South Lakeland Health & Well Being Forum280616

South Lakeland Health & Well Being Forum280616

PRESENT:

Jozi BrownCumbria CVS

Mike ConefreyPublic Health Locality Manager for South Lakeland, CCC

Peter SmillieCALC

Simon Blythe SLDC

David Fletcher Councillor, SLDC

Alison Coward Public Protection Officer, SLDC

Kelly Alty Active Cumbria

Angela RobinsonCommissioning Officer, NHS CCG

Dr Jim HackingGP Lead, Cumbria CCG

Mark WilsonElected member, CCC

Fiona InstonPublic Protection Manager, SLDC

Leah Sierpinski Business Administrative Apprentice, SLDC

Penny Pullinger Age UK

Ali Hogson Alzheimer’s Society

Sue Green Oaklea Trust

Alison Dixon Cancer Care

Paul Phillips CCC – Health Care

Claire StanleyCCC - Adult Social Care

Apologies:

Graham Bassett Team Manager - CCC

Chris HoggSLDC Portfolio Holder HWB

Karen JohnsonArea Manager, CCC

Simon Rowley Assistant Director, SLDC

Welcome & Introduction and apologies for absence
Hand outof new ‘Terms of reference’.
Minutes of meeting of 8th December 2016
The minuets were agreed as a correct record. /

Actions

1. 3.

/ Matters Arising
No matters arising.
Election of Chair and Vice Chair
Vote for chair.
Nominated – Mark Wilson.
Vice Chair
Vote for – Chris Hogg.
Standing Agenda Items:
Health Watch
-No Update Provided
JSNA
-Working group sits under county council reporting to H&W Board.
-Mental health chapter being finalised
-Draft expected end of December
- Currently being written is Economy and business.
-Next – Due end of march –Environment and sustainability
SLDC Updates
-Rachel maternity leave – Alison Coward Covering
-Internally – H&W Staff award.
-Policy docs / Decisions going to committees to make sure no adverse impact on health
-Healthy towns
-Health impact assessments.
CCC Updates
-Continuing to meet with Flood Team on Monthly basic
-120 People not returned to their homes yet.
-Very low percent 7%
-
Active Cumbria – Updates
-County sport partnership with county council
-Government produced their sport & physical activity strategy
-More needs to be done at community level.
-Reducing secondary behaviour.
-Waiting to see what opportunities will be
-Will be funding available
-Advocating calibration areas.
-Potential opportunities – Who are the best people to talk to.
-Physical activity pathway – How we work with people that need the support – Behaviour changing principles – work in progress.
Sport England want to work with new partners.
WEBSITES
ActiveCumbria.org
Sport England Website / Various
20 Mins
ICC and STP Update
3 ½ ICC’s - Milnthorpe Arnside, Carnforth, Kendal, Central Lakes;
Morecambe Bay part of vanguard. – Invested money in ICC’s
Gives a focal point.
Alongside – project management. – Time – Short term contactors.
Hand outs – Up and running.
People working on a salary basis will work better.
Small amounts of funding being able to put into clinical services.
-Care navigators (Work with patience, look at care planning, Sign posing and making sure things are in place if they become more unwell)
-Care managers (More trained)
Care navigator – Funding through AGE UK.
Case Manager –
Keen to work around care providers.
Conistion – Community care.
Ulverston & Dalton – Alison (Top GP)
Done well with sign posting and care planning.
Taking people into the practice instead of A&E
GP Alison has FB page to interact with the public.
Kendal – 2 Public meetings now.
Care navigator – On behalf of all practices in Kendal.
Senior Nurse – Called Alison – Looking for case management in Kendal.
Calling people in for reviews.
Public Would like a focus on mental health.
Looking at how we can involve mental health in ICC’s.
Sedbergh
Post filled by 2 GP’s working in local services.
Working really well.
Admission data – really good.
Target of 12 months was hit within 6 months.
Care navigators imbedded in the practice – Well known
Case manager – Senior Nurse – Appointing new person
Big focus on electronics and computing.
‘ Strata’ – Referral system – Starting to be used by GP’s – Piloting
ICC – Largely within the NHS economy.
Gateway – still limited – Opportunities.
NHS – Not a lot of experience with working with communities – Bring bodies together in localities – Broader than 3rd sector.
Partnership between NHS, Local Government and Communities.
Healthy Towns / Healthy City’s – Ulverston Meeting – morning of 13th December 2016
Tomorrow Tackling poverty workshop – Working across the board to bring this together.
-Things are looking good.
-How to key facts cross with key priorities.
Close to a picture we can start to present to public / parish councils.
Live Documents - A3’s – Could change. – Emailed Copy’s with Minuets.
STP
Strategic transformation plan. - CSTP
Whole country divided in STP Areas. We are in – Lancashire and south Cumbria.
Another one for North Cumbria.
-How they would help to shape health and social care in the future.
-Based on things we’re already doing.
-All about all the things we’re doing
-Mental health is involved in that foot print.
-Will evolve over time.
-Currently a plan to change CCG Boundary’s – Almost certain moving to Morecambe bay boundary.
-Appropriate help is given.
Mike Wilson – Mental health is very close working with the 3rd sectors and middle sector on behalf of Suicide prevention.
-No final outcome – Will have one by February.
Public Health Locality Grant for the Forum and the Gateway
Verbal Update – Provided by Simon Blyth
5 Year agreement to provide funding to community groups. £88,000 total grants available
Cabinet decision approved 1,800 to the gateway group.
SLDC will retain board member – Funding agreement in line with council plan.

