Agenda and minutes

To welcome those present to the meeting and receive any apologies for absence.

The Chair welcomed those present to the meeting and noted that apologies had been received from the following:

Judy Allfrey

Abdool Alli

Tracey Baldwin                      -Helen Brown substituted

Councillor Dilek Dogus

Michael Fox

Joe Liddane                          -Siobhan Harrington substituted

Cathy Walsh

Richard Wood                       -Ian Kibblewhite substituted

To confirm the minutes of the meeting held on 4 March as a correct record of the meeting.

The minutes of the meeting held on 11 March were confirmed as a correct record in terms of accuracy.

Councillor Bevan advised the Board that since the previous meeting a visit to The Laurels had been arranged and requested that any issues arising from this visit should be discussed at the Boards next meeting.

Under minute number OHBC51, Councillor Bevan noted that he had not received a response to his query until the day of the meeting. He requested that the figures referred to be circulated along with the figures contained within the original report following the meeting.  

RESOLVED:

That the minutes of the meeting held on 11^th March be confirmed as a correct record of the meeting.

To elect a Chair for the new Municipal Year.

Councillor Bob Harris was nominated and duly seconded as Chair for the Well-Being Board for the ensuing Municipal Year.

No further nominations were received.

Following his election as Chair Councillor Harris thanked Richard Sumray for his work as Chair over the previous year.

RESOLVED:

That Councillor Bob Harris be elected was Chair of the Well-Being Partnership Board for the ensuing Municipal Year.

To appoint a Vice-Chair for the new Municipal Year.

Richard Sumray, Chair of the PCT, was nominated and duly seconded as Vice-Chair for the ensuing Municipal Year.

No further nominations were received.

RESOLVED:

That Richard Sumray be appointed as Vice-Chair for the ensuing Municipal Year.

Members of the Board must declare any personal and/or prejudicial interests with respect to agenda items and must not take part in any decision with respect to these items.

No declarations of interest were received.

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 under Item 21 below).

No items of Urgent Business were received.

A presentation will be made by the Community Link Forum.

The Board received a presentation from the Community Link Forum (CLF) setting out it’s objectives and work to date.

It was noted that the CLF had been established as a means of improving the link between the Voluntary Sector and the Partnership. Following ratification of the CLF Agreement by the Haringey Strategic Partnership (HSP) in July 2007 work had been carried out by the organisation that culminated in the CLF Elections in April 2008.

The CLF was allocated four places on the HSP and each of the Thematic Boards, three of these being given to the elected CLF representatives and one to a representative from HAVCO.

The representatives elected to the Well-Being Board were as follows:

• Angela Manners
• Abdool Alli
• Faiza Rizvi

• Robert Edmonds (HAVCO)

The Board was advised that the aims of the CLF were clearly aligned to that of the Well-Being Partnership Board and that building upon and empowering  existing networks to remove barriers to Well-Being was a shared goal.

That Chair thanked Pamela Pemberton of the CLF for the presentation.

RESOLVED:

That the presentation be noted.   

The Board received a report requesting that it confirm its membership and Terms of Reference for 2008/09.

It was noted that the Boards Membership and Terms of Reference needed to be amended to reflect the inclusion of the new CLF members recently appointed. 

The Chair proposed that Sue Hessel of the Haringey Federation of Residents’ Associations be appointed to the Board. In response to this proposal HAVCO noted that the CLF was the formal conduit for Community and Voluntary groups to  be appointed to the Board and contended that any such group should only be elected to Board via the process in place.

There was agreement that the Chair and Robert Edmonds of HAVCO would discuss this issue further outside the meeting.

The Vice-Chair raised concern that the Probation Service had not been able to attend several meetings during the course of the year and requested that they be contacted prior to the next meeting to determine whether they wished to retain their place on the Board.   

It was also clarified that HAVCO only one place on the Board, rather than two,  as set out in the Terms of Reference at present and that this would need to be amended to reflect this. It was confirmed that Robert Edmonds had been nominated by HAVCO to fill this place.

The Board was advised that Marion Morris was employed by the PCT and that the membership should be amended to reflect this. In order to ensure that the balance of places between the PCT and Council was maintained, it was agreed that Eugenia Cronin should be listed as a Council representative.

