Dr Mo Abedi (Vice Chair) welcomed everyone to the meeting. Apologies for absence were received from Councillor Alev Cazimoglu, Dr Helene Brown, Deborah Fowler, Libby McManus, Peter Ridley, Graham MacDougall, Robyn Gardner, and Bobbie Webster. Apologies for lateness were received from Councillors Doug Taylor, Krystle Fonyonga and Ayfer Orhan, who were slightly delayed.

Members are asked to declare any pecuniary, other pecuniary or non-pecuniary interests relating to items on the agenda. 

There were no declarations of interest registered in respect of any items on the agenda.

To receive the report of Tessa Lindfield, Director of Public Health regarding the Thrive London programme.

RECEIVED the report of Tessa Lindfield (Director of Public Health).

NOTED

Tessa Lindfield’s introduction of the report highlighted:

?  Thrive LDN was launched on 4 July 2017 with the aim to improve the mental wellbeing of all Londoners and this was an opportunity to raise awareness of the programme and the potential opportunities for Enfield.

?  The launch document had not been available in time for inclusion into the agenda pack for this meeting, but had been circulated to members by email.

Mark Tickner (Senior Public Health Strategist) provided a briefing:

?  The first part of the consultation period would take place over the summer.

?  Thrive LDN had five thematic areas including

- Improving people’s understanding of mental health. This would include mental health first aid training and school based intervention.

- Thriving communities. This would include resilience and social prescribing.

- Children and young people. This would include critical thinking against the negative aspects of social media.

- Employment.

- Suicide prevention.

?  The consideration for Health and Wellbeing Board was the potential opportunity to get involved and groups to engage with their clients and networks.

Councillors Taylor, Fonyonga and Orhan arrived at the meeting at this point.

IN RESPONSE there were positive comments regarding opportunities to tackle stigma in schools, to link to STP work, for employers to gain from the London-wide scale; and support in terms of CCG and primary care.

AGREED that the Board supported Enfield engagement in the Thrive LDN conversation over the summer and members would incorporate Thrive LDN in their organisations’ approach to improving mental health resilience locally.

To receive the report of Healthwatch Enfield further to its thematic report ‘Listening to Local Voices on Mental Health’.

RECEIVED the report of Healthwatch Enfield.

NOTED

The introduction by Patricia Mecinska, Chief Executive, Healthwatch Enfield, including:

?  This was an opportunity to report back on progress made on the recommendations of the thematic report ‘Listening to Local Voices on Mental Health’.

?  62% of the recommendations were being implemented, and it was recognised that there was a lot of work to be done, and some would take a few years.

?  The support of Health and Wellbeing Board was sought in respect of intervention on implementing the recommendations, and accelerating the development of a local Experts by Experience forum. A group did not exist at the moment in Enfield, but there was an appetite for it locally.

IN RESPONSE, comments and questions were received, including:

1.    Noreen Dowd confirmed the willingness to explore work with participation groups in primary care.

2.    Tessa Lindfield highlighted the potential to link into London-wide digital resources on mental health wellbeing.

3.    Members confirmed support in principle for the second recommendation. There were relevant groups, and the potential to re-purpose existing funding to support it.

AGREED that Health and Wellbeing Board agreed to

(1)  consider any offer of support for areas where implementing the recommendations has not progressed as it requires additional input;

(2)  help to accelerate the development of a local Experts by Experience forum eg. through commissioning this as a service.

To receive the report of Bindi Nagra (Assistant Director, Adult Social Care, LB Enfield) and Graham MacDougall (Director of Strategy and Partnerships, Enfield CCG), seeking approval of the draft 2017-19 Better Care Fund Plan, subject to final guidance from NHS England.

TO FOLLOW

NOTED the statement by Ray James, Executive Director of Health, Housing and Adult Social Care, that following the publication of the national guidance on the BCF/iBCF last week, in that context, more time was required for discussions between NHS Enfield CCG and the Council to ensure the plan was jointly agreed and reflected the national conditions and guidance. A report to this meeting was therefore deferred, but it was suggested that a draft plan be shared with all Board Members and comments invited, ahead of asking the Chair and Vice Chair to sign off the submission to meet the September deadline.

To receive the report of Tessa Lindfield, Director of Public Health.

TO FOLLOW

RECEIVED the report of Tessa Lindfield (Director of Public Health).

NOTED

Tessa Lindfield’s introduction of the report highlighted:

?  The three Health and Wellbeing Board top priority areas were confirmed, and proposals put forward for their support. A workshop was proposed on each: Best Start in Life, Mental Health Resilience; and Healthy Weight.

?  There would also be collaboration on Domestic Violence, and enhanced monitoring of several areas.

?  This was the first regular report to Health and Wellbeing Board on performance against the priorities.

?  Attention was drawn to challenges that Health and Wellbeing Board may be able to assist with resolving.

?  Members were encouraged to champion Healthy Weight by promoting one healthy behaviour each within their own and partner organisations.

IN RESPONSE comments and questions were received, including:

1.    In respect of measuring success, the full data sets were available on the website and were updated quarterly. There was also benchmarking against neighbours. A further report would be made to the Board meeting in September.

