Agenda and minutes

Apologies for absence were received from Dr Gerry McSorely (Chair, NHS Lincolnshire Integrated Care Board), John Turner (Chief Executive NHS Lincolnshire Integrated Care Board), Councillor Richard Wright (District Councils) and Philip Clark (on behalf of the Police and Crime Commissioner).

It was noted that Pete Burnett (Director of Strategic Planning, Integration and Partnerships, NHS Lincolnshire Integrated Care Board) and Councillor D Nannestad (District Councils) had replaced John Turner (Chief Executive, NHS Lincolnshire Integrated Care Board) and Councillor R Wright (District Councils) respectively, for this meeting only.    

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

RESOLVED

That the minutes of the Lincolnshire Health and Wellbeing Board meeting held on 13 June 2023 be agreed and signed by the Chairman as a correct record.

RESOLVED

              That the Action Updates presented be received.

The Chairman welcomed to the meeting Dr Kevin Thomas (Primary Care Network Alliance), Melanie Weatherley (Associate Member for the Lincolnshire Care Association) and Councillor D Nannestad (District Councils).

Julia Debenham, (Representative of the Chief Constable) updated the Board regarding the “Right Care, Right Person” initiative.

RESOLVED

That the Chairman’s Announcements as detailed on pages 17 and 18 of the agenda pack be noted.   

(To receive a report from Alison Christie, Programme Manager Strategy and Development - Public, Health, and Michelle Andrews, Assistant Director Integrated Care System – Public Health, which provides an update on the review of Lincolnshire’s Joint Local Health and Wellbeing Strategy)

Consideration was given to a report from Alison Christie, Programme Manager Strategy and Development and Michelle Andrews Assistant Director Integrated Care System – Public Health, which provided an update on the review of Lincolnshire’s Joint Local Health and Wellbeing Strategy, and provided the Board with details of the next steps and timescales for finalising the next iteration of the Joint Local Health and Wellbeing Strategy (JLHWS) for Lincolnshire.

Detailed at Appendix A to the report was a copy of the Joint Health and Wellbeing Strategy Overview Diagram; and Appendix B provided a document outline for the Joint Health and Wellbeing Strategy for 2023 for members of the Board to consider.

The Board were reminded of the changes agreed at its 13 June 2023 meeting and were advised of the next steps to be undertaken which included: that work was underway with each delivery group to redraft the JLHWS document using the life course approach.  It was highlighted that as part of this work key issues for children and young people where appropriate would be highlighted throughout the strategy.

Details of the key steps and timescales to be achieved were shown on page 20 of the report pack.  It was highlighted that a detailed outline of the new JLHWS, including proposed objectives for each priority would be presented to the next meeting of the Board on 5 December 2023, the strategy would then be signed-off by the Board at its 12 March 2024 meeting.

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

·       Reassurance was provided that the document presented to the Board at its 5 December 2023 meeting would highlight where appropriate key issues relating to children and young people; and

·       The need to ensure that physical activity was connected to mental health issues in a cohesive way.

RESOLVED

That the content of the report detailing the next steps and timescales for finalising the next iteration of the Joint Local Health and Wellbeing Strategy be noted.

(To receive a report from Councillor Elizabeth Sneath, Chair of the Carers Delivery Group and Lisa Loy, Programme Manager – Adult Care and Community Wellbeing, which provides the Board with an update on the Carers priority)

The Board considered a report from Councillor Elizabeth Sneath, Chair of the Carers Delivery Group and Lisa Loy, Programme Manager – Public Health, which provided an update on the progress being made on the Carers priority.

The Chairman invited Lisa Loy, Programme Manager – Public Health to present the item to the Board, which included reference to: the background to the Carers Delivery Group; the work with the NHS; the carers passport; carers week; the commissioned Lincolnshire Carers Service; the recent Care Quality Commission (CQC) inspection as part of the new CQC Local Authority Assessment pilot; the survey of Adult Carers in England, and progress made during 2022/2023.

Attached at Appendix A to the report was a copy of the Carers Delivery Group – Plan on a Page for 2023/2024; and Appendix B provided a copy of the Memorandum of Understanding for the Carers priority Deliver Group for the Board to consider.

During discussion, some of the following comments were noted:

·       Congratulations were extended to the good work being carried out by the Carers Delivery Group;

·       The Board was advised that part of the work as detailed in the Plan to a Page was to support and develop carers.  Confirmation was given that work with employers was ongoing and that it was hoped that more employers would come on board with the scheme; and

·       There was recognition that carers were supported and valued, as they were central to the strategic direction of travel in shaping services going forward.

