Agenda, decisions and minutes

Items
No. Item

29.

Welcome and Apologies

Minutes:

The Chair welcomed everyone to the meeting, with reference to Cllr Jackie Floyd – the new Executive Member for Adults, Social Care & Health.

 

Apologies were received on behalf of Cllr Derek Hardman, Mark Warren, Sam Proffit, Chris Oliver, Sam Wallace, Joanne Siddle and Dr Mohamed Umer.

30.

Declarations of Interest pdf icon PDF 80 KB

Minutes:

There were no Declarations of Interest received.

31.

Minutes of Previous Meeting pdf icon PDF 442 KB

Decision:

The Minutes of the Meeting held on 5th September 2023 were submitted for approval.

 

The Following amendments were noted;

 

• That Cllr Julie Gunn be placed in the Councillor section of Attendees.

• Item 9 – That the Age Well Partnership Board was chaired by Katherine White.

 

RESOLVED – That the Minutes of the Meeting held on 5th September 2023 be agreed as a correct record subject to the inclusion of the amendments outlined above.

Minutes:

The Minutes of the Meeting held on 5th September 2023 were submitted for approval.

 

The Following amendments were noted;

 

• That Cllr Julie Gunn be placed in the Councillor section of Attendees.

• Item 9 – That the Age Well Partnership Board was chaired by Katherine White.

 

RESOLVED – That the Minutes of the Meeting held on 5th September 2023 be agreed as a correct record subject to the inclusion of the amendments outlined above.

32.

Public Questions

No Public Questions raised prior to Publication

Minutes:

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

33.

Developing Blackburn with Darwen Place Based Partnership pdf icon PDF 214 KB

Decision:

RESOLVED

 

a) That the update provided on the development of the Blackburn with Darwen Place Based Partnership and the collaborative delivery that was underway to integrate health and care for the residents of Blackburn with Darwen was noted.

b) That the Lancashire and South Cumbria-wide review of Better Care Fund (‘BCF’) arrangements was noted and supported.

c) That the Board agreed to a review of the existing joint commissioning arrangements that support the current Blackburn with Darwen section 75 pooled budget and Better Care Fund - with recommendations to be brought back to the next meeting.

d) That the options for Place-based Partnership governance as documented within national guidance and set out in the report was noted.

 

Minutes:

The Director of Health and Care integration, BwD, Lancashire and South Cumbria ICB, Claire Richardson, provided the Health and Wellbeing Board with an update and presentation on the progress of developing the Place Based Partnership (PBP) arrangements for Blackburn with Darwen. This was to ensure that the Board were fully sighted on progress during the development and subsequent phases of the partnership arrangements.

 

The paper also included an outline of the different governance models that could be developed to facilitate collaborative planning, delivery, and commissioning arrangements once the ICB enacted the limited delegations to Place - as committed within the Lancashire and South Cumbria ICB Place Integration Deal (5th July 2023).

 

The Health and Wellbeing Board was recommended to:

 

a) Note the update provided in this report on the development of the Blackburn with Darwen Place Based Partnership and the collaborative delivery that was underway to integrate health and care for the residents of Blackburn with Darwen.

b) Note and support the Lancashire and South Cumbria-wide review of Better Care Fund (‘BCF’) arrangements.

c) Agree to a review of the existing joint commissioning arrangements that support the current Blackburn with Darwen section 75 pooled budget and Better Care Fund with recommendations to be brought back to the next meeting.

d) Note the options for Place-based Partnership governance as documented within national guidance and set out in the report. 

 

The presentation covered the following topics:

 

• BwD Place Priorities – strategic alignment

• Our journey to date

• Delivering for our people

• Place Integration Deal

 

The Board was advised that the BwD Place Based Partnership (PBP) had met every month since April 2023.

 

Funding formulas would not necessarily be based on need or population but could be weighted according to an agreed formula – particularly in the case of Primary Care / Mental Health / Children. BwD would likely be below target as funding formulas changed regularly and the eight former Clinical Commissioning Groups work differently.

 

It was noted that changes to the Health and Care Act meant the operating environment had changed rapidly. The Place Director was engaged with existing governance and ICB decision groups in a fiscal challenged environment and it was felt BwD had a lead from a place perspective within existing delegations.