RESOLVED:

That the Membership and Terms of Reference be confirmed subject to the amendments listed below:

That there should be discussion outside the meeting between the Chair and HAVCO regarding the proposal that the Haringey Federation of Residents Associations be added to the Boards Membership.

To appoint a representative from the Board to the Haringey Strategic Partnership (HSP) for 2008/09.

RESOLVED:

That Mun Thong Phung, Director of ACCS, be appointed as the Well-Being Partnership Board’s representative on the Haringey Strategic Partnership for 2008/09.

The Board received a verbal update on the development of the PCT’s Primary Care Strategy.

The Board was advised that the Strategy was an evolving document and version included within the agenda papers had been agreed by the PCT’s Board in May.

A programme of work had also been agreed by the PCT Board that included further stakeholder engagement and as part of this a Household Survey would be carried out. The Survey would use the same methodology as the Council’s Survey and was intended to obtain a broader base of perceptions. 

The Board was advised that local plans would be consulted up on in early 2009 and signed off in summer 2009. An implementation plan for the next ten years would be compiled following this.

It was highlighted that there were no definite proposals in place in terms of the location of Health Centres at this stage. It was intended that proposals would be ‘worked up’ over the next year, taking into consideration the results of the Household Survey and further consultation. At the end of this process five ‘hubs’ would be identified and ‘spokes’, which would be comprised of smaller services, would feed into these.

The aim of the Strategy was to provide a set of consistent ‘core’ services to everyone in the Borough.

In response to concerns over the timing of the proposed Household Survey the Board was advised that the Survey did not form part of the main consultation programme in 2009. It would be based on a sample that was representative of the Borough as a whole and conducted by an external company. 

The Board discussed the document and it was suggested that it could be strengthened if a greater emphasis was placed on Prevention and the relationship of the PCT with the Community and Voluntary Sector.

In response to a query as to whether the Council and PCT had begun discussion over the location of Health Centres via the planning process, the Board was advised that there had been no planning application made at present. However, there had been discussion at a recent Overview and Scrutiny meeting, where the PCT had answered questions in relation to the consultation process attached the positioning of Health Centres.

As a result of this meeting it had been agreed that the Overview and Scrutiny Committee would work with the PCT to ensure that a wide range of people were consulted during the next phase of the process. It was requested that the Community and Voluntary Sector was also included within this process and there was agreement from the PCT that this would be built in.

RESOLVED:

That the verbal update provided be noted.

The Board considered a report that set out the external Auditors’ findings in relation to the work carried out on Health Inequalities in Haringey.

The Board was given an overview of the Auditors findings and the key recommendations and Action Plan arising from the review and advised that generally, in comparison with other reviews carried out in the South East of England, Haringey had an advanced 

An overview was given of the findings in respect to each of the Key Lines of Enquiry (KLOE) included within the report:

KLOE 1 -Delivering Strategic and Operational Objectives

It was recognised that generally there were good structural links in place across the partnership to promote health and well-being. The Scorecard had been highlighted as being key to the development of monitoring outcomes and challenging performance.

KLOE 2 –Delivering in Partnership

It was recognised that there was a good relationship with HAVCO. However, it was considered that there was an opportunity to become more involved with research institutions and to identify a university to become a member of the Board.

KLOE 3 –Using Information and Intelligence to Drive Decisions

The key issues picked up around this related to the Joint Strategic Needs Assessment (JSNA) and it was noted that appropriate IT support would need to be put in place if the JSNA was to be successful.

KLOE 4 –Securing Engagement from the Workforce

The reported noted that the Community Strategy was now in place and that a Director of Public Health had recently been jointly appointment by the PCT and Council. It was concluded that this approach could be extended via joint training sessions for non Executive Directors.

KLOE 5 -Performance Management

The Scorecard was highlighted as being a key tool in terms of performance management and it was recommended that greater time should be set aside during Board meetings to discuss this.

It was recognised that that the Scorecard would be updated following the introduction of the new LAA targets.  

KLOE 6 –Corporate Responsibility

The report recognised that the Council provided several programmes that promoted staff well-being. However, there was no evidence of partners having  polices in relation to corporate responsibility. It was suggested that these should be introduced.  

Following their presentation the representatives from Grant Thornton thanked the key officers who had assisted them with their report.

