Agenda and minutes

Apologies for absence were received from Councillor Mrs W Bowkett, Elaine Baylis (Chair of United Lincolnshire Hospitals NHS Trust and Lincolnshire Community Health Service NHS Trust), Sir Andrew Cash (Chair of the Lincolnshire Integrated Care Board) and Kevin Lockyer (Chair of Lincolnshire Partnership Foundation NHS Trust).

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

RESOLVED

That the minutes of the Lincolnshire Health and Wellbeing Board meeting held of 27 September 2022 be agreed and signed by the Chairman as a correct record.

RESOLVED

              That the Action Updates presented be noted.

The Chairman advised the Board that as Chairman she was part of the NHS Confed offer to ICS, ICP and ICB Chairman across the 42 systems.  It was noted that meetings were held on a regular basis and provided the opportunity for systems to share their experiences and put forward their local views.

RESOLVED

That the Chairman’s announcements presented be noted.

(To receive a report from Glen Garrod, Executive Director Adult Care and Community Wellbeing, which advises the Board of funding allocations from the Adult Social Care - Discharge Fund, announced by the Government on 21 November 2022; and provides an update on the Lincolnshire Better Care Fund)

Consideration was given to a report from Glen Garrod, Executive Director of Adult Care and Community Wellbeing, which invited the Board to note the update provided on the assurance of the Lincolnshire Better Care Fund (BCF ) Plan for 2022/23; approve the Better Care Reporting Template as shown at Appendix A to the report, and to receive BCF reporting every quarter going forward; the Board was also asked to approve the Discharge Fund Plan for both the Integrated Care Board and Lincolnshire County Council ahead of its submission on 16 December 2022.  A copy of the Lincolnshire Adult Social Care Discharge Funding Template was provided in Appendix B, and a copy of the Lincolnshire Integrated Care Board Funding Plan Template was detailed in Appendix C to the report presented for members to consider.

Thanks were extended to all colleagues across the system for their input in bringing the report together; and members welcomed the additional funding to help with Acute flow at hospitals, and adult social care within Lincolnshire.  It was highlighted that more funding would become available in 2023/24. 

RESOLVED

1.      That the update on the assurance of the Lincolnshire Better Care Fund Plan be noted.

2.      That the Better Care Fund Reporting Template as detailed at Appendix A to the report be approved and that quarterly updates be received by the Board going forward.

3.     That the Discharge Fund Plan for both the Integrated Care Board and Lincolnshire County Council ahead of submission on 16 December be approved.

(To receive a report from Lucy Gavens, Consultant in Public Health, which provides the Board with an update on the review process for the Joint Strategic Needs Assessment 2023)  

Consideration was given to a report from Lucy Gavens, Consultant in Public Health, which provided the Board with an update on the review process for the Lincolnshire’s Joint Strategic Needs Assessment (JSNA) 2023.

The Board were remined that in June 2021, proposals had been agreed to move away from the current JSNA topic-based structure to a life course approach, based on the following chapter headings, Start Well, Live Well and Age Well.  Appendix A to the report provided the Board with details of the life course approach; and Appendix B provided details of the JSNA Review and Relaunch Communication and Engagement for the Board to consider.

It was reported that the new JSNA web portal would pave the way for improved dissemination of public health intelligence across different organisations and the public by providing an up-to-date picture of local data on health and wellbeing outcomes.

The Board was advised that the JSNA would be a rolling programme; with the dashboard and fact sheets being continually updated.

RESOLVED

1.      That the progress of the JSNA review be noted.

2.      That the next stages of the review process as shown in Appendix B be noted.

3.      That a further report and presentation be received at the March 2023 meeting to sign off the new JSNA ahead of the online resource going live be agreed.

(To receive a report from Alison Christie, Programme Manager, which informs the Board of the rationale and process for updating the Joint Health and Wellbeing Strategy and governance arrangements alongside the Integrated Care Strategy)

The Chairman invited Alison Christie, Programme Manager, to present the item which advised the Board  of  its statutory responsibility to develop and publish a Joint Health and Wellbeing Strategy (JHWS) based on population needs identified in the Joint Strategic Needs Assessment (JSNA); the work undertaken to refresh the strategy, and following the publication of the new JSNA, the plans for a more fundamental review of the JHWS alongside the Integrated Care Strategy during 2023.

Appendix A to the report provided a copy of the updated Joint Health and Wellbeing Strategy for the Board to consider.

The Board was advised that as part of the ongoing development work, the JHWS governance arrangements were also being reviewed and strengthened to ensure that appropriate mechanisms were in place which provided assurance to the HWB and the Integrated Care Partnership.  Paragraph 1.3 provided details of the proposal and Appendix B to the report provided an updated Joint Local Health and Wellbeing Strategy governance diagram for members of the Board to consider.

During consideration of this item, some of the following comments were raised.

·       The need for pictures included with the document at Appendix A to capture more of the demographics and to be more inclusive.  Assurance was given that the fundamental review process during 2023 would ensure the final document would was co-produced; and

·       That communication with the public was very important, and that there was a need to ensure that the right messages were being conveyed.  Assurance was given that assistance would be sought from communication experts in this regard as the fundamental review work progressed through 2023.