2.    Councillor Fonyonga was keen for Health and Wellbeing Board to drive the priorities forward and that members make commitments and report back to the next meeting to indicate progress. Members could work together to add value. Suggestions may be brought to the Health and Wellbeing Board development session.

AGREED that Health and Wellbeing Board:

(1)  noted the progress on HWB monitoring areas;

(2)  considered how it wished to support the HWB priority areas within their own and partner organisations;

(3)  supported conducting an annual ‘Staff Health & Wellbeing’ survey, as part of the re-accreditation in respect of London Healthy Workplace Excellence Award.

To receive the report of Tessa Lindfield, Director of Public Health, seeking approval of a new Enfield Health and Wellbeing Board Forward Plan.

RECEIVED the report of Tessa Lindfield (Director of Public Health).

NOTED

Tessa Lindfield’s introduction of the report highlighted:

?  As there was now a set of priorities to work towards, there was a need to review the forward plan, and to review this live document at each meeting.

?  There was a forward plan for Board meetings and development sessions.

?  It was also proposed to introduce an information bulletin, to collate information on topics of interest with links and contacts.

IN RESPONSE comments and questions were received, including:

1.    The optimum number of items to be considered in a development session was discussed; and the potential for setting up working groups on key themes.

2.    Noreen Dowd highlighted the context of the North Central London Sustainability and Transformation Plan, and that commissioning intentions had to be issued in October.

3.    The suggestion that the development session scheduled for 5 September be used to consider CCG commissioning intentions as well as domestic violence.

AGREED that Health and Wellbeing Board agreed:

(1)  the proposed forward plan as set out in the report as a starting point, and amendments agreed at the meeting;

(2)  the forward plan is regularly updated and considered at each Board and Executive meeting;

(3)  that the Board trials an information bulletin for the next meeting.

To receive the report of the Executive Director of Housing, Health and Adult Social Care, presenting the draft Housing Allocations Scheme.

RECEIVED the report of the Executive Director of Housing, Health and Adult Social Care.

NOTED

The introduction by Laura Martins (Strategy and Policy Hub Manager) including:

?  The scheme was important because of the severe shortage of affordable homes across London and the severe shortage of social rented homes in Enfield.

?  The rationale of the scheme was described: how the allocation of social housing was prioritised and how households would be supported to find settled accommodation in the private rented sector.

?  The proposed changes were highlighted.

?  The public consultation was taking place for 12 weeks between 14 June and 8 September. All were invited to participate in the consultation. There had already been 382 responses. All applicants on the housing register were being consulted directly.

IN RESPONSE comments and questions were received, including:

1.    In response to Councillor Orhan’s queries regarding the care leavers’ offer and protection, attention was drawn to para 6.3 of the draft scheme detailing applicants in particular circumstances given a higher score, including single people under 25 leaving Enfield Council’s care. It was confirmed that Strategic Housing Board included a representative from Children’s Services and Ray James would consider closer work with Children’s Services and input into any Council new-build housing.

2.    Tessa Lindfield noted opportunities as these households were often those targeted for working closely with in respect of health improvement

3.    The Chair noted that the draft scheme was prepared before the Grenfell Tower fire, and this may raise issues regarding allocations.

4.    Councillor Orhan advised of the high amount of ward councillor casework around overcrowding and the effects of housing on individuals’ health and wellbeing. Ray James confirmed the importance of the policies to guide officers’ work and that they should be transparent, and the wish to build a consensus around the criteria. Therefore all comments were welcomed and Health and Wellbeing Board members were encouraged to feed into the consultation.

AGREED that Health and Wellbeing Board noted:

(1)  the draft Housing Allocation Scheme and invitation to provide feedback;

(2)  the request to promote the public consultation amongst staff and service users to encourage all stakeholders to provide their feedback.

To receive the response sent by Councillor Daniel Anderson, Cabinet Member for Environment, for Enfield Health and Wellbeing Board to note the LB Enfield response to the air quality consultation.

RECEIVED for information a copy of the LB Enfield response to the consultation on the Government’s air quality action plan.

NOTED

1.    Tessa Lindfield highlighted the deferral to local authorities of proposed actions and the need for appropriate financial support; and the importance of air quality in respect of health.

2.    Vivien Giladi welcomed the response, and that air quality was an appropriate issue for Health and Wellbeing Board consideration.

To receive and agree the minutes of the meeting held on 19 April 2017. 

AGREED the minutes of the meeting held on 19 April 2017.

Members are asked to note the dates of meetings of the Health and Wellbeing Board:

?          Tuesday 10 October 2017

?          Tuesday 5 December 2017

?          Thursday 8 February 2018

?          Tuesday 17 April 2018

All meetings take place at 6:15pm unless otherwise indicated.

Members are asked to note the dates of meetings of the Health and Wellbeing Board Development Sessions:

?          Tuesday 5 September 2017

?          Tuesday 21 November 2017

?          Tuesday 16 January 2018

?          Tuesday 20 March 2018

The development sessions take place at 2:00pm unless otherwise indicated

NOTED the dates of future meetings of the Health and Wellbeing Board and dates of future development sessions.