Health and Wellbeing Board – 3 November 2015

Chairman:      Councillor Rob Waltham

Venue:    International Room, Civic Centre

Time:      2pm


1.  Welcome and Introductions.

2.   Substitutions.

3.   Declarations of Disclosable Pecuniary Interests and Personal or Personal and Prejudicial interests.

4.   To approve as a correct record the minutes of the meeting of the Board held on 16 June 2015.

5.   Questions from members of the public.


6.  Connecting Rural Communities – Transport Project.  Report by the Director of Places.

7.   Changing Places Toilet Campaign.  Report by the Director of Places.

8.   Better Care Fund.  Joint report from the Director of People, North Lincolnshire Council, and the Chief Officer, North Lincolnshire CCG.

9.   Partnership Working Protocol.  Report by the Director of People.

10.  Healthwatch North Lincolnshire Annual Report 2014/15 – presentation by the Chair, Healthwatch North Lincolnshire

11.  Local Safeguarding Children’s Board (LSCB) Draft Annual Review.  Presentation by the Independent Chair, North Lincolnshire LSCB.

12.   Verbal update on the Board’s development.

13.   Date and time of next meeting:  22 March 2016, 2pm.

14.   Any other items which the Chairman decides are urgent by reason of special circumstances which must be specified


PRESENT:-  Councillor Waltham in the chair.

Heather Barratt, Chris Blacksell, Caroline Briggs, Allison Cooke, Frances Cunning, Geoff Day, Simon Driver, Karen Dunderdale, Ewart Gibbs, Mick Gibbs, Edwina Harrison, Andy Orrey, Karen Pavey, Helen Reek, Anne Tyrell, Kristy Temperton, Alan Usher, Mike Wedgewood, and Peter Williams

Councillors Collinson, Mumby-Croft, and Wilson attended the meeting in accordance with Procedure Rule 1.37(b). Dean Gillon and Tracey Wartnaby were in attendance.

The meeting was held at the Civic Centre, Scunthorpe.

142  WELCOME AND INTRODUCTIONS – The Chairman welcomed all those present to the eleventh meeting of the board and invited all members and officers to introduce themselves.


144  MINUTES – Resolved – That the minutes of the meeting of the board held on 16 June 2015 be approved as a correct record.

145  QUESTIONS FROM MEMBERS OF THE PUBLIC – There were no questions from members of the public.

146  (5)  CONNECTING RURAL COMMUNITIES  – TRANSPORT PROJECT – The Director of Places submitted a report and gave a comprehensive presentation on the Connecting Rural Communities project.  This two year funded project aimed to transform transport within North Lincolnshire by working with a number of partners to co-ordinate transport to meet the growing local need. There were four work streams within the project:

    • Plan and implement a Demand Responsive Transport (DRT) pilot, based on a geographic model,
    • Integrate health, adults, children’s, and voluntary and community sector transport,
    • Review local bus routes,
    • Gather and utilise data and intelligence to assist with future decision making.The Chairman led a discussion on the scope and implications, with the Director and key officers answering questions from Board members.

      Resolved – (a) That the Board support the Connecting Rural Communities project and note progress to date, (b) that Board members consider how the DRT model could support health and wellbeing activities across North Lincolnshire, and (c) that details of any groups or partnerships that may benefit from a presentation on the project be forwarded to the Director of Policy and Resources.

      147  (6)  CHANGING PLACES TOILETS CAMPAIGN – The Director of Places submitted a Cabinet report considering how the provision of public toilet facilities for people of all ages with a disability could be improved.  This recognised that standard disabled toilets do not meet the needs of all people, of all ages, with a disability.  The report explained additional facilities that could be provided, and listed existing facilities and actions taken to map local provision.

      The Chairman encouraged all partners to consider introducing Changing Places toilets within their current and planned premises, also contributing to the local Action Plan where appropriate.  A discussion took place, including consideration of Changing Places toilets within hospital and primary care premises and how the provision of toilets would fit into the Estate Group’s work as part of the Healthy Lives, Healthy Futures programme.

      Resolved – (a) That all partner organisations on the Health and Wellbeing Board agree to support the Changing Places campaign, and commit to take actions to improve the provision of public toilet facilities across North Lincolnshire for people of all ages with a disability, (b) that all partner organisations on the Health and Wellbeing Board agree to review their existing infrastructure and  all future capital schemes to ascertain whether Changing Places toilets could be provided, and (c) that all partner organisations on the Health and Wellbeing Board contribute to the local Action Plan where appropriate..

