Agenda and draft minutes

The Chairman welcomed everyone to the meeting, inviting them to introduce themselves.

Cllr Rose substituted for Cllr Hannigan.  Neil Fowler substituted for Mark Fuller. 

Alex Seale declared a personal and prejudicial interest in item 557, as Chair of the Humber Acute Services Executive Oversight Group.

Helen Davis declared a personal interest in item 557, as they had represented the ICB at some engagement sessions.

Resolved - That the minutes of the meeting of the Health and Wellbeing Board, held on 11 December 2023, be approved as a correct record.

The Director – Operations confirmed that the Forward Plan was up to date, with all relevant future business scheduled for discussion.

Resolved – That the situation be noted.

There were no questions from members of the public.

The Director: Adults and Health submitted a report to request that the Health & Wellbeing Board formally agree and sign off the North Lincolnshire Expenditure Plan against the Urgent & Emergency Care Fund that supports winter plans across the Health and Social Care system.

The Director stated that the government had announced a £600 million package to help with recruitment and retention in social care. The fund was intended to support the social care workforce and boost capacity in social care, in turn supporting the NHS ahead of winter and through into next year.

The report set out that North Lincolnshire Council (NLC) had been identified as an authority able to bid against an additional £40 million that had been allocated to support Urgent and Emergency (UEC) Care recovery plans. The funding identified for NLC to bid for was £357,003, with any proposal having to be agreed with ICB colleagues and linked to the ICB winter surge plan.  Bid criteria were set out in the report. 

The Director explained that a local bid had been prepared, based on proposals to:

• Avoid admission to hospital: Support the flow of people within Same Day Emergency Care and Accident & Emergency Department, and to
• Provide additional capacity within the Transfer of Care Hub.

Further details were set out in the report.

Resolved - That the Health and Wellbeing Board formally agree and sign off the LA urgent & Emergency Care Fund Plan 2023/24.

·       8a Life Expectancy

·       8b Lung Cancer

·       8c Suicide Prevention

The Director of Public Health submitted a series of three evidence-based reports intended to highlight detailed work on elements of the Joint Strategic Needs Assessment (JSNA).  These ‘insight reports’ were structured around the following themes:

·       Life expectancy,

·       Lung cancer, and

·       Suicide Prevention

The Director explained that the reports had been tabled to provide an evidence base to help understand the epidemiology surrounding these issues.  In addition, collating all the relevant information and knowledge together into the insights pack helps provide consistent information which agencies can used to develop  evidence-based approaches to improving health outcomes.

To increase the reach and impact of the documents, the Director invited Board members to consider how the insights pack could be used to improve outcomes for local residents.

The Chairman led a discussion on the themes identified in the Insight Reports, particularly around preventing loneliness and isolation, that may lead to suicidal thoughts.  The importance of informal, community-based networks was highlighted, as well as the concept of ‘making every contact count’, to ensure a holistic approach was adopted across North Lincolnshire.

Resolved: (a) That the Health and Wellbeing Board note the content of the JSNA Insight Pack, (b) that all Health and Wellbeing Board partners consider how policy could be adapted and implemented based on the detailed evidence set out within the reports; and (c) that the Board conduct further work on (i) addressing loneliness and (ii) on ‘retiring well’. 

The Director: Children and Families submitted the Annual Report of Local Arrangements to safeguard and promote the welfare of children and young people (2022/23).  The report confirmed that the Children’s Multi Agency Resilience and Safeguarding (MARS) Board demonstrated that it had:

·       effectively met its statutory obligations,

·       benefitted from strong and consistent leadership,

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

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

The Director explained that North Lincolnshire had a long history of agencies working together to improve outcomes for children, young people and families.  The areas had been an early adopter of current arrangements, and continued to fulfil all functions across the Local Arrangements, responding to the needs of individuals and diverse communities, prioritising those most in need, helping and protecting children, young people and families, and supporting and developing our workforce.

The Director confirmed that The Annual Report provided a review of activity and impacts in respect of the Children’s MARS functions, including funding, performance, voice and stakeholder engagement, training, scrutiny and assurance and child safeguarding practice reviews.  The five ‘Shine a Light’ areas for focus were set out in the report.

