Agenda and minutes

The minutes of the meeting held on 12 July 2018 were taken as read, confirmed and signed.

The Board also noted the Action Log, which provided an update on actions agreed by the Board at its previous meetings.

The Chairman reminded members that Paul Meredith, Director of Children and Family Services, would be leaving the Authority shortly and on behalf of the Health and Wellbeing Board she thanked Paul for his hard work.

There were no urgent items for consideration.

The Chairman invited members who wished to do so to declare any interest in respect of items on the agenda for the meeting.

No declarations were made.

The Chairman sought and obtained the agreement of Members to vary the order of business from that set out in the agenda.

The Chairman presented a position statement on the following matters:

·         Start a Conversation – Suicide Prevention Campaign

·         Stoptober

·         Children and Families Partnership Plan Launch

·         Help Improve Community Services

Particular reference was made to the County Council’s quit smoking campaigns which had recorded quit rates in line with the national average but which generated significantly more value for money. Performance was also notably better than other providers in the East Midlands.

It was noted that the Children and Families Partnership Plan Launch was well supported and it was hoped the Partnership would build on its good start as it focused on a shared vision for children, young people and their families.

Partners were reminded that they should have received a workplace health survey in support of work being undertaken by the Unified Prevention Board and were requested to complete and return it.  

The Board received a presentation from Dr Terri Eynon CC on the development of a community radio station, created by the voluntary sector, to promote health and social care issues in Leicestershire.  A copy of the presentation, marked ‘Agenda Item 5’ is filed with these minutes.

Dr Eynon CC highlighted that whilst the station was targeting a listenership across the West of Leicestershire where it had begun to broadcast since acquiring an OFCOM licence, much of the content would align with health and wellbeing priorities for the whole of the County and listeners could access the station through an internet radio or the website. Partners were being encouraged to provide content, and a small amount of required funding, in order for adverts to be produced and aired.

Members noted the importance of medical practices utilising their contact time with patients effectively to share messages of how health and wellbeing could be enhanced and radio was one of several mediums in which such contacts could be achieved. Partner organisations were therefore asked to promote the radio and encourage GP practices to consider acquiring the necessary technology and licenses to broadcast the station. 

RESOLVED:

a)    That the presentation be noted;

b)    That an update on progress with development of Carillon Wellbeing Radio be made to the Health and Wellbeing Board in a year’s time.

The Board considered a report of Leicester, Leicestershire and Rutland CCGs which provided an update on the arrangements for a new LLR Out of Hospital work stream and provide an overview of the work it would lead and oversee. A copy of the report marked ‘Agenda item 9’ is filed with these minutes.

It was noted that in an effort to avoid unnecessary overlap and duplication, the Out of Hospital Programme, which had been renamed the ‘Integrated Community Services Board’ would incorporate and lead the Integrated Locality Teams and Home First Programmes along with the CCGs’ Community Services Redesign project.

In response to a question concerning partner engagement, it was noted that the subgroups, including the Integrated Locality Teams, which helped shape the Integrated Community Services work stream, contained representatives from a variety of partners including the district councils.       

RESOLVED:

That the report be noted.

The Board considered a report of Better Care Together which provided an update on the Better Care Together partnership and the work being undertaken by partners to improve the health and wellbeing of people locally. A copy of the report marked ‘Agenda Item 6’ is filed with these minutes.

It was recognised that the report lacked reference to the contribution of the district councils, specifically in relation to their work in the housing sector and this would be addressed in future publications.

RESOLVED:

a)    That the update and the work of the BCT partners be noted;

b)    That the publication of the Next Steps document be noted;

c)    That the ongoing work to co-ordinate business cases for acute and maternity reconfiguration, which will be subject to formal public consultation once capital funding is identified be noted;

d)    That the on-going work of BCT work streams and engagement and consultation activities be noted.

There will be a Powerpoint presentation for this item.

The Board considered a presentation delivered by Rachna Vyas, a representative of the University Hospitals of Leicester NHS Trust which detailed the work of the Frailty and Multi – Morbidity Programme. A copy of the presentation is filed with these minutes.

It was reported that in an effort to improve the way in which patients suffering from frailty and multi morbidity issues were helped, work towards implementing a system wide Frailty task force had begun. It was intended that the improved approach would enable a co-ordinated response to issues across all care settings.

Arising from discussion the following points were raised;

·         It was known that patients with multi morbidities were at greater risk of contracting further diseases. The new approach would work closely with GPs and prevention services to raise awareness and ensure that these patients received appropriate care and support;

·         A system wide holistic approach would be taken when responding and managing frailty. Using the Clinical Frailty Scale, patient’s needs would be assessed and responded to in a co-ordinated and appropriate manner;  

·         It was acknowledged that prevention was a key driver of the new approach and there was a clear link between deprivation and the need for additional social care. Work was ongoing to identify specific locations within the City and County where additional resource was required. It was suggested that the Frailty and Multi Morbidity Programme should link to First Contact Plus, which already provided a holistic approach to prevention and incorporated a number of high impact interventions such as fall prevention, carers support and housing MOTs.

RESOLVED:

That the presentation be noted.

The Board considered a report from Better Care Together which provided an update concerning the progress and implementation of the local transformation plan for children and young people’s emotional, mental health and wellbeing service across Leicester, Leicestershire and Rutland (LLR) and sought approval for a proposed direction of travel for the next year.  A copy of the report, marked ‘Agenda Item 8’, is filed with these minutes.

There was a requirement for the next stage of the local transformation plan to be agreed by LLR Health and Wellbeing Boards and the CCGs prior to its submission to NHS England. 

