Agenda and minutes

Health and Wellbeing Board - Thursday 29 April 2021 6.00 pm

Venue: Teams Meetings - to watch the meeting online https://bit.ly/3gu0YU7 To participate https://bit.ly/3v2pcc2

Contact: Adrian Bentley, Democratic Services Officer,  020 7926 7162, Email: abentley@lambeth.gov.uk

Items
No. Item

1.

Declarations of Interest

    • View the background to item 1.

    Under section 4 of the governance arrangements for the Health & Wellbeing Board, Board members are bound by the Members’ Code of Conduct as set out in the Council’s Constitution (Part 4 Section 1).  Where any Board member has a Disclosable Pecuniary Interest in any matter to be considered at a Board meeting they must withdraw from the meeting room during the whole of the consideration of that matter and must not participate in any vote on that matter unless a dispensation has been obtained from the Monitoring Officer.

     

    Minutes:

    There were none.

2.

Minutes of Previous Meeting pdf icon PDF 316 KB

    • View the background to item 2.

    To approve the minutes of the previous meeting.

     

    Minutes:

    RESOLVED:

     

    That the minutes of the previous meeting held on 11 February 2021 be approved and signed by the Chair as a correct record of the proceedings.

     

3.

Food Poverty and Insecurity Plan pdf icon PDF 467 KB

    Additional documents:

    Minutes:

    The Chair introduced this item noting that the strategy:

    • was the Lambeth Food Poverty action plan for 2021-24
    • built of work by local stakeholders and organisations to tackle food poverty and insecurity
    • followed a borough wide poverty summit, organised by the council at the end of 2019

     

    The council had swiftly set up arrangements at the start of the pandemic to ensure that vulnerable residents had access to nutritious food. The pandemic had increased the challenges for residents. The council had maintained regular contact with VCS organisation to ensure there was a shared understanding of the challenges faced.

    The council had allocated substantial funds to Covid 19. A new food distribution service had been put in place and a relationship with surplus food distributors. A fridge and freezer fund had been set up. The My community helpline had been set up to signpost residents to available support.

    School holiday programmes were put in place to ensure Children had access to nutritious food.

    Training and support had been provided to the VCS in developing their roles.

    Consultation had taken place in January and February and responses had been generally positive. Feedback from the consultation had updated the Action Plan.

    The Chair passed the conversation to Bimpe Oki – public health consultant.

    Bimpe said that the vision was that every person in Lambeth should have the opportunity to secure a healthy diet in a socially acceptable way that doesn’t expose them to embarrassment or discrimination.

    A multi focus approach combining short medium and long-time action focussing on prevention, crisis management and wider environmental factors. This was a three-year plan. The plan sought to ensure that people were able to benefit from all the things that were available to them.

    Bimpe noted that Children had been significantly impacted by Covid. She welcomed Vicki Exall to talk about the work around the Lambeth holiday activities and food programme.

    Victoria Exall - Lambeth Holidays Activities and Food Co-ordinator

    Vicky noted that school holidays were a pressure point for families. Children from disadvantaged families were less likely to access organised out of school activities.  The aim of the programme was to make free places available to children between the ages of 4-16 who were eligible for free school meals for the equivalent of four hours a day four days a week for six weeks a year over the three large school breaks.  The programme provided a healthy nutritious meal and enriching activities.

    Lambeth Council had run a Summer of Food and Fun. 88,000 meals had been provided

    There had also been an Easter programme which had served over 10,000 meals and provide two and a half thousand take and make boxes, enough to make nine thousand meals.

    Funding for an addition 600 SEND places had been made available.

    3,000 places a day would be provided for the upcoming summer programme. This could provide 70,000 meals for eligible children.

    Bimpe thanked Vicky and welcomed:

    Francis Teka – from Copef

    Francis ran the corporate training skills as part  ...  view the full minutes text for item 3.

4.

Better Care Fund pdf icon PDF 303 KB

    Additional documents:

    Minutes:

    Jane Bowie Director, Integrated Commissioning, presented this item.

    The better Care Fund (BCF) had been operating for 8 years. The man objective was to further the integration of health and social care services. The usual process for sign off of the BCF had been suspended due to the pandemic and instead Health and Wellbeing Boards were to be sighted on the template and the submission and would be asked to ratify this being submitted into the national return.

    Three areas in the submission were highlighted, these being the total for the pooled income for the years, the expenditure for that year and the marrying up of the income against the expenditure.

    There was a small underspend of approximately £60,000, relating mainly to the reduction in the delivery of home improvement services in the year. This spend would be recommitted into the system priorities.

    RESOLVED

    The Board ratified agreement of Better care income and expenditure for 2021

5.

Lambeth Safeguarding Adults Board Annual Reports pdf icon PDF 230 KB

    Additional documents:

    Minutes:

    Anuradha Singh the new Chair of the Safeguarding Adults Board presented the safeguarding Adults Board reports for 2019-2020 and 2020-2021.

