshire had been working together for some time to coproduce and agree plans to escalate integrated approaches out of hospital toward supporting the shared outcomes of safe well prosperous and connected for the local resident population.

The plan supported the Health & Wellbeing Boards integration statement and supporting suite of integration documents approved in March 2018.

Resolved – That the publication of the Health and Care Integration Plan 2019-24 be approved.

280 Better Care Fund - The Chief Operating Officer at North Lincolnshire Clinical Commissioning Group circulated a report that summarised the Better Care Fund (BCF) schemes and delivery against the national requirements as set out in the national BCF Guidance. The report also set out the current position against the targets and high impact change requirements and provided a high level overview of the funding in the plan and the spend against this.

The BCF required local authorities and Clinical Commissioning Groups to agree a joint plan for delivering integrated health and care services across each Health and Wellbeing Board (HWB). These plans were signed off locally by HWBs and then assured jointly by health and social care partners at NHS Regional level, before being approved nationally.

The BCF Plans were required to demonstrate progress on delivery of the four national metrics; reducing delayed transfers of care, reducing non-elective admissions to hospital, improving reablement outcomes and reducing long term admissions to residential and nursing care.

BCF plans were assured at regional level with input from NHS England/Improvement and the Association of Directors of Adult Social Services. Guidance for the Better Care Fund 2019-20 was still awaited and expected imminently. There would be no requirement for a submission at the end of Quarter 1, 2019/20.

As part of the ongoing monitoring of local Better Care Fund plan, quarterly performance and progress returns had been made to NHS England. The report provided a summary of the quarter 4 position for 2018/19 BCF plan demonstrating performance against the four metrics, the High Impact Change model, income and expenditure against plan and implementation of the Improved Better Care Fund.

The Chairman facilitated a discussion with Board members on the Better Care Fund.

Resolved – That the report be noted.

281 SEND Annual Report 2017/18 - The Director: Learning, Skills and Culture at North Lincolnshire Council circulated a report that updated the Board on the progress being made with the implementation of the Special Educational Needs and Disabilities (SEND) Inclusion Plan 2017 - 2020 and the impact that this was having upon improving outcomes for SEND children and young people in North Lincolnshire.

The Board heard that the SEND Inclusion Plan 2017-2020 outlined the key priorities for driving improved outcomes for SEND children and young people in North Lincolnshire. This was published in September 2017 and was available on North Lincolnshire's SEND Local Offer website. Publication of a local area strategy for SEND children and young people that was accessible to all ensured compliance with the Children and Families Act 2014 SEND reforms and the subsequent SEND Code of Practice 2014.

The SEND Inclusion Plan Annual Report 2017 – 2018 summarised the work undertaken in 2017 – 2018 to implement the SEND Inclusion Plan and highlighted local area achievements.

The report highlighted the key successes and achievements outlined in the SEND Inclusion Plan Annual Report 2017 - 2018.

Resolved - (a) That the achievements and successes of the SEND Inclusion Plan in the first year (2017/18) - SEND Inclusion Plan Annual Report 2017 - 2018 be noted, and (b) that the Board support the continued work to address specific issues identified in the plan such as the review of the neurological developmental pathway, improving educational outcomes at age 19, reducing exclusion from school, developing web based solutions for Education HealthCare Planning into the future and refreshing the SEND Joint Strategic Needs Assessment for 2019 - 2020.

282 DATE AND TIME OF NEXT MEETING - The Board was informed that the date of the next meeting would be 9:30am on 17 September 2019.

Reports