      148  (7)  BETTER CARE FUND: PLAN UPDATE The Chief Officer, North Lincolnshire CCG, and the Director of People, North Lincolnshire Council, submitted a joint report updating the Board on progress on the key deliverables and the implementation of the Better Care Fund (BCF).  A multi-agency Joint Board for Health and Social Care had been established and agreed a number of key deliverable performance metrics and targets.  These were:

    • Reduced non-elective admissions,
    • Reduced length of stay in hospital,
    • A reduction in permanent admission to residential and nursing care homes,
    • An increase in the effectiveness of reablement and rehabilitation,
    • A reduction in delayed transfer of care from hospital, and
    • Improved service user experience.The Director of Commissioning, North Lincolnshire CCG, described the establishment of various teams of staff, designed to meet the above targets, through faster and better assessment, treatment, and holistic support.  Examples and genuine ‘patient stories’ were given where the integrated services had begun to lead to better care for local people.

      The Chairman led a discussion that touched on integration, supporting vulnerable people, and links to the wider Healthy Lives, Healthy Futures programme.  It was confirmed that the Board would continue to be kept informed of further progress.

      Resolved – That the Health and Wellbeing Board note the progress against the BCF Plan, its implementation arrangements, and the key deliverables.

      149  (8)  PARTNERSHIP WORKING PROTOCOL – The Director of People submitted a report introducing a partnership working protocol to clarify the roles and relationships and interdependencies between the Health and Wellbeing Board, the Local Safeguarding Children’s Board, the Safeguarding Adults Board and the Safer Neighbourhoods Strategy Board.

      The Director explained that the purpose of the protocol was to facilitate effective co-ordination between the Boards, enabling them to discharge their functions without duplication or creating additional structures.

      Resolved – (a) That the Health and Wellbeing Board adopt the Partnership Working Protocol, building the contents into a revised and updated Memorandum of Understanding and Terms of Reference, and (b) that the Health and Wellbeing Board receive a further report at its next scheduled meeting.

      150    (9) HEALTHWATCH NORTH LINCOLNSHIRE ANNUAL REPORT 2014/15 – A report was submitted by the Chair, Healthwatch North Lincolnshire, providing a summary of progress and presenting their Annual Report 2014/15.  It was confirmed that Healthwatch North Lincolnshire had delivered a number of needs-led initiatives and captured a number of local health and social care experiences.

      Resolved – That the progress of Healthwatch North Lincolnshire during year two be noted and that Healthwatch North Lincolnshire continue to fulfil its role on the Health and Wellbeing Board.

      151  (10)  LOCAL SAFEGUARDING CHILDREN BOARD ANNUAL REVIEW REPORT 2014-2015 – The Director of People submitted a report describing the background, achievements, performance, and future priorities for the Local Safeguarding Children Board (LSCB).  The Independent Chair, Edwina Harrison, gave a comprehensive presentation on each of these areas of work, as well as describing the very positive results of a recent inspection, and highlighting the LSCB’s priorities for 2015-2016..  Copies of the Annual Review Report had been circulated to the Board.

      Resolved – (a) That the Health and Wellbeing Board receive the LSCB Annual Review Report 2014-2015, and (b) that Independent Chair Edwina Harrison be thanked for their work and leadership throughout the previous year.

      152  UPDATE ON THE HEALTH AND WELLBEING BOARD’S DEVELOPMENT – The Director of Public Health gave an oral update on the Board’s previous and planned development.  This included plans for future development sessions on the Board’s priorities, and how work might be taken forward in future years.

      Resolved – (a) That the draft action plan arising from the March 2015 Peer Challenge be circulated to the members of the Health and Wellbeing Board, and (b) that all members of the Health and Wellbeing Board continue to contribute to the evolution of the Board towards becoming the effective system leaders for health and wellbeing across North Lincolnshire.

      153  DATE AND TIME OF NEXT MEETING – It was noted that the date and time of the next meeting of the Board would be 2pm on 22 March 2016.  Development sessions would continue to take place prior to this meeting.

      Resolved – That the situation be noted.

      154  CHAIRMAN’S REMARKS – The Chairman updated the Board on various actions taken by the council, in co-ordination with its partners, arising from recent announcements on the future of some sections of the Tata steelworks.  Whilst a significant number of programmes were being rolled out to support local people, and to ensure the economic wellbeing of the area, the Chairman called on all partners to pool resources, and to contribute to local actions.

      Allison Cooke, the Chief Officer North Lincolnshire CCG, advised the Board that this would be her last meeting prior to leaving the CCG.  The Chairman, on behalf of the Board, thanked her for her valuable contribution over many years and wished her every success for the future.