 

RESOLVED

 

a) That the update provided on the development of the Blackburn with Darwen Place Based Partnership and the collaborative delivery that was underway to integrate health and care for the residents of Blackburn with Darwen was noted.

b) That the Lancashire and South Cumbria-wide review of Better Care Fund (‘BCF’) arrangements was noted and supported.

c) That the Board agreed to a review of the existing joint commissioning arrangements that support the current Blackburn with Darwen section 75 pooled budget and Better Care Fund - with recommendations to be brought back to the next meeting.

d) That the options for Place-based Partnership governance as documented within national guidance and set out in the report was noted.

34.

Life-course Updates to the Health and Wellbeing Board pdf icon PDF 269 KB

Decision:

RESOLVED – That the Board:

 

a. Noted the results of the Live Well mapping exercise to date and identified gaps, issues and opportunities

b. Approved the implementation of the proposed future schedule of life-course updates to the Board

 

Minutes:

Consultant in Public Health, Cath Taylor, presented an update on work to map the key strategic and supporting groups which have responsibility for delivery of Live Well priorities and actions within the Joint Local Health and Wellbeing Strategy.

 

This mapping work was undertaken by the Public Health Team and Blackburn with Darwen Place-Based ICB Colleagues. The work was informed through consultation with a range of teams across Blackburn with Darwen Council, including Adults & Health and Growth & Development departments.

 

The Board were asked to:

 

a. Note the results of the Live Well mapping exercise to date and identified gaps, issues and opportunities

b. Approve the implementation of the proposed future schedule of life-course updates to the Board

 

The Lancashire & South Cumbria ICB bid submission with local authority partners for the Work Well pilot programme was discussed as part of a levelling up piece of work, with Health & Wellbeing/skills/Health and Work programme. The Board was advised that it would be a competitive bid process with a workshop in January 2024; the deadline for bids being January 22nd 2024.

 

It was noted that the Live Well element was a complex work area with multiple groups and accountabilities. However, it was to provide assurance rather than accountability to the Health and Wellbeing Board.

 

Healthy and Good Quality homes continued to be an issue in Blackburn with Darwen and more needed to be done in the short and long term. Development meetings were ongoing to report issues with Housing Standards and strategic Housing review.

 

It was confirmed that an attempt had been made to identify all vulnerable groups, including Children as Carers and for the Board to share strategic groups that need to be fed into the Health and Wellbeing Board.

 

It was agreed that Dying Well shouldn’t be a bolt on project to Ageing Well and was a priority for members, with a separate update to the Board to be brought back by NHS place leads.

 

RESOLVED – That the Board

 

a. Noted the results of the Live Well mapping exercise to date and identified gaps, issues and opportunities.

b. Approved the implementation of the proposed future schedule of life-course updates to the Board.

35.

Update on Public Health Strategies in Development pdf icon PDF 150 KB

Decision:

RESOLVED – That the Board

a. Noted the progress and timelines of the production of the Public Health strategies current In development.

b. Receive the Public Health strategies once finalised.

 

Minutes:

Director of Public Health, Abdul Razaq, provided an update on the progress of the development of Public Health strategies in development.

 

The Board were asked to:

 

a. Note the progress and timelines of the production of the Public Health strategies current in development.

b. Receive the Public Health strategies once finalised.

 

Key issues included:

 

• Start Well: Child Poverty and Infant Feeding Strategy

• Start, Live and Age Well: Mental Health, Suicide and Self Harm Prevention Strategy (early prevention and resilience)

• Live Well: Combatting Drugs Partnership (CDP) Action Plan (Harm to Hope National Drugs Strategy)

• Live Well: Sexual Health Strategy

 

Abdul Razaq advised the Board that the updated Tobacco Control strategy had been finalised and had been submitted to the Health and Wellbeing Board and ICB Board. New national smoking cessation service allocations have been announced and a new community smoking cessation offer would be tendered in addition to existing provision of pharmacies with a report to Executive Board in February 2024.

 

It was noted that the Tobacco Control strategy was not on the current list of strategies and would be added to the list.

 

RESOLVED – That the Board:

 

a. Noted the progress and timelines of the production of the Public Health strategies current in development.

b. Receive the Public Health strategies once finalised.

36.

Age Well Partnership Update

Presentation

Decision:

RESOLVED – That the Board noted the presentation.

