Agenda and minutes
- Attendance details
- Agenda frontsheet PDF 92 KB
- Agenda reports pack
- Supplementary report- Item 7: Appendix 2- Barnet Better Care Fund Plan, Item 9: Quality and Safety in health and social care and Item 12 Early Intervention and Prevention Strategy, Appendix 1EIP Strategy PDF 5 MB
- Printed minutes PDF 72 KB
Venue: Hendon Town Hall, The Burroughs, London NW4 4BQ. View directions
Contact: Claire Mundle 020 8359 3478 Email: claire.mundle@barnet.gov.uk
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Minutes of the Previous Meeting PDF 70 KB Minutes: RESOLVED that subject to the corrections - that the duplicate reference to Dr Clare Stephens is removed and Julie Pal is listed as Substitute under Board Members present - the minutes of the Health & Well-Being Board meeting held on 12 June 2014 be agreed as a correct record.
Councillor Helena Hart, Chairman of the Health & Well-Being Board thanked Mr John Morton (previous Chief Officer at Barnet Clinical Commissioning Group) for his contributions to the work of the Board.
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Absence of Members Minutes: Apologies for absence were received from: Councillor Sachin Rajput (London Borough of Barnet, LBB), substituted by Councillor David Longstaff (LBB) Paul Bennett (NHS England) Rob Larkman (Interim Accountable Officer, Barnet Clinical
Commissioning Group)
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Declaration of Members' Interests Minutes: There were none. |
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Report of the Monitoring Officer (if any) Minutes: None. |
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Public Questions and Comments (if any) Minutes: None were submitted. |
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Minutes of the Health and Well-Being financial planning group PDF 103 KB Additional documents:
Minutes: The Chairman stated that at the June Health & Well-Being Board meeting the Board had agreed the recommendation as set out below from the Financial Planning Group to receive a position paper on mental health services: Note the local plans to review the future of mental health services in Barnet and approves the suggestion that a position paper on mental health services is presented to the Board in September 2014 to help inform future options. The Board was informed by the CCG that for technical reasons the paper was not available for the meeting. Dr Charlotte Benjamin briefed the Board on plans to review mental health services in Barnet. Kate Kennally, the Strategic Director for Communities explained that the Financial Planning Group has focused on the development of the Better Care Fund and the completion of the Full Business Case for Integrated Care which will be completed by the end of September 2014. It was noted that the agenda for the Financial Planning Group’s October 2014 meeting will focus on commissioning to support implementation of the Children and Families Act and commissioning of mental health services. RESOLVED that the Health & Well-Being Board notes the minutes of the Financial Planning Sub-Group Meetings of 7th August and 4th September 2014.
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Update on the Better Care Fund proposals/ 5 tier model for integrated care PDF 128 KB Additional documents:
Minutes: The Board resolved to discuss the Better Care Fund item and the restricted information as one item. RESOLVED that:
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CCG 5 Year Strategic Plan PDF 87 KB Additional documents: Minutes: Dr Debbie Frost, Chair of Barnet Clinical Commissioning Group presented the item and provided an update on the development of the CCG 5 Year Strategic Plan developed in line with national priorities and the Health & Well-Being Strategy. It was noted that under new NHS Planning Guidance CCGs must demonstrate how they will meet the overall vision of NHS England’s High Quality Care for All strategy. Dr Frost identified the strategic goals and transformation objectives that support the delivery of a comprehensive health system in Barnet. Dr Andrew Howe, Director of Public Health (Barnet and Harrow) welcomed the draft Strategy. Dr Howe noted the importance of utilising technology to enable patients to live more independently across the Borough. The Chief Executive of the London Borough of Barnet, Andrew Travers commended the CCG’s goals to improve health and well-being throughout the Borough by improving efficiency in the health service and enabling people to live healthier lives in the community. Kate Kennally, the Strategic Director for Communities emphasised the importance of effective partnership working across the five CCGs to support a resilient health system in North Central London. Ms Kennally also stressed the importance of the CCG developing their plan in alignment with the Council’s Adult & Safeguarding, Children, Education, Libraries and Skills, and Public Health 5 Year Commissioning Plans. The Chairman noted that on p.158 of the agenda report, the word ‘Committee’ should be changed to ‘Board’. A correct record of the recommendation on p.158 should read: 1. That the Board signs up to the proposed Strategy. RESOLVED that: 1. The Health & Well-Being Board signs up to the proposed Strategy 2. The Board noted that they would receive an annual Progress Report when the Strategy is implemented. 3. Additional Recommendation: That the CCG Interim Director of Planning and Performance works with Lead Commissioners at the Council to ensure aligned delivery and commissioning plans across the CCG and the Council.
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Quality and Safety in health and social care Additional documents:
Minutes: The Chairman welcomed Chris Miller, Independent Chairman of the Adults and Children’s Safeguarding Boards and asked him to join the discussion. Kate Kennally, the Strategic Director for Communities at LBB highlighted the importance of continued and closer partnership working to ensure that Safeguarding of both Children and Adults remained a priority within the Borough. The Chairman noted that in order for the Health & Well-Being Board to ensure the progression of the safeguarding agenda, a joint working protocol between the Boards had been established. Ms Kennally informed the Board about the draft joint working protocol which sets out the expectations of the relationships and working arrangements between the Health & Well-Being Board, Local Safeguarding Children Board and Local Safeguarding Adults Board. Ms Kennally noted the organisational alignment of an Independent Chair for both Safeguarding Boards to help achieve effective coordination of efforts in addressing safeguarding issues. The Adults and Communities Director Dawn Wakeling, stressed the importance of good communication between the Boards to ensure that safeguarding risks and issues are considered appropriately.
