Agenda and minutes

Health and Wellbeing Board
Tuesday, 5th December, 2017 6.15 pm

Venue: Room 1, Civic Centre, Silver Street, Enfield, EN1 3XA. View directions

Contact: Jane Creer 

Items
No. Item

1.

Welcome and Apologies

Minutes:

Councillor Doug Taylor (Chair) welcomed everyone to the meeting. Apologies for absence were received from Dr Helene Brown, Libby McManus, Peter Ridley, Natalie Forrest, Ian Davis, Ray James, and Litsa Worrall. Apologies for lateness were received from Councillor Ayfer Orhan.

2.

Declaration of Interests

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

Minutes:

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

3.

LONDON BOROUGH OF ENFIELD BUDGET CONSULTATION

To receive a presentation on the LB Enfield 2018/19 budget proposals.

Minutes:

The Board received a presentation on LB Enfield’s 2018/19 budget and consultation process from Jayne Fitzgerald, Head of Strategic Finance.

 

Budget Presentation

 

Jayne Fitzgerald highlighted the following:

 

?  The Council spending and income were set out, noting that the authority was not permitted to make savings on all areas.

?  Government funding would continue to decline to 2019/20.

?  The impact of government funding reductions was described; and that since 2010 LB Enfield had delivered £161M of savings.

?  There were demographic pressures, with the borough’s population continuing to rise and with large proportions of younger and older people in comparison with the rest of London.

?  Enfield was the 12th most deprived borough in London on indices of multiple deprivation. Temporary accommodation was becoming an increasing pressure.

?  Other pressures included pay awards and national minimum wage/London living wage; inflation and changes in interest rates; pension fund; and funding changes from central government.

?  The Council faced a difficult challenge in setting a balanced budget. Savings were being delivered across all service areas. There was an increasing emphasis on developing income generating proposals and commercial opportunities.

?  Consultation on the budget was running for 11 weeks, from 23/10/17 to 08/01/18. There were a number of ways it could be accessed, but the focus was on completing it online. A ‘Money Matters’ section was included in ‘Our Enfield’ magazine which was delivered to all households. Two public meetings were scheduled, on 13 and 14 December at Community House, Edmonton and at Enfield Civic Centre.

?  The questions in the consultation covered prioritisation of services for protection and services for savings; services which could be made available online; and suggestions for ways to raise income to minimise the effect of funding reductions.

?  So far there had been 299 responses to the consultation online and 16 other. All responses would be collated and fed into a report to Overview and Scrutiny Committee’s budget meeting on 18 January, and taken into account when the budget was set by full Council in February.

 

Questions / Comments

 

1.    In comparison to last year, the consultation response rate was doing relatively well. The communications team were also monitoring responses weekly and nudging through social media.

2.    It was confirmed that all voluntary and community sector organisations had been written to for consultation, and a special budget consultation document was being prepared for the Youth Parliament. Officers acknowledged points in respect of accessibility of the consultation and they were available to make presentations to meetings if invited.

3.    It was confirmed that income raising could include putting up fees and charges, but there was also emphasis on commercial opportunities and new initiatives.

4.    The Chair thanked officers for attending and all comments would be fed into the consultation and report to Council’s budget setting meeting.

4.

HEALTH AND WELLBEING BOARD ACTIONS FOR THE PRIORITY, MENTAL HEALTH RESILIENCE pdf icon PDF 156 KB

To receive a report proposing actions by the Board to improve Mental Health Resilience in Enfield.

(TO FOLLOW)

Minutes:

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

 

NOTED

 

Tessa Lindfield introduced the report, highlighting the following:

?  Improving mental health resilience was one of the three priorities selected by Health and Wellbeing Board (HWB) for action planning for the final two years of the Joint Health and Wellbeing Strategy, with a focus on prevention.

?  HWB agreed to explore using Thrive LDN to deliver this. A workshop was held in November with a range of stakeholders, which was discussed at the recent HWB development session.

?  Mark Tickner (Senior Public Health Strategist) having met with Thrive LDN yesterday recommended the proposed activities and focus on younger people. Having seen the work on suicide prevention it was considered that engagement would be worthwhile. Tessa Lindfield felt that engagement would give Enfield access to specialist advice and would contribute to a coherent approach across London.

 

Councillor Orhan arrived at the meeting at this point.

 

IN RESPONSE comments and questions were received, including:

1.    Vivien Giladi highlighted concerns around rising inequalities in living conditions, housing issues, insecure work, and government policies, and that mental health services were under resourced; and that though she would support the recommendations she was concerned not to mask underlying deficits in services.

2.    Dr Mo Abedi recommended trying to build resilience, and that the proposals would build into the prevention arm of the existing mental health strategy.

3.    Members had expressed initial scepticism but supported continued engagement.

4.    Tony Theodoulou reported positive feedback on what was already being done in the borough, and that engagement could be complimentary to that.

5.    Andrew Wright stressed the importance of attitude change and that it was important for people who may have an emerging mental health condition and for the population at large to have a better understanding.

6.    It was confirmed that the sum sought from LB Enfield was £30,000, and that further details were awaited, but the emphasis was how to be protective of mental health. The Thrive LDN offer was still being developed locally but would be focussed on Enfield’s needs. Tessa Lindfield acknowledged the requests to link in more with the mental health partnership.

 

AGREED that the Health and Wellbeing Board endorsed:

(1)  The Thrive LDN “Hub Offer” is scoped in order for the Board to consider signing up to.

(2)  Continued work with Thrive LDN and our local partners to undertake an additional engagement event in Enfield with focus upon the aspirations, needs and ideas of our younger people in the area of emotional health, wellbeing and resilience.

(3)  That Public Health continues to engage with Thrive LDN in the area of suicide prevention and resilience.

