Health and Wellbeing Board – 17 December 2019
Chairman: Councillor Waltham MBE
Venue: Conference Room f01e Church Square House
Time: 9.30 am
E-Mail Address: Dean.Gillon@northlincs.gov.uk
- Welcome and Introductions.
- Declarations of Disclosable Pecuniary Interests and Personal or Personal and Prejudicial interests.
- To approve as a correct record the minutes of the meeting of the Health and Wellbeing Board held on 14 October 2019
- Forward Plan and Forthcoming Actions from previous meetings (if any) – Update by the Director: Governance and Partnerships.
- Questions from members of the public.
PLEASE NOTE, ALL PAPERS WILL BE TAKEN ‘AS READ’ TO ENCOURAGE DISCUSSION
7. Better Care Fund Update – Report and update by the Director: Adults and Community Wellbeing and the Chief Operating Officer, North Lincolnshire Clinical Commissioning Group (for agreement).
8. Joint Strategic Needs Assessment – Special Educational Needs and Disabilities 0-25 – Report by the Director of Public Health (for information / agreement).
9. Annual Review of Local Arrangements to Safeguard and Promote the Welfare of Children and Young People 2018/19 – Report by the Director of Children and Community Resilience. (for information)
10. Local Safeguarding Adults Board Annual Report 2018 / 19 – Presentation and report by the Director: Adults and Community Wellbeing (for information)
11. Date and time of next meeting: 9:30am, 24 March 2020.
12. Any other items which the Chairman decides are urgent by reason of special circumstances which must be specified
PRESENT: – Councillor Waltham MBE in the Chair
Dr Faisel Baig, Jilla Burgess-Allen, Carrie Butler, Simon Green, Helen Grimwood, Denise Hyde, Karen Pavey, Julie Poole, and Alex Seale.
Dean Gillon was also in attendance.
The meeting was held at Church Square House, Scunthorpe.
298 WELCOME AND INTRODUCTIONS – The Chairman welcomed all those present to the meeting and invited all attendees to introduce themselves.
299 DECLARATIONS OF DISCLOSABLE PECUNIARY INTERESTS AND PERSONAL OR PERSONAL AND PREJUDICIAL INTERESTS – There were no declarations of disclosable pecuniary interests and personal or personal and prejudicial interests.
300 MINUTES – Resolved – That the minutes of the meeting of the Health and Wellbeing Board, held on 14 October 2019, be approved as a correct record.
301 FORWARD PLAN AND FORTHCOMING ACTIONS
Resolved – That the Forward Plan and Forthcoming Actions report be noted.
302 QUESTIONS FROM MEMBERS OF THE PUBLIC – There were no questions from members of the public.
303 BETTER CARE FUND UPDATE – The Director: Adults and Community Wellbeing and the Chief Operating Officer, North Lincolnshire CCG, tabled a report providing a summary of performance against the Better Care Fund (BCF) metrics. The Chief Operating Officer discussed the metrics in turn, highlighting ongoing efforts to improve local performance.
The Board discussed the report, the operation and the oversight of the BCF, and wider considerations on managing demand.
Resolved – (a) That the Health and Wellbeing Board note the progress against the national metrics as set out in the 2019/20 BCF Planning Guidance, (b) that future update reports on the BCF be formatted into a suitable form to enable effective Board oversight, and (c) that the Chairman write to the Secretary of State, on behalf of the Board, emphasising the need to ensure continued funding and ‘upstream’ investment.
304 JOINT STRATEGIC NEEDS ASSESSMENT – SPECIAL EDUCATIONAL NEEDS AND DISABILITIES 0-25 – The Director: Public Health submitted a report which informed board members that a new Joint Strategic Needs Assessment (JSNA) for children, young people and young adults with special educational needs and disabilities (SEND) 0-25 had been published.
The JSNA was jointly produced by North Lincolnshire Council and North Lincolnshire Clinical Commissioning Group and was endorsed by the Parents Involvement and Participation group (PIP) and the SEND Standards Board.
The JSNA identified current and future health and wellbeing needs in light of existing services, and informed the future service planning arrangements. The JSNA identified ‘the big picture’ in terms of the health and wellbeing needs and inequalities for our local population. There were three key elements which the JSNA considers:
- Supply: This relates to the current services being provided.
