Agenda, decisions and minutes

The Chair welcomed everyone to the meeting.

Apologies were received on behalf of Tara Poole, Chris Oliver, Gareth Jones, Vicky Shepherd, Angela Allen, Joanne Siddle, Dilwara Ali and Dr Mohamed Umer.

RESOLVED – That the Minutes of the Meeting held on 20th June 2023 be agreed as a correct record.

The Minutes of the Meeting held on 20th June 2023 were submitted for approval.

RESOLVED – That the Minutes of the Meeting held on 20th June 2023 be agreed as a correct record.

There were no Declarations of Interest received.

The Chair informed the Board that no public questions had been received.

RESOLVED – That the Tobacco Free Lancashire and South Cumbria Strategy 2023-2028 be approved.

Director of Public Health (BwD) Abdul Razaq and Consultant in Public Health (Blackpool) Liz Petch presented a summary of the progress of the Tobacco Free Lancashire and South Cumbria Strategy to the Board. The Board was asked to approve the Tobacco Free Lancashire and South Cumbria Strategy.

The Board was advised that tobacco was a main contributor to health inequalities and a major cause of illness and death in the Borough. The Strategy was presented at Blackpool Health & Wellbeing Board in June 2023 and at Lancashire County Council and the Integrated Care Board in September 2023. The purpose of the strategy was to provide clear direction for commissioners, strategic leads and policymakers across Lancashire and South Cumbria around how we can make Smokefree a reality for Lancashire and South Cumbria and reduce the harm to our population from smoking and tobacco. Current investment to support the Blackburn with Darwen population was available through a local authority community pharmacy offer and promoted via re-Fresh. It was agreed that lobbying Government was key to achieving additional financial investment for the strategy.

There was a discussion following the summary regarding those groups who experience inequalities in tobacco use and tobacco related harm, including: smoking in pregnancy, smoking in people with mental health conditions, socio-demographic inequalities, smoking in routine and manual occupations, smoking in those with multiple addictions, shisha and smokeless tobacco, children and young people.

Vaping was discussed as a tool for adults to quit smoking. Concerns were expressed about the unknown long-term effects of vaping and “under the counter” sales to minors. Vaping products via prescription was considered but there were no registered providers willing to undergo toxicology testing/regulation of their products. Profits appear to drive their decision not to put themselves forward.

It was agreed that Smoke Free Places should be expanded from children’s parks, public buildings and indoor spaces. Liz Petch advised that Blackpool Council was in consultation with Blackpool Pleasure Beach and Blackpool Zoo to make them completely Smoke Free. Some beaches in South Wales were also designated “smoke free”.

The Chair, Cllr Damian Talbot thanked Abdul Razaq and Liz Petch for the huge amount of detail in the report and agreed that a targeted approach was needed to reach particular demographics.

The Board was recommended to approve the Tobacco Free Lancashire and South Cumbria Strategy 2023-2028.

RESOLVED – That the Tobacco Free Lancashire and South Cumbria Strategy 2023-2028 be approved.

For the Board to receive a presentation about the Climate Emergency Action Plan

RESOLVED – That the Board noted the Climate Emergency Action Plan.

The Environment and Sustainability Manager (BwD), Gwen Kinloch, presented a brief update on the Climate Emergency Action Plan. Gwen advised this was the 3rd version of the plan and was Council focussed at the moment. The Board was asked to note the Climate Emergency Action Plan.

Slides covered;

Recap – Ambition: To be Carbon Neutral by 2030

Action Plan to include:

1) Make sound climate-related decisions

2) Create a resilient and attractive borough

3) Be lean and clean with resources and energy

4) Travel lightly

5) Capture more carbon

Achievements in 2022/23;

Energy Measures

Plans for 2023/24

Blackburn with Darwen Joint Local Health and Wellbeing Strategy 2023-28;

Priority 2:

Healthy Homes, Places and Community

Climate Change & Health Needs Assessment

• Key recommendations for public health:

§ Consider the climate and ecological emergency in all public health strategic documents

§ Prioritise integrating climate and ecological considerations into commissioning decisions

§ Support the integrated care system to plan for future climate risks and increase resilience

§ Strengthen and support emergency planning and preparedness structures both locally and through the local resilience forum.

RESOLVED – That the Board noted the Climate Emergency Action Plan.

RESOLVED – That the Board:

· Noted the report

· Noted the Place Integration Deal and offered reflections; and

· Agreed to receive a further report at the Health and Wellbeing Board Meeting in December.

Director of Health and Care Integration Blackburn with Darwen, Lancashire and South Cumbria Integrated Care Board, Claire Richardson, provided an update on progress of the Place Based Partnership. It was noted that the Board had previously received verbal updates in relation to the development of a Place Based Partnership for Blackburn with Darwen and through their development session in March, members had the opportunity to input into key delivery priorities and an operating model for the Partnership.

The report represented the first formal update from the Place-Based Partnership to the Health and Wellbeing Board and was intended to ensure that the Board was fully sighted on progress during the development and subsequent phases of the partnership arrangements.

