Venue: Lambeth Town Hall Committee Room B6, London, SW2 1RW
Contact: Nazyer Choudhury, Democratic Services Officer Tel: 020 7926 0028 Email: firstname.lastname@example.org
Declarations of Interest
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.
The Chair, Councillor Jim Dickson informed that he was a member of the Lambeth Safeguarding Adults Board.
To approve the minutes of the previous meeting held on 12 October 2017.
That the minutes of the previous meeting held on 12 October 2017 be approved and signed by the Chair as a correct record of the proceedings.
The Chair informed the meeting that item 9 of the minutes concerning the Consultation on the London Health Inequalities Strategy document, had been submitted and that he wished to thank all contributors.
The Lambeth Together Alliance was making progress and would thematically run through all areas of work in the near future.
The Council was consulting on setting up public space protection orders on abortion and family planning clinics in the borough to avoid anti-social behaviour for those using those clinics. This consultation, which had received a strong response, would run for another two to three weeks.
MrDenis O’Rourke presented the report.
The Chair felt that it was important to bring service users and carers to the centre of integrating health and social care and recognise their role in ensuring the wellbeing of others in addition to maintaining their own wellbeing. The report showed that a significant step had been made in this area. Two to three years prior, Councillor Rob Hill and others had raised queries regarding the understanding of the role carers played and how they were engaged and the report discussed this issue. It was important that the Lambeth Together Alliance had a carer’s perspective implemented within it.
The Board commented that:
· There was a launch event scheduled for 14 February 2018 and Councillor Rob Hill was expected to be in attendance.
· An emerging coalition in different areas of health and social care was a positive step forward.
· It was positive that young carers were also involved and that they would be part of the launch.
The Chair thanked Mr O’Rourke and also thanked Councillor Jackie Meldrum who had raised concerns and worked with diligence to ensure that issues arising in the area were addressed.
(1) That the development of a comprehensive carer’s action plan across Council and NHS delivery and transformation programmes be noted.
(2) That the development of a communications, engagement, and marketing campaign to raise awareness and promote better support of carers in Lambeth be noted.
(3) That a Carers Collaborative Strategy group to meet on a bi-monthly basis to develop and monitor the action plan be established and report progress back to the Health and Wellbeing board in October 2018 and annually thereafter.
(4) That the development and implementation of a Lambeth version of the Carers Passport be supported.
Councillor Jane Pickard, Cabinet Member for Families and Young
People, presented the report and explained that a meeting had also
been held in January 2018, but this was a report based on the
November 2017 meeting.
The Chair felt that the work on childhood obesity may need a further refresh considering that the government had taken steps to tackle childhood obesity. There was also work being conducted regionally in this area.
The meeting heard that Bimpe Oki was working alongside Guys and St Thomas’ Charity to ensure that the work done both by Lambeth and Guys and St Thomas’ Charity would be complimentary.
The Chair felt that building on the success would add further value.
(1) That the contents of the report be noted.
Mr Dan Stoten introduced the report.
The Chair thanked Mr Stoten for his report and stated that Lambeth Made had been discussed during the time that the Children and Young People’s Plan was being examined.
Mr Stoten stated that the popularity of the programme was based on the level of public awareness. Those who became aware of Lambeth Made supported it but the Health and Wellbeing Board was considered to be the ‘championing group’ for the success of Lambeth Made. Members of the Board were encouraged to talk about it more in general, particularly as it was a ‘grassroots’ programme. It was important to engage with as many schools as possible. However, schools had not been extensively involved in discussions due to their strict schedules. The campaign needed to succeed at reasonable pace.
The Board universally welcomed the report, commenting that:
· Consulting with businesses and employers would be a positive step forward.
· There was good level of support for young people from voluntary organisations.
· It would be ideal for business improvement districts to promote the programme. Businesses could use a Lambeth Made stamp to show that they supported the programme or show that they valued young people.
· Businesses could help by offering training, jobs and additional funding.
· Some of the work had originated from the work that had been done previously called After Tomorrow.
· This would offer a different way to work with businesses and would help develop young people’s relationship with businesses. After Tomorrow also had other ideas which could help further the work done by Lambeth Made.
· Adverse childhood experiences was a serious issue and addressing this could help with many of the other issues that often only manifest in adulthood that also needed to be addressed.
· It would be useful to take into consideration not only young people with adverse childhood experiences, but also the families supporting them.
Mr Stoten stated that the comments from the Board were noted and in relation to the business improvement districts, it was important to note that a meeting had been held with some colleagues from the Council who had informed that the clarity of the offer to businesses was important. If members of the Board had links with businesses then they should let him know so that he could consult with them.
