Agenda and minutes

Venue: Hendon Town Hall, The Burroughs, NW4 4BG

Contact: Salar Rida 020 8359 7113, Email: salar.rida@barnet.gov.uk 

Note: Public Questions and Comments must be submitted by 10am on the third working day before the meeting. The deadline for this meeting is 10am on Monday 6 November. 

Items
No. Item

1.

Minutes of the Previous Meeting pdf icon PDF 116 KB

Minutes:

Councillor Helena Hart, Chairman of the Health and Wellbeing Board opened the meeting and welcomed all attendees including representatives from People’s Choice, Inclusion Barnet and Barnet Mencap.

 

Matters arising from the previous minutes:

 

·         The Chairman noted that following submission to NHS England, the Better Care Fund Plan has received full approval by NHSE and she thanked the Joint Commissioning Team for its work in producing the plan. 

·         She welcomed Ms Ceri Jacob NHSE to this meeting. Ms Jacob informed the Board that Mr Danny Batten has been appointed as her formal substitute on the Health and Wellbeing Board.

 

It was RESOLVED that the previous minutes of the Health and Wellbeing Board meeting held on 14th September 2017 be agreed as a correct record.

 

2.

Absence of Members

Minutes:

Apologies were received from:

 

·         Ms Dawn Wakeling, as she was chairing the London Safeguarding Adults Board. She was substituted by Mr Mathew Kendall

·         Ms Selina Rodrigues who was substituted by Ms Julie Pal

·         Dr Clare Stephens

·         Mr Chris Miller

 

Since the previous meeting, it was noted that Mr Chris Miller had stepped down both as Chairman of the Barnet Safeguarding Children’s Board (BSCB) and of the Safeguarding Adults Board (SAB). The Chairman on behalf of the Board thanked Mr Miller for all his contributions and wished him well for the future.

 

The Chairman announced that the BSCB has been renamed as the Barnet Safeguarding Children’s Partnership. She informed the Board that Mr Andrew Fraser has been appointed as the Chairman of the Barnet Safeguarding Children’s Partnership. The Board noted that Mr Fraser will be invited to join the HWBB as an Observer-Member with speaking rights. (Action)

 

The Chairman of the Safeguarding Adults Board is yet to be appointed but will also be invited to join the HWBB as an Observer-Member once appointed.

 

3.

Declaration of Members' Interests

Minutes:

Councillor Helena Hart declared a personal non-pecuniary interest in relation to Care Closer to Home - which is referred to under Item 6, JHWBS Implementation Plan and includes reforms to secondary care - by virtue of her son being a Consultant at the Royal Free Hospital which could be affected in the future by any such reforms.

 

Dr Debbie Frost made a joint non-pecuniary declaration on behalf of Barnet CCG Board members; Dr Clare Stephens, Dr Charlotte Benjamin and herself, in relation to the Items on the agenda which refer to GP practices, by virtue of being impacted through their respective GP practices.

 

4.

Report of the Monitoring Officer (if any)

Minutes:

None.

5.

Public Questions and Comments (if any)

Minutes:

None were received.

6.

Joint Health and Wellbeing Strategy Implementation plan (2015 – 2020) annual progress report pdf icon PDF 336 KB

Additional documents:

Minutes:

The Chairman introduced the report which sets out the annual progress made towards the delivery of the Joint Health and Wellbeing Strategy. She commended the positive achievements made by Partners and highlighted the areas of focus for continued improvement.

 

The Board received a presentation from Dr Andrew Howe, Director of Public Health. For each theme, Dr Howe noted the achievements made as well as highlighting areas where there are gaps and which remain a priority in 2018.

 

In reference to the Health Profiles for 2016 and 2017, Dr Howe noted the progress made in reducing the number of TB cases over the last two years and highlighted the ongoing work to further reduce the rates for TB and STI’s. 

 

 

Theme: Preparing a Healthy Life

 

The Chairman commended the improvements in Health Assessments for Looked After Children and thanked everyone involved in their work towards achieving this. The Board highlighted the importance of continuing to improve services in this area.

 

Mr Chris Munday, Strategic Director of Children & Young People highlighted the progress made in relation to Initial Health Assessments (IHA) for children and noted that all IHA have been made within the timeframe. 

 

The Chairman referred to the IHA performance for 2017 in February and queried the drop in rates and whether this could be expected for 2018. Mr Munday referred to the setup of the system which occurred in early 2017.

 

Mr Munday briefed the Board about the development of the Integrated Hubs for Children, Families and Young People. He noted that the first hub has been up and running for a few months and that the initial feedback has been positive.

 

Theme: Wellbeing in the Community

 

The Chairman noted the significant progress made on mental health and wellbeing which has been a top priority area in 2016-17. The Board was asked to note the significant progress made and the positive outcomes that are being achieved for residents – in particular, the support services provided by Linkworkers and other Community Providers and the increase in employment.

 

The Board noted that the improvement of mental health of children and adults will be a continued focus.

 

The Chairman noted that there is more work to be done, particularly with the IAPT services and on the development and quality improvement of CAMHS.

 

In respect to Adult Mental Health services, Dr Charlotte Benjamin Barnet CCG, highlighted the progress made in this area by virtue of the joined-up partnership working between the services involved. Dr Benjamin also noted the development in links between the Wellbeing Hub and the Network mental health enablement service.