The Health and Wellbeing Board was recommended to:

· Consider and provide feedback on the report

· Note the Place Integration Deal for the Lancashire and South Cumbria places that was agreed by the Lancashire and South Cumbria Integrated Care Board in July and offer reflections regarding their ambitions for integration in Blackburn with Darwen

· Agree to receive a further report at the meeting in December, outlining options and recommendations for governance of the joint planning, delivery and commissioning arrangements

In addition to the Start Well/Live-Work Well/Age Well/Dying Well strategies the Place Based Partnership also focussed on delivering Integrated Services; Neighbourhoods, Community Health and Care (including Mental Health), Intermediate Care (Maximising Albion Mill Facility) and Care Sector Quality Improvements.

Working effectively with people and communities, developing partnerships and working closely with the Director of Public Health and his team was also discussed.

Chair Cllr Damian Talbot thanked the team for their commitment and agreed it was an ambitious project with universal challenges in a financially difficult time.

No questions were received following the update.

RESOLVED – That the Board:

· Noted the report

· Noted the Place Integration Deal and offered reflections; and

· Agreed to receive a further report at the Health and Wellbeing Board Meeting in December.

RESOLVED – That the NHS Lancashire and South Cumbria ICB Joint Resource Capital Plan Annual Report 2023/24 be noted.

The Director of Public Health, Abdul Razaq, recommended that the Health and Wellbeing Board note the NHS Lancashire and South Cumbria ICB Joint Resource Capital Plan Annual Report 2023/24.

A discussion followed the report which included:

RAAC replacement / reinforcing had taken place in various hospitals including the Royal Blackburn Hospital. Contingency plans were in place by the Rooms Team if problems developed during works. Improved uptake in Diagnostic Centre appointments – lives were being saved and residents were receiving treatment earlier. Funding had been secured for an additional decant ward in order to upgrade other wards. The Electronic Patient Records System was now up and running and would need to be taken forward to Blackburn with Darwen.

Cllr Damian Talbot and Abdul Razaq both reiterated the need for sharing “good news stories”. There was now a dedicated Comms Resource available and this should be utilised more.

RESOLVED – That the NHS Lancashire and South Cumbria ICB Joint Resource Capital Plan Annual Report 2023/24 be noted.

For the Board to receive a presentation on Joint Local Health and Wellbeing Strategy: Life Boards Update

RESOLVED – That the Board noted Joint Local Health and Wellbeing Strategy – Life Boards Update.

The Director of Public Health, Abdul Razaq, recommended that the Health and Wellbeing Board note the Joint Local Health and Wellbeing Strategy – Life Boards Update.

Slides covered;

How the system works together – Collaborative Planning (BwDBC / LSCICP / LSCICB / BwD Place Based Partnership)

An Overview of Neighbourhoods, Places and Systems

BwD Place Based Operating Model

BwD Joint Health and Wellbeing Strategy

Governance and Reporting Arrangements

Start Well: Children’s Partnership Board

Live Well: Programme Oversight

Age Well: Partnership Board

Dying Well: Palliative Care and End of Life Care Programme

It was noted that the BwD Place Based operating model was not accountable to the Health System but had a statutory obligation. Regarding good quality work and maximising income, the BwD Skills and Employment Board led by Fazal Dad / Martin Kelly / Adrian Phillips and Cllr M Green needed to be involved in the Health and Wellbeing Board and feed into the meeting.

The Adult Mental Health and Suicide Group (Governance Partnership/Group) to be renamed “Strategic Mental Health and Suicide Group”.

It was agreed that the Live Well Programme was a multi-layered system with huge challenges ahead.

There were many cross themes and mapping out of existing groups was complicated – an update to the Health and Wellbeing Board was expected in March 2024.

The Age Well Partnership Board was led by Fran Riley BwD and chaired by Vicky from Age Uk – an update to the Health and Wellbeing Board was expected in December 2023.

RESOLVED – That the Board noted Joint Local Health and Wellbeing Strategy – Life Boards Update.

For the Board to receive a presentation on Children’s Partnership Board Update

The Strategic Director of Children’s Services, Joanne Siddle had sent her apologies. The Board did not receive the Children’s Partnership Board update as planned.

In her absence it was agreed to circulate the slide deck to the Board. It was agreed that if there were any questions following receipt of the update, they would be raised at the next Health and Wellbeing Board in December 2023.

ACTION: Clerk to share the Children’s Partnership Board update via email to the Board – Completed 03.10.23

There was no other Business.

Proposed Items for next meeting:

•           Age Well Annual Update

•           CDOP Annual Report

The proposed items for the next meeting included:

• Age Well Annual Update

• CDOP Annual Report

• Child Death – Overview Panel

• PB Governance Agenda

Date & time of Next Meeting

5th December 2023 6.00pm – 8.00pm

The next meeting was scheduled to take place on Tuesday 5th December at 6pm.