RESOLVED that the Health & Well-Being Board:
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Future of Children's Trust Board PDF 94 KB Minutes: The Lead Member for Children’s Services, Councillor Reuben Thompstone introduced the item on the future of the Children’s Trust Board (CTB). Councillor Thompstone explained that the partners of the CTB agreed to develop an alternative governance approach to achieve its objectives. The Board was informed that a survey of members of the CTB and its Executive Management Group was undertaken. It was agreed that the CTB will meet for one or two half day conference sessions per year to review progress on the Children and Young People’s Plan and to refresh priorities. The CTB will have no business to transact but may make recommendations for action to partnerships and other partner organisations. RESOLVED that:
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Domestic Violence and Violence Against Women and Girls (DV/VAWG) Strategy 2013-2016 PDF 118 KB Additional documents: Minutes: The Chairman welcomed the CEO of CommUNITY Barnet Ms Julie Pal and invited her to join the discussion. Ms Pal highlighted the need for effective collaboration between the Strategic Boards to drive progress on the Domestic Violence and Violence against Women and Girls Action Plan. The Board noted the importance of raising the profile of under-reporting in cases of domestic violence and abuse. The Independent Chair of the Adults and Children’s Safeguarding Boards highlighted the duty to safeguard adults and children who are at risk of violence. The Board noted the need to support clients who are at high risk through sharing information and intelligence. Furthermore it was noted that the Identification and Referral to Improve Safety (IRIS) commissioning guidance addresses the need for improved training and awareness on domestic violence and abuse for GPs and healthcare professionals. RESOLVED that the Health & Well-Being Board:
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Early Intervention and Prevention Strategy Additional documents:
Minutes: Duncan Tessier, Assistant Director Early Intervention and Prevention (LBB) briefed the Board about the Early Intervention and Prevention Strategy. The Board noted the purpose of the Strategy to identify and tackle problems as early as possible and to improve outcomes for children and families. The Chairman emphasised the importance of effective inter-agency working to tackle the key themes identified as most likely to result in poor outcomes for families across the Borough. (p170 Supplementary Agenda report) Mr
Tessier stated that partners in Health, Education, the Police and
the Voluntary Sector have agreed to help with work on a shared plan
for the Early Intervention and Prevention Strategy. It was also
noted that assessment of the success of the Strategy will be
carried out by a number of measures such as reviewing impact of
early intervention, partnership arrangements and whether
intervention could occur at an earlier stage. RESOLVED that: 1) The Health & Well-Being Board notes the Early Intervention and Prevention Strategy 2) That following creation of the Health & Well-Being Early Years Group, this group considers the actions that come from the Early Intervention and Prevention Strategy
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Report on immunisation coverage in Barnet PDF 108 KB Additional documents:
Minutes: The Chairman welcomed the following guests from NHS England to discuss the report on childhood immunisation rates: Luke Kwamya, Population Health Practitioner Manager; Kenny Gibson, Head of Early Years; and Amanda Goulden, Population Health Practitioner Manager. The Strategic Director for Communities queried the drop in immunisation rates in tables 1-6 (pp 208-210 Agenda report). Mr Gibson explained that the decline in figures has been due to data management and linkage issues. It was noted that all Barnet practices are now signed up to Quality Medical Solutions (QMS), enabling immunisation data to be electronically uploaded to a central server. Mr Gibson also noted the importance of sharing relevant data with partners as part of an integrated governance framework. The Board noted the report on childhood immunisations in Barnet
and the processes in place to ensure that new entrants are offered
the appropriate vaccination. Dr Clare Stephens highlighted the usefulness of clinical representation on the London Immunisation Board. Selina Rodrigues, Head of Healthwatch emphasised that assurances would need to be provided that vaccination reminders were being sent to residents and that data should reflect accurate representation of childhood immunisation rates across the Borough.
RESOLVED that:
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Screening coverage and uptake in Barnet PDF 78 KB Additional documents:
Minutes: The Chairman welcomed Dr Jeff Lake, Consultant in Public Health. Dr Lake briefed the Board about the performance reports of screening uptake in Barnet. The Board was informed about the three cancer screening programmes (Breast, Cervical and Bowel) commissioned by NHS England. Members were informed of the 2% increase in Cervical and Breast Screening coverage and an increase of 13% in uptake of Bowel screening. Dr Lake stated however that the improved performance is still below national targets. Mr Gibson noted that NHS England has established a London Coverage Technical Group to oversee and ensure robust commissioning and implementation of best practice as a response to the low screening uptake in the Borough. Action: Kenny Gibson and Dr Clare Stephens to produce a draft action plan for patients who have not participated in the cancer screening programme RESOLVED that:
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12 month Forward Work Programme PDF 105 KB Additional documents:
Minutes: The Chairman requested that all reports be submitted in accordance with publication deadlines. RESOLVED that: 1. The Board proposes any necessary additions and amendments to the 12 month forward work programme 2. Board Members propose updates to the forward work programme before the first day in each calendar month, so that the work programme can be published on the Council’s website more efficiently, with the most up to date information available. 3. The Board aligns its work programme with the work programmes of the new Council Committees (namely the Adults and Safeguarding Committee and the Children’s, Education, Libraries and Safeguarding Committee), Health Overview and Scrutiny Committee and Barnet CCG’s Board.
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Any Items the Chairman decides are urgent Minutes: There were none. |
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Motion to Exclude the Press and Public Minutes: That under Section 100A (4) of the Local Government Act 1972 the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in paragraph 9 of Part 1 of Schedule 12A of the Act (as amended). |
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Update on the Better Care Fund proposals/ 5 tier model for integrated care Additional documents:
Minutes: RESOLVED that the exempt information be noted.
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Any Other Exempt Items the Chairman decides are urgent Minutes: There were none. |