 

Ms Julie Pal, CEO CommUnity Barnet welcomed the new way of working to continue to deliver services across the Voluntary and Community sector working alongside partners and to develop relationships with other organisations.

 

Ms Pal briefed the Board about the launch of the seminar programmes with the aim to promote understanding and access to the services available. The programme will be launched in the new year and includes a variety of courses  ...  view the full minutes text for item 6.

7.

Healthwatch Barnet - Inclusion Barnet - Barnet Mencap: Learning Disability Care and Blood Testing pdf icon PDF 252 KB

Additional documents:

Minutes:

The report was welcomed by the Chairman who highlighted the importance of understanding the experiences of residents who use local health and social care services - particularly the need to access good quality support for people with learning disabilities.

 

The Board received a presentation from Ms Pal who spoke about the contents of the report. They also welcomed representation from Barnet Mencap.

 

The Board heard about the experiences from a Barnet Mencap service user and staff member. The speaker highlighted the importance of ensuring that the level of interaction is right which will in turn help break down any barriers in communication between staff and service users.

 

Mr Kendall welcomed the report and noted that housing and employment needs are also looked at as part of the whole-life approach, in addition to health needs. He also reiterated the message around spending more time with service users and for staff to limit mobile phone calls as much as possible while with service users. 

 

The Board received a briefing about the actions taken in response to the recommendations which includes reminding staff about basics of effective communication and to refresh the training programme for staff. As part of the improvements, it was noted that partnership working will be strengthened to enable service users to feel freely in sharing any issues they may experience.

 

Mr Kendall spoke about the development of My Health document which has been developed with health partners for people with learning difficulties. This is a helpful document for staff and service users who are able to take ownership of it.

 

The Board received a presentation about Blood Tests in Barnet as set out in Appendix 2 to the report. Dr Frost welcomed the report and encouraged further partnership working to ensure that the issues are resolved by making adjustments and sharing information. 

 

The Chairman thanked the guest speakers for sharing their experiences and commended the recommendations within the report which should be part of the daily working of support staff.

 

It was RESOLVED:

 

That the Health and Wellbeing Board noted and commented as above on the content of the report and appendices.

 

 

 

8.

Update report on the Ofsted Improvement Action Plan implementation progress pdf icon PDF 383 KB

Additional documents:

Minutes:

Mr Munday presented the report and drew the Board’s attention to the recent November publication of the Children’s Services Improvement Action Plan Update report.[1] 

 

Mr Munday briefed the Board about the update report and spoke about the work of the Improvement Board. It was noted that the Improvement Action Plan had been agreed with Ofsted as satisfactory. The Board also noted that overall the implementation of improvements has been a continuous process. Mr Munday highlighted concerns around inconsistency of quality which is reviewed regularly and noted the actions which are taken to address this.

 

Mr Munday referred to the triple loop audits which had been undertaken and reviewed externally by Essex. The Board heard about the increase in the number of children from 6 to 18 who are privately fostered. It was noted that improvements had been made by virtue of a more dedicated service and the work of the designated private fostering social worker.

 

In relation to homelessness, Dr Frost queried the support available for young people. Mr Munday referred to the new Housing Protocol for Homeless 16 and17 year olds which is aimed at young people at risk of homelessness and to ensure that they are appropriately supported. Mr Munday informed the Board that this will continue to be monitored.

 

It was RESOLVED:

 

1.    That the Health and Wellbeing Board noted and commented as above on the content of the report and the appendices 1-4.

2.    That the Board noted the actions that have been taken to respond to recommendations within the Ofsted report as set out in paragraphs 1.20 to 1.31.

 

 

 



[1] Children, Education, Libraries and Safeguarding Committee Agenda, 15 November 2017 - https://barnet.moderngov.co.uk/ieListDocuments.aspx?CId=697&MId=8694&Ver=4

9.

Revised terms of reference and Minutes of the Joint Commissioning Executive Care Closer to Home Programme Board pdf icon PDF 157 KB

Additional documents:

Minutes:

Mr Kendall noted the standing item on the agenda which details the updated Terms of Reference of the JCE Care Closer to Home Programme Board as well as the minutes of its meeting of 20th July 2017.

 

RESOLVED:

 

1.    That the Health and Wellbeing Board approved the minutes of the Joint Commissioning Executive Care Closer to Home Programme Board of 20 July 2017 (Appendix 1).

2.    That the Health and Wellbeing Board approved the revised Joint Commissioning Executive Care Closer to Home Programme Board Terms of Reference (appendix 2).

 

 

10.

Forward Work Programme pdf icon PDF 183 KB

Additional documents:

Minutes:

The Chairman noted the items included within the Forward Work Programme and invited Board Members to make suggestions. The following additions were made:

 

·         Implementing Barnet’s Carers’ Strategy

·         Development of Care Closer to Home Integrated Networks (CHINs) in Barnet

·         Children’ Service Improvement Action Plan as reported to the most recent CELS Committee (standing item)

 

It was RESOLVED:

 

That the Health and Wellbeing Board considered and commented as above on the items included in the Forward Work Programme (see Appendix 1).

11.

Any Items the Chairman decides are urgent

Minutes:

None.