Agenda and minutes

Venue: Council Chamber, County Offices, Newland, Lincoln LN1 1YL. View directions

Contact: Katrina Cope  Senior Democratic Services Officer

Media

Items
No. Item

26.

Apologies for Absence/Replacement Members

Minutes:

Apologies for absence were received from Councillor R J Kendrick, Elaine Baylis (Chair, United Lincolnshire Hospitals NHS Trust and Lincolnshire Community Health Service NHS Trust), Sir Andrew Cash (Chair, Lincolnshire Integrated Care Board), Sarah Connery (Chief Executive, Lincolnshire Partnership Foundation NHS Trust), Maz Fosh (Chief Executive, Lincolnshire Community Health Service NHS Trust), and Philip Clark (on behalf of the Police and Crime Commissioner).

27.

Declarations of Members' Interest

Minutes:

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

28.

Minutes of the Health and Wellbeing Board meeting held on 6 December 2023 pdf icon PDF 163 KB

Minutes:

RESOLVED

 

That the minutes of the Lincolnshire Health and Wellbeing Board meeting held on 6 December 2022 be agreed and signed by the Chairman as a correct record.

29.

Action Updates pdf icon PDF 51 KB

Minutes:

RESOLVED

 

              That the Action Updates presented be received.

30.

Chairman's Announcements pdf icon PDF 49 KB

Minutes:

The Chairman advised that the Local Government Association in conjunction with the NHS were currently conducting some ‘dummy runs’ regarding the new Care Quality Commission (CQC) inspection regime for Adult Social Care.  It was noted that the Chairman had been involved in some such tests, which had proven useful in being able to see what was happening in other parts of the country, and for sharing good practice.

 

RESOLVED

 

              That the Chairman’s announcements presented be noted.

31.

Decision Item

31a

Joint Strategic Needs Assessment for Lincolnshire pdf icon PDF 141 KB

(To receive a report and presentation on behalf of the Director of Public Health, which asks the Board to approve the Joint Strategic Needs Assessment prior to publication.  Lucy Gavens, Consultant Public Health and Phil Huntley, Head of Public Health Intelligence will be in attendance for this item)  

Additional documents:

Minutes:

 

Consideration was given to a report on behalf of the Director of Public Health, which asked the Board to approve the Joint Strategic Needs Assessment (JSNA), prior to its publication on 31 March 2023.

 

The Chairman invited Phil Huntley, Head of Public Health Intelligence to present the item to the Board.

 

In a short presentation, reference was made to: the background for the JSNA, and the legal requirement to have a JSNA; the life course approach taken regarding the JSNA factsheet, which were Start Well, Live Well, and Age Well; examples of the type of information that would be available on the Lincolnshire Health Intelligence Hub, along with what else was new which included the provision of a JSNA glossary, FAQ’s and the JSNA in picture format.

 

The Board was reminded that the JSNA was not a static document and was continually being updated and that any input was welcomed, as everyone had collective responsibility.

 

The Head of Public Health Intelligence extended his thanks to all Public Health Staff involved in creating the new JSNA for Lincolnshire.

 

During consideration of this item, the following points were noted:

 

·       Confirmation was given that data would be reviewed by topic experts, and would also be reviewed as part of a rolling programme;

·       It was noted that once approved the link would be made available to the Lincolnshire Health Intelligence Hub;

·       It was noted that the working age group 16 - 64 was specific for that group and was nationally reported. It was reported that the working age definition was set by the Office for National Statistics, and it was recognised that people worked beyond that age;

·       Confirmation was given that community and voluntary sectors would be included in the Communication plan; and

·       It was reported that the JSNA did not refer to project authors, contact would be made via a contact email group.  Officers agreed to also consider including a contact telephone number.

The Chairman on behalf of the Board extended thanks to officers for all their hard work in creating the new JSNA.

 

RESOLVED

 

1.      That the new Joint Strategic Needs Assessment (JSNA) for Lincolnshire be approved and adopted.

 

2.    That confirmation be given to the new JSNA being used as the evidence base to inform the refresh of the Joint Health and Wellbeing Strategy.

32.

Discussion Items

32a

The Director of Public Health's Annual Report 2022 - The Diverse Communities of Greater Lincolnshire pdf icon PDF 150 KB

(To receive a report from Derek Ward, Director of Public Health, which invites the Board to receive a presentation on the Director of Public Health Annual Report)

Additional documents:

Minutes:

 

The Board considered the annual report from the Director of Public Health, which was the first annual report for the whole of Greater Lincolnshire.  The report highlighted the diverse communities of Greater Lincolnshire and the significant challenges that it posed in preventing ill health and improving life expectancy.