• Gateway centre based in galingale – Open to the public and gives advice.

• Better way of proportioning money locally.

• Will help develop smaller charities.

• Has potential for match funding.

• Will support & encourage smaller charities.

-Simon to send out figures to whom may require it within the forum.
Here is a link to the Cabinet report giving more details
and there will be lots of promotion coming out shortly.
Local Issues / Topics the Forum Would like to Bring to the Public Health Alliance. To be Agreed
Healthy towns/ Healthy City’s – Ulverston Meeting – Morning of 13th December 2016.
Tomorrow Tackling poverty workshop –MW Attending.
Older People – Strategic Direction and Group Discussion.
Starting 3pm.
-Loneliness x 2
-Developing healthy towns – as Public health.
-Age UK been doing work around loneliness – to find out if there is any rationality behind it been a lot of assumptions of loneliness being around poverty.
-Research shows it is more person – links to depression – no visible links to poverty.
-Biggest difference you can make is to increase their income – but just because someone is on a low income it doesn’t make them lonely.
-Different types of loneliness.
Hand outs pasted around.
-Been able to use loneliness figures to help people over the Christmas period.
-People with bereavements issues – Lack of confidence – Due to partner of X amount of years not being with them.
-Family is not as nearby, less contact with families.
-Therapist’s saying they will help the elderly for the first trip out – The first step.
-Quite often when a loved one is lost the loneliness kicks in mostly a year on.
-Provide broadband for people.
Social isolation is a big issue – work with wide range of needs.
Person centred – loneliness
Working with Age Uk – HAWKS – Compass plus model.
Bring out similar statistics.
Staff need to be creative – Make right decisions.
Adult social care
Looking at Community resources.
When someone is highlighted as lonely – A lot can be done first before being helped by Adult social care services.
Paul Phillips – has flow chart.
HAWKS and Care navigators – Different jobs. – helping people appropriately to their needs.
-Need more communication.
Making sure there is an increasing level of understanding – especially within communities.
Maintaining independence.
CAST – Information support team.
Make sure everything is presented in a way so it sounds like it’s their decision.
Organisations to provide trial periods in sheltered housing.
Sport England- How to keep people physically and mentally able to have these conversations at a later stage.
Giving information out to people that register a death, a year down the line when the loneliness kicks in – They could start to become more physical.
-Push the boundaries.
SLDC has facility grant – Stair lifts
-Wet floor
ETC.
Grants up to £30K.
In the last year the budget has nearly tripled.
A lot of work around this.
Hand out’s.
10p Each – Have supply at AGE UK.
Random acts of kindness – Smile, be nice – helps self-esteem.
Access Issues.
Digital by choice – not digital by necessity.
E.g. Online Banking when nearby bank shut down.
Date and Time of Next Meeting.
Next Meeting Theme – Children and Young People
23rd February 2pm – Venue Please Add.

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