Agenda and minutes

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

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

Items
No. Item

1.

Minutes of the Previous Meeting pdf icon PDF 71 KB

Minutes:

The Chairman of the Health and Wellbeing Board, Councillor Helena Hart welcomed all attendants to the meeting. Board members were provided with a verbal update on the progress of actions from the previous Minutes of the HWBB on 4th June 2015.

 

RESOLVED that the minutes of the Health and Wellbeing Board meeting held on 4th June 2015 be agreed as a correct record.

 

 

2.

Absence of Members

Minutes:

Apologies for absence were received from Paul Bennett (NHS England) Councillor Sachin Rajput who was substituted by Councillor David Longstaff.

3.

Declaration of Members' Interests

Minutes:

None.

4.

Report of the Monitoring Officer (if any)

Minutes:

None.

5.

Public Questions and Comments (if any)

Minutes:

None were received.

6.

Draft Joint Strategic Needs Assessment (JSNA) and emerging priorities for the Health and Wellbeing Strategy pdf icon PDF 130 KB

Additional documents:

Minutes:

The Chairman welcomed the report on the draft Joint Strategic Needs Assessment (JSNA) and the emerging priorities as set out in the substantive Report and the appendices to the Report, stating that the successful production of the JSNA and – based on it – the HWBB Strategy were probably the two most important issues currently facing the Board.. The Chairman welcomed Luke Ward, Commissioning Lead Entrepreneurial Barnet, to the table.

 

The Board noted that producing a JSNA is a legal requirement under the Public Involvement in Health Act 2007. The Chairman thanked Luke Ward and Dr Andrew Howe for all their hard work in producing such a detailed, useful and readable document. The Chairman then went on to thank everyone else - officers and users alike across the Council, CCG and Community Barnet involved in contributing to the draft JSNA as well as the Partnership Boards at their Summit on the 9 July 2015.  The Chairman stated that the balance between engagement and analysis had been a critical part of developing a JSNA that had credibility locally as an impartial, high quality, and up-to date evidence base for decision making. She again drew attention to the vital part that prevention and early intervention had to play in delivering better outcomes for Barnet’s very large and varied population whilst also meeting the challenges of scarce public resources.   

 

It was noted that the draft JSNA was presented to the Board for comment and that the final version of the JSNA will be reported to the Health and Wellbeing Board at its meeting in September.

 

Mr Ward briefed the Board about the draft JSNA document and the principles applied to guide the development of the new draft JSNA.

 

It was noted that a large number of stakeholders have informed the findings of the draft JSNA which is the evidence base for understanding population-level need in the borough.

 

The Director of Public Health (Harrow and Barnet) Dr Andrew Howe welcomed the new draft JSNA and noted the importance of this comprehensive document which will help to inform up-to-date evidence based decision-making particularly in light of financial challenges.

 

Mr Ward provided a summary of the key issues and needs emerging from each section of the draft JSNA as set out in Appendix 2 of the report. The Board heard that Barnet is now the largest Borough in London by population and that it is continuing to grow, particularly in light of the planned regeneration work.

 

It was noted that the population group over-65 is set to grow three times faster than the overall population during the period 2015-2030. Dr Debbie Frost, Chair of the Barnet Clinical Commissioning Group and Vice Chairman of the Health and Wellbeing Board, welcomed the draft JSNA and commended the collation of the material and information as set out in the appendices.

 

Dr Charlotte Benjamin (Barnet CCG) welcomed the report and noted the importance of developing a model of commissioning and delivery that focuses on longer-term prevention, early intervention and demand  ...  view the full minutes text for item 6.

7.

Draft substance misuse strategy (2015-2020) pdf icon PDF 121 KB

Additional documents:

Minutes:

Dr Wazirzada Khan was invited by the Chairman to join the table. The Chairman welcomed the report which sets out the key strategic priorities of the draft Substance Misuse Strategy 2015-2020.

 

The Board received a presentation from Dr Khan on the draft Substance Misuse Strategy 2015-2020.  Dr Khan briefed the Board about the contracts in place to provide substance misuse services in the borough for the period from 1 October 2015 to 31 March 2018 with an option to extend for a further period of up to 2 years.

 

The Board heard that Barnet and Harrow joint Public Health service is responsible to provide substance misuse services in the borough. It was heard that the aim is to take a whole family approach with organisations working in partnership. Organisations will work together through a Strategy Implementation Group led by Public Health and comprised of representatives from stakeholder organisations, including Police, Fire and voluntary and community sector organisations, Licensing, Community Safety, Education and Primary and Secondary Care Services.

 

The Strategy implementation group will inform and commit to a detailed implementation plan which will be linked in to other existing strategies in Barnet.

 

In response to a query from the Board, Dr Howe noted that one of the strategic priorities of the draft Substance Misuse Strategy is the protection of Barnet residents and their families and carers including children and vulnerable adults from indirect harm caused by substance misuse.

 

Councillor David Longstaff noted the importance of working together with the Fire Brigade to mitigate risks of fires in homes of those misusing substances and work towards further identification of individuals at risk. 