In response to concerns that the number of people who had been consulted as part of the survey was not sufficient to provide a representative sample,  the Board was advised that a caveat was included within the report stating that the sample was not wide enough to be relied upon.

The Board was advised that the suggestion that the Board should include a member with educational/research background had been left open ended to allow the Board scope to discuss who the most relevant individual would be.

In response to a query as to what extent the findings of this report would be reflected in the Primary Care Strategy, the Board was advised that the OCT  ...  view the full minutes text for item 67.

A verbal update will be provided.

The Board received a verbal update on the Joint Mental Health Strategy.

The previous Strategy had now expired and a new three year Strategy was being compiled. A workshop had been held earlier in the year that had brought together a range of stakeholders to discuss identify priorities for the new Strategy.  The general consensus arising from the workshop had been that there was a need to address the stigma around mental health and equalities and the need to focus on the broader well-being agenda. In addition to this there had also been agreement that there should be a string focus on recovery and participation.

The Board was advised that a programme of work was being put together that would set how the Strategy would be delivered.

Options in relation to the modernisation of services delivered from the St Ann’s site were being reviewed and the Mental Health Executive was  considering this on 13 June.  A two stage process was being proposed with a Service Model being drafted that would incorporate work on St Ann’s and set out a timescale for delivery. This would also link into the JSNA and the boarder issues identified at the workshop.

It was noted that this would need to reflect work being done around prevention and employment, older people and children with mental health needs.

RESOLVED:

That the verbal update provided be noted.   

A verbal update will be provided.

The Board was proved with a verbal update in relation to the Trusts application for Foundation Trust status.

It was noted that the MHT’s Board had formally agreed to apply for Foundation Trust status in March. The formal application would be submitted in December 2008 and it was envisage that, if successful, the application would be granted in Autumn 2009.

A key issue for the Trust was the future of the St Ann’s site and in the autumn a consultation process would begin. The Trust was keen to engage with the public and partners before options were formalised and these would be fed into the Foundation Trust application.

In response to a query from the Chair as to whether the Council and Partnership had been consulted on the future of the St Ann’s site, the Board was advised that at present there were still issues that needed to be discussed further with the Council and the PCT. However, the Trust was confident that these could be resolved and that the Council and PCT would be able to support the application. It was noted that there had been discussion over this issue at a meeting of the Council’s Overview and Scrutiny Committee during the previous week.

It was contended that the provision of Services rather than the site from which they were delivered should be the primary issue. At present the St Ann’s site was no longer fit for purpose. A model that would deliver the Services required for the Borough as a whole and the location of sites should follow this.

RESOLVED:

That the verbal update provide be noted.

A verbal update will be provided.

The Board received a verbal update on the new Area Based Grant.

It was noted that the preliminary meetings had been held and a group had been established that was comprised of representatives from the Board, the CLF and HAVCO, in order to discuss the transition phase in the Autumn.

The HSP Performance Management Group was due to meet on 23 June and any further developments would be reported to the Boards next meeting.

It was noted that Vicky Hobart was the PCT representative for the group.

RESOLVED:

That the verbal update provided be noted.

The Board received a report on the Core Strategy Issues and Options paper presented to the HSP in February 2008.

It was noted that the Council was required to replace the Unitary Development Plan (UDP) with a new Local Development Framework (LDF) and as part of this a Core Strategy to replace the strategic policies and objectives of the UPD was required. Once adopted this would form the key development planning document for the Borough.

Consultation on the Issues and Options paper had taken place during February 2008. The consultation exercise had been open to the public and had views had been sought from various statutory bodies on the following issues:

• Spatial planning objectives
• Options for tackling key issues facing the Borough
• Objectives, issues and options that should be included

In terms of the next steps to be taken a sustainability appraisal would be carried out and this would be subject to consultation in early 2009 and progress would be reported to the Board.

It was requested that consideration should be given to the Community Buildings Strategy for the Borough.

RESOLVED:

That progress in relation to the Core Strategy Issues and Options paper be noted.

The Board considered a report that provided an update on the development of the Haringey Local Area Agreement.

It was noted that the LAA document had been submitted to GOL on 30 May and at present was going through the final stages of the sign off process.

The Board was reminded that, in addition to the indicators specifically within its responsibility, it would also contribute towards the achievement of several other targets within the LAA. A revised Scorecard had been compiled it reflect the new targets and this would be received by the Board at its next meeting.

