Lancaster District Health and Wellbeing Partnership

Agenda Item 22.0. Lancaster District Health and Wellbeing Partnership MINUTES Wednesday 21st August 2019 13:00 – 16:00 Hours Large Lecture Theatre, Moor Lane Mills, Lancaster Present: Andy Knox (Chair) AK Executive GP, MBCCG Paul Blythin PB Active Lancashire Ian Dewar (for Items 1-6) ID UHMBT Helen Greatorex HG North Lancashire CAB Nick Howard NH Lancaster District Council Louise Jefferson (for Items 1-10) LJ Lancashire County Council Suzanne Lodge SL Lancaster District Council Claire Niebieski CN MBCCG Cllr Alistair Sinclair ASc Lancaster District Council Debbie Thompson DT Lancashire County Council Apologies: Ian Cooper IC Lancashire Constabulary Geoffrey Hornby GH Lancashire Fire and Rescue Mark Hutton MH Lancashire Fire and Rescue Jackie Kingsman JK Lancashire Constabulary Adrian Leather AL Active Lancashire Gill Milward GM Lancashire County Council Yak Patel YP CVS Julia Westaway JW MBCCG Jared Williamson JdW Lancashire County Council In Attendance: Alison Scott AS UHMBT Mark Wight (Secretary) MW MBCCG No. Action 1.0 Welcome, Introductions and Apologies The Chair welcomed Councillor Alistair Sinclair, the new Cabinet Member for Communities and social justice at Lancaster City Council, as a new member of the Partnership. It was noted that Councillor Caroline Jackson would be his substitute if he was unable to attend a meeting. 2.0 Minutes from meeting held 19th June 2019 The Minutes of the last meeting were agreed as an accurate record. 1 3.0 Action Log Members noted updates to the Action Log. 4.0 Matters Arising There were no matters arising from the Minutes. 5.0 Transformation Challenge Award Project update Members considered the written report provided and received verbal reports in relation to specific TCA Project work streams: Social Prescribing – Anji Stokes An update would be provided at the next meeting. Challenge through Sport – Tamasin Lamb/Jane Moodie An update would be provided at the next meeting. Targeted Enforcement – Housing – Fiona Macleod An update would be provided at the next meeting. Poverty Truth Commission – Roger Mitchell An update would be provided at the next meeting. Community Connecting – Yak Patel An update would be provided at the next meeting. Art of Hosting – Yak Patel It was reported that the Communications Team was undertaking a piece of work to was investigate what has changed and developed as a result of the various community conversations which have taken place across Morecambe Bay. This could be linked to information about applications to the Lancaster District Community Wellbeing Fund. Anecdotal evidence suggests that the Art of Hosting has had a significant impact on both individuals and communities (e.g. lady in Grange-over-Sands who set up a Fair Share Food Club). Seed Fund – Fiona Cruchley/Amanda Spavin It was suggested that the Lancaster District Community Wellbeing Fund could be advertised on Beyond Radio. Food Poverty – Richard Walsh An update would be provided at the next meeting. There were some concerns that not all organisations were working in unity and that there may be some key organisations that were not currently engaged. It was suggested that Richard Walsh should invite any missing organisations to join the Food Poverty Alliance. These organisations might include West End Impact and Stanley’s in Morecambe and the Free Methodists and Salvation Army in Carnforth. It was also suggested that a representative from Social Services could be invited to join the Food Poverty 2 Alliance or to at least advise on clear referral pathways into Social Services. It was also reported that an action plan was currently being developed and would be shared with the Partnership when completed. Adverse Childhood Experiences – Andy Knox It was reported that mindfulness training in schools had been completed. It was rumoured that significant additional funding for Trauma Informed Practice could be made available via The Wellcome Trust and Lancashire Constabulary. The funding would amount to c. £3.2M (i.e. c. £1.2M from Lancashire Constabulary and c. £2M from The Wellcome Trust). The funds would be sued to prevent harm to future generations, intervene now with people to build resilience and establish a safety net and to heal people who have physical, mental and health concerns arising from childhood trauma. It was envisaged that training would be provided to all GP practices and 700 schools in Lancashire. Work would also be undertaken to try to understand the role of trauma in explaining why prisoners have offended and would also look at reintegration and rehabilitation. It was reported that all primary and secondary schools in North Lancashire were now trauma informed. A new Early Action Intervention Team was being established and it was an agreed objective that Lancashire becomes a trauma informed county. 