Agenda and minutes
PDF 165 KBVenue: Conference Room, Civic Centre, Silver Street, Enfield, EN1 3XA. View directions
| No. | Item |
|---|---|
|
Welcome and apologies Minutes: The Chair welcomed everyone to the meeting.
Apologies for absence were received from Dr Alpesh Patel (Chair of the Enfield CCG), Andrew Fraser (Director of Schools and Children’s Services), Vivien Giladi (Voluntary Sector Representative), Ray James (Director of Health, Housing and Adult Social Care).
The Chair presented an update to the Board as follows:
Further guidance for the Joint Strategic Needs Assessment and the Pharmaceutical Needs Assessment has been released by the department of health outlining the new requirements for CCGs and Local Authorities. The guidance for JSNA is included in the board’s paperwork. This includes a requirement for JSNAs to project needs into the future.
Longer Lives, a new website showing the variation in early death rates has been launched by Public Health England (PHE). The website compares this authority to 15 similar authorities across England, for example Enfield are marked against Camden and Luton amongst others in a category labled “more deprived”. Out of the 15 Enfield has the lowest premature death rate (2009-11).
The South East Public Health Observatory has now released figures for cardiovascular mortality. These show that from 2008-2011 Enfield had a 34% drop in cardiovascular disease death rate; twice the national average. This was the fourth best level of improvement in London. Much of this will be due to the increased focus on smoking cessation, tackling high blood pressure and cholesterol levels . Whilst this news is to be welcomed , CVD death rates are about 70% higher in parts of our most deprived area than parts of our more affluent areas. This means that our attempts to reduce unnecessary deaths in our poorest populations is even more important than ever and that the CCGs investments initiatives should have a real focus on our most deprived populations.
The Department of Health have updated the Dementia Action plan and strategy for 2013/14, the objective is to develop more prevention and services for this growing need.
The JSNA team has continued to developed Enfield's new look JSNA. Following on from our development session in May, further events are being coordinated for the board later in the year for the continued development of both the JSNA and the Health and Wellbeing Strategy, in addition to regular updates brought to the board. The draft chapters of the JSNA are:
o Enfield People o Enfield Place o Enfield Resources o Health and Wellbeing of Children, Young People and their Families o Health and Wellbeing of Adults o Health and Wellbeing of Older People
The process for the recruitment of a childhood healthy weight coordinator is currently underway; this post is to lead on the development of healthy weight promotion and interventions across the borough.
The Public Health Team are working with NHS England and the Emergency Planning Team in the Authority to ensure that all emergency planning is up to date following Public Health’s transition into the Local Authority.
A development workshop on improving life-expectancy, and particularly female life-expectancy was held on 24th May. The ... view the full minutes text for item 1. |
|
|
Declaration of Interests Board members are asked to declare any disclosable pecuniary, other pecuniary or non pecuniary items relevant to items on the agenda. Minutes: There were no declarations of interest. |
|
|
Gangs and Serious Youth Violence To receive a report and presentation on the Gangs and Serious Youth Violence Strategy. Additional documents: Minutes: The Board received a report from Andrea Clemmons (Assistant Director Community Safety and Environment) providing examples of some of the current activity in Enfield to tackle gangs and promoting the benefit of further investment in and support for preventative work, together with a draft strategy for tackling gangs and serious youth violence.
Dr Shahed Ahmad invited comments on the report.
NOTED the Chair’s statement that “whilst final priority setting and resourcing decisions will follow the priorities set within and agreement of the Joint Health and Wellbeing Strategy – the Health and Wellbeing Board commits to working with partners to address the recommendations set out below”.
AGREED
1. To note that following the presentation of the Tackling Gangs and Serious Youth Violence Strategy to the informal development meeting of the Health and Wellbeing Board, the work to tackle serious youth violence is now an identified area of need within the Joint Strategic Needs Assessment (JSNA) and will form part of the Joint Health and Wellbeing Strategy. This will enable the Health and Wellbeing Board to support better early identification of problems and information sharing.
2. To note that as part of the JSNA review process the Health and Wellbeing Board will receive further analysis from the Youth Offending Service on the levels of support for young people with mental health needs.
3. To note that as tackling Serious Youth Violence is part of the JSNA it will be considered as part of the Commissioning processes for Health and Wellbeing partners, including the Clinical Commissioning Group, Police and Local Authority.
4. A communications plan to publicise nationally this exemplar of good practice which for the first time in England aligns the work of the Health and Wellbeing Board with that of the Safer and Stronger Communities Board to tackle gang and serious youth violence. |
|
|
To receive a report informing the Board of NHS England’s plans to improve immunisation rates within Enfield. Minutes: The Board received a report informing the Board of NHS England’s plans to improve immunisation rates in Enfield.
1. Presentation of the Report
Maggie Luck from NHS England presented the report to the Board supported by Karen Keane, Senior Public Health Manager highlighting the following:
2. Questions/Comments
2.1 None of the surgeries who had opted out of the MMR Catch-Up Campaign were in Enfield.
2.2 A communications plan is being developed. The possibility of targeting resources at those communities where there are the most problems was raised. Communication through schools has been shown to capture the greatest numbers. Posters and newsletters will be distributed among learning centres, libraries, community groups and the usual public places.
2.3 Figures of children not vaccinated are not available per primary school as this information is held by GPs, but it was possible that information on the number of children invited for vaccination, booked in and not attended could be gathered. The scheme started on 2 June 2013.
