Agenda item

To receive the following updates from the sub boards:

a.     Health Improvement Partnership Board

b.     Joint Commissioning Board

c.     Improving Primary Care Board – update covered at development session on 22 January 2015

1.               Health Improvement Partnership Board

The Board received the sub board update from the Health Improvement Partnership Board. 

1.1     Glenn Stewart, Deputy Director of Public Health, presented the report to the board, highlighting the following: 

·       Public Health continued to work closely with the Enfield Clinical Commissioning Group (CCG).

·       Locality practice profiles had been completed.

·       The procurement specification is being finalised for the School Nursing and Health Visitor Contracts 2015/16. 

·       The procurement process for the Reproductive and Sexual Health (RASH) service is underway.  

·       A successful child poverty conference had been held in November, following which an action plan was produced and a project manager employed to implement it.   

·       Breastfeeding support has been successful.

·       The Pharmaceutical Needs Assessment is out for consultation.

·       Work on Female Genital Mutilation (FGM) continues and Public Health has now taken over the chair of the Safeguarding Board’s FGM task and finish group. 

·       Public health officers have been trained to enable them to screen licensing applications.

·       The Child Death Overview Panel is holding a learning event for stakeholders. 

·       Media campaigns are running for World Aids Day to encourage people to get tested, as well as on sexual health, antibiotics and hypertension.

·       Quitting smoking targets are being exceeded.  An event is being held on 16 February, focussing on the Turkish community, who have high numbers of smokers.  Preparations for No Smoking day on the 11 March 2015 are in hand. 

·       Health checks are on target.

·       Individual Funding Requests are up to date. 

·       Public Health has launched the stepjockey scheme at the Civic Centre to encourage people to use the stairs rather than the lifts.  A Healthy Weight website has also been launched. 

1.2           Questions/Comments

a.     Providing information including placing posters in GP practices would help raise public awareness of public health issues.  GP’s would be happy to help. 

b.     Dementia memory clinics waiting times had increased, but these had now gone down. 

c.     Late presenting of people with AIDs was a problem in Enfield, but it is worth noting that Inner London boroughs where the figures are higher have put in much more resources and spent significantly more money on raising awareness of the issue. 

AGREED to note the content of the report. 

2.               Joint Commissioning Sub Group Update

The Board received a report from Bindi Nagra, Assistant Director of Strategy and Resources (Health, Housing and Adult Social Care). 

Bindi Nagra presented the report to the Board highlighting the following: 

·       A large amount of time has been spent preparing for the implementation of the Care Act 2014, which takes effect from the 1 April 2015.  As a Council he felt that we are well placed to deal with the changes.

·       The Better Care Fund has now been fully approved in terms of submission.  The Council continues to receive guidance on implementation.  NHS has asked the council to review certain targets to check whether they are consistent with original benchmarks and whether they are sustainable. 

·       Work is continuing on providing support to integrated care for older people. 

·       Consideration of how to commission the Reproductive and Sexual Health services is underway.  Market testing is planned for February 2015

·       The Mental Health Strategy has now been approved by all partners and an implementation group set up. 

·       The Council is putting together a self-assessment framework for learning disabilities.  A joint action plan has been developed in response to the Winterbourne View Concordat.

·       Planning permission has now been granted for a new 70 bed care home on the old Elizabeth House site.  Pictures and plans were attached to the report. 

2.2     Questions/Comments

a.     The review of the Better Care Fund targets will take account of the current trends and expectations, particularly in the light of current winter pressures.  Revision and review will be taking place in the week following the meeting.  Formal submission of the revised targets would form part of the CCG operating plan.  It would be approved by the Integration Sub Board and reported back to the full Health and Wellbeing Board.  Further discussion would be possible when the operating plan is considered at the development session. 

b.     Bindi Nagra confirmed that there would be no changes to the grant funding arrangements to the voluntary and community sector without 6 months notice having been given. 

c.     Concern was expressed about the current system for allocating Council housing through the online portal.  This route was acknowledged to be unsatisfactory for some niche groups and alternatives were being considered in specific cases. 

AGREED to note the content of the report. 

3.               Improving Primary Care Board

No update was provided for this meeting as the board had been updated at the recent development session.