Agenda and minutes

Venue: Hendon Town Hall, The Burroughs, London NW4 4BQ. View directions

Contact: Emma Powley, Email: Emma.Powley@Barnet.gov.uk  Email: Emma.Powley@Barnet.gov.uk

Items
No. Item

1.

Minutes of the Previous Meeting pdf icon PDF 178 KB

Minutes:

2.

Absence of Members

Minutes:

3.

Declaration of Members' Interests

Minutes:

There were none.

4.

Public Questions and Comments (if any)

Minutes:

There were none.

5.

Report of the Monitoring Officer (if any)

Minutes:

There was none.

6.

List of Health and Wellbeing Board (HWBB) Abbreviations pdf icon PDF 96 KB

Minutes:

RESOLVED – that the Board noted the standing item on the agenda which lists the frequently used acronyms in Health and Wellbeing Board (HWBB) reports.

7.

Neighbourhood Conversation -Covid Vaccine Champions pdf icon PDF 236 KB

The Board listens to the experience of residents, and the work currently underway to improve health and wellbeing in the area.

 

The Board will hear about the Barnet Community Vaccine Champion (CVC)

Additional documents:

Minutes:

The Chair introduced the Item and handed over to the organisations who have been delivering the Community Vaccine Champion programme. Dr Janet Djomba, Consultant in Public Health, explained that funding had been received from the Department of Levelling Up, Housing and Communities in January 2022 to support communities who have been shown to experience the lowest rates of Covid vaccine uptakes, through Community Vaccine Champions (CVC’s).

 

The CVC programme provided targeted help to specific areas where there had been challenges relating to vaccine uptakes and these included, faith groups, young people, marginalised groups, pregnant women and people with serious mental health illness. The promotion of the vaccination programme was channelled through various means, through engagement with vulnerable and difficult to reach communities, coupled with new, original ways of working and community engagement and building relationships of trust.

 

The Communications for the CVC programme were highlighted, and the 5 key aims were noted:

 

1)    Supporting the CVC to increase vaccine uptake.

2)    Raise Awareness

3)    Sharing approved public health information

4)    Community listening

5)    Compliment and endorse the Covid Booster campaign.

 

The following organisations gave presentations on the work that they had undertaken as part of the Covid Vaccination Champion Programme;

 

Ø   Belifted- Organisation supporting women from the age of 16-70 years old, young girls from the age of 7 to 15 years old and Black and ethnic minority women.

 

Ø  Exposure - Youth Communication Charity

 

Ø  The Romanian and Eastern European Hub - a service designed to support the Romanian and Eastern European communities both in London and more widely across the UK.

 

The Board discussed the outcomes of the CVC programme and the lessons that had be learnt. It was evident that there had been cohesive co-productive working with all communities and there was a commitment that this continues, creating a long-lasting legacy through Barnet Health Champions.

 

The Chair thanked everyone for their work and their contributions on the CVC programme and explained that the achievements of what were now Health Champions went beyond the covid vaccination programme and noted that there had been wider engagement and outreach in communities, which may also assist in future outreach work with other vaccination and childhood immunisation programmes within the hard-to-reach communities.

 

Resolved that:

The Board notes the progress made to date on the Community Vaccine Champion programme and lessons learned to inform future Public Health programmes to reduce health inequalities.

 

At this juncture of the meeting, the Chair adjourned the meeting.

 

8.

North Central London Population Health and Integrated Care Strategy pdf icon PDF 233 KB

Additional documents:

Minutes:

The Chair resumed the meeting.

 

The Chair proposed that items 8 and 9 be considered together and noted that the two reports were interrelated. It was explained that the first report presented the North Central London Population Health and Integrated Care Strategy and the second report contained a proposed response from the Barnet Health and Wellbeing Board to the Strategy (but not the Joint Forward Plan). Both reports were for the Board to discuss and agree, subject to amendments.

 

Amy Bowen (NHS England) introduced the report and explained that work had continued on the development of the Integrated Care Partnership (ICP), with work being carried out with colleagues from across the system to outline the approach to both population health management and integrated care. It was explained that the document should be considered a ‘draft in development’ as the document forms a milestone in the population health journey, but it was recognised that there was a need to continue to develop partnership working as well as engagement with communities.

