Venue: Guthlaxton Committee Room, County Hall, Glenfield
Contact: Ms. R. Palmer (Tel: 0116 305 6098) Email: rosemary.palmer@leics.gov.uk
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Minutes and Action Log. Additional documents: Minutes: The minutes of the meeting held on 5 May were taken as read, confirmed and signed. |
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Urgent Items. Minutes: There were no urgent items presented for consideration. However Chairman
did make reference to breaking news of NHS England’s
intention to cease the commissioning of children’s heart surgery at Glenfield
Hospital and the significant concerns this
news had generated locally. The Chairman noted that John Adler had been unable
to attend the meeting as he was dealing with the associated media enquiries
about this. |
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Declarations of Interest. Minutes: The Chairman invited members who wished to do so to declare any interest in respect of items on the agenda for the meeting. Mr. I. D. Ould CC declared a personal interest in respect of
Item 13 as the Cabinet Lead Member for
Children and Family Services (Minute 300 refers). |
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Position Statement by the Chairman. Minutes: The Chairman gave a position statement on the following matters:- · Engagement events for Non-emergency Patient Transport Services; · Two LPT projects shortlisted for national awards; · Education’s “power” to prevent Type 2 diabetes; · A range of national publications. A copy of the position statement is filed with these minutes. |
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Approach to the Wider Determinants of Health. Minutes: The
Board considered a report of the Director of Public Health concerning one
of the key actions arising from the Board’s development session held in
February 2016, which aimed to take a more systematic approach to the wider
determinants of health and wellbeing within the agenda of the Board, including
ensuring the Board’s strategy and work plan provides more prominence to these
matters in 2016/17. A
copy of the report marked ‘Agenda Item 5’ is filed with these minutes. Arising
from discussion the following points were raised:- ·
The positive engagement of district council colleagues was
welcomed; ·
It was felt that more needed to be done as part of the planning
application process for new housing developments to ensure that adequate
provision was made for GP surgeries. The impact of new care homes on local
health services was also raised, as these developments often happened rapidly
and without adequate engagement of primary care, with local surgeries faced
with putting in place support a short notice. This was felt to be of particular
relevance to medium to large-sized developments. In response to a request,
officers indicated that partners would be engaged with a view to considering
how best this issue could be addressed. RESOLVED: (a) That the proposed arrangements for Board Members to receive targeted updates from other bodies delivering work relating to the wider determinants of health be noted; (b) That the proposed approach to health in all policies be approved; (c) That the Board will ensure that the refreshed Joint Health and Wellbeing Strategy presents a systematic approach to the wider determinants of health and wellbeing, in accordance with the proposals set out in the report; (d) That it be noted that the recommendations from the report will support the implementation of the Better Care Together Programme and Sustainability and Transformation Plan in Leicester, Leicestershire and Rutland. |
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Accommodation Strategy for Older People. Additional documents:
Minutes: The
Board considered a report of the Director of Adults and Communities advising
the Board on the forthcoming consultation on the draft Adult Social Care
Accommodation Strategy for Older People and to present the annual review of
progress in relation to extra care housing in the County. A copy of the report marked
‘Agenda Item 6’ is filed with these minutes. RESOLVED: That Board members be invited to seek comments from their respective organisations as part of the consultation process, and that the actions arising from the Extra Care Annual Review as highlighted in paragraph 15 (a) to (f) be noted. |
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Developing the Joint Health and Wellbeing Strategy. Minutes: The
Board considered a report of Director of Public Health concerning the
proposed new Outcomes framework for the strategy and the scope of the draft
Health and Wellbeing Strategy 2017-2020. The report included feedback from the
discussions that had taken place with Board members and stakeholders about the
Joint Health and Wellbeing Strategy (JHWS) including the Health and Wellbeing
Board Development Session of 21st June 2016. A copy of the report marked ‘Agenda Item 7’ is filed with
these minutes. Arising
from discussion the following points were raised:- ·
The focus on outcomes was welcomed, though a suggestion was made
that Outcome Four should have an increased focus on “end of life” care. A
further suggestion was made for some regard to be given to dementia within this
Outcome. In response, officers indicated that suggestions such as these would
be a focus of the associated Delivery Plans; ·
A view was expressed at the high number of closely linked
strategies now coming before the Board and the need to avoid duplication and
