Agenda and minutes

Health and Wellbeing Board - Thursday 12 October 2017 6.00 pm

Venue: Main Hall - Karibu Education Centre, 7 Gresham Road, SW9 7PH. View directions

Contact: Nazyer Choudhury, Democratic Services Officer  Tel: 020 7926 0028 Email: nchoudhury@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:

    None were declared.

2.

Minutes of Previous Meeting pdf icon PDF 118 KB

    • View the background to item 2.

    To approve the minutes of the previous meeting held on 29 June 2017.

     

    Minutes:

    RESOLVED:

     

    That the minutes of the previous meeting held on 29 June 2017 be approved and signed by the Chair as a correct record of the proceedings.

     

3.

Lambeth Equality Commission Implementation pdf icon PDF 264 KB

    Additional documents:

    Minutes:

    Jean Taylor introduced the report.

     

    The Chair stated that it was important to acknowledge the contribution the borough could make as partners in order to help achieve the key outcomes. 

     

    Board members commented that:

     

    ·      Recommendation 9.4 regarding disability was an important point and should be noted.

    ·      Healthwatch Lambeth had 150 experts on disability and this was a useful resource.

    ·      Mental health support in schools should be considered a priority. Healthwatch could assist in issues relating to both disability and mental health support in schools.  

    ·      Educational achievement was an important issue and the issues relating to achievement in the borough often mirrored the issues found in other boroughs. Previous research had been completed on schools making a difference to the achievement of Black/Caribbean students, particularly boys, and the research had highlighted methods of good practice.

    ·      The impact of youth violence on the borough was significant.  Many young people had discussed their fears and anxieties of simply being out in the streets and in public spaces. Some work was being done in the area. For example, the Safeguarding Children’s Board had created a strategy on youth violence and the Safer Lambeth Partnership had a youth violence strategy which would be developed further.

    ·      Schools and youth clubs had started working together regarding the mental wellbeing of students and Councillor Pickard endorsed a call for extra action from government on mental health in schools.

    ·      The report did not appear to address issues relating to people of other backgrounds outside of members of the black community, particularly those who did not speak English as a first language, especially for those that spoke Portuguese. More funding should also be allocated in this area.

    ·      Paragraph 2.6 which discussed a national government ring-fenced funding was particularly important. Some research that had been conducted in schools found that there was no national minimum standards for mental health services in schools.

    ·      Many of the recommendations were aimed at the Council but the CCG would share some of the responsibility and work with the Council to make progress. 

    ·      Anything that had been learnt through the process, such as methods of good practice, needed to be shared with the Mayor of London so that any solutions could be shared London-wide.

     

    The Chair stated that there was a responsibility to ensure that best practice in relation to mental health in schools be considered an important part of the narrative.

     

    The Chair also stated that there were a range of organisations including the CCG who wished to actively play a role in making further progress.It was important to note that a greater emphasis needed to be placed on the role of schools in promoting good mental health and the need for government spending. It was also important to note that there were some language issues in parts of the community which created a barrier for some when attempting to seek access to services.

               

    RESOLVED:

     

    1. That the recommendations to the Council set out in the Equality Commission recommendations report (outlined in Appendix A)  ...  view the full minutes text for item 3.

4.

Children and Young People's Plan 2017-2022 pdf icon PDF 189 KB

    Additional documents:

    Minutes:

    Councillor Jane Pickard, Annie Hudson and Dan Stoten introduced the report.

     

    The Chair stated that the plan was well depicted via individual stories. The plan involved partners working together for an agreed strategy.  

     

    Board members welcomed the plan and the meeting heard that:

     

    ·           Officers and those involved in developing the plan should be commended for their work.

    ·           Consideration needed to be given with regard to the distribution of resources in Children’s Services.

    ·           Both Lambeth and Southwark Children and Young People’s programme had shifted its business case to focus on preventative methods.

    ·           Emphasis needed to be placed on early intervention and early action and the best choices on resources such as money, time and energy.

    ·           A collaborative approach was a positive and the most sensible approach.

    ·           The plan would be submitted to the CCG governing body.

    ·           Minor alterations to the plan could be made upon suggestion.

    ·           The logistics in the plan would undergo some improvement.

     

    RESOLVED:

     

    1. That the Lambeth Children and Young People’s Plan 2017-22 be endorsed.

     

5.

Lambeth Together: Integrating Health and Care in Lambeth pdf icon PDF 126 KB

    Additional documents:

    Minutes:

    Andrew Parker introduced the report.

     

    The Chair noted that other areas of the country would view such a report as a dramatic change but the work that had been done at Lambeth in the past few years allowed for a smoother transition. Adequate resources needed to be provided for the objectives to be realised.

     

    The Board welcomed the presentation and the report and commented that:

     

    ·         The amount of work required should not be underestimated. 

