Agenda and draft minutes

Health and Wellbeing Board - Thursday 23 June 2022 6.00 pm

Venue: Committee Room (B6) - Lambeth Town Hall, Brixton, London, SW2 1RW. View directions

Contact: David Rose, Democratic Services  020 7926 1037, Email: drose@lambeth.gov.uk

Note: Venue: Committee Room (B6) - Lambeth Town Hall, Brixton, London, SW2 1RW Contact: David Rose, Democratic Services, 020 7926 1037, email: drose@lambeth.gov.uk Note: To join the meeting via Microsoft Teams please copy and paste this link into your browser: https://bit.ly/3MEFHUd. If you want to watch the live broadcast, please copy and paste the following link into your browser: https://bit.ly/3tsZIX0. The video will remain available to view for 180 days. 

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:

    Councillor Ben Kind noted that his wife was a court-mandated clinical psychologist, and was employment under agency and this was not classed a pecuniary interest.

     

2.

Minutes of Previous Meeting pdf icon PDF 343 KB

    • View the background to item 2.

    To approve the minutes of the meeting held on the 20 January 2022.

     

    Minutes:

    RESOLVED: The minutes of 20 January 2022 were approved as a correct record of the meeting.

     

3.

Joint Strategic Needs Assessment 'The Health Profile for Lambeth' 2022 refresh - Emerging Findings pdf icon PDF 382 KB

    • View the background to item 3.

    Report Authorised by: Andrew Eyres: Strategic Director of Adults and Health

     

    Contact for enquiries: James Crompton, Head of Health Intelligence, 020 7926 4322 jcrompton@lambeth.gov.uk, Hiten Dodhia Public Health Consultant, 020 7926 5166 hdodhia@lambeth.gov.uk

     

    Additional documents:

    Minutes:

    The Chair, Councillor Jim Dickson, Cabinet Member for Healthier Communities, introduced the first item as follows:

    ·           The current Health and Wellbeing Strategy (HWS) had been refreshed in 2016 and ended in 2023.

    ·           This item would provide the data to input into the HWS and deliberate on its main components.

    ·           It was essential for all partners to assess post-Covid health inequalities and need.

    ·           Covid-19 had created backlogs across the health system.

     

    Hiten Dodhia, Public Health Consultant, delivered a presentation on the Joint Strategic Needs Assessment, (JSNA) and noted:

    ·           Pharmaceutical Needs Assessment (PNA) took place every three years and were part of an overall JSNA but were specific to the current and future need for pharmacy provision.  This PNA had been delayed by Covid-19 for one year. 

    ·           The PNA involved a survey of pharmacies locally and the public on the use of pharmacies, as well as detailed understanding of local health profile and needs and an assessment of the current & future provision of pharmacies to meet these needs.  This created a rich source of information on communities and was used to inform the Health and Wellbeing Strategy consultations.

    ·           The PNA was to be published in October 2022 following public consultation between July-August.

    ·           The Health and Wellbeing Board (HWB) Co-Chairs would be delegated to sign-off the PNA, subject to further changes following feedback from the consultation and review of this by the PNA Steering Group.

    ·           In England, austerity had significantly impacted life expectancies prior to the Covid-19 pandemic, which had previously stalled, but then sharply declined during Covid; in Lambeth life expectancy continued to improve at a slower rate and the gap between Lambeth and England narrowed.

    ·           Health inequalities amongst the borough’s demographics were a major cause of concern.

    ·           Covid-19 was still present, its long-term effects were unknown and future waves meant that health services needed to be prepared for emerging waves of infection.

    ·           Anti-microbial resistance was another threat as was the climate emergency.

    ·           Covid-19 remained the main cause of death in 2021, excepting dementia for those over 80 years old.

    ·           The resident population was 320,000 with growth slowing from 4% to 2%, and there was a decline of young children and parents of young children in Lambeth.

    ·           Lambeth needed to plan for an ageing population, with one in three over 60 living in poverty, whilst having a young population that increasingly developed multiple conditions earlier on.

    ·           Lambeth contained some of the most deprived areas nationally, which disproportionately affected black and minority ethnic residents and their health outcomes.

    ·           Housing, homelessness and particulate air pollution remained as significant negative determinants; however, parks and open spaces were rated as very good and were often used, with one in four exercising daily.

    ·           84% thought the community got on well but this was had declined from previous years.

    ·           Employment levels remained quite good, although many were struggling with low income exacerbated by the cost-of-living crisis, with one in three experiencing food poverty and difficulty paying bills.

    ·           There were 63,000 children resident in Lambeth, with one in five  ...  view the full minutes text for item 3.

4.

Lambeth Pharmacy Needs Assessment (PNA) 2022 Consultation Draft pdf icon PDF 405 KB

    • View the background to item 4.

    Report Authorised by: Andrew Eyres: Strategic Director of Adults and Health

     

    Contact for enquiries: Hiten Dodhia Public Health Consultant, 020 7926 5166 hdodhia@lambeth.gov.uk

    Minutes:

    The discussion of this item was incorporated with the discussion of the Joint Strategic Needs Assessment, above, and it was agreed to take this forward to the next stage.

     

    RESOLVED:

    1.         To review the contents of Appendix A which provides an executive summary of the consultation draft of the PNA which is due to be published for formal public consultation on 1 July 2022 for 60 days and the process for its development.

    2.         To agree that authority is delegated to Co-chairs of the Health and Wellbeing Board to agree the final draft of the PNA 2022, subject to any amendments from the consultation feedback required and in liaison with the PNA steering group so that it can be published by the deadline of 1 October 2022.

