Agenda and draft minutes

Members were welcomed to the meeting by Gary Hall covering as Chair. Introductions made and apologies noted.

Minutes agreed as correct record, with no matters arising. Actions updated as follows:

·         PMO to request self-assessments from relevant areas – baseline now completed, cleared.

·         Propose activity to move to next stages against work programme development – planned for July Executive, on forward look of meetings, cleared.

·         Develop core information that could be shared with services to support better understanding – part of Communications and Engagement Agenda item, cleared.

·         Vicky Willett to send a response to the Lancashire County Council Wellbeing and Prevention and Early Help consultation on behalf of the Chorley Public Service Reform Partnership – response sent, cleared.

·         Programme Update

·         Communications and Engagement Plan

Vicky Willett advised the Executive on the three main workstreams, building community capacity, establishing the single frontline, and enhanced multi-disciplinary approaches. The Implementation Group has been very active in progress the work in all areas, and work programme rated green, using a simple RAG rating format. Some supporting activity has been delayed due to capacity required on main work, which has been rated amber, but is not a cause for concern.

Key challenge over the next few months will be on delivery, and Executive asked to support on resources required, and advise if there are any issues with the progression of the key elements.

Agreed that the work will need to map into the Health and Wellbeing initiative, picking up residents needs from engagement activity, and looking at what is needed to plug gaps and support residents to be resilient.

Steve Winterson advised on the Communications and Engagement plan and partners involved to develop this further. The delivery plan needs to be developed and reported, and engagement will be part of this across the stakeholders identified.

Acknowledgement from the Executive that the Implementation Group have moved from the planning stage to development and delivery, and that the work is progressing to plan with no key risks identified at this stage.

Discussion on mandating people to events was held with the clarification that this would not be the approach taken due to the need to develop community support and increase community capacity. VCFS support is also key to the work planned, ensuring that the community take a leading role.

Potential for further education to be involved in supporting the work, including education opportunities and accreditation was also discussed and engagement with Edgehill is in place with LCFT and the Council.

Through the work of the multi-disciplinary approaches, the work in Blackburn with Darwen was sighted as a useful link to share best practice, as findings from identification of high level users from the Police perspective has found that only a low number of cases are also known to NHS services.

It was noted that the cases being identified in the Extended MDT are from concerns from the GPs, and although this is in early stages of development, the group are fully committed to working across the partnership in place to supporting residents with early help and support. Thanks to Andrea Trafford was noted in establishing this group and having involvement from additional surgeries in the locality.

A co-ordinator will be in place to support the multi-agency groups, which will include an analysis of cases and link to the evaluation due in September back to the Executive. 

It was also noted that from the last extended MDT meeting an issues of linking information across children’s records where there is a Child Protection Order in place, to the relevant adult record would help understand safeguarding issues, as at present no information is recorded.

Action – Vicky to contact LCC regarding this concern

Further to the update on the work programme, the Executive  ...  view the full minutes text for item 32b

Gary Hall advised that following the re-structure of the Public Service Reform partnership, the Board was set up as the top level of decision makers, and met for the inaugural Board meeting on 26.04.16. Messages on the ambition and scale of change were presented, and a useful discussion took place on the aspiration of the work programme.

Although some work needed in terms of attendees covering the whole partnership, and roles of the group, the work being progressed on the Sustainability and Transformation plan (Lancashire and South Cumbria), including local delivery plan, will involve senior roles which is likely to shape the Public Service Reform Board activity in the future.

This work will bring in significant change across the health economy, with a focus on a number of elements including early intervention and acute care. The local delivery plan for Central will be “Our Health, Our Care (OHOC), and the Sustainability and Transformation Plan (STP) will be ready at the end of June, and the local delivery plan is being represented to the CCG governing body next week.  Senior managers will be involved in the STP panels, and there will be a set of actions from the Public Service Reform Board that need to match up with the STP. CCG will consider non-executive roles to be involved.

Gary Hall updated the group on the Lancashire County Council (LCC) Property Strategy consultation proposals published on Friday 6th of May, summarising the changes and potential impact for Chorley specifically. This will bring in significant changes for Chorley, as it impacts Children’s Centres and libraries. Executive agreed to provide a collective response for Chorley, including impact on LCFT which operate a number of services in properties affected which could be damaging for residents e.g healthy lifestyle services. CCG advised of unintended consequences of decisions made on this strategy, and the link to the estates strategy on Our Health, Our Care would also need to be linked in. GP Estates strategy, and LCFT property services would also need to consider the impact of the changes. There is a concern against the speed of changes coming in, and risk on empty buildings following decisions made.

Action – Executive to consider the changes proposed for the Chorley area against each service provider, and provide a summary of emerging issues and impacts; details of buildings affected in delivery of services; highlight need to link in with wider strategies, with any immediate issues to be flagged direct to Gary Hall.

Action – Cllr Bradley to send a collective response to LCC on behalf of the Chorley Public Service Reform Partnership on the Property Strategy Consultation.

Gary Hall provided a summary of the NHS plans for the Sustainability and Transformation Plan (Lancashire and South Cumbria), and local delivery plan for Central Lancashire (Our Hospital, Our Health), advising that these are looking to improve health outcomes, address financial challenges, and increase quality of services. The local plan is to have a system approach to the programme of works, including a three month detailed plan with delivery from September. Partners to be engaged and have input to the plans, and look to have consistency across the borough boundaries (Preston, South Ribble, Chorley).

How this is delivered, managed and governed needs to be agreed, but key members of the Executive including Councillor Bradley, Gary Hall and Karen Shorrocks are involved in the development of this work. Recruitment for the Our Hospitals, Our Heath programme is ongoing, and an update will be presented at the next Executive. 

None identified

Next meeting 19^th July 2016 at 16.00, Chorley Town Hall

Next meeting planned for 19^th July at 16.00, Chorley Town Hall