Agenda and minutes

Welcome from the Chair and introductions

Dr Nitika Silhi, Vice Chair, welcomed everyone to the virtual meeting.

Apologies for absence were received from Cllr Nesil Caliskan (Chair), Cllr Alev Cazimoglu, Dudu Sher-Arami, Tony Theodoulou, Dr Helene Brown, Pamela Burke, and Andrew Wright.

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 in respect of any items on the agenda.

Gayan Perera, Public Health Intelligence Team Manager.

Including updates on Covid-19, Influenza, Polio, MPX Vaccination Programmes.

RECEIVED the presentation, on behalf of the ICP Immunisation and Screening Group, presented by Gayan Perera, Public Health Intelligence Team Manager, and Dr Hetul Shah.

NOTED

1.    Uptake of Covid-19 and flu vaccinations in Enfield was reported, across wards and cohorts.

2.    There was a current campaign to boost children’s polio immunisation.

3.    North Central London ICB were taking action in respect of Monkey Pox to support diagnostics/testing and the delivery of vaccinations.

4.    Communication of public health messaging and local schemes and initiatives in Enfield were set out.

IN RESPONSE

5.    In response to Members’ queries, it was confirmed that to improve vaccination uptake within communities where there had been more hesitancy there had been engagement with faith leaders: this was powerful as they were trusted voices. They had been able to promote webinars, pop up clinics at mosques etc, and given an opportunity for discussion of wider health issues.

6.    It was requested that measles immunisation information was included within future update reports. Rates of MMR vaccination followed the same patterns as other immunisation take-up across Enfield. It would also be useful to receive comparison of rates in Enfield against the other North Central London boroughs. Every opportunity should be taken to lift up children’s immunisation.

7.    In response to enquiries regarding polio risk, it was confirmed that the current campaign was centred on children following national guidance, but the immunisation offer was open to all who had not received a complete dose.

8.    Board members were encouraged to promote flu vaccinations this autumn, due to concerns further to a bad flu season in Australia and already high UK flu incidence.

Peter Nathan, Director of Education.

(SENT TO FOLLOW)

RECEIVED the presentation in respect of SEND Partnership Board, presented by Peter Nathan, Director of Education.

NOTED

1.    The SEND Partnership Board purpose and responsibilities were set out.

2.    SEND needs were very high in Enfield, and were rising each year.

3.    The SEND Partnership Strategy 2023-2027 was submitted for approval by Full Council on 12 October.

IN RESPONSE

4.    In response to queries regarding number of children with SEND / ECHPs increasing beyond levels seen in other London boroughs, it was advised this was no longer the case, following changes to the assessment process, alternative provisions, and preventative initiatives.

5.    It was confirmed that there was an aim was to create more local places for Enfield children.

Rikki Garcia, Interim CEO Healthwatch Enfield.

This is a partnership project funded by NCL ICB that has engaged Edmonton residents in innovative ways to identify issues and solutions with local services.

RECEIVED the report, presented by Rikki Garcia, CEO of Listen to Act / Healthwatch Enfield contract holder.

NOTED

1.    The Community Powered Edmonton partnership worked across three organisations – New Local, Edmonton Community Partnership, and Healthwatch Enfield – to reach out to communities in Edmonton about their issues affecting health and wellbeing.

2.    The key issues found were safety, poverty, social isolation, mental health, language barriers and lack of knowledge and confidence, and digital exclusion.

3.    A summary of findings and recommendations had been drawn up, and were set out on page 22 and 23 of the report. The five recommendations had clear consensus and were considered the most urgent and most readily actionable. They were being shared with key strategic bodies.

IN RESPONSE

4.    Board members welcomed the valuable and helpful report.

5.    The importance of availability of information at the first point of contact and easy accessibility was highlighted.

6.    Board members would discuss taking the recommendations forward and potential liaison with Enfield Borough Partnership and its working groups with Rikki outside this meeting.

Sarah D’Souza, Director of Communities, NHS North Central London ICB.

RECEIVED the report, presented by Sarah D’Souza, Director of Communities, NHS NCL ICB.

NOTED

1.    There had been a need for NCL wide assessment of health inequalities across targeted populations, to inform future commissioning and investment.

2.    There had been focus on those experiencing homelessness, those with a history of imprisonment, sex workers, Gypsy, Roma and Traveller communities, and vulnerable migrants.

3.    Phase 1, the rapid evidence review, had now been completed. The next step was to complete engagement for phase 2 and then to co-produce a set of recommendations.

4.    Input from Board members would be welcomed.

5.    The ICP plan for health improvement for Inclusion Health Groups would be presented and discussed at Enfield Health and Wellbeing Board in the new year.

Louisa Bourlet, Community Health Development Officer, Dr Amna Naeem and Dr David Peprah.

Review of current local activity.

RECEIVED the presentation in respect of cancer screening awareness campaign, presented by Dr Nitika Silhi.

NOTED

1.    The Enfield campaign had evolved from pre-pandemic work.

2.    A snapshot of what was happening across Enfield was shown. The hyperlocal campaign was built on national messaging. Information had been distributed via websites, newsletters, posters, social media, etc and been shared by partners.

3.    Future planned initiatives included translation of national materials for distribution at community venues, and recruitment of local champions.

4.    Input from partners was welcomed.

IN RESPONSE

5.    In response to Members’ queries it was advised that Enfield was meeting targets for certain cohorts but there was a need to encourage screening take-up, to explain the importance of taking part in screening when invited, and of normalising these processes. Some groups had been found to require more targeting. If people had other problems such as mental health issues, they may present later.

Gayan Perera, Public Health Intelligence Team Manager.

Short Progress Update.

RECEIVED the update, presented by Gayan Perera, LBE Public Health Intelligence Team.

NOTED

1.    The Pharmaceutical Needs Assessment (PNA) was nearly completed. All responses to the public consultation had been included and the final version of the PNA was about to be published once approved by the Health and Wellbeing Board Chair. The final PNA report would be published on the JSNA website before 20th October 2022.

2.    The needs analysis in respect of community pharmacies was set out.

3.    The health needs of the local population included Enfield’s high prevalence of hypertension, CHD, diabetes and dementia.

4.    Up to 100% of people in Enfield could reach a pharmacy within 30 minutes.

5.    The conclusions and recommendations were that funding is at least maintained at current levels and that there is no evidence to suggest there is a gap in service.

IN RESPONSE

6.    It was confirmed that comments submitted during the public consultation would be passed on to NHS England.

7.    Noted that community pharmacies were a valuable and sometimes under-utilised resource.

To receive and agree the minutes of the meeting held on 7 July 2022.

AGREED the minutes of the meeting held on 7 July 2022.

Next meeting dates and development sessions of Enfield Health and Wellbeing Board:

Enfield Health and Wellbeing Board:

Thursday 15 December 2022, 6:30PM

Thursday 2 March 2023, 6:30PM

Development Sessions (potential dates):

Thursday 15 December 2022, 5:00PM

Thursday 2 March 2023, 5:00PM

NOTED the next Board meeting dates and development sessions:

Thursday 15 December 2022, 6:30PM

Thursday 2 March 2023, 6:30PM

Development Sessions (potential dates):

Thursday 15 December 2022, 5:00PM

Thursday 2 March 2023, 5:00PM