Agenda and minutes

The Chairman of the Health and Wellbeing Board, Councillor Caroline Stock welcomed all attendees to the meeting being held at Hendon Town Hall and noted the Covid-secure measures in place throughout the meeting. She also thanked Salar Rida for all his commitment to the HWBB and is sorry to see him leaving and went onto welcome the new governance officer Alan Witherick.

It was RESOLVED that the minutes of the previous meeting of the Health and Wellbeing Board held on 30 September 2021 be agreed as a correct record.

Apologies were received from Dr Nick Dattani and Chris Munday who was substituted by Ben Thomas and Brigitte Jordaan.

Dr Charlotte Benjamin, Vice-Chair of the HWBB declared an interest on behalf of herself and Dr Clare Stephens, in relation to the relevant agenda items as primary care providers via their respective GP Practices and GP Federation in the interest of transparency.

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RESOLVED that the Board noted the standing item on the agenda which lists the frequently used acronyms in HWBB reports.

The Board noted the items due to be reported to future HWBB meetings. Any suggestions in the future should be submitted to Allan Witherick who will provide governance support for the HWBB going forward.

RESOLVED that the Board noted the Forward Work Programme.

The Chairman noted comments sent to the Board by Debbie Saunders, CEO of Barnet Hospital and invited Dr Tamara Djuretic Director of Public Health and Prevention and Dr Charlotte Benjamin NCL CCG to provide on update on COVID-19 in Barnet.

Dr Djuretic updated the Board on the work delivered to increase vaccination uptake and the additional outreach sessions including walk-in sessions. The Board noted the COVID-19 roadmap which involves the requirements to self-isolate, wearing of face masks in shops, public transport and to self-isolate if you have symptoms following notification by NHS Test and Trace.

The Board heard the update from Dr Charlotte Benjamin regarding the vaccination and booster rates, which is higher in comparison to London data and that pressures across hospitals continue. Dr Benjamin noted that work continues to offer vaccination to children who are home educated. She also informed the Board that outpatient recovery is currently 95% of what it was prior to COVID-19.

The Chairman thanked Dr Djuretic and Dr Benjamin for the update.

RESOLVED that the Board noted the verbal update.

The Chairman invited Dr Janet Djomba, Public Health Consultant to co-ordinate the presentations for this agenda item and for the relevant Council Officers and external partners to jointly deliver the presentation.

Dr Djomba introduced the report which provides an update to the Board on projects underway to deliver the outcomes of Key Area One of the Strategy and the work across the council to improve health and wellbeing by creating a healthier place and resilient communities.

The Board noted the presentations on the various workstreams to deliver the outcomes of Key Area One under the Joint Health and Wellbeing Strategy.

Radlamah Canakiah, VAWG Manager spoke about the public consultation for the draft Domestic Abuse and Violence Against Women & Girls Strategy 2021-2024 which is live on Engagement Barnet and encouraged dissemination of the consultation link available here: https://engage.barnet.gov.uk/da-vawg-strategy

Dr Julie George Deputy Director of Public Health and Fatima Patel Managing Director Mediscript Ltd spoke about the work of the COVID-19 Health Champions. The Board noted the work and the impact of the distribution of fact based information on the uptake of the vaccination through various workstreams such as promotion through infographics and translation of flyers into various languages.

Seher Kayikci, Senior Public Health Improvement Specialist addressed the Board and spoke about Social Prescribing in Barnet and the increase in the number of referrals as well as the improvement to patients’ health. The Chairman also invited Brendan who informed the Board about the Thyme4change allotment project which has helped residents to improve their mental health and wellbeing.

The Board welcomed the presentations and provided the following feedback:

·       In relation to Air Quality, for traffic to move freely and good air quality

·       Refill water station service in relation to healthier high streets and more accessible disabled toilet facilities

·       Promotion of the Barnet Healthier High Streets logo p.27 of the agenda with the addition of the wording ‘it’s a right not a privilege’

·       Work collaboratively towards child weight management and addressing challenges around child obesity

·       Consider air quality in terms of moving traffic comparative to standing traffic

Board Members commended the work delivered and the Chairman thanked the presenters and the Board for the discussion.

It was RESOLVED:

1. That the Board noted the Key Area One overview presentation.

2. That the Board noted the progress report on Key Area One.

The Chairman invited Dr Tamara Djuretic to give a verbal update on the future of the Health and Wellbeing Board, in light of the forthcoming Health and Care Bill. Following a meeting with the lead members of NCL HWBBs she noted the importance of ensuring that a relevant and strong Board continues to be in place in Barnet.

Dr Djuretic noted that the Health and Care Bill carries a number of changes and its impact on the HWBB will include linkage to the Integrate Care Partnership at a local level. As a result of this, it is proposed to hold a workshop session in February prior to the next HWBB, for the Board to discuss this matter. (Action)

Dawn Wakeling, Executive Director for Adults and Health welcomed the proposal and highlighted the importance of the links between place based partnerships and the HWBB as well as tackling health inequalities.

Dr Charlotte Benjamin also welcomed the proposal for the workshop discussion and noted the importance of effective representation of Barnet representation at NCL level.

RESOLVED that the Board noted the verbal update and agreed to hold a workshop session in February 2022.

The Chairman invited Maeve Gill Public Health registrar to present the update report.

Maeve Gill summarised the report and noted the updates to the action plan following the initial presentation of the report to the Board in July. Brigitte Jordaan, Director of Children Social Care welcomed the report and commended the work delivered through the joint collaboration opportunity.

Ms Gill welcomed the comment from the Board about addressing risks of substance misuse and stated that this will be looked into further.

It was RESOLVED that the Board discussed (as above) and noted the amendments to the action plan.

The Chairman welcomed Brigitte Jordaan, Director of Children Social Care who presented the report and noted the improvements delivered particularly during COVID-19 as set out in the report appendix.

It was RESOLVED that the Health and Wellbeing Board noted the letter and recommendations made by Ofsted.

The Chairman welcomed Daniel Morgan Interim Director of Aligned Commissioning NCL CCG and Dionne Usherwood Deputy Director, Children and Young People's Commissioning NCL CCG to present the item.

The Board noted the summary presentation. The speakers noted that CAMHS has presented a good learning opportunity for the future, particularly collaborative partnership working. The Board also heard about the opportunity for the development of the Transformation Plan informed by children.

It was RESOLVED that the Board approved Barnet’s priorities for inclusion in this plan and approved publication of the Transformation Plan on Barnet’s website alongside NCL CCG’s.

The Chairman welcomed Daniel Morgan and Mary Morgan NCL CCG to present and summarise the report.

Following comments from the Board, Daniel Morgan noted the work to address funding gaps and imbalance across NCL and particularly for Barnet.

It was RESOLVED that the Health and Wellbeing Board noted the progress of the NCL CCG reviews of community and mental health services.

The Chairman invited Muyi Adekoya Head of Joint Commissioning and Dawn Wakeling Executive Director for Adults and Health to present the report.

The Board welcomed the report and encouraged early reporting to the HWBB for approval of the BCF in the future.

It was RESOLVED that the Health and Wellbeing Board approved the Barnet Better Care Fund plan for 2021-22.

The Chairman thanked the Board. The Board noted that the next meeting scheduled for 24 March 2022 is to be changed to 17 March 2022 and is due to be noted by Council.