Agenda and minutes

Cumbria Health and Wellbeing Board - Friday, 25th October, 2019 10.00 am

Venue: Conference Room A/B, Cumbria House, Carlisle. CA1 1RD

Contact: Lynn Harker  Email:

No. Item


Apologies for Absence

To receive any apologies for absence.



Apologies for absence were received from Mrs A Burns, Mr L Conway, Mr A Cummins, Miss K Fairclough, Mr A Gardner, Mr G Jolliffe, Mrs F Musgrave and Mr J Rush.



Disclosures of Interest

Members are invited to disclose any disclosable pecuniary interest they have in any item on the agenda which comprises


1          Details of any employment, office, trade, profession or vocation carried on for profit or gain.


2          Details of any payment or provision of any other financial benefit (other than from the authority) made or provided within the relevant period in respect of any expenses incurred by you in carrying out duties as a member, or towards your election expenses.  (This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992.


3          Details of any contract which is made between you (or a body in which you have a beneficial interest) and the authority


            (a)       Under which goods or services are to be provided or works are to be executed; and


            (b)       Which has not been fully discharged.


4          Details of any beneficial interest in land which is within the area of the authority. 


5          Details of any licence (alone or jointly with others) to occupy land in the area of the authority for a month or longer. 


6          Details of any tenancy where (to your knowledge)


            (a)       The landlord is the authority; and


            (b)       The tenant is a body in which you have a beneficial interest.


7          Details of any beneficial interest in securities of a body where


            (a)       that body (to your knowledge) has a place of business or land in the area of the authority; and


            (b)       Either –


(i)                 The total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body; or


                        (ii)        If that share capital of that body is of more than one class, the total nominal value of the shares of any one class in which the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class.


In addition, you must also disclose other non-pecuniary interests set out in the Code of Conduct where these have not already been registered.




A “disclosable pecuniary interest” is an interest of a councillor or their partner (which means spouse or civil partner, a person with whom they are living as husband or wife, or a person with whom they are living as if they are civil partners).  



There were no disclosures of interest on this occasion. 



Exclusion of Press and Public

To consider whether the press and public should be excluded from the meeting during consideration of any item on the agenda.



RESOLVED,     that the press and public be not excluded from the meeting for any items of business.



Health and Care Strategy


North Cumbria pdf icon PDF 195 KB

To consider a report by the North Cumbria System Lead (copy enclosed).

Additional documents:


The Board received a report from the North Cumbria System Lead which provided members with an update in three core areas; Development of the strategy for health and care in North Cumbria, North East and North Cumbria Integrated Care System (ICS) Plan and North Cumbria Integrated Care Partnership Narrative (as part of the overarching ICS plan).


Members were informed that in November 2018 work had commenced to review and refresh the overarching strategy for North Cumbria alongside the publication of the NHS Long Term Plan in January 2019.  It was explained that engagement had taken place with patients, communities, partners and staff to seek views on the priorities set out for the future and had shaped and influenced the Strategy and priorities.  Members welcomed engagement with communities and emphasised the importance of involving them in the future.


The Board discussed the involvement of patients and the third sector in the improvement of services and asked for further information regarding the engagement which had taken place.  It was explained that Cumbria CVS was represented at the System Leadership Board and work was also being undertaken with two Integrated Care Communities (ICCs) with the intention to role this out to remaining ICCs.  It was highlighted that third sector representation would also be included on all Steering and Delivery Groups, emphasising that their involvement was vital in shaping and delivering services. 


A discussion took place regarding the Healthy Partnership Officer role and information was sought on support for the post .  It was confirmed that the position would be funded from North Cumbria Integrated Health and Care System.


The Board was informed that the draft Strategy set out overarching strategic aims for the next five years and what this meant for starting well, living well and ageing well and how the requirements of the NHS Long Term Plan would be met.  It was highlighted that the Strategy had been developed to support and fully align with the Cumbria Health and Wellbeing Strategy and, therefore, presented an opportunity to align and collectively lead the improvements needed in health and wellbeing outcomes for communities.


The Board noted that working with regional partners, North Cumbria (as one of four Integrated Care Partnerships across North Cumbria and the North East) was also supporting the development of a North East and North Cumbria Strategic Plan (as an Integrated Care System).  It was explained there were nationally mandated timescales for this work with a final deadline of 15 November 2019.


The Board was informed that the size of the Strategic Plan for the North East and North Cumbria (NENC) would be one of the largest across the NHS, covering a population of over 3 million people.  It was, therefore, complex in nature due to the multiple partnerships in place across health, local government and third sector.  It was highlighted that in addition, how the improvements in outcomes were delivered in a meaningful way, locally at place, would be crucial to delivering the improvements set out in the NHS Long  ...  view the full minutes text for item 31a


Lancashire and South Cumbria pdf icon PDF 65 KB

To consider a report by Lancashire and South Cumbria Integrated Care System (copy enclosed).


Additional documents:


Members considered a report by the Lancashire and South Cumbria Integrated Care System which provided an update on the planning process to respond to the NHS Long Term Plan in Lancashire and South Cumbria.


The Board was informed that at the time of the meeting, refinement of the draft Plan was still being undertaken by the Lancashire and South Cumbria Integrated Care System, therefore, members were presented with Strategic Plan Development – Update report. 


It was explained that the Integrated Care System (ICS) Strategic Plan built upon the eight partnership priorities set out in the ICS ‘Our Next Steps’ document, to agree the ambition and approach to respond to the strategic challenges facing the ICS.  It was highlighted the success of the partnership priorities was vital to enable delivery of plans set out across the system.  Members noted the current stage of work also built upon existing plans in each of the local Integrated Care Partnerships (Better Care Together – Morecambe Bay) to improve outcomes, join up health and care services and make best use of the resources available.


Members were informed there had been a significant change in focus in Better Care Together in Morecambe Bay to improve health and lifestyles.  Whilst it was acknowledged that travel would be required to access specialist care there was a real balance to have the best possible services available in the community and at home.  It was agreed that Lancashire & South Cumbria ICS would attend a future meeting of the Board to present their Better Care Together Plan.


Officers highlighted the requirement to look at services horizontally and investigate which ones required a centre of excellence to ensure they were clinically resilient.


The Board was informed that throughout the development of the ICS Strategic Plan there had been engagement with wider stakeholders including universities, voluntary, community, faith and social enterprise sector, police and local Healthwatch. 


During the course of discussion officers highlighted the importance of engagement with the voluntary sector and informed members that finances would be made available to allow a representative from CVS to be appointed to the Board.


It was explained there had also been extensive direct engagement with staff, patients, public and partners to involve them in plans within each of the five local areas over the past two years.


Members noted that at a national level, NHSEI commissioned Healthwatch England to undertake an initial engagement exercise to capture insight from local people to contribute to local plans developing across the country.  It was explained that in Lancashire and South Cumbria, the ICS had worked in partnership with Healthwatch Together to deliver this activity which included surveys and focus groups.  Officers highlighted the ICS had ensured that the insight independently reported by Healthwatch was being used to shape plans in relevant areas such as mental health, primary care and maternity services.


The Board highlighted the importance of community pharmacists and the lack of reference to this in the Plan.  The importance of community pharmacists was acknowledged and it  ...  view the full minutes text for item 31b


Future Meeting Dates pdf icon PDF 42 KB

To note the list of future meeting and development dates (copy enclosed).



The Board noted that:-


(1)       the next meeting of the Board would take place on Friday 6 December at 10.00 am in Cumbria House, Carlisle.


(2)       the next Cumbria Health and Wellbeing Board Development day would take place on Friday 24 January at 2.00 pm in Penrith.