Agenda and minutes

The Chairman welcomed everyone to the meeting.

Darren Chaplin substituted for Ann-Marie Matson.

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 27 June 2022, 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 North Lincolnshire NHS Place Director submitted a report updating the Health and Wellbeing Board on the current progress on the development of the Integrated Care System (ICS) and Place based partnership and requesting to sign off by the Health and Wellbeing Board of the North Lincolnshire Place Strategic Intent.

It was confirmed that the ICS had chosen to exercise its functions through six Place Partnerships, of which North Lincolnshire was one, and five sector collaboratives (community, primary care, acute, mental health learning disabilities and autism and the voluntary and community sector).  Places would be key to driving forward the local ambitions and priorities for the six geographies covered by the Places and will receive delegated resources to enable this,   including delegated responsibilities from the Integrated Care Board (ICB) Executive to the Place NHS Director and other senior ICB staff within the Place.

The NHS Place Director stated that the North Lincolnshire Place Partnership had agreed its core values, principles, and priority areas of focus and had created a Strategic Intent for North Lincolnshire to feed into the Humber and North Yorkshire ICP Strategy. Details of the Strategic Intent were included in the report.  

The Board discussed the report, highlighting the need to ensure that a wider, partnership-based model, was a key element of the Strategic Intent.

Resolved – (a)  That the Health and Wellbeing Board note the progress on the Place Partnership and update on the development of the Humber & North Yorkshire Integrated Care System, (b) that the Health and Wellbeing Board approve the North Lincolnshire Place Strategic Intent, whilst ensuring that a wider, more holistic model of service delivery is built into the local approach.   

The Director: Children and Families submitted a report summarising the work undertaken during 2020/21 to implement the North Lincolnshire Special Educational Needs and/or Disabilities (SEND) and Inclusion Plan 2021-24.

The report set out local expectations for the lived experience for children and young people with SEND in North Lincolnshire and provided case studies which illustrated the difference that support had made to children and young people’s lives. The report also described the local response to the Covid-19 pandemic and how services quickly adapted to new ways of working and progressed into the ensuing period of recovery and renewal.

The Board discussed the report and related issues, highlighting the need to continue to support parents and families, to ensure services were responsive and flexible, and that workforce should be structured optimally.

Resolved – (a) That the Health and Well-Being Board note the progress within the report in terms of the SEND and Inclusion Plan, and (b) that the Health & Well-Being Board support the ongoing work and priorities for the future as outlined in the SEND and Inclusion Plan.

The Assistant Director - Adult Social Services (Deputy DASS) presented a report demonstrating the aims and objectives of the North Lincolnshire Autism Strategy 2022 – 2026, and requesting that the Health and Wellbeing Board support the ambition, key priorities, and areas for further development as set out in the plan, enabling good outcomes for autistic people.

The report stated that in 2021 the Government had published the new National Strategy for autistic people, setting out a vision for what the Government wanted autistic people and their families’ lives to be like in 2026.

The Assistant Director stated that, in response to the new national Autism Strategy, the North Lincolnshire Autism Plan has been refreshed in collaboration with autistic children, young people and adults and their carers. A Muti-agency Working Group had been established, which led the co-development of the plan, which focussed on the six priority areas included in the national strategy.

It was acknowledged during the subsequent discussion that, whilst many people with autism didn’t need contact with services or support, but that there were opportunities to ensure equality of access and increase understanding of the condition.

Resolved – (a) That the Health and Wellbeing Board support the ambition of the North Lincolnshire Autism Plan 2022-26 to enable good outcomes for autistic people in North Lincolnshire, and (b) That the Health and Wellbeing Board support the publication of the North Lincolnshire Autism Plan 2022- 2026.

The Director of Public Health submitted a report seeking the Health and Wellbeing Board’s approval to publish North Lincolnshire’s pharmaceutical needs assessment (PNA). The report stated that the Board had a statutory duty to publish the PNA by 1 October 2022.

The Director explained that the draft PNA had been subject to statutory consultation with positive feedback, and that analysis had not identified gaps, providing assurance that overall access to pharmaceutical services in North Lincolnshire is good.

The Board discussed the report, highlighting the potential for greater use of community pharmacies as health services evolve.  Pharmacies could be utilised as a first point of contact for people, and practices such as medication reviews could also be moved from GP practices to community pharmacies.

Resolved – (a) That the Health and Wellbeing Board approve and publish the Pharmaceutical Needs Assessment, and (b) that local partners continue to evolve the offer from community pharmacies, ensuring accessibility, freeing up GP time, and enabling people to be able to receive appropriate services.

The Director: Adults and Health and the NHS Place Director submitted a joint report requesting that the Health and Wellbeing Board formally agree and sign off the North Lincolnshire Better Care Fund Plan 2022-23.

The report contained information about the collaborative plan, highlighting how services continued to deliver for local people on the national conditions, and describing how local work was also focussed on issues such as reducing pressure on the NHS, meeting adult social care needs, ensuring effective discharge from acute care, and supporting the social care provider market.

Resolved – That the Health and Wellbeing Board formally agree and sign off the 2022-23 Better Care Fund Plan.

The Director of Public Health submitted a report to update the Health and Wellbeing Board on progress of North Lincolnshire’s Population Health and Prevention Partnership’s approach to reduce health disparities by using a population health management approach.

The Director confirmed that the Population Health and Prevention Partnership was now well established, and was meeting regularly to continue work on ensuring equality and other identified priorities.  A summary of key workstreams were set out in the report.

Resolved – That the Health and Wellbeing Board note the progress being made by the North Lincolnshire’s Population Health and Prevention Partnership.

The Manager, Healthwatch North Lincolnshire, submitted a report and Annual Report, highlighting the ways in which Healthwatch North Lincolnshire had made a difference to local people, services and processes from April 2021-March 2022. This included case studies on their main projects as well as examples as to how they have acted upon feedback trends highlighted to us by members of the public.

The report also showcased the work undertaken by their dedicated volunteers and the difference that this had made to local people, for example, interacting with local communities to promote and encourage the use of the NHS App as well as supporting people to feel less isolated and lonely during the pandemic through their Telephone Buddy Service.

The Board discussed the Annual Report, asking questions on matters such as GP and A&E access, the Welcome Home Service, and the Every Voice Matters Group.

Resolved – That the Health and Wellbeing Board note the Healthwatch North Lincolnshire Annual Report.

The Director of Public Health updated the Board on the development of a Forward Plan for the Board.

Resolved – That Board members pass items for inclusion in the Forward Plan to the Board’s secretariat.

The Director of Governance and Communities confirmed that the next meeting of the Board would be at 2pm on 18 November 2022.

There was no urgent or additional business.