The co-production with young people was important and there was a focus on this to maintain its progression. However, the campaign was not just aimed at young people. Nuanced co-production was required. A discussion had also been held on business identities and it was found that some businesses identified purely as a Brixton business or national business rather than Lambeth businesses. It was important not to exclude any businesses. For example, Lambeth Made t-shirts and other promotional material could be sold at some of the clothing stores in Brixton.
(1) That the Lambeth Made brand identity for any new or existing initiative that encourages communities, organisations or businesses to support or create opportunities for children and young ... view the full minutes text for item 5.
Ms Sian Walker presented the report.
The Chair stated that there was an ethos of joint working and the report reflected this. Ms Walker had made a significant contribution and the report was easy to read with clear statistics and strategic direction.
The Board commented that:
· The listing of all the board members with their achievements was useful.
· The report was well received by the Clinical Commissioning Group (CCG).
· The London Homeless Health Programme was consulting on issues relating to safeguarding and was scheduled to end in March 2018.
In response to questions from the Board, Ms Walker informed the meeting that:
· She hoped that the number of safeguarding concerns reported in Lambeth increased because it would indicate a wide level of awareness. The public awareness of adult safeguarding was not as widespread as it was for children. Many people were still not consciously aware of safeguarding and associated it with health and safety. Efforts would be made to find ways to explain safeguarding more clearly.
· It was important that the right measures and checks were in place so that time and resources could be saved by only investigating cases which needed that consideration.
· Lambeth had access to an Adult Multi-Agency Safeguarding Hub which sat alongside the Children’s Safeguarding hub. This consisted largely of a small administrative team, a social worker and senior practitioners. Such arrangements gave the opportunity for various public services to work to some level of synchronism with larger quantities of data. Consideration needed to be made on how referrals would be made to other organisations to make sure health sector workers had access to information they needed.
· Efforts were being made to find processes that acknowledged service users who raised issues to inform them that their issue was being dealt with.
· There was good performance data being submitted to the Safeguarding Adults Board.
· There were local authorities where safeguarding concerns were decreasing. However, some community safety data showed that some adults of working age had said that they did not feel safe. More community safety data acquired in Lambeth would help to see if further efforts to raise awareness are needed.
· The website had references which focused on elderly abuse and a community event could be held where a specialist in the area could deliver a presentation regarding issues relating to elder abuse.
· The case of ‘Mr D’ which was raised in a Safeguarding Adults Review (SAR) was a difficult case involving complex issues. He was technically shown to have had mental capacity and felt that he did not want to have any treatment. At times, people’s mental capacity could fluctuate and some did not have “executive capacity”. More awareness of this issue needed to be raised on the Mental Capacity Act.
· A SAR sub group would hopefully be established on a quarterly basis so that it could review actions taken 6-9 months after implementation to monitor and direct progress.
· The decision made by the Supreme Court in 2014 meant that all local authorities and lead ... view the full minutes text for item 6.
MsRuth Hutt introduced the report.
Board Members welcomed the report and commented that that:
· The new birth visits related to visits made by Health Visitors when a child was born.
· It was important that over the next twelve months, Lambeth identified key indicators that would inform the Board of the impact of budget and service changes. Given the need to make savings, it might be that that the Board would begin to see changes in areas such as the rates of teenage pregnancy. Given changing levels of investment, it would be important to make decisions on based on evidence.
· It was important to be aware of the potential risks, but also the progress that could be made.
(1) That the report be noted.
MrHiten Dodhia introduced the report.
In response to questions from Members, the meeting heard that:
· The analysis would show whether there was a need for more pharmacies in a particular area.
· If an area was to be observed as being underserved in the community, then a report could be submitted alerting relevant parties, such as NHS England, that there was a need in a particular area for a pharmacy.
· Any website in the UK selling medicine needed to be registered to the Medicines and Healthcare products Regulatory Agency and display the EU common logo on their website.
(1) The Lambeth Health and Wellbeing Board note the feedback received from the 60 day consultation.
(2) That the amendments required to comply with the NHS (Pharmaceutical Services and Local Pharmaceutical Services) Regulations 2013 (SI 2013 No. 349) be agreed and signed off.
(3) That the Board delegate sign off of the Lambeth PNA to the Chair of the Health and Wellbeing Board subject to any changes being agreed.
(4) That the process to review any major changes in pharmacy service provision following publication in April 2018, resulting in a requirement for supplementary statements be published via the Health and Wellbeing Chairs’ Group with information submitted to the Health and Wellbeing Board as appropriate.
The Chair, upon concluding the meeting, stated that he would like to place on record the extensive efforts and accomplishments of Helen Charlesworth-May, Strategic Director for Adults and Health, during her time with Lambeth and as Strategic Director. The Health and Wellbeing Board thanked her for her contributions.