Agenda and draft minutes

Reconvened from 29 January 2019, Health & Wellbeing Board
Wednesday, 27th February, 2019 2.00 pm

Venue: F10, Town Hall, Katharine Street, Croydon CR0 1NX. View directions

Contact: Cliona May
020 8726 6000 x47279  Email: cliona.may@croydon.gov.uk

Items
No. Item

1/19

Chair's Communications

Minutes:

A minute silence was observed by the Board for the late Maggie Mansell, who was a long serving Councillor and previously the Chair of the Health & Wellbeing Board.

2/19

Minutes of the Previous Meeting pdf icon PDF 74 KB

To approve the minutes of the meeting held on 24 October 2018 as an accurate record.

Minutes:

RESOLVED that the minutes of the meeting held on 24 October 2018 were agreed as an accurate record.

3/19

Disclosure of Interests

In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.

Minutes:

There were no disclosures at this meeting.

4/19

Urgent Business (if any)

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.

Minutes:

There was none.

5/19

Public Questions

For members of the public to ask questions to items on this agenda of the Health & Wellbeing Board meeting.

 

Questions should be of general interest, not personal issues, and must be received in writing no later than noon on the Friday prior to the meeting.

 

There will be a time limit of 15 minutes for all questions and responses which will be minuted. The responses to any outstanding questions will be included as an Appendix to the minutes.

Minutes:

There were none.

6/19

Health & Wellbeing Board Workshop Feedback and Youth Plan Update pdf icon PDF 115 KB

The report provides an update on three related strands of work around supporting children and young people in Croydon: the Health and Wellbeing Board (HWBB) workshop, Croydon’s five year Local Transformation Plan (LTP), and the key actions to be included in Croydon’s Youth Plan. (Copy attached)

Additional documents:

Minutes:

The Board considered the report which provided an update on three related strands of work around supporting children and young people in Croydon; the Health and Wellbeing Board workshop, Croydon’s five year Local Transformation Plan (LTP), and the key actions to be included in Croydon’s Youth Plan.

 

The Chair welcomed comments from the school representatives present regarding the mental health and wellbeing of young people in connection with the Youth Plan, and how the Board could liaise with the local schools going forward.

 

Ms Jenny Adamson, Saffron Valley Collegiate, explained that there were concerns for the lack of resources within early years prevention work. It was explained staff who worked in schools were receiving mental health first aid training and there was a focus on how mental health manifests within the classroom.

 

The Broadmead Primary School representatives explained they had introduced a nurture provision, one held in the mainstream school building and one in the school grounds. This was a 12 week programme of nurture, where parents were worked with closely and it included signposting to outside agencies.

 

Councillor Avis noted that there was discussion at the previous Health & Wellbeing Board regarding the increase of young women being admitted to Accident & Emergency due to self-harm. In response to Councillor Avis, Ms Adamson noted that the cohort of young people showing signs of poor mental health within schools was largely young males who were acting out traumatic experiences; this was a huge concern as it was unsafe for the individual and others around them. The Broadmead Primary School representatives added that the behaviour from young males was often more apparent and young women showed symptoms in a less obvious way, and often slightly later in life. The Director of Public Health noted that evidence showed that different genders responded to trauma in different ways; it was often displayed in violence with women, either against themselves or others.

 

In response to Councillor Hall the representatives present explained there was a challenge with providing help within the school setting, especially mainstream schools, but the introduction of drama and music therapy had proven positive. It was explained that due to the lack of resources the schools were unable to focus on preventative schemes and had to wait until the individuals were a higher priority before intervening.

 

The Executive Director for Children, Families, Education and People stated that a school survey was to be circulated, likely on Monday 4 March 2019, requesting information on mental health resources available to schools and if further support was needed. He explained that from this it was hopeful that the resources and capacity could be sought to breach the gaps to ensure schools were able to provide full, preventative schemes. The outcome of the survey would be discussed at the head teachers’ breakfast. Councillor Avis requested that the school representatives attend a future Health & Wellbeing Board meeting to feedback after the survey had been completed.

 

In response to Andrew Eyres, NHS Croydon Clinical Commissioning Group (CCG), the Chair  ...  view the full minutes text for item 6/19

7/19

Director of Public Health's Annual Report - The First 1000 days pdf icon PDF 68 KB

The report focuses on the first 1000 days of life and includes pre-pregnancy health and Adverse Childhood Experiences. (Copy attached)

Additional documents:

Minutes:

The Board considered the Director of Public’s Health 2018 Annual Public Health Report, which was presented to Council Cabinet in November 2018 and the CCG Governing body in January 2019. The report focused on the first 1000 days of life and included pre-pregnancy health and Adverse Childhood Experiences. It was explained that the implementation of the report recommendations would support the delivery of the three Health and Wellbeing Board children’s priorities, in particular the first 1000 days and healthy weight.

