The Board considered a report of the Director of Health and Care Integration which summarised the discussion that took place at the Health and Wellbeing Board Development Session on 15 December, presented the outputs from that session and outlined the next steps that would be taken to progress actions arising from the session. A copy of the report marked ‘Agenda Item 5’ is filed with these minutes.
Arising from discussion the following points were raised:-
(i) It was felt that, in addition to Integrated Locality Teams and Community Health Services, the Health and Wellbeing Board should also assure itself that cross border issues were being addressed through the delivery of the Sustainability and Transformation Plan (STP). The Board was advised that the Leicester, Leicestershire and Rutland (LLR) STP was currently being mapped against neighbouring STPs to identify any implications for LLR and meetings were being arranged with the Lead Officers for neighbouring STPs. The Director of Finance for the LLR STP was considering the effect that neighbouring STPs would have on activity levels and finances for LLR.
(ii) Some concern was expressed that the LLR STP included proposals for an endoscopy unit at the Community Hospital in Hinckley. The STP for Warwickshire proposed an endoscopy unity at the George Eliot Hospital in Nuneaton, and it was suggested that to have two units in close proximity was not good value for money. The Board was advised that the endoscopy unit in Hinckley would not be a standalone unit but would be linked to the wider day case offer for that area. In an LLR context, there was sufficient activity for the unit to be sustainable. However, this proposal would now be considered in the light of the proposal for the George Eliot Hospital.
(iii) The proposed communications campaign for the Health and Wellbeing Board related to self care and supporting people to stay safe, well and independent in Leicestershire would be developed across health and social care partners. It would be submitted to a future meeting of the Board for approval. It would be important for the campaign to enable the public to understand and shape the future for health and care services in Leicestershire.
(iv) It was noted that Looked After Children, including unaccompanied asylum seeking children, put pressure on NHS budgets as well as that of the Council. It was confirmed that a Children and Families Plan for Leicestershire was being developed and would include the future strategic direction for this area of work.
(v) It was requested that the update to the guidance on declarations of interest at Board meetings, in the light of some Board members also leading STP workstreams, be a solution for LLR as a whole.
(a) That the actions proposed in paragraph 9 of this report be approved and that a report outlining progress with their delivery be submitted to the meeting of the Board in March 2017;
(b) That the Director of Public Health be asked to develop a prevention wrap-around offer for the Integrated Locality Teams and report on progress with this to a future meeting of the Board;
(c) That individual partners be asked to progress the proposals outlined in paragraph 12 which relate to their organisation and that this be the focus of a Development Session for the Health and Wellbeing Board during Spring 2017.
(d) That officers be asked to develop a refreshed communications plan for the Health and Wellbeing Board, based on the Board’s role as set out in paragraph 13 of this report;
(e) That officers be asked to develop a communications campaign for the Board related to self care and supporting people to stay safe, well and independent in Leicestershire;
(f) That the Better Care Together/STP Programme Management Office be recommended to consider learning from the integration model developed in Salford;
(g) That the Better Care Together/STP Programme Management Office be recommended to consider using the Public Health Prioritisation Tool to determine commissioning and decommissioning decisions across the health and social care system;
(h) That a report on cross border issues in relation to the Sustainability and Transformation Plan be submitted to a future meeting of the Health and Wellbeing Board.