2.4 NHS England was working with GPs to deliver the programme overall.
2.5 Links with school nurses were unclear. Further details would be provided.
2.6 Dr Mo Abedi said that he felt that there was a need for a more robust recall system for immunisations that had to be given over a period of time. Where this had been implemented, immunisation rates had improved.
2.7 It was felt that more robust data gathering was needed.
2.8 NHS England is in negotiation with local providers to provide the necessary ... view the full minutes text for item 4. |
|
|
Enfield Clinical Commissioning Group Prospectus 2013-2020 Board members are asked to endorse the Enfield Clinical Commissioning Group Prospectus 2013-14. A copy of the prospectus is attached. Minutes: The Board received the Enfield Clinical Commissioning Group Prospectus 2013-14.
Liz Wise (CCG Chief Officer) presented the prospectus to the Board. She highlighted:
· The prospectus had already been discussed at the Board development session in May and comments received and incorporated.
AGREED to endorse the Enfield Clinical Commissioning Group Prospectus 2013-14. |
|
|
To agree the Board’s work programme for 2013/14. Minutes: The Board received the draft work plan for 2013/14.
NOTED
1. The work plan had been discussed at the May Development Session.
2. Topics will be discussed informally at sub groups and development sessions before being bought to the full Board. Although in the early months of the plan this has not always been possible.
3. A suggestion was made that employment opportunities at North Middlesex Hospital be discussed at the October meeting.
4. Ian Davis suggested that childhood obesity and physical activity be considered at the same meeting. Councillor Orhan had wanted childhood obesity to be considered at the earliest opportunity.
5. Litsa Worrall felt that social care should have more prominence.
6. Liz Wise was keen to ensure that CCG commissioning intentions were aligned with the Health and Wellbeing Strategy.
7. Integrated Care will be discussed by the Joint Commissioning Board and any issues will be reported up the main board. The latest guidance sets out key roles, responsibilities and opportunities for integrated working which will involve housing and environment as well as health and social care. Bindi Nagra reported that he will be mapping areas of current integration and the opportunities that there were to involve health and social care in the wider community.
8. Councillor Bond felt that environment was key in determining people’s health, thought that issues such as air quality were important and that the second development session should pick up on environmental issues. The GLA were doing some work in this area and he felt that the Board could invite them to attend a meeting to talk about it.
9. Access for disabled people in parks and for all services was also an issue that ought to be addressed.
10. The work plan included only headline issues. Details would be completed later.
AGREED the work plan for 2013/14, taking account of the suggestions above. |
|
|
Joint Strategic Needs Assessment Update (JSNA) To receive an update on the progress being made on the development of the Joint Strategic Needs Assessment (JSNA). Additional documents: Minutes: The Board received an update report on the development of the Joint Strategic Needs Assessment.
NOTED
1. A good working draft has been produced together with factsheets. The draft is due to be sent round to Council directors for comment and will be finalised next month.
2. The outcomes will feed into the priorities of the Health and Wellbeing Strategy.
3. Two away days are planned to put together the priorities. A session in September for the wider community, followed by another in October for all Board members. Dates to be confirmed. |
|
|
To receive updates from the following:
1. Health Improvement Partnership Board
2. Joint Commissioning Partnership Board
3. Improving Primary Care Board Additional documents:
Minutes: The Board received the following updates from the Sub Boards as follows:
8.1 Health and Improvement Partnership Update
Glenn Stewart, Assistant Director of Public Health highlighted the following from his report on the work of public health in the Borough.
8.2 Questions/Comments
8.2.1 As regards transport, Lucy Saunders, had given a report to the Health Improvement Partnership Board on the bus review being carried out and there was a transport working group as part of the Barnet, Enfield and Haringey Clinical Strategy.
8.2.2 The figures for domestic violence are in line with national averages and are the most up to date available. It was acknowledged that there was a lot of under reporting in this area and not all the cases were being picked up. Statistics are reported quarterly to the Safer Stronger Communities Board. The recent welfare reforms may increase tensions in families and could lead to more cases. All cases where children are involved are reported through the single point of entry database.
8.2.3 It was likely that the obesity fall in reception and year 6 was either due to better reporting or increased activity.
8.2.4 Councillor McGowan thought that there might be a very low threshold for what was considered obese. It was made clear that BMI categories are agreed internationally and are not subject to local variation. People’s perceptions of what a ‘normal’ BMI is and looks like have increased with the population increase in BMI.
8.2.5 Some concerns were expressed that the new blood pressure machines were situated too publicly; consideration would be given to how they were situated, including the possibility of putting them behind ... view the full minutes text for item 8. |
|
|
Minutes of previous meeting To receive and agree the minutes of the meeting held on 23 April 2013. Minutes: The minutes of the meeting held on 23 April 2013 were agreed as a correct record. |
|
|
Dates of future meetings To note the dates agreed for full meetings of the Board.
To note the dates agreed for board development sessions.
Minutes: The Board noted the dates agreed for future meetings:
Full Board Meetings
Development Sessions
|
|
|
Exclusion of Press and Public If necessary, to consider passing a resolution under Section 100A(4) of the Local Government Act 1972 excluding the press and public from the meeting for any items of business moved to part 2 of the agenda on the grounds that they involve the likely disclosure of exempt information as defined in those paragraphs of Part 1 of Schedule 12A to the Act (as amended by the Local Government (Access to Information) (Variation) Order 2006).
(There is no part 2 agenda) |