The Board discussed the report, exploring potential links with public health.  Questions were asked about the role of independent scrutineers, the robustness of the MARS arrangements, and actions to tackle abuse.  The Director responded appropriately.

Resolved - That the Health and Wellbeing Board note the outcome of the Annual Report of Local Arrangements to safeguard and promote the welfare of children and young people 2022/23.

The North Lincolnshire Place Director and the Children’s Care Group Director (RDASH) submitted a joint report designed to provide an update to the Health and Wellbeing Board on mental health services for Children and Young People. The paper explained current service transformation and integration for mental health services for children and young people.

The report set out that the transformation programme was set in the context of the One Family Approach, as set out in the Children’s Commissioning Strategy 2020-24.  The Place Director confirmed that the report focussed specifically on the emotional health and wellbeing elements of the Strategy.

The Place Director and Children’s Care Group Director provided an overview of the following key workstreams, alongside expected outcomes for children and young people.

·       Mental health support teams in schools,

·       Children and Adolescent Mental Health Services (CAMHS),

·       Specialist Trauma Services,

·       Youth Justice – Trauma Informed Care,

·       Eating Disorders,

·       18-25 Provision,

·       SEND,

·       Neurodiversity, and

·       Governance.

The Board discussed the report in some depth, querying waiting times for assessment and treatment, recruitment and retention of staff, those absent or excluded from mainstream education, looked after children, and models of care.  It was confirmed that new models of care had been implemented to respond to the unprecedented rise in referrals to services.  Feedback had been positive, and governance arrangements were in place to oversee the work.  The Place Director confirmed that the longer-term aim was to increase sustainability and resilience and to move towards a preventative and supportive model to improve young people’s mental health.

Resolved – (a) The Health and Wellbeing Board accept and note the report; and (b) that the issue of mental health services for children and young people be maintained as a regular item for discussion on the Board’s work programme.

The North Lincolnshire NHS Place Director having declared a personal and prejudicial interest left the meeting for consideration of the following item (minute 557).

The Director of Public Health tabled a report which provided a response to the Humber Acute Services Programme consultation by Humber & North Yorkshire Integrated Care Board.  This followed detailed discussion and consideration at the North Lincolnshire Health & Wellbeing Board at its meetings on 2 October 2023 and 11 December 2023 (minutes 535 and 544 refer).

The Director confirmed that the report summarised the key discussion points and concerns raised by members of the Health & Wellbeing Board regarding the Humber Acute Services Programme with a particular focus on the impact upon residents of North Lincolnshire.

The Board discussed the draft response, suggesting revisions to sections on paediatric care, consultation methodology, and transportation.

It was moved by Councillor Waltham and seconded by the Director of Public Health –

That the Health & Wellbeing Board submit the joint response to the Humber Acute Services Programme consultation.

Motion Carried.

The North Lincolnshire NHS Place Director rejoined the meeting.

The Director of Customer Services and the Development Manager, Ongo, delivered a presentation covering their work to improve the health and wellbeing of their older residents.  The presentation included discussion of Ongo’s Strategic Development Plan, properties to support those with dementia and mobility issues, retirement living, and the various events and activities that are delivered to residents and communities.

The Board welcomed the presentation, asking questions around how Ongo planned and delivered its activities in consultation with other partners, and how organisations could work together to ensure tenancies.  Other Board members asked about supporting vulnerable families and care leavers, and about funding considerations.  The Ongo representatives responded accordingly.

Resolved – (a) That the Health and Wellbeing Board note the presentation and situation; and (b) that the Board consider hosting a future workshop or session on supporting care leavers into accommodation.

The NHS Place Director provided a short, verbal update on capital expenditure in the local acute sector.  It was confirmed that a report would be tabled at a future meeting of the Board for more detailed discussion.

Resolved – That the update be noted. 

The Chairman confirmed that the next scheduled meeting of the Board was at 2pm on 11 March 2024.

There was no urgent or additional business.