Agenda and minutes

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

Tony McGinty substituted for Derek Ward.

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 18 November 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.  Board members were asked to feed through any additional business for inclusion on the Forward Plan.

There were no questions from members of the public.

The North Lincolnshire NHS Place Director and the Director: Adults and Health submitted a joint report on the Place Health and Care Integration Plan.  The Place Director stated that the Health and Wellbeing Board had previously approved a Strategic Intent for North Lincolnshire (minute 476 refers) which outlined the local ambition for North Lincolnshire to be the best place for all our residents to be safe, well, prosperous and connected, and experiencing better health and wellbeing.

The North Lincolnshire Place Partnership had commenced work on a Plan for Integration to enable the delivery of this.  Within this work it had identified three priority areas of focus to develop and implement:

·       integrated neighbourhood teams,

·       integrated commissioning and safeguarding and

·       integrated urgent care. 

The report provided an overview of progress so far and plans for the next stage of the plan development and asked for endorsement of the approach. 

The Board discussed the report in some depth, querying how it was envisaged that the Integrated Neighbourhood Teams would operate and be resourced.  It was confirmed that a broad approach was being developed, based on the needs and preferences of residents, communities and neighbourhoods.  The preference for holistic services, which moved need from the acute sector to neighbourhood level was highlighted, which required an integrated approach. It was anticipated that this would free up resources to be reinvested.

A discussion took place regarding housing needs, where the Board agreed that housing was a key element to health and wellbeing, and should be built into the Integrated Neighbourhood approach.

Resolved – (a) That  The Health and Wellbeing Board accept the report on progress with the development of the Place Plan for Integration, (b) that the Health and Wellbeing Board endorse the approach to development of the Plan, (c) that appropriate partnerships, with clear expectations, continue to be developed, and that roles and made clear and responsibilities delegated and delivered; and (d) that the Health and Wellbeing Board continue to receive future update reports as required to provide assurance of delivery.

The North Lincolnshire NHS Place Director submitted a report informing the Health and Wellbeing Board that, in accordance with the requirements of the Health and Care Act 2022, the Integrated Care Partnership for Humber and North Yorkshire had been undertaking a process to develop an Integrated Health and Care Strategy.

The report set out the approach taken to develop the strategy, which had been informed by the legislative requirements, statutory guidance, policy and a broad range of engagement and discussions with Place at the heart. A copy of the final draft of the Integrated Health and Care Strategy had been circulated.

The Chairman led the Board on a discussion about the importance of this document, highlighting the success of ensuring that the place of North Lincolnshire had been given primacy and built into the regional Strategy, and that this allowed resources and freedoms to flow to North Lincolnshire and its residents.

The Board discussed the developing picture of how services and resources would be planned, funded and delivered in the future, but expressed optimism that the Health and Care Strategy provided an excellent starting point for continued discussions with the Health and Care Partnership.

Resolved – (a) That the Health and Wellbeing Board note the update, (b) that the Health and Wellbeing Board approve the final draft content of the Humber and North Yorkshire Integrated Health and Care Strategy and the next steps; and; (c) that a further report be submitted to the Board in twelve months, with regular oversight maintained at the North Lincolnshire place level.

The Director: Children & Families submitted a 2022 refresh document on the North Lincolnshire Children’s Commissioning Strategy 2020-2024.  The 2022 refresh rearticulated the local One Family Approach and the local ambition for children to be in their families, in their schools and in their communities  The Director confirmed that this document also reset the local integration priorities and commissioning intent across education, health and care for our children and families. 

The Director placed the Commissioning Strategy, including the refresh, in the context of the local work to improve and implement integration.

Resolved - That the Health and Wellbeing Board note and endorse the 2022 refresh of the North Lincolnshire Children’s Commissioning Strategy 2020/24.

The Director: Children and Families tabled a report noting the outcomes of the Inspection of Local Authority Children’s Services, in which Ofsted judged North Lincolnshire to be outstanding across all areas, and with no identified areas for improvement.

