Agenda item

Report ENV651 of the Business Manager – Environmental Health.

(Enclosure)

The Business Manager Environmental Health presented report number ENV651 on the Integration Self-Assessment (integrating Health and Social Care).  Members were being asked to undertake an exercise to identify the top three priority areas where they felt additional focus by the Lincolnshire Health and Wellbeing Board might help accelerate the integration of commissioning and provision of services.  The three priority areas for improvement would need to be fed back to the Executive Member Environment and then to the Lincolnshire County Council Public Health by 31 January.

Members were informed of the Government’s ambition for health and social care to be integrated by 2020.  Local areas would be “graduated” from the Better Care Fund (BCF) once more transformative integration had been demonstrated.  The BCF was a single pooled budget allocated to Local authorities and used by both the NHS and Local Government through the Health and Wellbeing Boards to encourage closer working arrangements and provide more focussed and integrated health and care services that centred on wellbeing. 

A small number of (up to 10) Graduation Pilots were available and would be selected for 2017/18.  Lincolnshire County Council had approved the submission of an application for pilot graduation status . The criterion for selection was set out in the report circulated with the agenda.

A self-assessment exercise had highlighted a number of areas where wider partners and stakeholders felt improvements were required.  As a partner organisation, the Health and Wellbeing Board was asking for the top three areas to be identified where Members felt were a priority and would support the development of an Improvement Plan and accelerate integration of commissioning and provision of services.

Eight areas for ranking had been identified:

1.          Shared Commitment

2.          Shared leadership

3.          Shared accountability

4.          Getting it done

5.          Shared vision

6.          Shared decision making

7.          Shared systems – models

8.          Shared systems – enablers

Issues raised by Members were:

Whether this was part of the STP recently presented by the NHS at a meeting of Council.  Members were informed that the Sustainability and Transformation Plans (STP) were the overarching plans of the NHS which was not directly related to the issue under discussion today.  The issue being considered today was about the effectiveness of partnership working within the Health and Wellbeing Board;

The focus must be mindful of a joined up approach between social services and hospitals;

Patient need: ensuring that patient’s needs were being met when they were discharged from hospital; patient’s were transferred into a safe environment; a better understanding of the medication requirements for patients especially during transition from hospital to their place of care; better monitoring of patients when leaving hospital; a better health care path for each patient.

That although housing was included in the Health and Wellbeing Strategy it was not a primary focus; that planning and the location of developments was also an element that affected health and may need to be highlighted more in the strategy;

Members were then asked to identify their three preferences by allocating stickers to three of the eight main areas set out on a display board.

Members preferences had ranked the areas as follows:

Joint 1^st        Getting it done in Lincolnshire

                    Shared commitment in Lincolnshire

3^rd                Shared vision in Lincolnshire

4^th                Shared decision making in Lincolnshire

Joint 5^th        Shared Systems (models) in Lincolnshire

                    Shared Accountability in Lincolnshire

                    Shared Leadership in Lincolnshire

8^th                Shared Systems (enablers) in Lincolnshire

Action Note:

That these preferences would be shared with the Executive Member Environment and then sent to Lincolnshire County Council Public Health by the Business Manager Environmental Health by 31 January 2017.