 

Appendix A to the report was a copy of the Director of Public Health Annual Report for 2022 for the Board to consider.

 

The Chairman invited Derek Ward, Director of Public Health, to present his report.  The Board noted that the four dominant ‘types’ of community in Greater Lincolnshire had been identified which were urban centre, urban industrial, coastal community and rural market towns.  It was noted that whilst each community faced its own challenges to different health outcomes, there were commonalities of challenge.

 

During consideration of this item, the following comments were noted:

 

·       That information was available at district level and could be broken down against each of the four identified communities, and that this information could be shared with district councils;

·       Confirmation was given that the report was being publicised wherever it was thought best for the public document to be shared;

·       It was reported that as no-one else was using the methodology adopted by the council, and that similar information could be used to compare against;

·       That links to the Crime and Disorder Partnership were very important and the Director of Public Health offered to provide a presentation to the team at Lincolnshire Police;

·       The benefits of the coast and the countryside on the wellbeing of individuals; and

·       The Director for Public Health confirmed that the public report was able to help other decisions makers.

 

RESOLVED

 

That the Director of Public Health’s Annual Report – The Diverse Communities of Greater Lincolnshire be received and noted.

32b

NHS Joint Forward Plan pdf icon PDF 528 KB

(To receive a report from the NHS Lincolnshire Integrated Care Board, which sets out the process for finalising the Joint Forward Plan, and the statutory role of the Health and Wellbeing Board to provide assurance that the Plan takes account of the Joint Health and Wellbeing Strategy.  Pete Burnett, Director of Strategic Planning, Integration and Partnership will be in attendance for this item)

Additional documents:

Minutes:

 

Consideration was given to a report from the NHS Lincolnshire Integrated Care Board, which set out the process for finalising the Joint Forward Plan, and the statutory role of the Health and Wellbeing Board to provide assurance that the Plan took account of the Joint Health and Wellbeing Strategy.

 

The Chairman invited Pete Burnett, Director of Strategic Planning, Integration and Partnership to present the report to the Board.

 

In guiding the Board through the report, reference was made to: the background behind the First Joint Plan (JFP); the requirements of the JFP; NHS England guidance and the three principles of the JFP, and its function; the relationship between the NHS Lincolnshire JFP and Lincolnshire’s HWB and ICP; and an overview of the approach to developing Lincolnshire’s NHS JFP.

 

Appendix A to the report provided a copy of the Lincolnshire NHS Strategy 5 Year Plan – Communications and Engagements Activity Report for the Board to consider.

 

In conclusion, the Board noted that following the second workshop in April 2023, the JFP would be developed sufficiently to allow targeted public engagement activity to be undertaken ahead of the JFP being presented to the Health and Wellbeing Board at its 13 June 2023 meeting.

 

During consideration of this item, the following comments were noted:

 

·       To ensure an inclusive and co-produced approach to develop the JFP, a Steering Group had been established with membership from the Integrated Care Board (ICB), NHS Partners, LCC Healthwatch and residents.  It was noted that a significant amount of engagement had been carried out at the start of the process, details of which were contained within Appendix A to the report;

·       Confirmation was given that Lincolnshire’s outputs for residents had been captured and would continue to be captured;

·       To make sure that the direction of travel and the five-year JFP worked together, balancing expectations and local need;

·       That with all services working together would ensure that the JFP would come together and be realised; and

·       That primary care needed to provide more care and support in the community.  This would then remove some of the pressure on Urgent and Emergency Care.

 

RESOLVED

 

1.      That the current position and the requirement for the NHS to develop a Joint Forward Plan be noted.

 

2.      That the requirement to involve the Health and Wellbeing Board (HWB) in preparing or revising the JFP be noted.

3.    That the need to share a draft with the HWB, and consulting with the HWB on whether the JFP takes proper account of each relevant joint local health and wellbeing strategy be noted.

32c

Healthy Weight Priority Update pdf icon PDF 212 KB

(To receive a report from the Healthy Weight Partnership, which provides the Board with an update on the Healthy Weight Joint Health and Wellbeing Strategy priority.  Andy Fox, Consultant Public Health will be in attendance for this item)

Additional documents:

Minutes:

 

The Board considered a report from the Healthy Weight Partnership, which provided a summary of the activity and work in progress for the healthy weight priority in the Joint Health and Wellbeing Strategy.

 

Appendix A provided a copy of the Terms of Reference for the Healthy Weight Partnership for the Board to consider.

 

The Chairman invited Andy Fox, Consultant Public Health to present the item to the Board.

