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 117 KB

Minutes:

The Chairman of the Health and Wellbeing Board, Councillor Helena Hart welcomed all attendees to the meeting. The Board received an update on the Actions from the previous Minutes and noted that the Actions have been taken forward.

 

The Chairman noted that Ms Regina Shakespeare had left Barnet CCG and welcomed Elizabeth James and Matthew Powls who have taken on her role as Joint Chief Operating Officers (interim).

 

The Board also heard that NHS England have recruited the substantive Director of Commissioning Operations who will be joining NHSE from the beginning of April; an element of this role will be to support the Health and Wellbeing Board.

 

 

RESOLVED that the Minutes of the previous Meeting of the Health and Wellbeing Board held on 12th November 2016 be agreed as a correct record.

 

2.

Absence of Members

Minutes:

Apologies for absence were received from:

 

·         Dr Charlotte Benjamin who was substituted by Bernadette Conroy (Barnet CCG)

·         Chris Miller (Barnet SAB and SCB)

·         Dr Andrew Howe who was substituted by Rachel Wells to present papers (HB Public Health)

·         John Atherton (NHS England)

 

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.

Motion from Full Council - Tackling the Growing Problem of Shisha pdf icon PDF 72 KB

Minutes:

The Chairman introduced the Motion which she had originally submitted to Full Council on 8 December 2015.  She informed the Board that it had been referred to the Health and Wellbeing Board as the Committee best placed to progress it, due both to the diversity of membership of the HWB Board and its ability to involve not only all the various Council departments but also the many different facets of public life in Barnet. The Board was informed of the exact wording of the Motion as set out in the body of the report (p10).

 

The Chairman requested that, if the Board agreed, an update item would be reported to the next meeting of the Health and Wellbeing Board, co-ordinated by Public Health and with input from Licensing and Planning and for the Board to agree a local plan of action going forward. (Action)

 

The Board expressed support and interest in receiving the follow up report at its next meeting with particular input and advice from Licensing and Planning on any possible  restrictions as well as any potential limitations as to advertising that could be imposed. (Action)

 

Rachel Wells stated that Public Health are already involved in discussions across London looking at by-laws and other activities. Public Health will look at what is effective and what can work in Barnet.

 

Dr Clare Stephens and Councillor Sachin Rajput also requested that the follow up report contain further information about the enforceability of any licensing or planning restrictions. (Action)

 

The Commissioning Director for Adults and Health, Dawn Wakeling noted that the follow up report should contain reference to the Joint Health and Wellbeing Strategy 2015-2020 and that an invitation will be sent to the planning team to attend the meeting to answer any queries that the Board may have. (Action)

 

Michael Rich, Head of Healthwatch Barnet stressed the importance of engaging with communities through various communication channels. The Chairman also emphasised the primary need to communicate the message about the health effects of shisha smoking to people. (Action)

 

The Board therefore RESOLVED that in relation to this item the instructions set out above are required. 

 

7.

Joint Health and Wellbeing Strategy Implementation plan (2015 - 2020) pdf icon PDF 273 KB

Additional documents:

Minutes:

The Chairman introduced the item and noted that the final Joint Health and Wellbeing Strategy 2015-2020 had been approved by the Board at the previous HWBB meeting in November 2015.  She re-iterated the importance of this document which provides the framework and direction for local commissioning and service planning across the Council and the NHS.The Chairman further stressed the importance of the commitment of all members of the HWB Board towards implementation of the Strategy, demonstrated  through clear accountable actions.

 

The Commissioning Director for Adults and Health, Dawn Wakeling noted that an update report on the JHWBS Implementation Plan will be presented at each meeting with a focus on particular elements and that a full annual update item will be reported to the Board in November.

 

Dr Debbie Frost, Chairman of Barnet Clinical Commissioning Group, welcomed the report and noted the importance of the relevance of the tasks and actions set out in the implementation plan going forward.

 

Following a query from the Board, it was noted that the HWBB’s Joint Commissioning Executive Group (previously HWBB Finance Planning Group) will be leading on monitoring the detailed actions and targets set out in the implementation plan.

 

Following discussion, Andrew Travers (Chief Executive) stated that the challenge for the Board was to ensure that the Strategy was communicated across the wider partnership and in line with other plans such as those developing at a North Central London level.

 

RESOLVED that:

 

1.    The Health and Wellbeing Board approved the Joint Health and Wellbeing Strategy implementation plan (2015-2020, appendix 1).

