Agenda and minutes

The Chair will consider the admission of any late items of urgent business.  (Late items will be considered under the agenda item where they appear.  New items will be dealt with at Item 12 below).

None

Members must declare any personal and/or pecuniary interests with respect to agenda items and must not take part in any decision required with respect to these items.

None

To approve the minutes of the Haringey Well-Being Partnership Board  meeting held on 19 July 2006 (attached).

That the Minutes of this Board meeting held on 19 July 2006 be confirmed and signed as a correct record by the Chair subject to changes.

Presentation and discussion led by Catherine Galvin, Assistant Director Business Improvement, Haringey Social Services (report attached).

Catherine Galvin, by way of a joint presentation, informed the Board that serious discussions were needed on the OHOCOS agenda, and that a sub-discussion group would be needed to deal with this issue. During the presentation, she outlined the aims, especially the reconfiguration of services and promotion of independence in order to address a largely unaffordable social care structure at present. The goals and seven outcomes (be healthy, stay safe, make a positive contribution, achieve economic well-being, enjoy and achieve, be independent, and access to an affordable and decent home) were highlighted to the Board which, it was hoped, would encapsulate the aims and ambitions that are set out the White Paper.

In respect of the Closer Working, Catherine outlined the issues surrounding this such as the need to have a single complaints system and adopt more robust joint workforce planning. The Board also heard of the improved range of services that would come as a result of the agenda. The Board finally heard about the issues surrounding the agenda, namely, money (investment and timing), joint planning (politics and outcomes), and expectations.

The Board discussed how the agenda could be taken forward. It was felt that detailed discussions needed to take place at a strategic level between key partners, having understood the political ambitions in the long-term. There would need to be closer partnerships and thought about how the services could affect the desired shift to public health preventative measures. There would also need to be highlighting of the funding streams available, whilst some issues around commissioning in the London regional sphere would need to be considered too. Once a framework for discussion these prevalent issues, it would then be necessary to report back to the Board on taking the agenda forward.

The Board also considered some of the points raised in the presentation that the strategic level group would need to discuss such as what would be the strategy for joint-working. Further, how people use services would need to be understood in order to plan effectively. Also, the emphasis on expectations should not be misunderstood and there would need to be a clear definition of what this meant and how to understand it in order to address it. The issue of choice was also raised as was the opportunity for doing something different by focussing on joint-working in order to strive for the best. The possibilities were considered to be more about realignment of services rather than extra funding in some cases.

RESOLVED

(i)                 That the key partners set up a small strategically led group to consider the issues highlighted and report back to the Board.

An update presentation and report to be tabled by Dr Ann-Marie Connolly, Director of Public Health, Haringey Teaching Primary Care Trust.

Dr Ann-Marie Connolly gave a presentation to the Board on the LAA which began by outlining what the LAA is and highlighted the four blocks of which the Board would focus mainly on the Healthier Communities and Older People block. The Board heard that the development of the LAA would involve working groups, identification of interconnecting issues and consultation with the relevant Partnership Boards of which this Board would be asked to contribute toward. The Board were also introduced the types of targets used in the LAAs, namely, mandatory (targets already set), optional (targets and indicators set by the Partnerships), and stretch (either mandatory or optional targets that can stretch performance by setting tougher target than those outlined by the government and can achieve pump priming funding). The Board would be expected to consider at length the stretch targets.

There was a lengthy discussion after the presentation in which a number of issues were raised. The Board heard that targets on mental health and employment would need to be considered, although the targets are generally quite broad and would pick on these issues nonetheless to be made more explicit. Vulnerable people livening in decent homes was also raised as a possible target. The Board also heard that if not explicitly dealt with in the targets, the problems of sicklecell would also need to be highlighted. Further, the issue over volunteering was raised and largely considered to be an important issue for further discussion although it did already appear significantly amongst some of the 10 to 12 stretch targets that the partnership is required to draft. The importance of setting targets that are measurable was highlighted to the Board. Also, the need to reflect partnership working especially on issues that have persisted within Haringey for a number of years such as the growth of new communities within the borough. The emphasis would be to achieve more than the sum of the individual parts in terms of the priority stretch targets achieved. The Board largely agreed that joint working would capture this achievements.

RESOLVED

All responses to be channelled through Helena Pugh and/or Ann-Marie Connolly.

Presentation and workshop led by Janette Gedge Wallace, Consultation Manager, Haringey Council. The workshop will include a discussion on the five key areas identified by the Well-Being Executive Sub-Groups for consideration as part of the Community Strategy.

There was a session led by Janette Gedge Wallace, Haringey Council’s Corporate Consultation Manager, on the renewal of the Council’s Sustainable Community Strategy which partners were invited to engage with. The Board were presented with the findings of a public consultation event which focussed on four main questions (What’s good about Haringey? What three things would make Haringey better? What should Haringey be like in 10 years time? And What concerns do you have?).

The Board was then split into groups to discuss the most prevalent themes that it would like to see in the renewed Community Strategy. Haringey’s Performance and Improvement Team (HPIT) facilitated these session in order to extract the merging themes from the Board, and the Board would receive a full report in due course. The Board considered how partnership working could work better for the benefit of the borough and its communities and considered some of the barriers to this. These responses too would be summarised by the HPIT.

To receive and agree to the written updates provided by the Well-Being Executive Sub-Groups as follows:

i)        Older People (to include the findings of the Home Care Survey)(attached)

ii)      Mental Health (attached)

iii)    Supporting People Management Board(attached)

iv)    Healthier Communities (to follow)

v)      Housing Executive (attached)

vi)    Performance and Strategy Group (attached)

vii)  Joint Service Priorities Group (attached)

The Board received seven written updates as follows:

(i)                 Older People

(ii)               Mental Health

(iii)             Supporting People Management Board

(iv)              Healthier Communities

(v)                Housing Executive

(vi)              Performance and Strategy Group

(vii)            Joint Service Priorities Group

There was also a verbal update from the Haringey Teaching Primary Care Trust on the financial issues which included a further amount of £1.6m that had arisen as a result of a lack of funding from central government. The implications of this reduction in funding were being considered and would be reported back to the Board in due course. Similar issues were reported from the Whittington Hospital Trust. The impact on Council services as a result of this was considered significant, and a meeting to discuss this in further detail between key figures at the Council and the relevant hospital trusts was called for by the Chair.

RESOLVED

The Board noted all of the updates from Board’s sub-groups.

The Board will be asked to affirm the terms of reference and membership for 2006/7 (attached).

RESOLVED:

That the Board agreed to the Terms of Reference before them.

The Chair to seek nominations for, and select a representative from the Board to be a member of the Haringey Strategic Partnership Board for the rest of the municipal year.

RESOLVED:

The Board delegated responsibility for choosing the representation to the Chair and Vice-Chair. Between them, it was later decided that the Chair would represent the Board on the HSP for the remainder of the municipal year.

None

To consider any new items admitted under Item 2 above.

None

• 14 December 2006, 7pm
• 15 March 2007, 7pm

RESOVLED

The following dates were reconfirmed by the Board:

·                    14 December 2006, 7pm – Haringey Civic Centre

·                    15 March 2007, 7pm – Haringey Civic Centre

Partners should submit proposed agenda items for the next meeting to Nicolas Mattis no later than 20 November 2006.

Board Members were reminded to submit proposed agenda items for the next meetings to Nicolas Mattis (nicolas.mattis@haringey.gov.uk), no later than 20 November 2006.