 

There had been engagement with a wider range of forums across the NCL Integrated Care Board (ICB) to develop the strategy, building upon the existing Health and Wellbeing strategies for the five boroughs and the Board were requested to give their opinions on how they wanted to be engaged with, in the development of the Joint Forward Plan.

 

The Director of Public Health and Prevention explained that a response had been drafted and appended to the report. The following points were raised:

 

i)             Whilst there were areas of deprivation within the 5 Boroughs, Barnet was not considered to be one of the most deprived areas but it has large population of residents with protected characteristics and pockets of deprivation.

 

ii)            Barnet has a high level of children under 19 years old which presented challenges as well as a significant population of over 65’s.

  

iii)           Whilst it was noted that work was ongoing to align population health priorities with the Director of Children’s Services and Director of Adults and Social Services priorities, it would be good to see these embedded into the document and not just referred to.

 

iv)            The use of population-based approach can result in those with the greatest and/or most complex needs being overlooked. There is a need for it to be at a more granular level.

 

v)           It was acknowledged that the challenge is that in the North Central London area, the statutory signatories were the 5 Boroughs and the ICB, and how a strategy designed at system level is fit for purpose for more local system.

 

 

In response the points raised, Amy Bowen (NHS England) explained that she appreciated and recognised the feedback and points raised and stated that she would continue to work with the North London Councils team on the strategy and would try and take a more integrated approach. It was explained that there had been focus on the national and had jettisoned somewhat on the local strategy; Local priorities, she assured the  ...  view the full minutes text for item 8.

9.

North Central London Integrated Care Board Joint Forward Plan

Minutes:

This item was taken as part of Item 8 on the agenda.

10.

Dementia Strategy pdf icon PDF 283 KB

Additional documents:

Minutes:

Ellie Chesterman, Head of Commissioning - Mental Health & Dementia, elaborated on the report and explained that the Strategy is Barnet’s first dementia strategy; there had been extensive engagement and co-production in drafting it and would support the visions and outcomes within the National Dementia Strategy 2009. It was further noted that following approval of the strategy, officers would develop a multi-agency action plan to address gaps identified.

 

The Board noted that the Strategy published with the agenda had been superseded. The revised version was subsequently published on the Council website.

 

The Board discussed the report and the following comments were noted:

 

Ø  The strategy had been approved by the Adults and Health Committee on the 14 March 2023.

Ø  A third of cases can be prevented through life-style changes and this would be included in the action plan.

Ø  Information relating to the impact of dementia on young people and young carers needed consideration.

Ø  Further information to be included in the plan about early onset dementia.

Ø  Need to assess how the strategy fits into an aging workforce.

 

The Chair thanked the Board for their comments and thanked the officers for their work, explaining that it had received cross party support.

 

RESOLVED that:

 

i)     The Health and Wellbeing Board note and support the Dementia Strategy 2023- 2028.

 

ii)    The Health and Wellbeing Board note that a review of the Dementia Strategy 2023-2028 is scheduled for 2025

 

iii)  Comments of the HWBB be incorporated in the Action Plan which will be reported back to the Board at a future meeting.

 

 

 

 

11.

Carers and Young Carers Strategy pdf icon PDF 268 KB

Additional documents:

Minutes:

Ellie Chesterman, Interim Head of Commissioning – Mental Health & Dementia introduced the report and explained that the Strategy outlines important context around the support offer for carers and young carers in Barnet and assist in improving their wellbeing.

 

The Board noted that the Strategy published with the agenda had been superseded. The revised version was subsequently published on the Council website.

 

It was noted that the aim of the strategy was to:

 

a)    help carers and young carers access relevant support early in their caring role.

b)    support carers to continue caring.

c)    support carers to balance their own needs with that of the person they care for

d)    ensure that the caring role is recognised and valued in Barnet.

 

The Committee discussed the report and noted the support available to carers and it was suggested that as employers, the Council could examine ways in which additional support can be given to staff who also had caring responsibilities.

 

It having been reported that additional information and suggestions could be included in the Action Plan, it was noted that the strategy was being submitted to the Children, Education and Safeguarding Committee on the 20th March 2023 for approval.