    ·         The focus on delivery and culture was the correct direction but the technical work was essential. 

    ·         The timescales were ambitions.

    ·         Lambeth only represented a small proportion of the patient population in the South-East London area.

    ·         In order to achieve the cultural change sought, it was important to recognise what the next steps were and how a patient and community voice would be built into the process. Healthwatch would be able to help with this.

    ·         It was important to hear the personal experience of patients but the narrative of the frontline staff was also required so that an adequate comparison could be made. 

    ·         The use of language needed to be considered such as the use of the word ‘patient’ and its implications.

    ·         Less specific consideration appeared to have been given regarding Children and Young People and further specificity in this area needed to be addressed as progression is made.

    ·         Children’s Services was split into various areas and the allocation of resources and the legislation was different for each of these areas.

    ·         It was important to note that the children and older people people’s groups had some similarities because individuals had families around them who supported them.

    The meeting heard that a lot of work had been completed on mental health and some consideration would be given to vanguard sites.Learning was still ongoing and different areas of knowledge in different communities and organisations was still being accumulated.

     

    The Chair stated that the comments relating to the importance of having a citizens voice and the personal and collective narratives of medical staff needed to be taken into consideration.

     

    RESOLVED:

     

    1.      That the progress made to date in designing ‘Lambeth Together’ be noted and endorsed.

    2.      That the key components of ‘Lambeth Together’ to create a fully integrated health and care system bringing together the innovative models of care be supported.

    3.      That the proposal to progress to a formal ‘transition programme’ with associated governance, resourcing and timelines be agreed.

     

6.

Lambeth Local Plan Review pdf icon PDF 159 KB

    Additional documents:

    Minutes:

    Catherine Carpenter introduced the report. 

     

    The Chair stated that the Staying Healthy Partnership Board should consider this report as a key item and examine the opportunities and key themes. Some work had been done previously and some planning had been done on issues such as the consumption of fast food.

     

    The Board heard that:

     

    ·         The Children and Young People’s Plan regarding town centre hubs would potentially make further progression. Practical knowledge for the public on how to access such areas such as the outlining of bus routes this would be useful to the community. 

    ·         In addition to housing and jobs, there would be adequate infrastructure to support the level of growth.  

    ·         The evolution of services was reflected in the infrastructure plan.

     

    RESOLVED:

     

    1.      That the process and timetable for the partial review of the Lambeth Local Plan be noted.

    2.      That the first round of public consultation on issues for the partial review of the Lambeth Local Plan applying the consultation and engagement plan be noted.  

     

7.

Lambeth Children's Partnership Update pdf icon PDF 366 KB

    Minutes:

    Councillor Jane Pickard introduced the report. 

     

    The Chair informed the meeting that the draft strategy discussed on page 194

    of the agenda papers had recently been completed and would be submitted at

    a future meeting.

     

    RESOLVED:

     

    1.   That the contents of the report be noted.

     

     

8.

Children and Families Strategic Partnership Update pdf icon PDF 266 KB

    Minutes:

    As item 7.

     

    RESOLVED:

     

    1.    That the contents of the report be noted.

     

9.

"Mayor of London - Better Health for all Londoners": Consultation on the London Health Inequalities Strategy pdf icon PDF 212 KB

    Additional documents:

    Minutes:

    Ruth Hutt introduced the report.

     

    The Chair explained that the report discussed areas in which the borough was experienced such as childhood obesity and other areas in which the borough had conducted research and implemented strategies.It was important to acknowledge that the Mayor of London had powers which were different to that of the Council and although the Council would make an effort to assist with the Mayor’s objectives, there was an expectation that the Mayor would also assist to contribute to the progression of the borough. 

     

    RESOLVED:

     

    1.   That the Mayor’s Health Inequality Strategy be noted and the process to developing and submitting the Lambeth Health and Wellbeing Board response to the consultation be agreed.

     

10.

Quarterly Public Health Report pdf icon PDF 466 KB

    Minutes:

    Ruth Hutt introduced the report and informed the meeting that consistent feedback on people taking flu vaccinations was helpful. There were no issues regarding stock and supply of the vaccinations. 

     

    The Chair informed the meeting that he was pleased with the success of the Do It London campaign. Although further statistical analysis was required, the message of Do It London had been successfully delivered and the Board offered its congratulations to the commissioning team.

     

    The meeting heard that after the success of the Do It London campaign, the Council have been asked to act as the communicative body for the Stop Smoking Transformation Work. 

     

    The Chair informed the meeting that the Leader of the Council had received a letter from the Health Secretary, Jeremy Hunt, stating that ifthe delayed transfer of care numbers were not reduced, the funding that had been allocated to the Council would be reduced.The Chair noted that Lambeth had a good record in this area and were not one of the 32 local authorities identified as having performed poorly in this area.