    Lambeth had a mature set of understandings and was very person centred with governance of the Safeguarding board being beyond compare. She said that Lambeth should be pleased about the journey the Safeguarding Board had been on and noted how mature the partnership was.

    Scene setting. Lived experience of context. 2020 had been one of the most challenging years in history and it had been a year where the Lambeth Safeguarding adults Partnership had continued t work and safeguard adults with care and support needs. All referrals had been responded to and every partner had stepped up and supported the most vulnerable.

    It was noted that the 2019-2020 report was due to come to the Board the previous year but this had been delayed due to Covid. The three year plan with a focus on prevention and representation. The importance of prevention and awareness was stressed. There was still work to do and some of the engagements in the diverse community that Lambeth was could likely be improved. A series of events had been held in 2019 including,  responding to self neglect, modern slavery and good practice development. Work had been done to learn from serious incidents for example providing additional guidance following an event and producing shared protocols.

    The draft 2020-21 report as presented had been ratified by the Safeguarding Adults Board a few days beforehand.  It had been a very busy year. The skill level of the Safeguarding adults board was noted. The report showed the beginning of a new three-year plan with focus areas of making safeguarding personal, working together and prevention. Online learnings events had taken place and been well received.

    The Safeguarding Board would be working on targeted awareness raising for key issues, specifically self neglect and hoarding as well as developing a  complex needs framework and improving engagement.

    The Board were asked for their comments.

    It was noted that the Community Reference Group had allowed the expansion of intelligence and a lot had been learned from this. Work was being done to move away from being a group to an open platform to allow any member of the community to come and be part of the activities and be able to contribute. Healthwatch completed an annual survey for those that had been through the safeguarding process and most of the comments involved people having an issue with services. The community Reference group would be focusing on self-neglect in the coming year to see how assets could be brought together. Anu noted wow importance Healthwatch had been in making connections in the community.

    It was said that the Board had seemed more accessible over the past two years.

    RESOLVED

    1. The Board noted the contents of the Annual Report of Lambeth Safeguarding Adults Board 2019-2020.
    2. The Board noted the  contents of the Annual Report of Lambeth Safeguarding Adults Board 2020-21

     

6.

Local Outbreak Management Plan pdf icon PDF 457 KB

    Additional documents:

    Minutes:

    Ruth Hutt, Director of Public Health presented an update on the Local Outbreak Management Plan submitted on 12 March to Department of Health and Social Care, and the local plans and assumptions in line with the roadmap published on 22 February for easing of lockdown.

    Two questions had been submitted and the Chair asked Gay Lee, of Lambeth Keep Our NHS Public , to ask her question.

    Gay noted that in  Ruth Hutt’s introduction to the Outbreak Control Plan it's stated that in putting the plan together Lambeth assumes that local contact tracing will be preferred to a national model and that enhanced contact tracing, to include all contacts as well as cases, will be the preferred approach.

    It was asked what the grounds for making these assumptions were?  And if more and more local authorities took on enhanced contact tracing, what functions would remain with National Test and Trace?

    It was also asked how many people under the financial support scheme had been found eligible for it and it was asked if other financial support was available to help residents apply.

    The Chair asked Susan Sedgwick from Keep Out NHS public to ask her question.

    Susan noted that the report said that enhanced tracing would be the preferred model and the cost of this would be met by the Test and Trace Fund or the Outbreak Management fund. It was asked what were the grounds for making these assumptions. It was asked, if this were a new policy, which elements would remain with the national test and trace system?

    Ruth said that she would provide a response to the questions in writing but noted that they may be answered in the slide presentation that she provided. She agreed that the terms were confusing but that these were nationally used. Every Borough had been asked to complete a Local Outbreak Management Plan and following this the Cabinet office had visited a number of Local Authorities to see what was working on the ground with the aim of feeding this back to central government. They had visited Lambeth and had written a report. Things that Lambeth would like to see had been noted.

    Ruth provided her presentation noting:

    • The rates of Covid in Lambeth had fallen and then plateaued. It was expected that the number would rise as the country moved out of Lockdown
    • The rates of Covid in Lambeth were below the London average
    • There had been 24,000 cases of covid in the Borough
    • From 13 April Lambeth had been asked to surge test for the whole of the borough. This had also taken place in Wandsworth. This was due to the prevalence of the South African variant. Everyone in the Borough had been invited to come to take a PCR test.
    • The Department of Health had led on the announcement of the testing.
    • Pop ups and door to door testing had been used as well as postal kits.
    • A large number of positive tests had not been found in  ...  view the full minutes text for item 6.

7.

Director of Public Health Quarterly Report pdf icon PDF 1 MB

    Minutes:

    Ruth Hutt, Director of Public Health, presented the quarterly report of the Director of Public Health for January –March2021

    RESOLVED

    The report was noted.

     

8.

Lambeth Children's Partnership update pdf icon PDF 263 KB

    Minutes:

    Due to time constraints this report was taken as read.

    RESOLVED

    The report was noted.