Health and Wellbeing Board – 12 October 2018

Councillor Waltham MBE
Venue:  Function Room 1, Civic Centre,
Time:  2 pm
E-Mail Address:


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 Health and Wellbeing Board held on 15 June 2018
5.                Forward Plan and Forthcoming Actions from previous meetings – Report of the Director: Governance and Partnerships.
6.                Questions from members of the public.


7.                Health and Care Place Plan 2018/21 – Presentation and Report by the Director: Adults and Community Wellbeing
8.                Northern Lincolnshire & Goole NHS Foundation Trust CQC Inspection Report – Outcomes and Implications.  Report by the Chief Finance Officer, North Lincolnshire CCG.
9.                The Sustainability and Transformation Partnership / Humber Acute Service Review – Report by the Chief Finance Officer, North Lincolnshire CCG  TO FOLLOW
10.             Joint Strategic Assessment of Health and Wellbeing – Report by the Director: Public Health


11.             Local Safeguarding Children Board – Annual Review Report 207/18 – Report by the Director: Children & Community Resilience
12.             Local Safeguarding Adults Board – Annual Review Report 2017/18 – Report by the Director: Adults and Community Wellbeing
13.             The Director of Public Health’s Annual Report 2017 – Report by the Director: Public Health
14.             Better Care Fund – Report by the Chief Finance Officer, North Lincolnshire CCG TO FOLLOW
15.             Date and time of next meeting:  3:30pm, 4 December 2018
16.             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, Cheryl George, Mick Gibbs, Helen Grimwood, Cllr Hannigan, Denise Hyde, Karen Pavey, and Emma Sayner.

Councillor Collinson attended the meeting in accordance with Procedure Rule 1.37(b).

Dean Gillon was in attendance.

The meeting was held at the Civic Centre, Scunthorpe.

257     WELCOME AND INTRODUCTIONS – The Chairman welcomed all those present to the meeting and invited all attendees to introduce themselves.

258     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.

259     MINUTES – Resolved – That the minutes of the meeting of the Health and Wellbeing Management Group held on 15 June 2018 be approved as a correct record.

260     (4)      FORWARD PLAN AND FORTHCOMING ACTIONSResolved – That the forward plan and Forthcoming Actions report be noted.

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

262     (5)      HEALTH AND CARE PLACE PLAN 2018/21 – The Director: Adults and Community Wellbeing gave a detailed presentation on ongoing work to integrate health and care services, guided by a shared ambition to transform the lives of the people of North Lincolnshire through developing an integrated care system. The Director described the shared goals of ensuring services were sustainable and enabling, and explaining how the required changes would be delivered. A key element of the Health and Care Place Plan was the integration of commissioning by North Lincolnshire Council and North Lincolnshire CCG, and this was being achieved through agreeing shared ambitions, values and actions.

A set of outline principles to underpin this work was described The principles were intended to create the conditions that enable services to transform the lives of people of North Lincolnshire. It covered all commissioning and provision and across all life stages and levels of need. The principles represented the Health & Wellbeing Board’s integration statement and supporting suite of integration documents approved in March 2018 (minutes 244-245 refers) and it was intended that these be incorporated within the published Joint Strategic Needs Assessment.

The Chairman led a discussion on the principles and the potential for greater integration to lead to better services for local people. The Director explained that this was a central consideration in this work.

Resolved – (a) That the outline principles to be used to publish the Health and Care Place Plan 2018-21 be approved; (b) that the development of the plan take account of the ongoing work of the Humber, Coast and Vale Sustainability and Transformation Partnership, and (c) that a further report be submitted at the next meeting of the Health and Wellbeing Board explaining progress.

263    (6)      NORTHERN LINCOLNSHIRE & GOOLE NHS FOUNDATION TRUST – CARE QUALITY COMMISSION INSPECTION REPORT 2018 – Dr Baig and the Chief Finance Officer, North Lincolnshire CCG, tabled a report providing a summary update on the key findings of the CQC report into the inspection of Northern Lincolnshire and Goole NHS Foundation Trust. Dr Baig highlighted several areas of continued concern, but also areas of outstanding practice, before confirming that the inspection reports were being utilised by commissioners in seeking further improvements.

The Board discussed practical methods of supporting the Trust to continue to improve, whilst holding the Trust’s senior leadership to account.

Resolved – (a) That the Board continue to support the Trust, whilst pressing for further improvements to services, and (b) that the report and inspection findings be noted.