RESOLVED

1.      That the refreshed Joint Health and Wellbeing Strategy be noted.

2.      That the proposal to undertake a more fundamental review of the Joint Health and Wellbeing Strategy following the publication of the Joint Strategic Needs Assessment and alongside the development of the Integrated Care Strategy be noted.

3.     That the proposals to reinvigorate the governance and delivery arrangements sets out in section 1.3 of the report be noted.

(To receive a report from Semantha Neal, Assistant Director Prevention & Early Intervention and Navaz Sutton, Programme Manager, which provides the Board with an update on the progress to date of the Lincolnshire Ageing Better Rural Strategic Partnership)

The Board considered a report from Semantha Neal, Assistant Director Prevention & Early Intervention and Navaz Sutton, Programme Manager, which provided an update on the progress to date of the Lincolnshire Ageing Better Rural Strategic Partnership.

Members were reminded of the background to the Partnership and that Lincolnshire brought a rural and coastal perspective to Ageing Better and that work was aimed at the 50 plus age group.  It was noted that this was the end of the second year of a five year partnership. Details of the expected outcomes over the next 12 months were detailed on pages 61 and 62 of the report pack under the headings of homes and housing, work and employment and age friendly county and ageism.  The Board noted that Lincolnshire with its Good Homes Alliance Project was leading the way, with other local authorities seeking to follow a similar route in the future; and that work was on-going locally to encourage sign up to an employer’s pledge, developed nationally, which would support a more age-inclusive approach by all local employers.

It was highlighted that the Partnership provided great potential for Lincolnshire to contribute and shape national thinking, supporting partners outside the county, whilst bringing back learning into the county for the benefit of residents.

The Board noted that ageing better work crosscut many of the topics in the JSNA and of the JHWS themes, including Housing, Carers, Physical Activity and Mental Health.

During discussion of this item, the Board raised the following comments:

·       Workforce career development.  The Board was advised that the Greater Lincolnshire Local Enterprise Partnership was a core member of Lincolnshire’s Partnership, and were picking up with local employer’s workforce development and retaining skills; and

·       The outcomes of the partnership. It was noted that the last two years had been focussed on what was needed in Lincolnshire, which was providing a baseline of what was being provided and what was going to be changed because of the Partnership.  It was noted further that the next three years would focus on more tangible changes for residents.

RESOLVED

1.      That the work to date of the Lincolnshire Ageing Better Rural Strategic Partnership be noted.

2.      That consideration be given to opportunities to engage with the Steering Group and its work programme.

3.      That consideration be given on how to promote the Lincolnshire Ageing Better Steering Group within the wider health and care system, identifying appropriate colleagues to connect with the Strategic Partnership Manager as appropriate.

(To receive a report from Lucy Gavens, Consultant in Public Health, which provides the Board with an update on the progress made by the Lincolnshire Drug and Alcohol Partnership)

Consideration was given to a report from Lucy Gavens, Consultant in Public Health, which provided the Board with an update on the progress being made by the Lincolnshire Drug and Alcohol Partnership.

The Board were advised of the background to Partnership; the 10 -year Drugs Strategy that had to be implemented at a local level, which included the establishment of a local partnership; the progress to date on the key milestones that the Lincolnshire Drug and Alcohol Partnership must achieve by April 2023, these were shown on page 66 of the report pack. 

Attached at Appendix A to the report was a copy of the Lincolnshire Drug and Alcohol Partnership Terms of Reference for the Board to consider.

The Board was advised that the Partnership had met for the first time in September 2022 and would be meeting regularly to ensure timely progress towards the milestones set out by central Government.

During discussion, the Board raised some of the following comments:

·       That there needed to be mental health cross over and more education available to young people through schools.  The Committee was advised that the team worked closely with the Public Protection Stay Safe Partnership, who provided education training to primary and secondary schools, and that the content had a preventative focus and multifaceted approach for young people;

·       Some members welcomed the establishment of the Lincolnshire Drug and Alcohol Partnership as it was thought that the Partnership would make a difference in Lincolnshire;

·       That supporting dual diagnosis with the number of mental health patients increasing would be beneficial.  The Committee noted that mental health workers were present in A & E departments;

·       Assurance was given that the representation from licensee’s etc., was one area that a task and finish group would be looking at;

·       Confirmation was given by the Executive Director for Children’s Services that schools were committed to work with the Stay Safe Programme; and officers were invited to attend future Head Teacher briefings to help get messages out to schools; and

·       The need for input from YMCA’s and homeless providers.  The Board was advised that district colleagues were involved around housing and homelessness, and that engagement would be made with wider stakeholders such as the YMCA as appropriate.  The Board was advised further that there were many different strands to the work on drug and alcohol prevention, and treatment, and the Partnership would need to work flexibility (e.g. through task and finish groups) to address the different challenges.

RESOLVED

1.      That the establishment of the Lincolnshire Drug and Alcohol Partnership and the progress made by the Partnership to date be noted.

2.      That annual updates on the progress of the Partnership be received by the Board.

(For the Board to note decisions taken since 14 June 2022)

RESOLVED

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

(This item provides the Board with a copy of the Lincolnshire Health and Wellbeing Board Forward Plan for the period 6 December 2022 to March 2024)

RESOLVED

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