 

In guiding the Board through the report, reference was made to: Healthy Weight Programme focus prior to Covid-19; Lincolnshire’s Joint Strategic Needs Assessment theme on healthy weight; the Child & Family Weight Management Service; and the Healthy Weight Partnership Group Actions from 23 February 2023.

 

RESOLVED

 

That the contents of the report presented and partners contributions to the work of the Healthy Weight Partnership be noted.

32d

Let's Move Lincolnshire - Physical Activity Priority Update pdf icon PDF 311 KB

(To receive a report and presentation from Emma Tatlow, Chief Executive Active Lincolnshire, which provides the Board with an update on Let’s Move Lincolnshire, the physical activity priority of the Joint Health and Wellbeing Strategy)

Additional documents:

Minutes:

 

The Board considered a report from Active Lincolnshire, which provided an update on Let’s Move Lincolnshire, the physical activity priority of the Joint Health and Wellbeing Strategy.

 

The Chairman invited Emma Tatlow, Chief Executive Active Lincolnshire to present the item to the Board.

 

Reference was made to: the national alignment with local need across the six strands; progress made across the six strands; and future priorities.

 

In conclusion, it was noted that there was a commitment to collaboration across the system, and that the long-term outcomes of the work being carried out would have a significant impact on the health and care sector and pressures on the system, and the health and wellbeing of the population.  It was highlighted that there was requirement for a long-term vision to bring about systematic change, enabling residents to live more active lives whilst retaining an agile and flexible approach responding to local need and changing circumstances.

 

It was agreed that the request for a representative on Let’s Move Lincolnshire Executive Committee would be dealt with outside of the meeting, to enable a representative with relevant expertise to be sought.

 

RESOLVED

 

1.      That support be given to advocate for and support the embedding of the Let’s Move Lincolnshire Strategy.

 

2.      That support be given to Active Lincolnshire to encourage all organisations to embed physical activity at system level in relevant policies, contracts, commissions, planning and decisions.

 

3.      That recognition be given that capacity, collaboration, and future investment across the system is needed to support the on-going implementation of the Let’s Move Lincolnshire Strategy.

33.

Information Items

33a

The Lincolnshire Better Care Fund 2023/24 and update on the Discharge Fund pdf icon PDF 189 KB

(To receive a report from Glen Garrod, Executive Director – Adult Care and Community Wellbeing which provides the Board with an update on the Lincolnshire Better Care Fund 2023/24, and the Discharge Fund)

Additional documents:

Minutes:

 

Consideration was given to a report from Glen Garrod, Executive Director – Adult Care and Community Wellbeing, which provided the Board with an update on the Better Care Fund (BCF), the Discharge Fund and the Quarter 4 BCF performance report.

 

The Chairman invited Glen Garrod, Executive Director – Adult Care and Community Wellbeing to present the item to the Board.

 

The Executive Director extended his thanks to Nikita Lord, Programme Manager for the BCF for all her hard work and support and wished her well in her new role.

 

The Board noted that the BCF Framework for 2023/24 and 2024/25 had not yet been published.  It was noted that the BCF Policy Framework would confirm the funding and conditions for 2023/25 and the planning and reporting requirements for 2023/24.  It was noted further that the framework to be announced covered a two-year period (as opposed to the more familiar one-year roll-forward) and would allow for slightly more strategic planning across the system.  Details of the anticipated two key priorities and four national conditions from the BCF Framework were shown on page 80 of the report pack.

 

The Board was updated on the eight schemes receiving discharge funding, details of which were shown on page 81 of the report pack.  It was noted that overall, all schemes had progressed well within the short four-month timeframe.

 

It was noted further that a full spend report on the Discharge Fund would be included in the year end BCF submission which was due to be submitted in May 2023. 

 

Appendix A provided a copy of the Quarter 4 BCF performance report for the Board to note.

 

RESOLVED

 

1.      That the update provided on the Better Care Fund be noted.

 

2.      That the update provided on the Discharge Fund be noted.

 

3.      That the Quarter 4 performance attached at Appendix A to the report be noted.

34.

An Action Log of Previous Decisions pdf icon PDF 146 KB

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

Minutes:

RESOLVED

 

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

35.

Lincolnshire Health and Wellbeing Board Forward Plan pdf icon PDF 145 KB

(This item provides the Board with a copy of the Lincolnshire Health and Wellbeing Board Forward Plan for the period 28 March 2023 to June 2024)

Minutes:

The Chairman invited members of the Board to contact either Alison Christie, Programme Manager or Michelle Andrews, Assistant Director ICS if they had any items they wished to be included in the Health and Wellbeing Board Forward Plan.

 

RESOLVED

 

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

 

 
 
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