demonstrate alignment. It was noted that work was underway as part of this
Strategy to identify any gaps and interrelationships across existing work
streams, for example in the context of BCT and the STP; ·
A single mission statement for health and care across Leicester,
Leicestershire and Rutland was being developed as part of the Sustainability
and Transformation Plan. The Joint
Health and Wellbeing Strategy would have regard to this; ·
It was felt that there may be some duplication between Outcome
Three and the work of the Safeguarding Board. A suggestion was made to include
reference to the statutory obligations of the Director of Children and Family
Services and the Cabinet Lead Member for this area; ·
It was suggested that paragraph 47(b) of the report should amended
in light of the Board’s decision today to adopt the “Health in all policies”
approach when planning and commissioning services. RESOLVED: (a)
That the proposed outcomes set out at paragraph
34 of the report be approved, subject to the comments of the Board and that
further regard be given to “end of life” care and dementia as part of Outcome
Four; (b) That it be noted that Board will be required to provide a clear steer regarding the content of the priority objectives and actions which will underpin the Joint Health and Wellbeing Strategy; (c) That the mission statement and principles to enable the Board to work in a more proactive and collaborative way be approved; (d) That the timetable for completion of the Joint Health and Wellbeing Strategy outlined in Paragraphs 48 to 52 of the report be approved; (e) That members of the Board be asked to consult their own organisations on the content of the Joint Health and Wellbeing Strategy in order to approve the final strategy at the Board meeting in November. |
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Leicestershire County Council's Early Help and Prevention Strategy. Additional documents: Minutes: The
Board considered a report of the Director of Public Health concerning the
medium term strategy for early help and prevention services within
Leicestershire County Council and the associated review of current delivery, and
the governance proposal and outline programme approach to deliver the
recommendations of the Strategy. A copy of the report marked ‘Agenda Item 8’ is filed with these
minutes. The Director
reported that the principal aim of the project was to provide a consistent
offer in respect of early help and prevention services, as these services had
previously been operated across multiple Council departments. £48.3 million was
currently spent by the Council on prevention services. It was hoped the project
would deliver some £3 million in savings. It was
noted that the Director would act as the project sponsor, with Mr. White CC
acting as the Lead Member for the project. Update reports on the progress of
the project would be provided to future Board meetings. RESOLVED: (a) That the Medium Term Strategy for Early Help and Prevention services within Leicestershire County Council and the associated review of current delivery be noted; (b) That the governance proposal and outline programme approach to deliver the recommendations of the Strategy as approved by Leicestershire County Council’s Cabinet on the 17th June 2016 be noted. |
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Progress on the Emotional Health and Wellbeing of Children Transformational Plan. Minutes: The
Board considered a report of the Director of Children and Family Services
concerning an update on progress made by the Better Care Together
programme for improving the mental health and wellbeing of children and young
people. A copy of the
report marked ‘Agenda Item 9’ is filed with these minutes. Arising
from a discussion, the following points were noted: ·
Tributes were paid to the former Director of
Children and Family Services in leading this work across LLR, and who had
recently taken up an equivalent post at Northamptonshire County Council. An
emphasis had been placed on improving CAMHS and this had already resulted in
reduced waiting times and the reduction of a large backlog of cases; ·
It was felt that more could be done to bring the
various sectors together to tackle CAMHS issues on a more collaborative basis
and improve integration; · School nurses now fell within the responsibility of Public Health and there was a need to manage expectation and tackle bureaucracy given a transformation plan to tackle CAMHS issues was being implemented over the next 4-5 years. RESOLVED: That the update on progress made by the Better Care Together programme for improving the mental health and wellbeing of children and young people be noted. |
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Listen to Me: Work with Children and Young People. Additional documents:
Minutes: The
Board considered a report and supporting presentation of Healthwatch
Leicestershire concerning the findings of Healthwatch Leicestershire’s
(HWL) ‘The Listen to me: #YoungVoicesMatter report’ that
saw HWL listen to the views, opinions and experiences of young people. A copy of the report marked
‘Agenda Item 10’ and the slides forming the supporting presentation is filed
with these minutes. Arising
from a discussion, the following points were noted: ·
Though some of the issues brought out in the report would be
impacted by the work around improving access to CAMHS(see Minute 296), there were some
concerns around the results of the survey where the views expressed by the