The new Ofsted framework for inspecting local authority services was enacted in January 2018.  In line with previous inspections, the framework focused on the effectiveness of local authority children’s services and arrangements for: 

·       the help and protection of children

·       the experiences and progress of children in care wherever they live, including those children who return home

·       the arrangements for permanence for children who are looked after, including adoption

·       the experiences and progress of care leaves

The Inspection of North Lincolnshire’s Local Authority Children’s Services took place between 3 and 14 October 2022, with the final inspection report published on 25 November, in which the formal judgement grades were confirmed. 

A discussion took place on how to sustain and continue to improve future results, and outcomes for local children and young people.  It was confirmed that this work was already underway, in co-operation with a range of partner agencies and local families.  The Chairman summarised that this was a success for North Lincolnshire as a whole.

Resolved – That the Health and Wellbeing Board note and welcome the outcomes of the Inspection of Children’s Services undertaken in October 2022. 

The Local Safeguarding Adults Board (LSAB) submitted their Annual Report 2021-22 and their Strategic Plan for 2023-2025 for the Health and Wellbeing Board to receive and note.  The Annual Report covered how the last set of priorities for the board had been met. The Strategic Plan for the next three years set out what the board aims to do to, and how it will work with partners to help protect adults who are at risk of abuse and neglect.

The Safeguarding Adults Board Manager gave an overview of both documents, highlighting successes, plans for future work, and areas that the Board wished to continue to improve.  The Board Manager requested that both documents be considered in relation to future planning, commissioning and budget setting.

Resolved – (a) That the Health and Wellbeing Board note the publication of the LSAB Annual Report for 2021-2022 and the Strategic Plan for 2023 – 2025 which set out what the board aims to do to, and how it will work with partners to help protect adults who are at risk of abuse and neglect; and (b) that the Health and Wellbeing Board continue to utilise both documents in considering their respective planning, commissioning, and budget setting.

The Director of Public Health gave a verbal update on the Joint Health and Wellbeing Strategy, stating that the document was currently in year three of its five-year duration, and seeking the Board’s early views on how the strategy might develop in the future.  It was suggested that the document could be used more strategically, and utilised as a real driver of change on issues such as service integration.

The Board discussed the issue, asking how the local strategy compares to our peers, population health and local intelligence, and how the strategy could be used as a clear description of local need and how services and support could be better delivered within North Lincolnshire.  The Board concluded that there were many successes already in place, and that the strategy should build upon these.  As such, the Board’s preference was for a ‘bottom-up’ approach, where solutions were found at neighbourhood level, rather than a ‘top-down’ model.

Resolved – That the Joint Health and Wellbeing Strategy continue to be refreshed and developed, with a further report presented to the Board in due course.

The Director of Customer Services, Ongo, gave an informative presentation on Ongo’s contribution and approach to the Joint Health and Wellbeing Strategy.  The presentation covered many of the workstreams that were planned or in place to support residents, including actions to improve health and wellbeing, employability, early years support, managing money, and keeping residents safe in their communities.  Information was also provided on maintaining decent housing standards.  Each of these elements was discussed in the context of the six key strategic themes within the Joint Health and Wellbeing Strategy.

The Chairman thanked the Director for the presentation and led a discussion on the content.  The Board discussed funding and learning from the residents’ voice, and many of the schemes that were in place.  The Board welcomed all of the ongoing work with residents, and queried whether there may be options for maximising outcomes in the future by pooling resources, and planning and working closer.  The Director stated that they would always welcome this as a way to maximise the ‘place pound’, and that this would be an area to continue to focus on.    

Resolved – (a) That the presentation by the Director of Customer Services be welcomed and noted; and (b) that work continue to seek opportunities to work closer in the future.  

The Director: Adults and Health, and the North Lincolnshire NHS Place Director submitted a joint report, requesting that the Health and Wellbeing Board note the submission of the North Lincolnshire Adult Social Care Discharge Fund 2022-23, and continue to support and oversee the Adult Social Care Discharge Fund. 

Further information, including funding, expenditure, and scheme types were included as an appendix.

Resolved – That the Health and Wellbeing Board note the submission of the Adult Social Care Discharge Fund Plan 2022/23, and continue to provide support and oversight.

It was confirmed that the next meeting of the Board would be at 2pm on 6 March 2023.

There were no additional or urgent items for discussion.  The Chairman thanked everyone present for their attendance and contribution.