2.    The Health and Wellbeing Board agreed to receive progress reports, covering the implementation of the JHWB Strategy, at each meeting. 

 

8.

The Five Ways to Mental Wellbeing in Barnet: The Annual Report of the Director of Public Health (2015) pdf icon PDF 299 KB

Additional documents:

Minutes:

The Chairman welcomed the Annual Report of the Director of Public Health 2015 ‘Five Ways to Mental Wellbeing in Barnet’ which is themed around mental health and provides a recommended method to addressing and improving mental health concerns in the borough.

 

The Chairman welcomed local service users and representatives from Future Path and Twining who shared their experiences in accessing mental health and other support services locally.

 

The Board heard how guest speakers have used local health support services and had received training and support towards gaining employment, internships and finding accommodation. Ms Wakeling welcomed representations from the speakers and the representatives from Future Path, Twining and praised the work and positive progress made by the speakers.

 

Rachel Wells (Public Health) presented the Annual Report of the Director of Public Health which focuses around of mental health as an issue. In response to queries from Councillor Sachin Rajput and Ms Bernadette Conroy about engagement with universities and employers, Ms Wells noted the importance of promoting mental wellbeing in the workplace. In addition, the Board noted the need in relation to the commissioning of employment support services (2.1 of the report), to communicate with employers and provide support so that employers and support services are encouraged to employ people with mental health conditions.

 

The Chairman on behalf of the Board thanked all of the speakers for attending the meeting and sharing their experiences with the Board. She said that all members present had been both moved and inspired by all that the speakers had achieved.  She also  emphasised the importance of hearing the accounts provided by local service users and the way these can be used to improve the response to mental health concerns, particularly in relation to the Five Ways to Mental Wellbeing namely Connect, Get Active, Take Notice, Learn and Give.

 

Following a query from the Board, it was noted that Twining Enterprise will be looking to work with more employers and offer employment support services for employers and clients, thereby helping clients to overcome barriers and enjoy a healthy balanced working life.

 

RESOLVED:

 

1.    That the Health and Wellbeing Board considered the Annual Report of the Director of Public Health 2015 The Five Ways to Mental Wellbeing in Barnet (Appendix 1) - and the proposed actions outlined in the report, and supports the responses to the mental health challenge.

2.    That the Health and Wellbeing Board considered and commented as above on the recommendations of the activities / actions outlined under sections 2.1 of the report and in Appendix 1 (on page 47).

3.    That the Health and Wellbeing Board noted the verbal accounts with thanks and appreciation, presented in the meeting, from residents who have been supported by the borough’s employment support services.

 

9.

Children and Young People Commissioning Priorities to 2019/20 pdf icon PDF 285 KB

Additional documents:

Minutes:

The Chairman invited the Commissioning Director for Children and Young People to present the Report and also to elaborate on the extremely challenging financial circumstances which have had to shape some of the proposals in it. Mr Munday introduced the Report which sets out a revised savings programme and highlighted the savings proposals for 2016/17 as set out under section 1.5.5 of the report.

 

Following a question from the Board, Mr Munday described the progress being made to improve the Child and Adolescent Mental Health Service (CAMHS) in the borough including the offer to schools.

 

Following discussion, it was RESOLVED:

 

1.    That the Health and Wellbeing Board noted the commissioning priorities for children and young people within the budget context being faced by local government.

2.    That the Health and Wellbeing Board will consider the children and young people commissioning priorities when making commissioning and policy decisions.

 

 

10.

Review of Adults Health and Communities Engagement Structures pdf icon PDF 351 KB

Minutes:

The Chairman welcomed James Mass, Community and Wellbeing Assistant Director and Emily Bowler Customer Care and Change Manager to join the table. Ms Wakeling introduced the report which sets out a series of proposals and principles to improve the approach towards engagement.

 

Mr Mass stated the importance and value of the time that residents give to engage with the Council and CCG and the need to improve the mechanism of reporting activity and recommendations to the Board.

 

The Board noted the importance of addressing the feedback from residents and organisations involved in the Partnership Boards that was received following the review of the engagement approach. In response to a query from the Chairman about the feedback received and set out in section 1.3.1 of the report, Mr Mass noted that a review will take place which will involve the people who are currently engaged with the existing structure.

