Agenda and minutes

Apologies for absence were received from Councillor Mrs S Rawlins, Heather Sandy (Executive Director Children’s Services), Dr Sunil Hindocha (Chair – Primary Care Network Alliance), Oliver Newbould (NHSE/I representative), Emma Tatlow (Voluntary and Community Sector) and Pat Doody (Greater Lincolnshire Local Enterprise Partnership).

It was noted that Adrian Perks (Assistant Director of Strategic Transformation – Central Midlands NHS England) had attended as replacement member for Oliver Newbould for this meeting only.

There were no declarations of members’ interest made at this point in the meeting.

RESOLVED

That the minutes of the Lincolnshire Health and Wellbeing Board meeting held on 14 June 2022 be agreed and signed by the Chairman as a correct record.

RESOLVED

              That the Action Updates presented be noted.

RESOLVED

              That the Chairman’s announcements presented be noted.

(To receive a report from Alison Christie, Programme Manager on behalf of the Pharmaceutical Needs Assessment  Steering Group, which invites the Board to approve the final Pharmaceutical Needs Assessment 2022, prior to its publication by 1 October 2022)

The Board considered a report from Alison Christie, Programme Manager, on behalf of the Pharmaceutical Needs Assessment Steering Group, which invited the Board to approve the final Pharmaceutical Needs Assessment (PNA) 2022, prior to its publication by 1 October 2022.

The Board were advised of the background to the completion of a PNA, which was a statutory duty for Health and Wellbeing Boards every three years.  It was highlighted that the PNA described the present and future needs for pharmaceutical services.  It was also noted that the PNA was used to identify any gaps in current services or improvements that could be made for future pharmaceutical provision.

It was reported that following consultation, the document had been updated and the final PNA 2022 had been approved by the Steering Group on 16 August 2022.

The Board was invited to approve the PNA prior to it being published on 1 October 2022.  Appendix A to the report provided the Board with a copy of the Lincolnshire PNA 2022; Appendix B provided a copy of the Lincolnshire PNA 2022 Appendices; and

Appendix C provided a copy of the Lincolnshire PNA 2022 Statutory Consultation report for the Board to consider.

During consideration of this item, the Board raised the following comment:

·       That at the time of doing the assessment there was no current need for the provision of additional access to community Pharmacy premises in Lincolnshire.  Some concern was expressed to facilities currently provided in Keelby.  The Board noted that the PNA was evidence based, and that that there was provision for a supplementary statement should there be an issue.  It was also highlighted that the PNA did not stop conversation happening going forward.  Confirmation was given that the responsibilities for community pharmacies was being transferred from NHSE to ICB’s on 1 April 2023. It was highlighted that the PNA was an excellent piece of work, based on a moment in time, and as such, community pharmacies would be an area which would be considered further.

RESOLVED

That approval be given to the final Pharmaceutical Needs Assessment 2022 and associated documents for publication by 1 October 2022.

(To receive a report from Glen Garrod, Executive Director Adult Care and Community Wellbeing, which invites the Board to approve the final Better Care Fund Plan 2022/23 in retrospect of the submission deadline of 26 September 2022)

Consideration was given to a report from Glen Garrod, Executive Director Adult Care and Community Wellbeing, which invited the Board to approve the final Better Care Fund Plan 2022/23 in retrospect of the submission deadline of the 26 September 2022.

The Executive Director in his introduction extended his thanks to Nikita Lord, Programme Manager – Better Care Fund for all her hard work behind the scenes in bringing the report together for consideration by the Board.

Attached to the report as part of the Lincolnshire BCF submission were the following Appendices for the Board to consider:

·       Appendix A – The draft BCF Planning Numerical Plan (BCF Planning Template);

·       Appendix B – The draft BCF Narrative Plan template; and

·       Appendix C – The draft BCF Capacity and Demand template for intermediate care.

It was highlighted that for the last 4 years the national BCF planning, and assurance framework had been ‘rolled on’ and that this had continued for 2023.  Details of the Lincolnshire BCF proposed value of £279m income for 2022/23 was detailed on page 184 of the report pack.  It was highlighted that there were 47 individual schemes funded within the Lincolnshire BCF and these were grouped into themes which were detailed on page 185 of the report pack.

The Board noted that the Lincolnshire BCF was one of the largest pooled funds in the country, and that Lincolnshire had a well-established approach which relied to a greater extent on externally commissioned providers for service delivery and therefore much of the BCF was committed in existing contracts.

It was reported that the emerging insights into the future of BCF suggested that a larger scope, multi-year BCF policy framework would support the transformation agenda and transition to the place-based arrangements described within the integration white paper.

Councillor C E H Marfleet left the meeting at 14.26pm.

During consideration of this item, the Board raised the following:

·       The involvement from district councils concerning the wider determinants of health i.e., Disabled Facility Grant (DFG).   There was recognition that district councils needed to be engaged for extra care housing needs to be met. All districts were encouraged to participate; and

·       With the newly formed Integrated Care System (ICS), the statutory changes and the government’s ambitions, it was suggested that before the next BCF cycle, a development session would be arranged to allow for a more comprehensive look into the workings of the BCF, which would help members of the Board understand the funding better, and how it was spent in Lincolnshire.  Members of the Board welcomed a more open conversation to see how much flexibility there was with the BCF, what the outcomes were, and whether it was providing good value for money.  The Board was advised that a stock take was taking place over the winter, which would be able to answer to some of the questions raised.

RESOLVED

That the 2022/23 Lincolnshire Better Care Fund be approved in retrospect of the submission deadline of 26 September 2022.

(For the Board to note decisions taken since June 2021)

RESOLVED

              That the Action Log of Previous Decision as presented be noted.

(This item provides the Board with a copy of the Lincolnshire Health and Wellbeing Board Forward Plan for the period 27 September 2022 to 28 March 2023)

RESOLVED

That the Lincolnshire Health and Wellbeing Board Forward Plan as presented be received.