Agenda and minutes

The Democratic Services Officer opened the meeting and requested nominations for the Chair.

Councillor Mansell nominated Councillor Woodley and this was seconded by Councillor Hopley.

RESOLVED – That the Board agreed that Councillor Woodley was duly elected Chair.

The Chair confirmed Dr Agnelo Fernandes as Vice-Chair, representing the Clinical Commissioning Group.

To approve the minutes of the meeting held on 7 February 2018 as an accurate record.

RESOLVED – That the Board agreed the minutes of the meeting held on 7 February 2018 as an accurate record.

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.

There were no disclosures at this meeting.

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.

There was none.

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.

There were none.

The Health & Wellbeing Board Members introduced themselves and gave a brief description of their current roles and previous experience.

Introduction of the new Chair outlining the vision and Board priorities and welcoming new Members (copy attached)

The Director of Public Health introduced the report and thanked Stephen Meah-Sims, Strategy Manager, for his hard work with the LSP. It was explained that the current agreed Board priorities were: increasing focus on prevention; reducing inequalities; and progressing integration and devolution. The proposed additional priorities were: delivering the statutory requirements of the Health and Wellbeing Board, including the production of the Joint Strategic Needs Assessment (JSNA), Pharmaceutical Needs Assessment (PNA), and the Joint Health and Wellbeing Strategy for their local population; and the oversight of the wider determinants of health.

The Director of Public Health explained that it would be positive to engage with the groups who feedback to the Health & Wellbeing Board and to provide help and establish a leadership role. Councillor Mansell suggested that each group should report annually to the Health & Wellbeing Board with an update.

Steve Phaure, Croydon Voluntary Action, noted that at the Health & Wellbeing Board workshop on 18 April 2018 it had been suggested that Members would have a lead responsibility and it would create a good dynamic to ensure all Members were contributing to the meeting. The Chair agreed to circulate the Members’ individual areas agreed at the previous workshop and reallocate areas to new Members.

Councillor Avis noted that the Board should enable less engaged groups to work collaboratively and closely with the Health & Wellbeing Board.

RESOLVED – That the Board agreed the proposed prioritised and the steps to develop the Board substructures and workplan.

Overview of the Local Strategic Partnership (LSP) and the LSP structure and priorities (report and presentation attached)

The Strategy Manager introduced the report and explained that the Croydon Local Strategic Partnership (LSP) had been reviewed and specifically focussed on strengthening partnership working across the borough. He noted that the LSP would meet quarterly and would be represented by Senior Stakeholders and Chief Executives.

There would be six Boards reporting to the LSP, including the Health & Wellbeing Board, and the LSP had agreed priorities that concentrate on children and young people.

Young people at the Youth Congress voted on their top ten priority areas and the top three had helped develop the LSP. These were: how to be successful and make money, crime and safety and mental health issues and support.

A group was to be developed to promote collaborative working between the Boards, offer guidance and to ensure they were at capacity. The LSP would also ensure to focus on forward planning to help achieve goals and have clear governance and communication.

Councillor Mansell suggested that the LSP should focus on prevention work for mental health. She also noted that it was important to ensure the Boards that report to the Health & Wellbeing Board were engaged with and had the opportunity to feedback to the LSP.

Michael Bell, Croydon Health Services NHS Trust, sought assurance that the Health & Wellbeing Board would continue to receive further information from the LSP and that the Terms of Reference were sent to himself and Agnelo Fernandes, Vice Chair. The Interim Director of Adult Social Care and 0-65 Disability agreed to discuss the NHS involvement with the LSP and feedback to the next Health & Wellbeing Board.

The Board requested that they were updated on the priorities established regarding apprenticeships and employment opportunities for young people within the Borough.

RESOLVED – That the Board noted the report.

To agree the Pharmaceutical Needs Assessment (copy attached)

The Director of Public Health introduced the report and explained that it was the final 2018 Pharmaceutical Needs Assessment (PNA) for Croydon and Supplementary Statement.

In response to Councillor Hopley the Director of Public Health noted that the data was not sought in Wards as there were pockets of deprivation within the Borough. It was explained that she was exploring different ways to report the data to seek a richer understanding of where the needs were. Councillor Avis added that the data should focus on smaller clusters, ideally by street.

Councillor Flemming noted that it would be beneficial to have included data regarding unexpected pregnancies, particularly focussing on teenage pregnancies, and the role the pharmacy plays within the community. The Director of Public Health added that unplanned pregnancy was not necessarily an issue with underage children. There was a correlation between education and home circumstance with regards to unplanned pregnancy; the Director surmised it would therefore be useful to look at this too.

The Healthwatch Croydon Representative, Emma Leatherbarrow, suggested that the next PNA focussed on diabetic care within pharmacies.

The Interim Director of Adult Social Care and 0-65 Disability, Guy Van Dichele, offered to hold a session focussing on the reported data. The Board agreed that this would be useful.

RESOLVED – The Board agreed to note the final 2018 PNA for Croydon and Supplementary Statement.

Statutory duty for Board to give opinion on commissioning plan from the CCG (copy to follow)

The Vice-Chair introduced the report and presentation and outlined the strategic approach and plans of the CCG for 2018/19 with the aim to sustainably transform health and care services in Croydon.

The Chairman of Croydon Health Services NHS Trust thanked the CCG and noted that they had engaged with the NHS and SLAM regarding the pathways for the first time and they fully endorsed the proposals.

The SLAM Representative noted that the CCG leaflets and handouts should be reworded to be accessible for all public members.

The Director of Public Health noted that there were a lot of mental health groups within the Borough and it was important to pull the individual work together.

The Board discussed their concerns regarding the response to trauma, particularly adverse childhood experiences, including aggression and self-harm.

RESOLVED – That the Board noted the report.

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.”

This was not required.