5.

HEALTH AND WELLBEING BOARD ACTIONS FOR THE PRIORITY, HEALTHY WEIGHT pdf icon PDF 240 KB

To receive a report proposing actions by the Board to promote Healthy Weight in Enfield.

(TO FOLLOW)

Minutes:

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

 

NOTED

?  Addressing obesity and promoting healthy weight was the second priority for action for the Health and Wellbeing Board 2017-19.

?  The report included suggestions which the Board could implement.

?  There had been discussion at the recent development session, but a clear direction had not been agreed.

?  Recommendations were set out in Section 5 of the report and members were asked to go back to their organisations to consider what could be done to support an improved food environment, then come back to the Board

 

Councillor Taylor left the meeting at this point, and Dr Mo Abedi took the chair for the remainder of the meeting

 

IN RESPONSE comments and questions were received, including:

1.    Parin Bahl suggested that Enfield could learn from good practice of other councils which had implemented the Local Government Action on Sugar Reduction and Healthy Food.

2.    Councillor Orhan agreed that boroughs should support each other. It was also hoped that amendments to the London Plan would help councils to be firmer with organisations and outlets. Glenn Stewart confirmed that LB Enfield wanted to work with the London Mayor around this.

3.    Potential links with the sustainability and transformation plan, and the healthy hospitals strategy were highlighted.

4.    Action on moving forward was discussed and would need further consideration at the next Health and Wellbeing Board development session.

 

AGREED :

(1)  That the Health and Wellbeing Board considered adoption of the actions in the table set out in the report as a means of increasing healthy weight in the borough and to report progress regularly through the Joint Health and Wellbeing Strategy progress report.

(2)  The Health and Wellbeing Board encouraged the development of an obesity management care pathway and would receive regular reports on progress.

(3)  There would be more detailed consideration of actions at the Health and Wellbeing Board development session on Tuesday 16 January 2018.

6.

SAFEGUARDING CHILDREN'S BOARD ANNUAL REPORT 2016-17 pdf icon PDF 177 KB

To receive the Safeguarding Children’s Board Annual Report 2016-17 from Geraldine Gavin (Independent Chair of Enfield Safeguarding Children’s Board).

Additional documents:

Minutes:

RECEIVED the report of Tony Theodoulou (Executive Director of Children’s Services).

 

NOTED

 

Geraldine Gavin (Independent Chair of Enfield Safeguarding Children’s Board (ESCB)) introduced the report, highlighting:

?  All the agencies were focussed on keeping children safe, and there were incredible pressures felt by every partner.

?  The ESCB wanted early help and assessments made earlier in a child’s history to prevent problems.

?  The ESCB had closely monitored the Enfield Family Resilience Strategy and all partners had signed up.

?  From 2019 there would be no legal requirement for a local authority to have a Safeguarding Children’s Board, but some legislation had not yet been enacted.

?  Many local authorities were looking at reshaping safeguarding services to include young people up to the age of 24.

 

IN RESPONSE comments and questions were received, including:

1.    In response to queries, it was advised that there was duplication, and therefore scope for more shared working across boroughs, but a pan London approach was felt to be too big and localism should not be lost. There was also more work with the Adult Board and a need for more joined-up working and multi-disciplinary partnership arrangements.

2.    The Chair thanked Geraldine Gavin for her attendance and the really good work of the ESCB.

3.    Tony Theodoulou wished to acknowledge the support from Grant Landon and thank him for his work.

 

AGREED that the Health and Wellbeing Board noted the progress being made to safeguard children and young people and the Enfield Safeguarding Children’s Board Annual Report.

7.

PROGRESS UPDATE ON JOINT HEALTH AND WELLBEING STRATEGY (JHWS) pdf icon PDF 514 KB

To review performance highlights and consider how to promote progress against the JHWS indicators.

Minutes:

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

 

NOTED

 

Tessa Lindfield’s introduction of the report highlighted:

?  Miho Yoshizaki was thanked for putting the report together and everyone thanked for their contributions. A full set of indicators was on the Healthy Enfield website.

?  The Best Start in Life sub group was preparing submissions for the January development session and the February Health and Wellbeing Board meeting.

?  The Violence Against Women and Girls Strategy would be brought back to Health and Wellbeing Board.

?  Excellent progress was noted in respect of housing for vulnerable adults.

 

IN RESPONSE comments and questions were received, including that there was some concern regarding under take-up of flu vaccination, and its importance should be better communicated.

 

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.

8.

MINUTES OF THE MEETING HELD ON 10 OCTOBER 2017 pdf icon PDF 112 KB

To receive and agree the minutes of the meeting held on 10 October 2017.

Minutes:

AGREED the minutes of the meeting held on 10 October 2017.

9.

INFORMATION BULLETIN pdf icon PDF 98 KB

(TO FOLLOW)

Minutes:

NOTED the Information Bulletin items, with apologies for delay, and a copy would be distributed to all members by email.

10.

HEALTH AND WELLBEING BOARD FORWARD PLAN pdf icon PDF 186 KB

The current version of the Forward Plan is attached.

Minutes:

NOTED

 

1.    The 16 January Health and Wellbeing development session would focus on Best Start in Life.

2.    Future items were suggested for future meetings of the Health and Wellbeing Board to consider long term conditions and prevention work; suicide prevention plan; engagement and the STP and update on CHINs.

3.    John Wardell, the new CCG Chief Operating Officer, was welcomed and would be a regular attender at Health and Wellbeing Board from now on.

4.    The incoming Chief Executive of North Middlesex University Hospital NHS Trust would be invited to attend the next Board meeting. There had been concerns recently about performance.

11.

Dates of Future Meetings

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

 

?          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 16 January 2018

?          Tuesday 20 March 2018

 

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

Minutes:

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