In response to a query the Board was advised that the final draft document had been submitted to GOL and was now being considered by the relevant Government departments. It was anticipated that this process would be complete by the end of June.

The Board was advised that since the publication of the agenda the outstanding issues in relation to each of the Performance Indicators had been resolved with the exception of minor amendments to the figures referred to.

RESOLVED:

That the report be noted.

The Board considered a report that provided an update on options for Welfare to Work for Disabled People.

The Board was reminded that it had requested that a more detailed report be provide at its next meeting and an overview was given of the recommendations set out in the report.

In response to a query as to whether a source of funding could be identified to allow the Faith Garden Centre to continue, the Board was advised that the scheme’s manager had been contacted to discuss the options available. At present there was no funding available to allocate to this scheme. However, alternative options were be looked at in terms of funding ad to mitigate the impact of the loss of this scheme.

The Chair echoed concerns raised in relation to the loss of the Faith Garden Centre and noted that options were being considered to allow this scheme to continue.

RESOLVED:

That the report be noted.

A presentation will also be provided.

The Board received an update on the forthcoming review of the Haringey Life Expectancy Action Plan.

It was noted that the plan had been published in October 2006 and ran from 2007-10. The purpose of the plan was to deliver actions to improve life expectancy and reduce health inequalities in Haringey.

A presentation was provided, which gave an overview of the early analysis of data and progress towards meeting targets included within the plan.

In response to a query in relation to child mortality the Board was advised that this had dropped slightly since last year and that a plan was in place to address this, which was monitored by the Children and Young People’s Strategic Partnership Board.

RESOLVED:

That the report be noted.

The Board received an update on work towards the development of a Tobacco Strategy for Haringey.

It was noted that consultants had been commissioned to conduct a review of tobacco control activities within the Partnership. As part of this a desktop review of available data had also been carried out and this was set out in the report.

The Board was advised that the Well-Being Executive would monitor the development of the Strategy and that provision for this would also be picked up in the JSNA. There was a National Indicator in relation to this included within the new LAA and therefore money would be allocated to meeting this under the new ABG.

RESOLVED:

That the report be noted.   

A verbal update will be provided.

The Board received a verbal update on Health Care for London from the Vice-Chair.

It was noted that Health Care for London had been formed to consider how the findings of the Lord Darzi report could be implemented to provide a consistent level of world class healthcare across London.

At present it was recognised that there was an over provision of acute healthcare across the capital and that this may need to be rationalised in order to provide better healthcare in other areas.

The Board was advised that the Chairs of PCTs across London, Surrey and Essex, came together as a group to look at proposals and these were being consulted on at present. At this stage there were no specific proposals in place; these would be formed following the consultation process. Running alongside this was a cross Borough Scrutiny Review that had made a number of recommendations to the group to including looking at:

• Provision of Social Care
• Examining the role of carers
• Transport and Access Provision

The joint group of PCT Chairs would meet on 12 June to make it’s recommendations based on the Lord Darzi’s report. It was intended that the next stages would be carried out at PCT and Borough level.

RESOLVED:

That the verbal report provided be noted.

To consider any new items of Urgent Business admitted under Item 6.

There were no new items of Urgent Business.

This item is for information.

The Board received a report, for information, setting out details of spend against the Working Neighbourhoods Fund.

RESOLVED:

That the report be noted.

This item is for information.

The Board received a report that set out progress against its strategic objectives.

It was noted that performance at the end of 2007/08 had been good with only three of the sixty-six targets set out not being achieved.  These relate to the number of Dwelling Fires, ? and ? and measure had been drawn up to address these.

The Board was advised that the Well-Being Scorecard had been update so that it was aligned with the requirements of the new performance management framework and so that it reflected the Well-Being Strategic Framework and new LAA targets.

RESOLVED:

That the report be noted.

To consider any items of AOB.

The Board noted that an Alcohol Strategy Stakeholders event was being held on 30 June and that a report would be brought to the next meeting setting out the outcomes from this.  

Please note that the following dates have been set for 2008/09:

2 October 2008

8 December 2008

2 March 2009

The following dates of future meetings were noted:

• 2 October 2008
• 8 December 2008
• 2 March 2009