Agenda and minutes

Health & Wellbeing Board - Thursday 9th May, 2019 4.00 pm

Venue: The Main Hall, Marlborough Primary School, Draycott Avenue, Chelsea, London SW3 3AP

Contact: Tristan Fieldsend Committee and Governance Officer  Tel: 7641 2341; Email:  tfieldsend@westminster.gov.uk

Items
No. Item

1.

MEMBERSHIP

To report any changes to the Membership of the meeting.

Minutes:

2.1      Apologies for absence were received from Senel Arkut (Bi-Borough - Head of Health Partnerships and Development), Melissa Caslake (Bi-Borough Children’s Services), Olivia Clymer (Healthwatch Westminster), Councillor Christabel Flight (WCC), Chris Greenway (Bi-Borough – Director of Integrated Commissioning), Philippa Johnson (Central London Community Healthcare NHS Trust), Dr Naomi Katz (West London CCG), Jules Martin (Central London CCG), Louise Proctor (Managing Director of the West London CCG), Rachel Sharpe (RBKC – Director of Housing Needs and Supply) and Councillor Emma Will (RBKC – Lead Member for Families, Children and Schools).

2.

DECLARATIONS OF INTEREST

To receive declarations of interest by any Board Member or Officer who has any interests to declare in respect of the items to be discussed.

Minutes:

3.1      No declarations were made.

3.

MINUTES AND ACTIONS ARISING pdf icon PDF 328 KB

To agree the Minutes of Westminster City Council’s and the Royal Borough of Kensington & Chelsea’s joint Health & Wellbeing Board meeting held on 28 March 2019.

 

Minutes:

RESOLVED:

 

4.1      The minutes of the joint Royal Borough of Kensington & Chelsea and Westminster Health & Wellbeing Board meeting held on 28 March 2019 be agreed as a correct record of proceedings.

4.

REVIEW OF PRIORITIES FROM 2018-19, AND SELECTION OF PRIORITY OPTIONS FOR 2019-20 pdf icon PDF 454 KB

Minutes:

5.1      Anne Pollock introduced the report and provided an overview.

 

5.2      A number of Board members gave their view on the existing priorities of Sugar, Loneliness and Dementia and what had been achieved on these over the last year. A number of contributions believed that significant progress had been made in establishing a whole systems approach to dementia and that dementia should be maintained as a priority. It was noted that the Dementia Strategy should align with the developing Autism Strategy.

 

5.3      On sugar the Board noted early progress on improving oral health for children and young people which it was important to try to maintain. This priority was considered work in progress.

 

5.4      The future possible option of Homelessness and Health was discussed although it was identified that this was a much greater issue of concern numbers wise in Westminster than RBKC. RBKC had nowhere near the number of rough sleepers as Westminster.

 

5.5      Other contributions indicated support for the Mental Wellbeing and Personal Resilience, and Maximising Health Opportunities options.

 

5.6      Having listened to all of the comments Councillor Lindsay confirmed Dementia as one of the priorities for 2019/20. Ms Pollock would email Board members to confirm their selection of the two other preferences. The options are: -

 

· Mental Wellbeing and Personal Resilience

· Taking a PH approach to Youth Violence

· Homelessness and Health

· Maximising Health Opportunities.

 

5.7      Furthermore, the Board noted that any option not chosen as a priority will be brought to it, as well as using other forums, to ensure the issue is given due attention. All of the priority options were important ones of merit. This Board did not wish to duplicate anything done by the Community Safety Board.

5.

MENTAL HEALTH & WELLBEING JOINT STRATEGIC NEEDS ASSESSMENT FOR SIGN OFF pdf icon PDF 186 KB

Additional documents:

Minutes:

6.1      Colin Brodie (Public Health Knowledge Manager) provided the Board with a short verbal update. He confirmed that a range of stakeholders had been consulted – this was perhaps more evident from the full version of the report.

 

6.2      Mr Brodie was asked to consider a couple of revisions to the JSNA. Sue Harris asked for inclusion of some of the boroughs’ physical assets (Parks, open spaces etc.). Robyn Doran and Angeleca Silversides drew attention to the use of culturally sensitive language, particularly in respect of North Kensington (e.g. Don’t use terms like mental ill health, burden etc.).

 

6.3      The comprehensiveness of the JSNA was praised.

 

RESOLVED:

 

That the Joint Health and Wellbeing Board approve the Mental Health and Wellbeing JSNA.

6.

COMMISSIONING INTENTIONS FURTHER UPDATE

Additional documents:

Minutes:

7.1      Neil Hales (Deputy Managing Director – Central London CCG) pointed out there were differences between the two CCGs, for instance there was a greater spend on the London Ambulance Service in Central London. Both CCGs would be providing an updated version via their respective websites.

 

7.2      In response to concerns about the maintenance of services and the continuance of a vibrant third sector Dr Steeden repeated assurances that had been made to him.

7.

NWL SHAPING A HEALTHIER FUTURE AND THE NHS LONG TERM PLAN pdf icon PDF 132 KB

Minutes:

8.1      Mark Easton (Accountable Officer, North West London CCGs) (with Lesley Watts) recapped the history of Shaping a Healthier Future (SaHF). The recently issued NHS England Long Term Plan was an attempt to address the two long term problems of (i) a substantial capital investment needed to tackle a maintenance backlog; and (ii) long term financial problems with seven of the eight CCGs in North West London in deficit. The problems that SaHF had sought to address were still present.

 

8.2      In subsequent discussion Ms Watts added the problem of availability of workforce (for instance 20 doctors had just been recruited from India). Hillingdon, Northwick Park and Imperial were at the top of the London list of hospitals requiring capital works.

 

8.3      Although not an issue for this meeting Mr Easton stated that we were likely to see a future reduction in the number of CCGs. Mr Cassidy was anxious about how the third sector would continue to be resourced.

 

8.4      Ms Watts responded that the future challenge would be to agree some universal principles. Mr Easton added that there was no wish to interfere with existing good integrated practice.

8.

ANY OTHER BUSINESS

Minutes:

9.1      Councillor Acton provided the Board with the following update. A very useful networking event of a large number of youth providers in Westminster had taken place. Further details were available on the Westminster website.