6.0 Lancaster Health Festival Members received an update about the organisation of the Lancaster Health Festival on 19th – 22nd September including arrangements for Love Lancaster, events in Williamson park for Year 7 pupils, events linked to spiritualty at St Thomas’ Church, a two-minute silence for people who have been trafficked and the return of the LRI Mortuary tours. 7.0 Population Health Update It was reported that a lot of activity had been underway to develop a programme plan which reflected the priorities of two county councils, three district councils, two county constabularies, two fire and rescue services, several NHS organisations and the Charity, Voluntary and Faith sector (CVFS). The plan – which is based on the Pentagram Model agreed by the Population Health Strategic Group – is still very health focussed in terms of both activity and terminology. The draft programme plan and general direction of travel was agreed by the Bay Health and Care Partners Leadership Team on 1st August 2019. The next steps would be to co-produce the next version of the plan with key stakeholders from district councils, county constabularies, fire and rescue services and the third sector. An awayday with district council colleagues would be held in late September 2019 and to hold wider stakeholder co-production events in the district council footprints in October/November 2019. It was explained that the plan aimed to bring together both existing and new activity that related to population health. All key stakeholders were 3 responsible for delivering the programme together and representation and accountability at all levels in the governance structure was being addressed. Members were keen that there were clear links to public health and expressed the view that the programme plan must incorporate existing plans, the views of elected members and leadership and must, as far as possible, align with existing governance arrangements. 8.0 Lancaster and South Cumbria Economic Region It was reported that the three district councils – Barrow Borough Council, Lancaster City Council and South Lakeland District Council – had come together to develop a new economic partnership to promote economic growth across Morecambe Bay. It was agreed that the recently published Prospectus for the Lancaster MW and South Cumbria Economic Region would be circulated to Members for information. 9.0 Workplace Health and Productivity It was reported that a meeting will take place on 6 September 2019 involving key stakeholders - including the Local Enterprise Partnership (LEP), Healthier Lancashire and South Cumbria and local authorities – to discuss the issues relating to low productivity due to sickness absence. High sickness absence rates can have a significant impact on Small and Medium-sized Enterprises (SMEs) due to the disproportionate impact of sickness in a small workforce (i.e. 85% of SMEs have between 10-15 employees in total). The LEP is investing in workplace wellbeing using funds which it administers from the European Structural and Investment Funds (ESIF) and UK Shared Prosperity Fund (UKSPF). This initaiative also fits into the governments Aging Society Grand Challenge (https://www.gov.uk/government/publications/industrial-strategy-the- grand-challenges/industrial-strategy-the-grand-challenges#ageing- society). Members welcomed this initiative and commented that it was a positive step as employers had a responsibility to the health and wellbeing of their staff and that they would benefit economically from any actions taken to reduce the impact of smoking, inactivity and poor diet on their workforce. It was suggested that links to the third sector should be promoted, including links to advice services, to help tackle issues including low wages, access to in-work benefits and poor housing. 10.0 Anchor Institutions Members noted the new economic model adopted by Preston (https://cles.org.uk/the-preston-model/) and other successful cities including New York, Amsterdam and Seoul. It was suggested that Lancaster should consider adopting this economic model. 4 The model has also been adopted in Oldham where positive discrimination in recruitment has been successfully used to recruit new staff from the most deprived areas to improve health and wellbeing. Other initiatives in Preston had included rest days and revised rotas for Council employees, the reinvestment of pension funds in local infrastructure to support regeneration and the introduction of local procurement. It was reported that a meeting had been arranged between the Chief Executive of University Hospitals of Morecambe Bay Trust and the Chief Officer of Morecambe Bay Clinical Commissioning Group (CCG) to discuss the role of both organisations

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