Mark Tickner (Health and Wellbeing Board Partnership Manager) / Dudu Sher-Arami (Director of Public Health), LB Enfield.
Minutes:
Mark Tickner, Health and Wellbeing Partnership Manager, introduced a discussion on development of the Health and Wellbeing Board and the health and wellbeing strategy going forward.
NOTED
1. Our approach from the previous strategy was to focus on prevention, through: not smoking, improved diet, physical activity, and social connectedness.
2. Each local authority was still required to establish a Health and Wellbeing Board (HWBB), which must include a representative from each relevant ICB.
3. The joint local health and wellbeing strategy (JLHWS) should directly inform the development of joint commissioning arrangements in the local area, and the co-ordination of NHS and local authority commissioning.
4. The JLHWS must take into account ICS Population Health Strategies and would need to be reviewed at regular intervals by the HWBB.
5. Board members were invited to put forward their thoughts and comments.
IN RESPONSE
6. The Chair would like the JLHWS to include (1) a continued focus on prevention, to include consideration of housing and of parks and open spaces; (2) early diagnostics for health issues and the role the HWBB could play; (3) access to treatment for residents. It would be good to get commonality between organisations and of the outcomes sought.
7. Dr Nnenna Osuji added that it had been useful to receive the new Council Plan ahead of this discussion, and that this was an exciting opportunity to re-fashion the JLHWS together, and an opportunity to reduce duplication. It would also be helpful that the lead contributors would be set out. In respect of the overarching rationale, North Middlesex University Hospital NHS Trust utilised the clinical areas in Core20PLUS5 plus 2.
8. Dr Alan McGlennan supported the taking of signals from the population health improvement priorities and noted that two of the major components were cardiovascular disease and cancer. An emphasis on smoking and on primary care would be key. He would be happy to discuss investment in diagnostics and the best use of resources further. Dr Alpesh Patel agreed that it was important that the right diagnostics were ordered by the right person and interpreted by someone with the right expertise.
9. Glenn Stewart emphasised the need to consider prevention at a population level and what could be asked from organisations to support outcomes sought.
10. Mark Tickner would like the inclusion of a metric on tackling efforts to re-normalise vaccinations.
11. Dudu Sher-Arami confirmed the main risk factors for early mortality and prevention should be the pillars of the strategy. There was a need to include diagnostics and primary care, but focus should be on prevention of conditions in the first place. It was suggested to also include elements in respect of wider determinants of wellbeing, including employment, housing, and environmental factors.
12. Comments from the Teams meeting chat were also captured as part of the discussion.
13. Enfield Carers Centre would like the strategy to include the unpaid carer workforce (of which there are around 30,000 in the borough) as key to achieving some of the target changes. For example, the organisation could be involved in educating family/unpaid carers in essential preventative aspects of caring.
14. The Chair highlighted a potential link to the skills agenda for the borough.
15. Public Health team officers would put a framework together based on the Board’s discussion, and would speak to Board members individually, and would bring the framework for consideration at the next meeting.
ACTION: Dudu Sher-Arami / Mark Tickner / Glenn Stewart