Agenda and draft minutes

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

Contact: Nazyer Choudhury, Democratic Services Officer  Tel: 020 7926 0028 Email: nchoudhury@lambeth.gov.uk

Items
No. Item

1.

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.

     

    Minutes:

    None were declared.

2.

Minutes of Previous Meeting pdf icon PDF 200 KB

3.

Finalisation of Lambeth, Southwark and Lewisham (LSL) sexual health strategy, 2019-24 pdf icon PDF 226 KB

    Minutes:

    Ms Jennifer Reiter & Ms Rachel Scantlebury presented the report. 

    The Chair stated the importance of the report given the high level of need in the Borough and that it built on work of the previous 2014-17 Sexual Health Strategy and the draft version of the refreshed Strategy that came to the Board in October 2018. The report was a good example of engagement and co-design. 

     

    In response to questions from the Board, the meeting heard that:

     

    ·           There were a high number of good quality sexual health services in the South London area.    

    ·           In developing the strategy, there were some focus groups which concentrated on female contraception. The public view and women’s preferences had been taken into account.

    ·           There was detailed information about sections of groups accessing certain services. However, not all the data was available for all those with protected characteristics as these are not always captured in services.

    ·           Extensive consultation had already occurred through the development of the strategy involving members of the public, and in particular, focus groups of women around access and experience of contraception.

    ·           The Strategy was an overall direction and high level ambition for sexual health in LSL. When there were changes proposed to services, EIA was a central component of recommissioning or service redesign. 

    ·           Access to services was being monitoring, with a particular focus on identifying and groups who may struggle to access services, and overcoming any barriers to access.

    ·           There were significant differences between ethnic groups for STIs (such as gonorrhea, chlamydia and syphilis).

    ·           Following new legislation on the compulsory implementation of relationships and sex education there would be an opportunity for greater focus on this in schools

    ·           Some of the universal work would help with reducing inequalities but this should continue to be monitored.

    ·           Differences in borough needs and priorities could be reflected through flexibility in the development of the action plans.

    ·           Current providers did well to reach BAME communities, and there was evidence that proportionally the number of BAME individuals accessing local services was increasing. Sexual Health providers provided intelligence on this via monitoring meetings.

    ·           All of the providers were required to identify individuals and refer for issues such as FGM, domestic violence and child sexual exploitation. This would include NHS services and voluntary services.

    ·           The action plan stated that an audit would be completed amongst sexual health staff to identify any issues regarding referral pathways and provide training where necessary.

    ·           There was hope for further discussions to be held with schools and other services regarding youth gang violence and sexual exploitation. However, more external assistance and resources would be required in order to help deliver this, particularly due to the intersection in youth violence and education.

     

    The meeting heard that there was an opportunity for Lambeth Healthy Schools Partnerships to engage with the Youth Violence Strategy and delivery of mandatory RSE.

     

    RESOLVED:

    1)     To approve publication of the LSL Sexual health strategy 2019-24.

     

4.

Lambeth Children's Partnership update pdf icon PDF 187 KB

    Minutes:

    The Board commented:

     

    ·      It would be useful for Lambeth to consider becoming  a child friendly borough. The City of Leeds had adopted the model which took their OFSTED review from adequate to outstanding.

    ·      The Lambeth Made work came out of extensive work with children and young people and stakeholders which considered future scenarios for children and young people in ten years’ time. Based on these scenarios Lambeth Made seeks to adopt some of the child friendly borough principles, working with residents and businesses to support children and young people in a positive way.

     

    The Chair felt that it was important that the work being undertaken would specifically meet the needs of the borough without unnecessary loss of resource or a simple goal to achieve a particular framework.

    Mr Parker stated that work was being undertaken with Leeds on the best way to support Lambeth Made and what it could do to make Lambeth a more child friendly borough.  

     

    RESOLVED:

    1)        That the contents of the report be noted.

     

5.

Action Plan Of Lambeth Dementia Action Alliance pdf icon PDF 68 KB

    Additional documents:

    Minutes:

    Councillor Jackie Meldrum introduced the report.

     

    The Chair stated that the work was valued and the long term contribution of all involved was making a difference. It was important for the Board and Lambeth Together to ensure that the work regarding dementia was appropriately located in the neighbourhood integration work of health and social care.  This would help Lambeth become a more “dementia friendly” borough.

     

    The Board commented that:

    ·      It would be useful for GPs to have access to some of the information outlined in the report via local computer applications so that they could refer relevant patients to programs best suited for them. However, more work was needed to obtain the appropriate technology. 

    ·      There had been considerable progress since the Alliance had first been put in place.

    ·      It was important to acknowledge the importance of the work and the emphasis for support. A post to support this work was being created but this may involve reconfiguring the existing personnel.

    ·      Quality of care could increase with good training and with carers taking an approach which had focus on strong empathy towards patients.

    ·      Resources were being pulled together to assist with social prescribing and work was being done with Guys & St Thomas’ charity to secure funding for some of the work.