 

Minutes:

The Deputy Director of Adult Social Care, Adults and Health, Katherine White, presented an update of the Age Well Partnership.

 

Partnership members included NHS Lancashire and South Cumbria, Blackburn with Darwen Borough Council, BwD Age Uk, Healthwatch BwD, Local Primary Care, Safe/Personal/Effective, Care Network, and We Are LSCft.

 

The Board were asked to:

 

a.    Note the presentation and invite questions / comments from the Board.

 

Key Achievements April to December 2023 included:

 

• Dementia – development of a BwD Briefing Paper

• Falls and Frailty – development of a local falls plan and Better Care Programme

• Positive Ageing Framework and Age Friendly Place – mapping of activity and actions

• Physical Activity – implementation of Eat Well, Move More strategy

• Mental Health and Wellbeing – targeted Age Well campaign

 

Key Priorities for 2024 included:

 

• Dementia Support – Development of a BwD Dementia Action Group

• Reducing or delaying frailty – utilise the learning from the Darwen East programme

• Falls – Development of a Local Falls Plan

• Digital Inclusion – progress the development of the Digital Inclusion Strategy

 

It was noted that the Partnership was highly valuable and committed.

 

Further comments included:

 

It was acknowledged that Primary Care struggled with face-to-face meetings – GPs had found it difficult to attend.

 

Alcohol Abuse was a contributory factor for dementia and risk for falls. It was unclear how robust Primary Care alcohol brief interventions were to support community alcohol services.

 

The long-term effects of the COVID pandemic affected the over 70s population in frailty and levels of acuity. LSCFT had reported a drop off in organised Physical Activity attendance as group exercise programmes had ended. It was noted that re:fresh was involved in this arena and further sight of the project was required.

 

A strategy for Digital Inclusion was needed although it wasn’t under any departmental responsibility at the moment.

 

The Health Foundation project painted a national bleak picture, with multi-morbidities expected to increase by 2.5 million by 2040. Health and Care demand would increase. It was acknowledged that Primary Care was important and new models of care would need to be developed for transforming community services.

 

RESOLVED – That the Board noted the presentation.

37.

Better Care Fund Plan 2023/5 Update pdf icon PDF 183 KB

Decision:

RESOLVED – That the Board;

 

1. Noted the Blackburn with Darwen Better Care Fund Plans in relation to delivery and performance targets

2. Noted the Better Care Fund (BCF) Quarter 2 2023/24 delivery and financial position

 

Minutes:

The Deputy Director of Adult Social Care, Adults and Health, Katherine White, in partnership with Sam Proffitt, Chief Finance Officer, LSC Integrated Care Board and Vicky Shephard, AgeUk Chief Executive gave the Better Care Fund Plan 2023/25 update to the Board.

 

The Board were asked to:

 

1. Note the Blackburn with Darwen Better Care Fund Plans in relation to delivery and performance targets

2. Note the Better Care Fund (BCF) Quarter 2 2023/24 delivery and financial position

 

The report provided an account of the progress made against each of the performance metrics, scheme priorities and financial expenditure throughout the year.

 

Metric Targets:

 

• Avoidable Admissions - data unavailable due to implementation of EPR system

• Discharge to normal place of residence - on track • Falls - data unavailable due to implementation of EPR system

• Residential Admissions – not on track  

• Reablement – on track

 

No questions were asked following the report.

 

RESOLVED – That the Board;

 

1. Noted the Blackburn with Darwen Better Care Fund Plans in relation to delivery and performance targets

2. Noted the Better Care Fund (BCF) Quarter 2 2023/24 delivery and financial position

38.

Any Other Business

Minutes:

There was no other business.

39.

Forward Plan

Proposed Items for Next Meeting:

 

·         Local Authority Healthy Weight Declaration

·         Annual Review & Update of HWB Terms of Reference

·         Live Well Update – Part 1

·         Dying Well Update

Minutes:

The proposed items for the next meeting included:

 

• Local Authority Healthy Weight Declaration

• Annual Review & Update of HWB Terms of Reference

• Live Well Update – Part 1

• Dying Well Update

40.

Date and Time of Next Meeting

5th March 2024

18:00 – 20:00

Minutes:

The next meeting was scheduled to take place on Tuesday 5th March 2024 (18:00-20:00)