Agenda and minutes

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A member with a personal interest in a matter who attends a meeting of the authority at which the matter is being considered must disclose to that meeting the existence and nature of that interest at the commencement of that consideration, or when the interest becomes apparent.

A member with a personal interest in a matter also has a prejudicial interest in that matter if the interest is one which a member of the public with knowledge of the relevant facts would reasonably regard as so significant that it is likely to prejudice the member’s judgement of the public interest and if this interest affects their financial position or the financial of a person or body as described in paragraph 8 of the Code of Conduct and/or it is related to the determining of any approval, consent, license, permission or registration in relation to them or any person or body described in paragraph 8 of the Code of Conduct.

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

To hear a presentation from Craig Ferguson, Business Intelligence, Haringey Council on local data maps and information relevant to the work of the review for example Ward Level maps on male life expectancy, indices of multiple deprivation and residents likelihood of smoking.

Craig Ferguson, GIS Analyst, Business Intelligence

Please see attached presentation.

MOSAIC shows the likelihood of certain characteristics being present in certain groups of the population.  Individual and area based surveys also show a stark difference between the East and West of the borough.

Male life expectancy varies greatly across the borough varying from 81.52 years in Fortis Green in the West of Haringey and 72.46 years in Tottenham Green in the East of Haringey.

The picture for female life expectancy is different with life expectancy across the borough more randomly spread.

There is a link between the likelihood of someone smoking and living in more deprived areas.

Discussion about fast food outlets in the East of the Borough and the cheap meal offers e.g. £1.99 for fried chicken and chips.

Discussion about migrant effect and transience and the effect on messages being tailored for an every changing population and the potential impact of this.  This needs to be considered when the review panel discusses recommendations.

To hear from Maria Abraham, Health and Wellbeing Manager, Tottenham Foundation on the work of the foundation specifically in relation to men’s health.

Maria Abraham, Health and Wellbeing Manager

The Tottenham Foundation is a charity connected to Tottenham Hotspurs which works with the local community and partners to provide health, training and education programmes.

There a number of projects which are directly related to men’s health for example ‘Guys and Goals’. 

• This project incorporates 5 a side football with health and lifestyle workshops over a ten week period. 
• Projects works with a number of local organisations e.g. Haringey Advisory Group on Alcohol (HAGA), Bringing Unity Back into the Community (BUBIC) and Improving Access to Psychological Therapies (IAPT). 
• The project has one year of funding left and it planned for the project to focus on the Broadwater Farm area next.
• Project has run 6 cohorts in Tottenham so far.
• It is difficult to monitor participants after they complete the programme.

Other projects include Bowel Cancer awareness and imen 50+ (7 week computing course):

• Men will often look at issues on line which they wouldn’t necessarily speak to someone about.
• Men are more likely to print something off the internet which they have found relating to their health and take it to their doctor.

The Foundation has a number of pending bids e.g.:

• Health Guides
• Whipps Cross Cardiac Rehab
• Community Health Checks (bringing health checks into the Community).

The foundation often has difficulties in getting GPs to refer patients to the programmes that it runs.  However, men don’t necessarily go to the GP and so this is not always the most likely referral path.

Discussion about how participants are recruited onto programmes.  This is often done by Maria getting out and about leafleting, going into Barbers and Pool clubs, going to Tottenham Community Sports Centre on a Thursday morning where men congregate etc.  Other routes include referalls from Health Trainers, the Drug and Alcohol Action Team (DAAT, BUBIC, IAPT etc.

Misconception that you can find the target group by heading to Spurs on match days.  Need to remember that these are unlikely to be Haringey residents or from more deprived areas as match tickets are expensive.

Men’s Health Foundation are having Cardio Vascular Disease for their theme next year.

To hear from a representative of the Public Health team on their work around reducing the life expectancy gap, specifically relating to Cardio Vascular Disease in men over 40.

Dr Fiona Wright, AD Public Health

Please see Appendix B from Scoping report.

28% of the difference in life expectancy gap between Haringey and England is due to Cardio Vascular disease.

73% of the difference in life expectancy gap between Haringey and England is due to men over 40 years of age.

Discussion as to why the review is focusing on only those over 40 years of age.  The biggest inequalities in deaths are in those over 40 years of age – this is where we can make the biggest difference.

Health Check programme is for those over 40 years of age.

By changing certain risk factors in those over 40 years of age you can make a quick difference as to whether or not the persons suffers from Cardio Vascular Disease.

The current GP referral scheme (where those at risk of CVD are referred to a free exercise and management programme) currently involves GPs from the East of the borough. This scheme is at risk due to funding pressures.

There is a need to ensure that all programmes and services are joined up between all aspects of each programme as well as between all agencies delivering.

There is a limited range of services currently available to support people who have a weight problem in managing their weight.

There is a need to consider what can be done in relation to planning and licensing and fast food outlets.

This review should consider the recommendations made in the Life Expectancy Paper and consider where we can add to these.

There is a need to consider how we can get messages and support out to the target group.

To discuss and approve the draft scope for the review and the terms of reference.

Agreed

To discuss the review process, specifically in relation to the Centre for Public Scrutiny Return on Investment pilot and associated processes.  

This agenda item will include discussion on the :

• Draft Impact Statements paper as attached.
• Draft Project Plan (available on the day)

Discussion around Impact Statements.  Support from the Centre for Public Scrutiny will be looked at in order to complete these.

17^th October, 6.30-8.30

17^th November, 6.30-8.30

8^th December, 5.30-7.30

To consider any items submitted under Item 2 above.

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