young people showed their levels of concern about self-esteem, for example many
young people (both male and female) worried constantly about their personal
appearance. It was noted that elements of support available to address these types
of concerns fall outside of the CAMHS service and are part of wider service
provision within mental health services (e.g. work on mental health
resilience); ·
While the results around the number of young people who said they
had self-harmed were concerning, the context of the small sample size used for
the report was discussed, along with the fact that the local results appeared
to be in line with proportions reporting self harm in
larger surveys. For some, the high number of those who said that had self-harmed
was also reflective of wider “health literacy” issues, where increased support
on a family basis would be needed; ·
Those young people that had participated in the survey would be
issued with a copy of the full report by way of feedback and the Board asked
that this feedback include action taken as a result of the survey It was hoped
that those who had contributed would also form a cohort which could be
consulted on future Healthwatch proposals; ·
Confidentiality was viewed by young people as being an important
factor in accessing support services, such as school nurses. In this case, it
was noted that some young people might be put off making use of this facility
if it was apparent fellow students to see that they had visited the school
nurse’s office. The use of the chat health confidential texting service was
noted as a positive development in support of this issue; ·
It was suggested that the report be sent to GP surgeries,
libraries and schools and its findings be publicised to youth groups, such as
the County Youth Council for Leicestershire (CYCLe), the Children in Care
Council and the LPT’s “Evolving Minds” Group. In the case of the youth groups,
it was suggested that any actions arising from the discussions that took place
should be fed back to the Board with a view to establishing whether any further
action was required. RESOLVED: (a) That Healthwatch Leicestershire’s “Listen to me: #YoungVoicesMatter” report and the supporting presentation setting out key findings and themes be noted; (b) That the Board’s comments on the recommendations (a) – (g) of the report be noted; (c)
That the findings of the report be presented to
the Children in Care Council, the County Youth Council for Leicestershire
(CYCLe) and the LPT’s “Evolving Minds” Group; (d)
That, arising from (c) above, the Director of
Health and Care Integration would follow up with members of the Board to
consider if further actions should be taken to address the Healthwatch survey
findings relating to young people’s self-esteem and anxieties around their
personal appearance; (e) That the report be circulated widely to GP surgeries, libraries and schools. |
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CAMHS Enter and View Report. Additional documents:
Minutes: The
Board considered a report of Healthwatch Leicestershire concerning the
findings of Healthwatch Leicestershire’s Enter & View visit to the Child
and Adolescent Mental Health Services (CAMHS) Unit at Coalville Community
Hospital (Ward 3) on the 23 February 2016. A copy of the report marked ‘Agenda Item 11’ is filed with
these minutes. RESOVED: (a) That the findings of the report and actions for improvement of the service and the system as a whole as outlined in the report be noted; (b) That it be noted that this report is to be presented at the West Leicestershire Clinical Commissioning Group Quality & Performance Committee on 19 July 2016 and Voluntary Action Leicestershire’s Children, Young People & Families Forum on 16 August 2016. |
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BCF Quarterly Submission. Minutes: The
Board considered a report of the Director of Health and Care Integration
concerning assurance on the quarterly reporting requirements for the
Better Care Fund (BCF) including the pay for performance element of the fund,
which is linked to achieving reductions in emergency admissions. A copy of the report marked
‘Agenda Item 12’ is filed with these minutes. RESOLVED: That it be noted that the final 2015/16 quarterly return was approved by the Integration Executive on 24th May and submitted to NHS England on 27th May. |
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Terms of Reference for Supporting Leicestershire Families Executive. Additional documents: Minutes: The
Board considered a report of the Director of Children and Family Services
presenting the terms of reference for the Supporting Leicestershire
Families Executive for the Board’s approval. A copy of the report marked ‘Agenda Item 13’ is filed with
these minutes. Mr Ould, having declared a
personal interest in this matter, chose to leave the room during discussion of
this item. RESOLVED: (a) That the Terms of Reference for the Supporting Leicestershire Families Executive be approved; (b) That those partner organisations which have not yet nominated a representative to serve on the Supporting Leicestershire Families Executive be asked to do so as soon as is reasonably practicable. |
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Date of next meeting. The
next meeting of the Health and Wellbeing Board will be held on 15th
September at 2.00pm. Minutes: The
next meeting of the Board would take place on Thursday 15 September at 2.00pm. |