Agenda item

(To receive a report from Alison Christie, Programme Manager Health and Wellbeing, which presents the outcome of the Integration Self-Assessment exercise, and requests the Board to consider what actions need to happen to ensure that Lincolnshire is able to drive forward with its ambition for closer integration across the health and care system)

Consideration was given to a report from Alison Christie, Programme Manager Health and Wellbeing, which provided the Board with the outcome of the self-assessment exercise.  It was highlighted that integration between health and social care was a key driver to providing high quality and sustainable services to meet the needs of the local population; and also address local priorities.  The Integration Self-Assessment tool developed by the Local Government Association was aimed to focus on the key elements and characteristics needed for successful integration.

It was highlighted that the Health and Wellbeing Board was required to promote joint working and integration to improve health and wellbeing in Lincolnshire.  In doing this, partners and key stakeholders had been asked to take part in the self-assessment exercise; the findings from this exercise were then discussed at the Informal Health and Wellbeing Board meeting held in November.  The findings of the self-assessment exercise were detailed in Appendix A to the report; and feedback from the Informal Health and Wellbeing Board meeting held on 8 November was provided in Appendix B for the Board to consider.

Overall, the general view was that progress had been made initially; but there was still progress to be made in Lincolnshire to ensure that all partners and stakeholders were engaged in the integration journey.  To enable this to happen, the Board was requesting commitment from partners to share the outcome of the self-assessment exercise; and to identify priority areas for improvement.  A further report would then be presented to the meeting in March 2017, which would ask the Board to agree a small number of improvement actions to progress which would be based on the ranked list of priorities.

During a short discussion, the following points were raised:-

·         Some concern was expressed to the number of responses received (11 corporate responses).  The Board was encouraged to disseminate the information provided, to ensure that a better representation was received;

·         Some concern was expressed as to what happened next in the process.  An explanation of the next steps to be taken was provided to the Board.  (This information was detailed on page 25 of the report presented).  Confirmation was given that the Board was working towards the themes as agreed in the Joint Health and Wellbeing Strategy;

·         Some members highlighted that during the last 12/18 months some areas of integration had not been taken forward as far they possibly could have been.  It was highlighted that in some cases this had been as a result of lack of financing; and

·         Scrutiny of the local Sustainability and Transformation Plan (STP).  The Board was advised that STP would be included as an item on the March agenda; and that STP would remain as an item on the agenda thereafter going forward. The Board was advised further that scrutiny of the STP would be conducted by the Health Scrutiny Committee for Lincolnshire.

Following discussion, the Board agreed to:-

RESOLVED

1.    That the details of the Integration Self-Assessment as detailed in Appendices A and B be noted.

2.      That the next steps as detailed below be approved:-

·         Each partner organisation, including all district councils, NHS providers and Involving Lincs, share the details of this exercise with their governing body to raise awareness of the feedback and to gain commitment from stakeholders to develop a shared improvement plan to address the issues highlighted through this exercise;

·         Each partner is asked to identify their top three priority areas for improvement (ranked 1 to 3, with 1 being the top priority) and to feed this information back to the Programme Manager Health and Wellbeing by the end of January 2017;

·         The organisational priorities are collated and developed into a ranked long list;

·         A further report is presented to the Health and Wellbeing Board in March 2017.