 

Following a query from the Board, Mr Mass emphasised the importance of acknowledging the work and efforts to engage with carers and work towards a better outcome for all stakeholders involved.

 

 

 

RESOLVED:

 

1.    That the Health and Wellbeing Board agreed in principle the proposed changes to the engagement approach for adult social care and health and noted that the details of how they will be implemented will be co-produced between January and March 2016.

2.    That the Health and Wellbeing Board agreed to the development of a reporting line between the updated engagement structure and the Health and Wellbeing Board.

 

11.

Barnet Clinical Commissioning Group Primary Care Strategy Proposal pdf icon PDF 220 KB

Additional documents:

Minutes:

The Chairman welcomed William Redlin, Director of Operations and Delivery, Barnet CCG to the table and the opportunity the Board had to contribute to the development of the Strategy ahead of the final document being presented to the Board in May. Mr Redlin introduced the report and noted that at its meeting in November 2015, the HWBB received a report on the CCG and NHS England Joint Commissioning process of primary care services. Mr Redlin explained that the extensive engagement is planned ahead of the finalisation of the strategy in May.

 

In relation to a query from the Board, Bernadette Conroy (Barnet CCG) explained that CCG Board Members had received training on potential conflicts of interest to ensure there is good understanding of conflicts of interests and that this issue was part of the internal audit committee agenda.

 

Elizabeth James, Interim Joint Chief Operating Officer, gave a positive example of working with the Practice Network, describing the service model for weekend working which allows all patients, regardless of where they are registered, to access a practice.

 

The Chairman moved a motion which was duly seconded and agreed by the Board to add the wording ‘and Partners’ to recommendation 2, it was therefore RESOLVED:

 

1.    That the Health and Wellbeing Board noted and provided comments on the updated route map and evolving content for developing and delivering the Barnet Primary Care Strategy.

2.    That the Health and Wellbeing Board noted that the final Barnet CCG Primary Care Strategy will be brought to the Board in May 2016 for information, following full engagement with the Constituent GP Membership and Partners.

 

12.

London Sexual Health Transformation Project pdf icon PDF 656 KB

Additional documents:

Minutes:

The Chairman welcomed the update from Barnet & Harrow’s Joint Public Health team which is leading the pan-London sexual health transformation project for 29 Councils. She invited Audrey Salmon, Head of Public Health Commissioning to join the meeting and present the report.

 

Following a query from the Board about young people who live in Barnet but access services outside the borough, Ms Salmon noted the need for further engagement and awareness to be carried out particularly relating to the under 25s age group.


The Board discussed the plans for online services and the opportunities that technological solutions play in this service.

 

The Chairman thanked the Board for their contributions and following agreement of the Board for the motion to amend the wording of recommendation 1 and inclusion of paragraph c, it was RESOLVED:

 

1.    That the Health and Wellbeing Board endorsed noted the progress made in relation to the program made to procure sexual health services in Barnet through:

a. a pan-London procurement for a web-based system to include a ‘front-end’ portal, joined up partner notification and home/self-sampling

b. North Central London (NCL) sub-regional arrangements, with the London Boroughs of Camden, Islington, Haringey, Enfield, Hackney and City of London for the procurement of Genitourinary Medicine (GUM) and Contraception and Sexual Health Service (CaSH) Services (including primary care sexual health services, outreach and prevention).

 

c. That the Health and Wellbeing Board requested to receive an update report to include details of the contraception and sexual health service (CaSH) Services (including primary care sexual health services, outreach and prevention).

 

13.

Minutes of the Joint Commissioning Executive Group pdf icon PDF 206 KB

Additional documents:

Minutes:

The Board noted the minutes of the Joint Commissioning Executive Group (formerly the Financial Planning Group) which is a standing item on the agenda.

 

RESOLVED:

1.    That the Health and Wellbeing Board noted the minutes of the Financial Planning Sub-Group meeting of 21 October 2015 and 15 December 2015.

2.    That the Health and Wellbeing Board noted the revised Terms of Reference (Appendix 1) for the Joint Commissioning Executive Group.

 

14.

Forward Work Programme pdf icon PDF 306 KB

Additional documents:

Minutes:

The Board noted the items on the forward work programmes.

 

RESOLVED:

 

1.    That the Health and Wellbeing Board noted 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 continue 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.    That the Health and Wellbeing Board continues 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).

 

15.

Any Items the Chairman decides are urgent

Minutes:

None.