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 105 KB

    Minutes:

    The Chairman of the Health and Wellbeing Board, Councillor Caroline Stock welcomed all attendees and opened the meeting.

     

    Councillor Stock informed Board Members that a list of acronyms and abbreviations will be circulated to the Board for noting and comments. Board Members are welcome to add any further frequently used acronyms to this list.

     

    The Director for Public Health, Dr Tamara Djuretic informed the Board that the actions from the previous meeting had been taken forward.

     

     

2.

Absence of Members

    Minutes:

    Apologies for absence were received from:

     

    ·         Andrew Fraser, Barnet Children’s Safeguarding Board

    ·         Selina Rodrigues, Barnet Healthwatch

     

3.

Declaration of Members' Interests

    Minutes:

    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 Agenda Item 12, 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 received.

6.

Health and Wellbeing Board Terms of Reference pdf icon PDF 241 KB

    Additional documents:

    Minutes:

    The Chairman introduced the report which sets out the Terms of Reference which, following discussion by the HWBB was subsequently approved and adopted by the Constitution and General Purposes Committee and Full Council.

     

    The Chairman welcomed Ms Caroline Collier, Inclusion Barnet to the membership of the HWBB as the Board representative for Community & Voluntary Sector.

     

    It was RESOLVED that the Board:

     

    Noted the Health and Wellbeing Board Terms of Reference amendments.  

7.

Section 75 Agreements Annual Report

    Additional documents:

    Minutes:

    The Board noted the summary of the Annual report on Section 75 Agreements.

     

    It was RESOLVED:

     

    That the Health and Wellbeing Board noted the Section 75 agreements for Barnet’s residents.

8.

Update report on progress of Barnet Children's Services Improvement Action Plan pdf icon PDF 559 KB

    Additional documents:

    Minutes:

    The Strategic Director for Children and Young People, Mr Chris Munday presented the report and gave a verbal update on the Ofsted Monitoring visits.

     

    Ms Kay Matthews, Chief Operating Officer Barnet CCG highlighted a correction in respect of the terminology in relation to Care Quality Commission (CQC) visit at paragraph 1.28 of the report to read: The lines of enquiry for the inspection review were 

     

    Ms Matthews noted that safeguarding issues are given serious focus and priority through GP practices. She also informed the Board that the CQC Action Plan referred to in paragraph 1.30 of the report will be monitored through the CCG Governance procedures.

     

    It was RESOLVED:

     

    1.    That the Health and Wellbeing Board noted the progress of the Barnet Children's Services Improvement Action Plan as set out in paragraphs 1.4 to 1.58.

    2.    That the Board noted the content of the Secretary of State’s third direction to Barnet Council outlined in paragraphs 1.21-1.22 and included in Appendix 1.

    3.    That the Board noted details of Ofsted’s monitoring visit set out in paragraphs 1.11 to 1.18 and the monitoring visit feedback letter received from Ofsted attached in Appendix 2.

     

9.

Forward Work Programme pdf icon PDF 193 KB

    Minutes:

    The Chairman introduced the Forward Work Programme (FWP) which is a standing item on each agenda. She noted that the FWP has been developed for the next two meetings in January and March in agreement with the Vice-Chair, Dr Debbie Frost.

     

    The Chairman noted the suggestion to hold the next HWBB meeting at Underhill School to promote further engagement. In addition, this meeting will focus on one of the Health and Wellbeing Strategic Priority - Children’s and Young people emotional, social and mental wellbeing.

     

    It was noted that the focus of the March 2019 meeting will centre around the theme of Adults Mental Health.

     

    It was RESOLVED that the Health and Wellbeing Board noted the items on the Forward Work Programme. 

     

10.

Housing Strategy and Homelessness and Rough Sleeping Strategy consultation pdf icon PDF 495 KB

    Additional documents:

    Minutes:

    Given the impact of housing on social, emotional and physical wellbeing, the Chairman welcomed the opportunity for the Board to consider the impacts of housing policy on health going forward.

     

    The Chairman welcomed Councillor Gabriel Rozenberg, Chairman of the Housing Committee and the Strategic Lead for Housing, Mr Faisal Butt. The Board received a presentation from Councillor Rozenberg who informed the Board about the refresh of the Housing Strategy and the Homelessness and Rough Sleeping Strategy as well as the 12-week formal consultation which commenced from 5 November 2018.

     

    Councillor Rozenberg also spoke about the context of housing in the borough and the background to the key points as set out in the Appendix to the report.

     

    The Board noted the links  on Housing and Health, in particular the three elements as defined by Public Health England, namely Healthy Homes, Suitable Homes and Safe and Secure Homes. Councillor Rozenberg noted that each element will have varying impacts on health at different points in the lifespan and require different policies and approaches to address issues. 

     

    In relation to Homelessness, the Board heard about the data relating to health outcomes and health risks.  It was noted that homelessness can make people vulnerable to illness and cause premature death, poor mental health and increases risk towards developing other multiple health problems.

     

    The Board noted the main themes of the Housing Strategy which are to improve standards in privately rented housing, deliver more affordable homes, promote independence, tackle homelessness, and ensure housing is safe and secure.

     

    Councillor Rozenberg highlighted the main themes under the Homelessness and Rough Sleeping Strategy which include preventing homelessness, finding accommodation for those at risk of it, helping rough sleepers, and reducing the need for temporary accommodation.

     

    Noting the importance of strengthening partnerships, the Board was informed about the proposal towards the Homelessness Forum. The Forum, as a partnership, aims to oversee the delivery of a joint action plan which will look at tackling the underlying causes of homelessness and rough sleeping in the borough.