 

Dr Charlotte Benjamin noted the proposed action contained within the draft Substance Misuse Strategy to develop and expand drug and alcohol liaison in hospitals with the aim of encouraging joint working with hospital teams. Dr Benjamin welcomed this action stating that currently the liaison roles are quite isolated.

 

RESOLVED that:

  1. The Health and Wellbeing Board agrees the three key strategic priorities of the draft Substance Misuse Strategy;
     

·         To prevent Barnet residents from harmful use of drugs and alcohol.

·         To protect Barnet residents and their families/carers including children and vulnerable adults from indirect harm caused by substance misuse.

·         To promote and sustain recovery of Barnet residents identified as misusing substances.

  1. The Health and Wellbeing Board notes the proposed actions for each strategic priority.

  2. The Health and Wellbeing Board supports the proposal to set up a strategy implementation group.

  3. The Health and Wellbeing Board approves the Substance Misuse Strategy as final.

 

8.

Healthwatch Barnet update report and Autism services Report pdf icon PDF 92 KB

Additional documents:

Minutes:

The Chairman commended the Barnet Healthwatch Draft Year 2 report and the work carried out by Barnet Mind, Jewish Care and Advocacy in Barnet which captures the perspectives of service users. The Chairman stated that provision has improved in the Borough following Healthwatch Barnet’s enter and views and provision has improved. The Vice Chairman agreed and also thanked Healthwatch Barnet for their continued work. The Chairman welcomed Ray Booth (Barnet Mencap) and Michael Rich (Healthwatch Barnet) to present the report.

 

Michael Rich provided a summary of the work carried out by Healthwatch Barnet over the past year and the continued partnership work with the local communities.

 

The Board noted the performance achieved on the contractual targets for Year 2 as set out in the appendix to the report. Furthermore, the Board noted that following the consultation exercise with community organisations through the Partnership Boards, a public meeting is scheduled to take place in September to consult with the public.

 

Mr Rich informed the Board about the 30 Enter and View visits undertaken by Barnet Healthwatch over the past year and noted that 87% of providers visited carried out at least one recommendation.

 

Following a query from the Board, Mr Rich explained that the intention is to continue to undertake joint visits to hospital wards. It was noted that the aim is to consult with A&E Managers to inform and plan for future Enter and Visit activities and A&E departments.

 

Ray Booth introduced the report exploring the experience of people with autism in Barnet (appendix 2). Mr Booth drew the Boards attentions to the findings of the report such as the recommendations for GPs to receive training; general training will be provided by Barnet Mencap.

 

RESOLVED that:

 

  1. The Health and Wellbeing Board notes this update report and the reports of Healthwatch and partner organisations and provides comments on their content.

  2. The Health and Wellbeing Board considers and comments on the recommendations contained within the specific reports (Appendix 1 – 2).

 

9.

Tuberculosis Report - Update from TB situational report pdf icon PDF 535 KB

Additional documents:

Minutes:

The Chairman welcomed the tuberculosis (TB) situational update report and invited Garrett Turbett to join the table. Mr Turbett presented the report which provides an update to TB rates in Barnet and the work undertaken in relation to the awareness raising campaign.

 

The Board received an update on the TB rates seen across the Borough with particular focus on areas of high incidence. Mr Turbett went on to explain that there is an opportunity for Barnet CCG to apply to NHS England for funding to develop a latent TB infection screening programme.

 

The Commissioning Director (Children and Young People) Chris Munday, asked if young people would be able to access the screening programme. Mr Turbett stated that the programme is aimed at people aged 16 – 34 but this is at the GP’s discretion.

 

The Board noted the importance of working towards dispelling the myth about TB and ensuring that all members of the community are aware of their rights to access health services. Dr Charlotte Benjamin commented about the risk of the pathway being confusing for patients and professionals.

 

RESOLVED that:

 

  1. The Health and Wellbeing Board is asked to consider the information provided following the 2014/15 TB awareness campaign and ask partners to support continued awareness raising programmes of work.

  2. The Health and Wellbeing Board is asked to consider the information provided in the National TB strategy in relation to the Latent TB Infection screening programme and provide on-going strategic direction for Barnet in relation to developing a local programme.

 

10.

Minutes of the Health and Well-Being financial planning group pdf icon PDF 103 KB

Additional documents:

Minutes:

The Chairman introduced the item which sets out the minutes of the Health and Wellbeing Finance Planning group.

 

RESOLVED that:

 

1.    The Health and Well-Being Board notes the minutes of the Financial Planning Sub-Group meeting of 12 June 2015 and 13 July 2015.

11.

Forward Work Programme pdf icon PDF 102 KB

Additional documents:

Minutes:

The Board noted the Forward Work Programme which is a standing item on the agenda.

 

RESOLVED:

1.    That the Health and Wellbeing Board notes the Forward Work Programme and proposes any necessary additions and amendments to the forward work programme (see Appendix 1).

2.    That Health and Wellbeing Board Members agree to 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 Health and Wellbeing Board agrees to align its work programme with the work programmes of the 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 (see Appendix 2).

12.

Any Items the Chairman decides are urgent

Minutes:

None.