     

5.

Lambeth Health and Wellbeing Strategy Initial Consultation pdf icon PDF 489 KB

    • View the background to item 5.

    Report Authorised by: Andrew Eyres: Strategic Director of Adults and Health

     

    Contact for enquiries: Sophia Looney, Health and Wellbeing Strategy Advisor, slooney@lambeth.gov.uk

     

    Minutes:

    Sophia Looney, Health and Wellbeing Strategy Advisor, introduced the report and stated:

    ·           The Health and Wellbeing Strategy (HWS) lasted until 2023, but consultation from July to October would deduce areas of focus and maximise engagement with the public and partners.

    ·           The agenda pack, page 50, set out the 2016 HWS’s ambitions, priorities and key themes.

    ·           Key focuses emerging from early engagement included tackling inequalities and inequity, including anti-racism; and on environmental sustainability.

    ·           A central unambiguous statement was required, such as “Lambeth is a place where all people have the opportunity to experience good health and wellbeing”.

    ·           Children and young people were more central to the HWS’s goals, noting the need to mitigate serious violent crime, as were creating resilient communities and good mental health.

    ·           There was a growing proportion of over 65s in the borough, combined with a relatively young population.

    ·           Three questions would be asked of attendees in the following workshops:

    o    were the emerging themes’ ambitions bold enough, clear for you or for the public, and what would you change?

    o    were the key areas of focus captured correctly for Lambeth; what others would you add and why; and which would you remove and why?

    o    What else would you include in the ways of working; and which ways were the most important?

     

    At this point in discussion, the Board and attendees joined breakout groups via Microsoft Teams and in the meeting room to provide views and opinions to the consultation.  Upon reconvening the meeting, the following feedback was given by each workshop:

    ·           Ambition needed to ensure the benefit of all and was essential to clearly communicate ambitions; it needed to be memorable and less general for more impact, with trust central to its ideals.  Attendees also noted that it needed to be bolder with a commitment to act and drive action and queried whether the word “good” was suitable or should be exchanged.

    ·           Suggested alternative ambitions included “Lambeth is a place where all people have the opportunity to live a fulfilling life, experiencing good health and wellbeing” or include the words “strive towards”.

    ·           The areas of focus were noted as needing to include isolation and loneliness, social and community cohesion, trust, physical activity and active travel, employment, mental health, and ensure that demographic groups identified by the JSNA were covered sufficiently.  It was also queried whether poverty was a suitable catch-all term and that serious violent crime needed further review.

    ·           Areas of focus were also noted as being too broad, with greater focus needed or reducing the number of areas being focused upon.  It was suggested to turn headings into positives, and queries were also raised on how impact would be measured and needing to include the importance of social cohesion or social wellness.

    ·           Ways of working could be used to give a greater voice to residents, particularly young people, and to broaden the asset-based approaches of engagement.  Clarity was needed on the meaning of anti-racist approach, the language used to ensure it captured a diverse  ...  view the full minutes text for item 5.

6.

Quarterly Report of the Director of Public Health for Lambeth pdf icon PDF 346 KB

    • View the background to item 6.

    Report Authorised by: Andrew Eyres: Strategic Director of Adults and Health

     

    Contact for enquiries: Ruth Hutt, Director of Public Health, 020 7926 7196, rhutt@lambeth.gov.uk

     

    Additional documents:

    Minutes:

    Ruth Hutt, Director of Public Health, Adults and Health, presented the report as follows:

    ·           Lambeth topped the Good Food for London report during a difficult time for Lambeth’s families and volunteers but was a testament to that network.

    ·           The Covid-19 infrastructure was being stood down but would be repurposed for the cost-of-living response and Homes for Ukraine programme; utilising its knowledge of Lambeth’s communities.

     

    The Chair thanked officers for their report and noted it demonstrated the immense work undertaken with partners across the borough’s communities.

     

    RESOLVED:

    1.         To note the report.

     

     

7.

Better Care Fund 2021-22 End of Year Submission pdf icon PDF 476 KB

    • View the background to item 7.

    Report Authorised by: Andrew Eyres: Strategic Director, Integrated Health & Care

     

    Contact for enquiries: Josephine Brooks, Senior Commissioning Officer, Integrated Commissioning Service, 020 7926 6383, JBrooks1@lambeth.gov.uk

     

    Additional documents:

    Minutes:

    Jane Bowie, Director of Integrated Commissioning with the CCG, introduced the report as follows:

    ·           £43.9m had been spent by the Better Care Fund (BCF) during 2021-22.

    ·           Due to local government elections and following advice from the NHS Better Care Fund team, approval had previously been sought from key statutory signatories and the Chair but was still required to be sighted by the Board.

    ·           There had been a variance of £220,484 arising from additional equipment cost pressure and inflationary impact on prices of equipment, primarily arising from Covid-19.

    ·           National conditions had been met and the five core BCF metrics were broadly met but were rated as red for residential admission and amber for length of stay.

     

    In discussion it was noted that:

    ·           The Chair had signed-off the submission due to the deadline falling between Boards meetings.

    ·           BCF targets were under constant review and there was ongoing dialogue with the regional NHS team, which meant that interaction did not need to wait until the end of year submission process.

    ·           Targets were felt to be correct, but it was important to note the changing demographics to an older population and this would be reviewed and action taken as necessary in the course of the year.

    ·           People were not placed into permanent care that did not need to be there, but the metrics did require review as the complexity of need and home care were increasing.

     

    RESOLVED:

    1.         To note the report.

    2.         To agree the Lambeth BCF End of Year Report 2021-22.