RESOLVED

1.      That the Unpaid Carers report presented, and the progress made to date be noted.

2.      That the Plan on a Page as detailed at Appendix A to the report be agreed as the first stage towards delivering a revised Carers Strategy.

3.      That the opportunity for the Carers Delivery Group to co-produce the revised strategy be noted.

4.      That the Memorandum of Understanding (MOU) demonstrating system led leadership to identify and support carers be promoted and endorsed.

(To receive a report from Councillor William Gray, Chair of the Housing, Health and Care Delivery Group and Sean Johnson, Programme Manager – Public Health, which provides the Board with an update on the progress being made on the Housing and Health priority)   

Consideration was given to a report from Councillor William Gray, Chair of the Housing, Health and Care Delivery Group and Sean Johnson, Programme Manager – Public Health, which provided the Board with an update on the progress being made on the Housing and Health priority.

The Chairman invited Councillor Gray, Chair of the Carers Delivery Group and Sean Johnson, Programme Manager, Public Health, to present the item to the Board.

The Board were reminded of the background to the priority and the three main areas of focus for the Housing Health and Care Delivery Group; housing intelligence; the good hub and one stop shop for aids, equipment, and adaptations; the Better Care Fund, Disabled Facilities Grant funding; local energy advice; and the Lincolnshire Homelessness and Rough Sleeper Strategy.

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

·       That a Healthy Homes Assessment was currently being trialed by frontline practitioners.  It was noted that currently there were two versions of the form, a lengthy one for completion by a resident, and a shorter version that could be completed by frontline workers.  It was noted that work was ongoing building up the information to support the hub and once that was completed the assessment would go live for members of the public to complete.  Confirmation was provided that once trialed, the information gathered would be shared widely with partners, as would training relating to the completion of the questionnaire.  Confirmation was provided that the trial was due to finish by April 2024;

·       Congratulations were extended to members of Housing, Health and Care Delivery Group for the progress made.  There was also recognition that there was still more to do, with particular reference being made to the Lincolnshire Homelessness and Rough Sleeper Strategy;

·       Some concern was raised regarding the lack of accommodation available for those in need.  The Board noted that early intervention was key, and that work was ongoing with partners to make that happen;

·       The Board was advised that with regard to Scampton, questions were being raised with the Home Office and would continue to be raised to obtain some clarity regarding concerns raised by district councils and the county council;

·       Some concern was raised regarding the government’s de-carbonisation agenda and the effect that would have on some residents in the county. The Board noted that there was a raft of government grants available, but it was highlighted that these did not extend to replacements for gas and oil boilers.  It was noted further that issues affecting residents on the ground would be fed back to the government as part of the housing intelligence function.  Some members also highlighted that there was a need to lobby local MPs to make them aware of the potential issues that would be affecting Lincolnshire residents; and

·       Confirmation was provided that Lincolnshire had a comprehensive multi-agency approach to hoarding, and that further guidance was available on the council’s website.

RESOLVED

That the good progress being made on the current workstream for the  ...  view the full minutes text for item 15c

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

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

Attached at Appendix A to the report was a copy of the fortnightly discharge reporting for September 2023; Appendix B provided details of the monthly total hospital discharge report – August 2023; and Appendix C provided a copy of the Performance report for Quarter 1 for the Board to consider.

The Board noted: that the Lincolnshire BCF plan for 2023-2025 had been approved and signed off by the Regional Director for NHSE and was now with national partners for endorsement.

The Board noted in the acute part of the hospitals, there had been an influx of sicker patients, which was causing a bit of a backlog at the front of the hospitals.

It was also highlighted that there were still issues relating to delayed discharges, and that industrial action was also having an impact, putting significant pressure on urgent and emergency care and planned care.

Clarification was also given that expected capacity (page 56 of the report) would become more apparent in Quarter 2, when numbers increased to meet demand.

The Board was advised that the way intermediate care was provided currently was one of the best in the country.  It was noted that the care was being provided at a third of the cost of the inhouse care provided 10 years previously.

That the Disabled Facilities Grant (DFG) was ringfenced within the BCF and as with initial DFG money, the money was passed on to the district councils in full. Page 45 of the report pack provided details of the 2023-2024 DFG allocation to district councils.

RESOLVED

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

2.     That the update provided on the Discharge/Winter Funding be noted.

3.      That the Quarter 1 BCF Performance report be noted.

(For the Board to note decisions taken since 13 June 2023)

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 26 September 2023 to 1 October 2024)

The Chairman invited members of the Board to contact either Alison Christie, Programme Manager Strategy and Development or Michelle Andrews, Assistant Director Integrated Care System – Public Health if they had any items they wished to have included in the Health and Wellbeing Board Forward Plan.

RESOLVED

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