    ·      Progress was also being made in the area of Advanced Care Planning.

     

     

    RESOLVED:

    1)        The Board noted the attached report and support Lambeth becoming a dementia friendly borough.

    2)        The Board would support the development of a dedicated part time resource for the Lambeth Dementia Action Alliance subject to funding availability. 

    3)        That the Board promotes Dementia Friends sessions amongst its member organisations.

    4)        Members of the board would attend a Dementia Friends session as requested by London ADASS (Association of Directors of Adult Social Services).

     

6.

Vital 5 pdf icon PDF 81 KB

    Additional documents:

    Minutes:

    Ms Jill Lockett, Professor John Moxham and Mr Joseph Casey introduced the report.

    The report was welcomed, but the Board also highlighted the importance of focusing on the root causes of the issues that caused a condition or a symptom, such as poor housing, education, poverty etc.

    In response to questions from the Board, the meeting heard that:

    ·      Some discussions had been held with NHS England and London team about the implementation of an app for Vital 5. The conversations were about how it would become educational and supportive and not make people feel like they were being admonished or that they had done something wrong. Research showed that people in the age range of 20-40 who may incur sports injuries would not seek primary care but would seek out digital information.

    ·      More work needed to be done to get people to stop smoking. But it was easier to get people to stop smoking or to deal with a specific issue at a younger age as the condition would be easier to reverse. However, prevention made the the healthcare system more sustainable and therefore funding could be allocated to spend on other interventions.

    ·      Pregnancy and birth were seen as key opportunities for behavior inteventions as individuals who were new to parenting appeared to demonstrate greater desire for change. Men would often turn up to pregnancy related healthcare interventions such as antenatal checks.

    ·      The right conversations needed to be held in order for Lambeth Together and Vital 5 to have a collaborative relationship.

    ·      It was proposed that the app would have additional information which would be useful to the users.

    ·      There was a pilot trial of the e-Redbooks and this could be used to provide feedback. 

     

    The meeting heard that the Board would be provided with an update in a future meeting.

     

    RESOLVED:

    1)  That the report be noted.

     

7.

Lambeth Together - Integrating Health and Care in Lambeth pdf icon PDF 138 KB

    Additional documents:

    Minutes:

    Mr Andrew Parker, Director of Commissioning and Improvement, introduced the report.

    The Chair invited Ms Nicola Kingston to address the Board.

    Ms Kingston stated:

    ·      She was heartened by the informal discussion prior to the meeting but there was a history of long term planning and there was concern about all relevant parties being part of an integrated system across six boroughs. It was important for local people to be part of the arrangements and a proper democratic process was required. Originally, health and social care was supposed to be together but appeared to being taken apart, through NHS Long Term Plan reforms.

    ·      Local people wanted to be involved in the discussion and find out what was available for them locally. They would also be able to provide examples of specific issues related to their locality..

    ·      It would be useful for the Council to get more involved both governance and accountability of the wider SE London System but also help locally on how Primary Care Networks could be developed.

    ·      In ongoing discussions, it was unclear who held the responsibility for various activities, such as sending letters to GPs to keep them informed. The Health and Wellbeing Board could help with appropriate messaging. 

     

    The Chair noted the issues regarding the Council and NHS and its processes were all challenges that were being addressed as Lambeth Together developed. However, there was a specific focus on bringing all elements together. Within Lambeth Together, a local structure would exist which worked with the NHS and an ability to scrutinize processes.

    The Board heard that:

    ·      Central government was not clear on how to address public health matters, particularly regarding dealing with root causes. It was important for the borough to work together locally as much as possible to pool resources to try to have an impact on the health of local residents. It was the responsibility of elected members to act as a bridge between the NHS and the local services.

    ·      Working with cohorts of people like those involved in Project Smith would help to strengthen communities and local councillors could help provide support to the NHS and local people.

    ·      The opportunities would give the Council access to services and areas in which it could not previously be involved in before. Better integration between CCG and Council would enhance decision making.

    ·      There needed to be a consistent narrative and communication with the public and local services which is coherent and consistent across all partners.

    ·      The Council had started by listening to communities. Local people would contribute information to help with sustainability. It was important to take on board the views of the local people.

    ·      The original ambition of the Health and Wellbeing Board was to harness assets for the Council and the wider community in improving health and wellbeing and this perspective needed to be maintained in addition to the general integration. 

               

    RESOLVED:

    1)  That the contents of the report be noted.

     

8.

Quarterly Report of the Director of Public Health for Lambeth (October - December 2018) pdf icon PDF 876 KB

    Minutes:

    Ms Ruth Hutt, Director of Public Health, presented the report and informed that Lambeth had been successful in doubling the Sugar Levy, through matched funding with partners. Feedback from schools was positive and it was an example of how thinking creatively could garner different results.

    The Chair praised the imaginative work the Public Health team and partners had been doing on obesity

    The meeting praised the quality of work that had been done by staff particularly with the challenged population at Lambeth. 

     

    RESOLVED:

    1)  That the report be noted.