Agenda and minutes

The Chairman welcomed all those present to the meeting and invited all attendees to introduce themselves.

Darren Chaplin substituted for Ann-Marie Brierley

There were no declarations of disclosable pecuniary interests and personal or

personal and prejudicial interests.

Resolved - That the minutes of the meeting of the Health and Wellbeing

Board, held on 19 November 2021, be approved as a correct record.

The Director: Governance and Communities confirmed that the Forward Plan

was up to date, and that all forthcoming actions were timetabled.

There were no questions from members of the public.

The Deputy Chief Executive and the Director of Public Health submitted a report to the board on North Lincolnshire’s Outbreak Prevention and Management Plan (LOMP). This plan had been written to demonstrate to the public the processes by which Covid 19 outbreaks are being prevented and managed.

The Director of Public Health outlined the government’s living with Covid-19 plan for removing the remaining legal restrictions while protecting people most vulnerable to Covid-19 and maintaining resilience. The report summarised the key impactions of the government’s plan.

The Director of Public Health explained that North Lincolnshire’s Local Outbreak Management Plan (LOMP) was based on six key themes which were essential to preventing outbreaks, breaking viral transmission, and reducing prevalence of Covid-19. The implementation of LOMP was overseen by the Health Protection and Outbreak Management Group (HPOM). The report provided a ‘position statement’ on progress against each of the key themes, based on the latest HPOM meeting of 4 March.

The Director of Public Health also briefed the Board that, following the recent inception of Greater Lincolnshire public health team, work had commenced on developing a collective approach to health protection. It was confirmed that the Greater Lincolnshire model provided more opportunity to improve capacity, resilience and use of specialist resources across the combined authorities. The report updated members on the key features of the Greater Lincolnshire plan.

Resolved - That the Health and Wellbeing Board note (i) the implication of the government’s strategy to remove the remaining Covid-19 restrictions, (ii) the work undertaken by Greater Lincolnshire Public Health’s team to write a ‘Living with Covid-19’ Plan, and (iii) progress by HPOM to deliver the themes within the Local Outbreak Management Plan

The Director of Public Health provided a detailed presentation on the latest Covid-19 epidemiology.  This set out the national and local situation, comparison data with neighbours and peers, vaccination rates, hospital activity, and other key information.

The Board discussed the presentation in some detail, asking a number of appropriate questions, which were answered by the Director.

Resolved – That the Health and Wellbeing Board note the contents of the epidemiology presentation.

The Chief Operating Officer, North Lincolnshire CCG, submitted a presentation and report providing an update on the establishment of the Integrated Care System (ICS) and recent appointments to the Integrated Care Board (ICB) and the progress of the Health and Care Bill through Parliament.  The report also provided updates on the wider ICS architecture, including the establishment of the Integrated Care Partnership (ICP), Provider Collaboratives and Place based arrangements and the development the North Lincolnshire Place Partnership as a sub-committee of the ICB.

The Chief Operating Officer confirmed that two workshops had been held, and that progress was being made across all areas.

Resolved – That the Health and Wellbeing Board note the update provided on the development of the ICS and the development of Place Partnership Arrangements. 

The Director of Children and Families submitted a paper presenting the SEND Annual Report, which summarised the implementation and captured the impact of the North Lincolnshire Special Educational Needs (SEND) and Inclusion Plan 2017-2020.  The report also presented the successful outcome of the North Lincolnshire Ofsted/CQC SEND Local Area inspection.

The Director stated that the SEND Annual Report described progress made against the priorities and commissioning intentions of the SEND and Inclusion Plan. This included the first school based secondary phase Social, Emotional and Mental Health inclusion support provision – ‘Headway’ – at Baysgarth School in Barton-upon Humber; and the successful bid to the Department for Education for a new SEND Free School for students over the age of 16 who have severe learning disability, profound and multiple learning disability, speech and language communication needs, Autism Spectrum Disorder and/or potentially challenging and complex behaviours. 

The Director also confirmed that in December 2021, Ofsted and the Care Quality Commission (CQC) conducted a joint inspection of the local area of North Lincolnshire to judge the effectiveness of the area in implementing the SEND reforms as set out in the Children and Families Act 2014.  The Care Quality Commission and Ofsted publish a letter with judgements in narrative form, rather than graded judgements. The letter outlined areas of strength and key priorities for improvement. Where inspectors have significant concerns in how a local area is meeting its duty to children and young people with SEND, a Written Statement of Action is required.

Notably, North Lincolnshire did not receive any written Statements of Action. At the time of the North Lincolnshire local area inspection, of the 11 local areas inspected since the resumption of inspections in June 2021, 10 (91%) had received a Written Statement of Action. The inspection letter sets out the many strengths in the local area approach to SEND and recognised the areas of further development that local self-evaluation had already recognised.

