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 outcome is a conference on this subject to be held on 16th July.
Enfield’s Department of Public Health has led on the development of the pan London Public Health Consultants Development Programme which was opened by Duncan Selbie; Chief Executive of Public Health England on June 18.
Enfield has achieved its stop smoking target and we are expecting Duncan Selbie to make presentation at the conference.
Enfield achieved the health checks delivery target this year, delivering 5503 health checks to Enfield residents.
Following the appointment of an independent Chair on 22nd March 2013, a full time Chief Executive Officer of Healthwatch Enfield has now been appointed.
The Council has been awarded £14,000 from the Department of Health for the development of direct payments in residential care in Enfield as part of a pilot programme. Work will commence in July 2013.
As recommended by the Health and Wellbeing Board In May 2013, an expression of interest was submitted by the Council in partnership with voluntary and community sector agencies to the Big Lottery Fund ‘Fulfilling Lives, Ageing Better’.
The CCG, following consultation with the Health and Wellbeing Board and other partners have published, in line with their National timelines, their prospectus - Local clinicians working with local people for a healthier future, the final version will be presented to the board later on the agenda.
A Joint Mental Health Commissioning Manager has been recruited and has started in post June 2013.
As discussed at the Health and Wellbeing Board earlier this year, work is being progressed on the implementation of the Family Nurse Partnership. A project plan has been developed and a team supervisor appointed. A Project Board has been established that will report into the Health and Wellbeing Board.