 

RESOLVED that:

 

·         The Health and Wellbeing Board note and support the Carers and Young Carers Strategy 2023-2028

·         The Health and Wellbeing Board note that a review of the Carers and Young Carers Strategy 2023-2028 is scheduled for 2025.

 

 

 

 

 

12.

Review of Section 75 funding (including Better Care Fund) pdf icon PDF 296 KB

Additional documents:

Minutes:

Dawn Wakeling - Executive Director Adults and Health, introduced the report.  The purpose of the review was to assess the extent to which the current pooled funding schemes support the integrated care ambitions of each council, the ICB and the borough partnership; and whether they offer value for money. It was noted that the five boroughs and the ICB, S75 agreements and the Better Care Fund commissioned a wide range of services for children, young people and adults, totalling £467m of spend annually across the North Central London area.

 

The Board discussed the report and the following points were raised;

 

Ø  S75 was a way of the NHS paying local Authorities for services provided for example, the provision of mental health services in schools.

 

Ø  It would be positive to promote the work of the Local Authority in working with joint partners.

 

Ø  There had been an increase in the number of Mental Health patients, impacting on the budget, and prevention and support for those suffering would be greatly beneficial.

 

Ø  Data from the census should be used to reflect the demographics of Barnet in order to influence the amount of money allocated to the Borough.

 

Ø  Evidence would be needed to make a case for a greater award of funding; three of the five boroughs in the NCL ICB area are inner London Boroughs with higher levels of deprivation/need.

 

Ø  Feeding into the Population Health and Integrated Care Strategy could assist in having leverage in accessing additional funds.

 

RESOLVED that:


a)    the Health and Wellbeing Board comment on the approach and priorities for the Better Care Fund and Section 75 review

 

b)   an update be bought back to the Health and Wellbeing Board in May 2023.

 

 

 

13.

Healthwatch Barnet - Forward Work Programme pdf icon PDF 206 KB

Minutes:

Banos Alexandrou – Healthwatch Barnet, introduced the report and gave a presentation to the Board. He highlighted that Healthwatch Barnet had emerged from the pandemic having undertaken significant insight and engagement work on Long COVID, GP access and end of life care; all of which have informed policy making. Much of the work is being undertaken by volunteers and it was explained that the volunteer force consists of highly skilled individuals able to conduct sensitive and complex work.

 

It was noted that Community Connectors were arranging and attending events and locations to provide information on hypertension and provide blood pressure checks to encourage people to have ‘regular blood pressure’ checks with focus being placed on the most deprived areas of Barnet.

 

The Chair thanked Mr Alexandrou for his presentation.

14.

Communicable Diseases Update

Minutes:

The Deputy Director of Public Health gave an update on Communicable Diseases in Barnet. The following information was noted:

 

Ø  Covid Vaccinations were still being given to the immune-compromised, and those who are housebound or living in care/nursing homes.

Ø  The second phase of polio and booster jabs was being rolled out alongside all childhood immunisations including MMR where uptake had been problematic.

Ø  The had been an increase in cases of Norovirus which was most prevalent amongst children and older people. Care homes in the Borough had been given relevant up to date information to be included in their care management plans.

Ø  Avian flu was still present in the UK; theoretically there was the possibility of the virus transferring from animal to human but only 12 cases in the world had been reported and that was through intense contact. The situation would continue to be assessed.

Ø  There remained a good uptake in the Covid vaccination boosters in the Borough.

 

The Vice Chair requested that information relating to cases of Norovirus be passed on to Primary Care Trusts including about self-care and prevention.

 

 

15.

Forward Work Programme pdf icon PDF 134 KB

Minutes:

The Board noted the items due to be reported to future HWBB meetings.

 

RESOLVED that the Board noted the Forward Work Programme and the inclusion of two further items:

 

1)    The Integrated Care Board Joint Forward Plan to be considered at the next meeting of the HWBB – 11 May 2023

 

2)    Update on the Section 75 Review to be considered at the next meeting of the HWBB – 11 May 2023

16.

Any Items the Chair decides are urgent

Minutes:

There were none.