In relation to improving the work of Child and Adolescent Mental Health Services (CAMHS), it was noted that work with the provider was ongoing to improve the quality of performance data being provided in order for their work to be closely monitored. The Board noted that whilst the latest reporting figures indicated that the target of 92% of referrals to CAMHS being seen within 13 weeks was being met, there remained concern about the number of patients waiting for further support following the initial assessments, and the considerable time it took those young people to access the help they required. There was also an opportunity to improve alignment of the Plans approach with that of the Leicestershire Children and Families Partnership Plan to avoid duplication.

It was recognised that the report lacked specific references to the District Councils approach to improving the health and wellbeing of children and young people and it was considered sensible to review the membership of the Future in Mind Steering Group which had representation on behalf of local authorities but lacked specific representation on behalf of the districts.

RESOLVED:     

a)    That the progress made in relation to implementation of the Local Transformation Plan be noted;

b)    That the proposed developments for 2019-21 as detailed in the report be supported.

The Board considered a joint report of the Director of Adults and Communities and the Director of Children and Families which presented the County Council’s recently adopted Whole Life Disability Strategy and associated document ‘Preparing for adulthood – a protocol for young people with special educational needs or disability’. A copy of the report marked ‘Agenda item 10’ is filed with these minutes.

The Board welcomed the strategy and noted that revisions had been made in the final version of the document to change the wording from ‘disabled people’ to ‘people with disabilities’.

RESOLVED:

That the report be noted.

The Board considered a report of the Director of Adults and Communities and Director of Corporate Resources concerning the County Council’s response to the ‘The Lives We Want to Lead’ – the Local Government Association Green Paper for adult social care and wellbeing.  A copy of the report, marked ‘Agenda item 11’, is filed with these minutes.

The Director of Adults and Communities reported that the LGA Green paper set out a number of options as to how adult social care could be funded in order for councils to try to address the significant and increasing cost of providing social care. He added that any revised future approach could affect local governance arrangements and the responsibilities of bodies such as the Health and Wellbeing Board.

RESOLVED:

That the County Council’s response to the consultation on ‘The Lives We Want to Lead’, the Local Government Association Green Paper for adult social care and wellbeing be noted.

The Cabinet considered a report of the Independent Chairman of the Leicestershire and Rutland Local Safeguarding Children Board (LRLSCB) which presented the Boards’ Annual Report for 2017/18.  A copy of the report, marked ‘Agenda item 12’, is filed with these minutes.

The Board noted that this would be the last Annual Report of the LRLSCB as the arrangements to replace the Board in line with new national guidence were now being finalised across Leicester, Leicestershire and Rutland. It was considered essential that the new arrangements were both streamlined and cost effective while ensuring that they continued to bring a robust challenge to the performance of partners.

RESOLVED:

That the Leicestershire and Rutland Safeguarding Children Board Annual Report for 2017/18 be noted.

The Cabinet considered a report of the Independent Chairman of the Leicestershire and Rutland Local Safeguarding Adult Board which presented the Boards’ draft Annual Report for 2017/18.  A copy of the report, marked ‘Agenda item 13’, is filed with these minutes.

In response to a question concerning the projected number of adults living in LLR with a learning difficulty by 2030, the Director of Adults and Communities confirmed that whilst a nominal rise of between 1 – 1.5% was expected, it was acknowledged that the severity of need amongst those diagnosed was becoming greater and therefore required additional support.  

RESOLVED:

That the Leicestershire and Rutland Safeguarding Adult Board Annual Report for 2017/18 be noted.

The Board considered a report of the Director of Health and Care Integration which provided an update on the Better Care Fund Programme for 2018/19. A copy of the report marked ‘Agenda item 14’ is filed with these minutes.

In reference to Leicestershire’s 2018/19 Delayed Transfers of Care figures, the Director reported that the performance since April had been good and initial indications suggested the strong performance had continued during September and that Leicestershire partners were expecting to meet the national Better Care Fund target of 7.88, which is measured on the basis of performance as at September. 

It was noted that the multi-agency workshop of the Leicestershire Integration Operational Group held on the 20^th September which was convened to commence the refresh of the BCF Plan for 2019/20 was well attended and it was hoped partners would also support the follow up workshop on the 22^nd November.

RESOLVED:

That the good performance across all four Better Care Fund metrics be noted.

The Board considered a report of the Director of Public Health which detailed progress made to strengthen links between community safety and health and wellbeing. A copy of the report marked ‘Agenda item 15’ is filed with these minutes.

It was recognised that the five priority areas endorsed by the Leicestershire Safer Communities Strategy Board in late 2017 were all closely linked to health and wellbeing outcomes and it was therefore beneficial that the two Boards worked closely together in order to deliver upon their joint priorities.

RESOLVED:

a)    That the ongoing work and progress made as detailed in the report be noted;

b)    That the five priority areas for joint focus as detailed in the report be noted:

c)    That a further update on the progress of strengthening links between community safety and health and wellbeing be provided to the Board at a future meeting.

Future meetings of the Health and Wellbeing Board will be held at 2.00pm on the following dates:-

Thursday 29 November 2018

Thursday 24 January 2019

Thursday 14 March 2019

Thursday 30 May 2019

Thursday 11 July 2019

Thursday 26 September 2019

Thursday 28 November 2019

That future meetings of the Health and Wellbeing Board will be held on the following dates:-

Thursday 29 November 2018 at 2.00pm

Thursday 24 January 2019 at 2.00pm

Thursday 14 March 2019 at 2.00pm

Thursday 30 May 2019 at 2.00pm

Thursday 11 July 2019 at 2.00pm

Thursday 26 September 2019 at 2.00pm

Thursday 28 November 2019 at 2.00pm