 

The Healthwatch representative noted that one of their main focuses within Croydon was perinatal mental health. The Director of Public Health agreed to engage with Healthwatch, in addition to SLaM and Croydon CAMHS, to ensure the community was represented. Furthermore, the Director agreed that there was an issue within the Borough regarding immunisation, which included cancer screening, and would discuss this with Healthwatch. Councillor Avis noted that Croydon had over 100 languages spoken and often medical advice and reports would be hard to interpret with English as a second language. It was agreed that the Board would consider a report on screening and immunisation at a future meeting.

 

The following Board Members agreed to be on the task and finish group: the Health & Wellbeing Board Chair, Councillors Avis, Flemming and Hall, Andrew Eyres (CCG) and Emma Leatherbarrow (Healthwatch).

 

The Chair encouraged the Board to email the Director of Public Health with any further comments on the annual report.

 

RESOLVED – That the Board agreed:

 

1)    To take the responsibility for the oversight of the 34 recommendations and the monitoring of their implementation and impact.

 

2)    Note the arrangements that are already in place to support implementation of the recommendations.

 

3)    Support the creation of a task and finish group to monitor implementation progress.

8/19

Health and Wellbeing Strategy pdf icon PDF 89 KB

The report provides context for the attached draft Health and Wellbeing Strategy which is a document being developed by the board outlining the Borough’s strategy for health and wellbeing of those living and working in Croydon. (Copy attached)

Additional documents:

Minutes:

The Board considered the Health and Wellbeing Strategy, including the development of a forward plan shaped by the actions agreed by the Local Strategic Partnership Board and other relevant partners. The Public Health Consultant, Dr Jack Bedeman, noted that the key changes since the draft Health and Wellbeing Strategy was previously presented to the Board in October 2018 was the inclusion of the outcomes for both the strategy and the Health and Care plan. These outcomes had been developed with the One Croydon Strategic Development Board.

 

Councillor Hopley noted that the communication and engagement between the Health & Wellbeing Board and the community needed to be improved as residents were not aware of the plans being developed and other ongoing projects. It was suggested that the information was circulated to resident associations and GP surgeries as hard copies. The Public Health Consultant confirmed that there would be a press release and an article in Your Croydon regarding the development of the strategy.

 

In response to the Croydon Voluntary Action representative the Chair explained that the Health Summit on prevention work had been delayed but this would be organised at the next Health & Wellbeing Board Executive meeting and information would be distributed to all Board Members.

 

The Statutory Board Members signed the Health & Wellbeing Board strategy.

 

RESOLVED – That the Board agreed to:

 

1)    Sign off the Health and Wellbeing Strategy.

 

2)    The development of a forward plan for the Health and Wellbeing Board aligned to the actions and commitments within the Health and Wellbeing Strategy.

9/19

Croydon Health and Care Transformation Plan and the NHS long term plan pdf icon PDF 124 KB

The report provides the draft plan on page, draft outcomes framework and draft implementation plans. (Copy attached)

Additional documents:

Minutes:

Croydon Health and Care Transformation Plan

 

The Board considered the outline of Croydon’s Health and Care Transformation Plan, which would be a key delivery plan of the Health and Wellbeing Board’s Strategy, which in turn provided the health and care and in parts the wider determinants response to the Croydon Local Strategic Partnership vision. The plan would also inform the South West London Health and Care Partnership Plan which was being refreshed.

 

The Director of One Croydon Alliance Programme, Rachel Soni, explained that the Board was being requested to note the plan and agree it was the right approach before the final version came to the Board for sign off before publishing it in July 2019.

 

The Vice-Chair stated that the plans should be clear, easy to monitor and ensure they were delivered. He agreed with Councillor Hopley’s previous comment regarding the communication from the Health & Wellbeing Board to the public and noted that these plans should be publicised.

 

Fouzia Harrington, CCG, noted that the Transformation Plan was in the implementation phase and reflected the journey so far. In response to the Croydon Voluntary Action representative it was explained that the final document was to be published in summer 2019. Andrew Eyres, CCG, added that they would be engaging with public members to tailor the information included within the plan.

 

NHS Long term Plan

 

The Vice-Chair introduced the report and highlighted that the three key areas identified were; making sure everyone gets the best start in life, delivering world-class care for major health problems, and supporting people to age well.

 

The Board discussed the structural changes to the CCG and the Chair noted that she and the Leader had received a letter from NHS England and she had been copied in to the response. In response to Councillor Hopley she ensured that the her response would be sent in her capacity as the Health & Wellbeing Board Chair, and not on behalf of all the Board Members, and agreed to circulate this to the Board when it was sent.

 

Councillor Avis noted concern for the decreased funding and added that the Green Paper on social care had been delayed. In response the Vice-Chair assured he would get the best deal for Croydon within the National NHS Plan. The Director of Public Health added that the Green Paper for primary prevention was also delayed and this was linked to the NHS Plan.

 

RESOLVED – That the Board agreed to note the Croydon Health and Care Transformation Plan and the NHS long-term plan.

10/19

Exclusion of the Press and Public

The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:

 

“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”

Minutes:

This was not required.