- Demand: This relates to what services people currently want.
- Need: This relates to what services people might benefit from.
The Board discussed the JSNA, and in particular how the Assessment would inform the commissioning, planning and delivery of relevant services. It was confirmed that the JSNA would play a key role in informing the Strategic Commissioning Plan, which would be considered by the Board later in 2020, following consultation and engagement. A related discussion on data sharing was led by the Chairman, and it was requested that a further report be submitted to the Board in the future.
Resolved – (a) That all Board members note the contents of the document and disseminate it within their organisations, (b) that, via Board members, policy makers utilise the information where appropriate, and especially when considering changes to services progress on integrating health and care, (c) that the JSNA be noted and welcomed by the Board, (d) that the JSNA inform the drafting and agreement of the Strategic Commissioning Plan, and that the Plan be led by and adopted by the Integrated Children’s Trust; and (e) that a further report on data sharing across the health and care sectors be submitted to a future meeting of the Board.
305 ANNUAL REVIEW OF LOCAL ARRANGEMENTS TO SAFEGUARD AND PROMOTE THE WELFARE OF CHILDREN AND YOUNG PEOPLE 2018/19 – The Director: Children and Community Resilience submitted a report requesting the Health and Wellbeing Board to note the publication of the Annual Review of Local Arrangements to safeguard and promote the welfare of children and young people 2018/19, and to consider the review in relation to planning, commissioning and budget setting. The review demonstrates that the Children’s Multi Agency Resilience and Safeguarding (MARS) Board (formerly the LSCB):
- Proactively planned for and implemented legislative changes (transitioning from the LSCB to Children’s MARS arrangements)
- Effectively met its statutory obligations
- Benefitted from strong and consistent leadership
- Had made good progress against its areas of focus
- Listened and responded to the voices of children and young people
The Board discussed the success of the MARS arrangements and ongoing work to ensure effective governance.
Resolved – That the Board receive the Annual Review of Local Arrangements to safeguard and promote the welfare of children and young people 2018/19 and consider this where relevant in relation to planning, commissioning and budget setting processes.
306 LOCAL SAFEGUARDING ADULTS BOARD: ANNUAL REPORT 2018/19 – The Director: Adults and Community Wellbeing submitted the 2018/19 Annual Report from the Local Safeguarding Adults Board (LSAB). The LSAB had a statutory requirement to publish an Annual Report which offered assurance that local safeguarding arrangements and partners work together to help and protect adults with care and support needs in its area. The report was also submitted to the Leader and Chief Executive of the Council, Local Police and Crime Commissioner, Chief Constable, and Healthwatch North Lincolnshire via board members.
The annual report detailed what the LSAB had done during the year to achieve its main objectives and deliver the strategic plan priorities, as well as detailing the findings of any Safeguarding Adult Reviews that may have been undertaken. The Annual Report provided details of progress in relation to the board’s priorities, which were:
- To keep adults safe at home
- To raise awareness of keeping people safe
- To keep adults safe in care and health settings
- The Board leads multi agency safeguarding effectively
The Director discussed key headlines, reported on progress, and described the arrangements that were in place to ensure safeguarding was seen as the highest priority. The Chairman led a discussion on how the LSAB’s priorities could be further embedded.
Resolved – (a) That the Health and Wellbeing Board note the publication of the Safeguarding Adults Board Annual Report for 2018/19, and (b) that the Board note submission of the report to the following for their information; and consider how the four key stakeholders below can improve their contributions to both safeguarding throughout their own organisation and to the joint work of the Board –
- Leader and Chief Executive of the Council
- Police & Crime Commissioner and Chief Constable of Humberside Police
- Healthwatch North Lincolnshire.
- Adults Partnership
307 DATE AND TIME OF NEXT MEETING – The Board was informed that the date of the next meeting would be 9:30am on 24 March 2020.
308 ANY OTHER BUSINESS – The Chairman led a discussion on the ongoing work of Healthwatch North Lincolnshire. It was confirmed that Healthwatch would be submitting a report on their work, including a recently completed piece of work on care homes, to the Board’s next meeting.
Resolved – That the situation be noted.