     

    Following a query from Dr Charlotte Benjamin on emergency homelessness, Mr Faisal Butt briefed the Board on winter shelters and noted that a homelessness coordinator and outreach workers have been appointed to tackle this issue.

     

    Dr Clare Stephens noted that information has been in circulation to GPs about the importance of raising awareness of the Duty to Refer which is to help people access homelessness services as soon as possible, to prevent them becoming homelessness or if they're already homeless, to put an end to it.

    Dr Frost welcomed the report and emphasised the importance of partnership working involving various partners and agencies.

     

    The Board agreed that Actions arising from the discussions of the Forum should also be reported to the HWBB on a regular basis.

     

    The Chairman welcomed Jo Lee and Dr Terry Matthews, Trustee of HAP who both have experience of supporting health and wellbeing of homeless people, to join the table.

     

    Dr Matthews expanded on the health issues facing homeless  ...  view the full minutes text for item 10.

11.

Local Government Declaration on Sugar Reduction and Healthier Eating pdf icon PDF 326 KB

    Additional documents:

    Minutes:

    The Chairman introduced the report which is one of the workstreams for Healthy Weight under the Health and Wellbeing Strategy Priorities as agreed by the Board.

     

    The Board noted that Barnet has recently won an award at the Good Food For London Awards for its work across a range of categories to improve food sustainability. The award was presented to Councillor Stock together with Public Health colleagues at City Hall for Most Improved council in London. The Chairman commended the work delivered and highlighted the importance of continuing to drive improvements.

     

    A presentation was delivered by Ms Rachel Hodge, Public Health Strategist. Ms Hodge summarised the key points of the Local Government Declaration. She highlighted the key actions being taken forward in respect of improving the food controlled or influenced by the Council and support the public and voluntary sectors to improve their food offer.

     

    The Declaration was jointly signed by the Leader of the Council, Director of Public Health and Chairman of the Health and Wellbeing Board.

     

    It was RESOLVED:

     

    1.    That the Health and Wellbeing Board commented as above and agreed on the actions proposed in appendix A.

    2.    That the Health and Wellbeing Board signed the Local Government Declaration on Sugar Reduction and Healthier Eating (LGD) and recommend to present LGD to Full council.

     

     

12.

Care Closer to Home Networks Deep Dive: Investment and Delivery Road Map and Borough-wide Social Prescribing Model pdf icon PDF 265 KB

    Additional documents:

    Minutes:

    The Chairman introduced the report and welcomed Dr Jeff Lake, Consultant in Public Health and Collette Wood, Director of Care Closer to Home, Barnet CCG to present the report.

     

    The Board received a presentation setting out the progress of development of Care Closer to Home Networks (CHINs) and areas of focus and investment plans. Dr Jeff Lake spoke noted how the social prescribing model is supporting delivery of Care Closer to Home across the borough.   

     

    Ms Wood spoke about the planned initiatives and the development of the social prescribing model in the various CHINs across the borough.

     

    Given the relatively short period of implementation of the new systems across CHINs, Dr Frost highlighted the importance of reviewing what has worked well. This data can then be used to inform future scaled work across other CHINs in Barnet.

     

    Dr Charlotte Benjamin welcomed the report and noted that CHINs can be utilised in different ways to serve the health and social care needs of the community in the right way.

     

    A query was raised by the Strategic Director for Children and Young People, Mr Chris Munday on linking the work under CHINs to the work of paediatric clinics for 0-19 year olds. Ms Wood informed the Board that Public Health has commenced work with Children’ Services, closely linked to CLCH to review integrated care pathways.

     

    It was noted that currently nine GP practices are receiving training to initiate Group consultation which allow practices to see multiple patients and benefits patients in terms of peer and self-support.

     

    CCG Board Members Drs Frost, Stephens and Benjamin expressed their support for Group consultations as a positive and beneficial experience for patients as well as health care professionals.

     

    Ms Fiona Bateman, Chair of the Adults Safeguarding Board welcomed the report and encouraged a further discussion on the use of Group consultations to tackle social isolation barriers and reach groups such as vulnerable adults to share lessons and solutions. This discussion was also welcomed by Ms Caroline Collier, Inclusion Barnet as part of the offer from Barnet Wellbeing Hub.

     

    Dr Lake welcomed the suggestion and a further discussion on this topic. He noted that this would be an excellent opportunity to put people in touch as well as develop a training programme that enables and supports the opportunities across a range of services. 

     

    It was RESOLVED that:

    1.    The Board discussed the potential for scaling up social prescribing model across the borough in supporting the transformation of Care Closer to Home to promote access to self- care and sources of informal social support.

    2.    The Board noted the potential for expanding on group consultations in Barnet given local assets and initiatives already underway.

    3.    The Board considered next steps and future plans for the development of the whole borough model for social prescribing.

     

     

13.

Healthwatch Barnet Annual Report pdf icon PDF 228 KB

    Additional documents:

    Minutes:

    The Chairman welcomed the achievements as set out in the Annual Healthwatch report - noting the importance of the feedback and views of residents and service users which is used to inform Commissioning and delivery of services. The Vice-Chair, Dr Debbie Frost also welcomed the presentation and accessible qualities of the report and commended the work delivered by partners.

     

    It was RESOLVED that the Health and Wellbeing Board noted and commented as above on the Annual Report.

     

     

     

14.

Any Items the Chairman decides are urgent

    Minutes:

    The Chairman thanked the Board Members and attendees for their contributions and declared the meeting closed. There were no urgent items.