264     (7)      THE SUSTAINABILITY AND TRANSFORMATION PARTNERSHIP / HUMBER ACUTE SERVICE REVIEW – The Chief Finance Officer, North Lincolnshire CCG, presented a report briefing the Health and Wellbeing Board on the work that was underway across the Humber, Coast and Vale Health and Care Partnership. The report covered the emerging governance structures for Integrated Care Systems and Partnerships, and ongoing refresh of the Humber, Coast and Vale Cancer Alliance, and recent developments on estates, An appendix was also circulated updating the Board on other regional developments. The Board discussed opportunities for a closer estate strategy, and options for improving integration.

Resolved – That the Health and Wellbeing Board note the information set out in the Partnership Update report.

265    (8)      JOINT STRATEGIC ASSESSMENT OF HEALTH AND WELLBEING (JSNA) – The Director: Public Health tabled a report describing the purpose of the Joint Strategic Needs Assessment (JSNA) and its central role in ensuring that organisations understand the health and wellbeing needs of local people, and utilise the JSNA in decisions about planning, commissioning or delivering services.   The assessment of health and wellbeing was one of a suite of documents which form an integrated intelligence base about the place of North Lincolnshire, summarised within the wider Integrated Strategic Assessment.

The Director listed the shared priorities outlined in the JSNA. It was confirmed that North Lincolnshire was performing well on supporting children and young people, and on ensuring that older people can continue to contribute to society.

Resolved – (a) That the Board accept the North Lincolnshire JSNA 2018 and agree to use it to inform strategic planning and commissioning processes, and (b) that the Board accept plans for the Full Integrated Strategic Assessment be finalised during October 2018 and brought to the Board’s next meeting.

266    (9)      LOCAL SAFEGUARDING CHILDREN BOARD (LSCB) ANNUAL REVIEW REPORT 2017/18 – The Director: Children and Community Resilience presented the Annual Review Report 2017/18 highlighting the recent Ofsted finding of ‘Outstanding’ for a number of issues, including the effectiveness of the LSCB. The report described progress against the LSCB’s priorities of reducing the harm from child sexual exploitation, reducing the harm from domestic abuse, and reducing the harm from neglect.

The Director described how the Board was likely to evolve in the future, with preparations underway to transition to new multi-agency safeguarding arrangements for children.

Resolved – That the Board receive the LSCB Annual Report 2017/18, considering this where relevant in in relation to planning, commissioning and budget setting processes.

267    (10)    LOCAL SAFEGUARDING ADULTS BOARD (LSAB): ANNUAL REPORT 2017/18 – The Director: Adults and Community Wellbeing tabled the LSAB’s Annual Report 2017/18 highlighting the good progress that had been made in achieving the Board’s priorities of keeping adults safe at home, raising awareness on keeping people safe, keeping adults safe in care and health settings, and the Board leading multi-agency safeguarding effectively. The Director described the importance of key organisations / groups considering the contents and reflecting how they could improve their contributions to safeguarding, both internally and via the Safeguarding Adults Board.

Resolved – (a) That the Health and Wellbeing Board note the publication of the LSAB Annual Report for 2017/18; (b) that the Board note submission of the report to the local Police and Crime Commissioner, Health and Wellbeing Board, Healthwatch, and the Adults Partnership Board; (c) that the Health and Wellbeing Board and the above organisations fully consider the contents of the report, and how they can improve their contributions to both safeguarding through their own organisation and to the joint work of the LSAB, and (d) that the report be published on these organisation / group’s websites.

268    (11)    DIRECTOR OF PUBLIC HEALTH ANNUAL REPORT – The Director: Public Health presented their Annual Public Health Report for 2017. This statutory report demonstrated the state of health within the local community, described key factors that influence health, and set the following three key priorities for the coming year:

  • “The Causes of the Causes” – transforming the determinants of health, and turning the curve on local health and wellbeing outcomes,
  • “Our Communities” – maximising and growing the strengths and assets already in our communities, with an emphasis on increasing social connectness, and
  • “Workplace Wellbeing” – harnessing the skills and passion of employees to be the champions of change and making every contact an opportunity to improve health, wellbeing and resilience.

Resolved – That the Health and Wellbeing Board note the Annual Public Health Report for 2017.

269    BETTER CARE FUND – The Chief Financial Officer, North Lincolnshire CCG, gave an oral update on the Better Care Fund. It was explained that, whilst the Better Care Fund was an important source of funding and assists in planning and delivering services, it is a single element in the context of the wider Health and Care Place Plan.

Resolved – (a) That the Health and Wellbeing Board continue to receive regular updates on the Better Care fund and the Health and Care Place Plan, and (b) that the situation be noted.

270    DATE AND TIME OF NEXT MEETING – The Board was informed that the date of the next meeting would be 3:30pm on 4 December 2018.