The Board discussed the report in some depth, highlighting the vital need to retain the strong local arrangements as part of the ongoing changes to the health and care system, and to support other areas to progress.

Resolved – (a) That the Health and Wellbeing Board note the SEND Annual Report, (b) that the Board note and celebrate the excellent outcome of the Ofsted CQC Local Area SEND inspection, which recognised how strong and effective partnership arrangements are meeting the needs of children and young people with SEND in North Lincolnshire, and the hard work and dedication of the organisations and people involved; and (c) that the Board retain oversight of this issue, including by the use of case studies and opportunities to align this issue with the relevant priorities within the Joint Health and Wellbeing Strategy.

The Director of Public Health submitted a report updating the Health and Wellbeing Board on progress achieved to deliver the Joint Health and Wellbeing Board Strategy’s themes and priorities.

The Joint Health and Wellbeing Board Strategy 2021-2026 (JHWBS) was approved on 19^th November 2021, which set out 6 health and wellbeing themes to focus on over the next five years.  These themes were:

            1.     Keeping North Lincolnshire safe and well.

            2.     Babies and young people have the best start in life.

            3.     People enjoy healthy lives.

            4.     People experience equity of access to support their health and wellbeing.

            5.     Communities are enabled to be healthy and resilient.

            6.     To have the best systems and enablers to effect change.

The Director set out that, in addition to these themes, the HWB required a new approach to be developed based on population health management (PHM) principles.  PHM is an approach that used data and evidence to inform the design of interventions and services to improve health and make better use of public resources.  The aim of PHM is about improving the health and wellbeing of all North Lincolnshire residents, with a specific focus on prevention, improving health equity and ‘closing the gap’. 

The Director described progress on each of the JHWBS themes and priorities.  The Board discussed the report, highlighting the need to align strategy with delivery.

Resolved – (a) That the Health and Wellbeing Board note the work undertaken in delivering the themes set out in the JHWBS, and (b) that a further report be brought to the Board in six months, outlining further progress.

The Director of Children & Families submitted a report noting the publication of the Annual Report of Local Arrangements to safeguard and promote the welfare of children and young people 2020/21, and to consider the review in relation to planning, commissioning and budget setting. 

The review demonstrated that the Children’s Multi Agency Resilience and Safeguarding (MARS) Board: 

·         effectively met its statutory obligations

·         benefitted from strong and consistent leadership

·         had made good progress against its ‘shine a light’ areas of focus

·         listened to and took account of the voices of children, young people and families

Resolved – That the Health and Wellbeing Board receive the Annual Report of Local Arrangements to safeguard and promote the welfare of children and young people 2020/21 and consider this where relevant in relation to planning, commissioning and budgets setting processes. 

The Local Safeguarding Adults Board (LSAB) Independent Chair, Moira Wilson, submitted the LSAB Annual Report 2020/21.  The Annual Report outlined the work of the Board and its members to carry out and deliver the objectives of the strategic plan.

The report demonstrates that the LSAB:

·                 listened and responded to the voices of adults with care and support needs, and adults with the lived experience

·                 was effective in providing help and protection to adults with care and support needs

·                 effectively met statutory obligations

·                 benefitted from strong and consistent leadership

·                 had made good progress on delivering the strategic objectives laid out within the strategic plan

The Independent Chair highlighted that the contents of the report should be considered in relation to planning, commissioning and budget setting.

Resolved – (a) That the Health and Wellbeing Board receive the LSAB Annual Report 2020/21 and consider this where relevant in relation to planning, commissioning and budgets setting processes, (b) note submission of the report to the following via board members to consider the contents of the report and how they can improve their contributions to both safeguarding throughout their own organisation and to the joint work of the board – (1) Leader and Chief Executive of the Council, (2) Police & Crime Commissioner and Chief Constable of Humberside Police, and (3) Healthwatch; and (c) that the Health and Wellbeing Board acknowledge and thank the Independent Chair for their remarkable contribution over many years to local safeguarding arrangements and to note the Board’s best wishes for the future on behalf of all residents of North Lincolnshire.

The Director of Public Health submitted a report updating the Health and Wellbeing Board on the revised memorandum of understanding (MoU) and to recommend to full Council the amendments to the Health and Wellbeing Board's Memorandum of Understanding as detailed.

The Director stated that the MoU was previously updated in 2020 and that the new version had been revised to consider changes in the health and social care system and the new Joint Health and Wellbeing Board Strategy (JHWBS). 

Resolved – (a) That the Health and Wellbeing Board approve the suggested amendments and recommend to full Council that the updated MoU be adopted; and (b) that the relevant NHS representatives be added to the Board’s membership as the health and care system evolves.

The Director of Governance and Communities confirmed that the date and times of future Board meetings will be circulated in due course.

There was no urgent or additional business.