Agenda and minutes

The minutes of the meeting held on 29 November were taken as read, confirmed and signed.

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 presented a position statement on the following matters:

·         Healthy Lifestyles

·         Revamp of the Health and Wellbeing Board Agenda

·         Enderby Leisure Centre to host new Urgent Care Service

·         Civil and Military Partnership

A copy of the position statement is filed with these minutes.

The Board considered a report of the Director of Health and Care Integration which provided an overview of the Health and Wellbeing Board workshop held on 30 November 2018, and actions agreed. A copy of the report is filed with these minutes marked 4.

In introducing the report the Director explained that following circulation of the report, the CCG Lead Commissioner for Mental Health had provided clarification on a number of points. A revised version reflecting this feedback would be circulated to members of the Board.

Arising from discussion the following points were noted;

·         In consideration of the outcomes of the discussion at the workshop concerning the Mental Health JSNA Chapter, it was necessary to explore whether the Board had the appropriate mental health expertise and consider the possibility of recruiting an additional member to the Health and Wellbeing Board with such knowledge if necessary;

·         The importance of identifying individuals who had been subject to Adverse Childhood Experiences (ACEs) at an early stage was crucial in order to be able to make sure they were part of a cohort which benefited from a targeted Mental Health offer. The Children and Families Partnership Board would be asked to consider a report on this matter at its next meeting;

·         An engagement process on the Improving Access to Psychological Therapies (IAPT) Programme had commenced ahead of the expiration of the current contract and the procurement  process needed to implement services across Leicester, Leicestershire and Rutland from 2020. It was noted that a cross partner communication approach was vital in order for service users to understand how and what help they could access. Additionally, over 1300 patients with long term conditions had recently been written to with information about the ways in which they could access IAPT services;

·         To complement the First Contact Plus service, GPs and the public would benefit from the creation of a simple guide detailing the types of mental health services and support available for older people in Leicester, Leicestershire and Rutland to help direct patients/public to these services;

·         The lack of affordable rental accommodation for vulnerable and low income individuals and families was an issue which the Housing Services Partnership continued to monitor. In regards to the Adult Social Care Outcomes Framework figures for settled accommodation, it was noted that a reporting error had resulted in the County being ranked in the bottom quartile for the second quarter of 2018. Correct reporting would see the County positioned in the top quartile for the latest quarter;

·         In recognition of the importance of a joined up approach to managing mental health, the Board would seek assurance that mental health issues were being considered in the model of care of Integrated Locality Teams including the Hinckley ILT pilot which is currently underway;

·         Funding allocated by the Office of the Police and Crime Commissioner (OPCC) specifically towards mental health provision had been made available to the Safer Communities Strategy Board. The OPCC also worked closely with the Mental Health Board;

·         In reference to difficulties in accessing s106 monies and the implications for health and care services, it was noted that the county CCG’s were working together and alongside strategic estate advisors to help improve their approach when applying for s106 funding;

·         The recently published Annual Report of the Chief Medical Officer suggested a fundamental change to the way in which health was viewed, promoting a commissioning approach based on health being viewed as the nation’s prized asset rather than a financial burden. It was agreed that the relevant sections of this report report would be considered by the Board alongside the Strategic Growth  ...  view the full minutes text for item 130.

The Board considered a report of the Director of Adults and Communities which provided an update on the delivery of the Leicester, Leicestershire and Rutland Transforming Care Plan (TCP). A copy of the report marked ‘Agenda item 5’ is filed with these minutes.

The Board noted progress as a result of the TCP including the development of a new community based housing provision as part of its accommodation workstream and the expansion of the Learning Disability Outreach Service. 

The Director reported that a recent meeting with the NHS Lead Officer for Transforming Care had identified the positives associated with creating a multi partner based approach in the form of a Transforming Care Partnership, but concluded that the approach lacked the necessary overall impact on the lives it was tasked with helping.

In reference to future funding arrangements for the Programme, it was noted that as a result of its current inpatient position being considerably over the NHS England target, no funds were being made available to local system, and consequently funding was not following the patient as they returned to the community.

RESOLVED:

That the report be noted.

The Board considered a report of the Director of Public Health which provided an update on progress concerning the development of the Council’s Leicestershire Food Plan and recently adopted Good Food Leicestershire Charter. A copy of the report, marked ‘Agenda Item 6’ is filed with these minutes.

The Director reported that Leicestershire had been the first County Council to commence work towards membership of Sustainable Food Cities (SFC), it hoped to obtain the Bronze award in the next 18-24 months. It was also supporting several district councils to achieve the Bronze award in a similar time frame.

Members noted the benefits of the County’s local authorities becoming members of the SFC and adopting a Food Charter, which not only recognised organisations intentions to promote healthy sustainable food, but also had the potential to enable additional funding through organisations such as the Soil Association.

RESOLVED:

a)    That the Leicestershire Food Plan and associated Good Food Charter be supported;

b)      That members of the Board encourage their own organisations to adopt the Good Food Charter.

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 7’ is filed with these minutes.

In reference to Leicestershire’s 2018/19 Delayed Transfers of Care figures, the Director reported that whilst there had been a spike in the average number of delayed days at the beginning of the quarter, performance since then had improved, returning to target by November. 

RESOLVED:

That the good current performance across all four BCF metrics and the positive progress made in transforming health and care pathways in 2018/19 be noted.

The Board considered a report of the Unified Prevention Board which provided an update on their work in delivering the prevention offer along with partners across Leicestershire. A copy of the report marked ‘8’ is filed with these minutes.

The Board noted that a multi partner communication plan up to March 2020 had been produced, which would help deliver a co-ordinated and targeted approach across the areas of prevention.  The draft Plan remained in the planning stages and once finalised a version would be shared with Members of the Board.

RESOLVED:

That a copy of the Unified Prevention Board Communication Plan be shared with members of the Health and Wellbeing Board once finalised.

The next meeting of the Health and Wellbeing Board will be held on 14 March 2019 at 2.00pm.

It was noted that the next meeting of the Health and Wellbeing Board would be held on Thursday 14 March 2018.