Agenda and minutes

Venue: Conference Room, Church Square House, 30-40 High Street, Scunthorpe

Contact: Dean Gillon  Email: Dean.Gillon@northlincs.gov.uk

Items
No. Item

397.

Welcome and Introductions

Minutes:

 

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

398.

Declarations of Disclosable Pecuniary Interests and Personal or Personal and Prejudicial interests

Minutes:

 

There were no declarations of disclosable pecuniary interests and personal or

personal and prejudicial interests.

399.

To approve as a correct record the minutes of the meeting of the Health and Wellbeing Board held on 28 July 2021 pdf icon PDF 233 KB

Minutes:

 

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

Board, held on 28 July 2021, be approved as a correct record.

400.

Forward Plan and Actions from previous meetings

Update on the NHS Phase 3 Recovery Plan by the Chief Operating Officer, North Lincolnshire CCG

Minutes:

 

The Director: Governance and Partnerships confirmed that the Forward Plan

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

 

Resolved That the situation be noted.

401.

Questions from members of the public

Minutes:

 

There were no questions from members of the public.

402.

COVID-19 Outbreak Prevention and Management Plan. Report by the Deputy Chief Executive and the Director of Public Health. pdf icon PDF 421 KB

Minutes:

 

The Deputy Chief Executive and Executive Director: Commercial, 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 Deputy Chief Executive explained that the plan was in place and was

reviewed and updated on a quarterly basis.

 

It was confirmed that the LOMP’s key themes were based on the desired outcomes, the measures by which success will be recognised, the actions required, and the issues and risks. Progress against the actions was indicated for each theme.

 

Resolved - That the Health and Wellbeing Board note the Local Outbreak

Management Plan, as outlined in the report.

403.

COVID-19 - Epidemiology and Vaccination Programme. Report by the Director of Public Health and the Chief Operating Officer, NLCCG. pdf icon PDF 236 KB

Minutes:

 

The Director of Public Health delivered a detailed presentation on the COVID- 19 epidemiological situation in North Lincolnshire. This included the total number of recorded cases, the current R Value for Yorkshire & the Humber, the rolling 7-Day Case Rate, and case rates by demographics.

 

The Interim Director of Nursing and Quality, North Lincolnshire CCG, then gave a detailed presentation, updating the Health and Wellbeing Board on the latest position of the Covid-19 Vaccination Programme. The report highlighted the sources of data that had informed the briefing.

 

The Interim Director of Nursing and Quality described the uptake rate for the age cohorts, including uptake of first and second doses. The rates in Care Homes were also outlined, along with a description of how the programme was being planned and delivered in communities.

 

An update was provided on both Phase 3 of the Vaccination Programme, which was due to commence issuing boosters imminently, and also the 12-15 year old programme. 

 

The Board discussed the presentations further, querying how schools were being prioritised, venues for the Phase 3 immunisation programme, and care home staff uptake.

 

Resolved - That the Health and Wellbeing Board note the contents of the Epidemiology and Vaccination Programme presentations.

404.

Integrated Working - Adults and Children. Integrated care System. Presentation by the Chief Operating Officer, NLCCG. pdf icon PDF 3 MB

Minutes:

 

The Chief Operating Officer gave a presentation on developing a Place Based Arrangement in North Lincolnshire.  This included the Integrated Care System Operating Principles and work to date, feedback from the recent Health and Wellbeing Board session on this issue, and the Route Map for the new Health and Care System.

 

The Chief Operating Officer then described how local governance arrangements may work, before setting out a series of proposals for further discussion.  Broadly, this would be to establish a local committee, in shadow form from November 2021, to set the Health and Care Strategy on behalf of the Integrated Care Board.  It would also play a role in:

 

·       Approving plans to deliver the strategy, including local prioritisation, use of local resources, etc.

·       Manage local accountability,

·       Lead on performance management, assurance, and handling risk,

·       To oversee financial flows,

 

A series of suggested ‘next steps’ were set out, as below:

 

·       Review the local baseline place development framework, ensuring wide stakeholder engagement;

·       Draft the Terms of Reference for the North Lincolnshire Place Partnership,

·       Continue to develop Place Based Plans.

 

The Board discussed this issue in depth, including how the new governance structures would lead to real-life improvements to local residents’ lives.  The Board agreed that there would be scope to align this work to ongoing efforts to improve people’s health and wellbeing, and to ensure that local residents had a voice within the system.  It was confirmed that further guidance was expected shortly.

 

Resolved – (a) That the presentation be noted, and (b) that local discussions continue to ensure robust local governance arrangements, which retain strong local ownership of health and care systems; and (c) that the proposed next steps be agreed.

405.

Joint Health and Wellbeing Strategy. Report by the Director of Public Health. pdf icon PDF 500 KB

Additional documents:

Minutes:

 

The Director of Public Health submitted a report informing the Board that the Joint Health and Wellbeing Strategy (JHWS) was due to be refreshed, and presenting a number of options for the development of the new JHWS, along with its proposed  strategic direction, and a process for action planning, delivery and reporting.

 

The report outlined the Board’s statutory duty to prepare and utilise a JHWS, before suggesting how it may be aligned with the local priorities and accompanying principles below:

 

·        Keep North Lincolnshire safe and well.

·       Babies, infants and young people to have the best start in life.

·       People live well to enjoy healthy lives.

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

·       Communities are enabled to be healthy and resilient.

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

 

Further context was set out in the report and accompanying appendices.

 

Resolved – (a) That the Health and Wellbeing Board agree the strategic direction and principles set out in the report and appendices, and (b) that work continue to refine the detail of delivering the JHWS.

 

 

 

406.

Development of the Joint Strategic Needs Assessment. Report by the Director of Public Health. pdf icon PDF 516 KB

Minutes:

 

The Director of Public Health submitted a report updating the Health and Wellbeing Board on issues influencing the future design of the Joint Strategic Needs Assessment (JSNA) and seeking Board sponsorship and support for development plans.

 

The Director of Public Health informed that Board that the role of the JSNA was to assure itself that its plans and priorities were evidence-based and up to date, and to align evidence with local efforts to improve people’s health and wellbeing.  There were numerous factors that meant that refreshing the JSNA would be desirable, including the developing role of Integrated Care Systems, the Covid-19 pandemic, new opportunities to share data and information, etc.

 

The Board discussed this issue, highlighting the need to utilise and standardise data into a single source, so all partners were sighted on the local situation within North Lincolnshire. There was a rare opportunity to build new data protocols into the developing system, and this should be implemented in order to join up services and benefit local people.

 

Resolved – (a) That a relevant and sustainable JSNA be developed, via an appropriate, multi-agency steering group; and (b) that the Health and Wellbeing Board be kept informed of progress.

 

407.

Better Care Fund Update. Report by the Director: Adults and Community Wellbeing, and the Chief Operating Officer, NLCCG. pdf icon PDF 145 KB

Minutes:

 

The Chief Operating Officer and the Director: Adults and Community Wellbeing submitted a joint report providing a summary of performance and progress against the Better Care Fund metrics and plan for 2020/21 and an outline of the requirements for 2021/22.

 

It was confirmed that, throughout 2020/21, North Lincolnshire had continued to meet the national conditions, had maintained its investment plans and continued to deliver against the components of the national High Impact Change Model.  Progress on the relevant metrics was set out in the report.

Resolved That the Health and Well-being Board note the content of this report.

 

 

408.

Date and time of next meeting. 19 November 2021, 2pm.

Minutes:

 

The Director: Governance & Partnerships confirmed that the Board’s next meeting would be at 2pm on 20 September 2021.