Agenda and minutes

Please note this meeting may be filmed or recorded by the Council for live or subsequent broadcast via the Council’s internet site or by anyone attending the meeting using any communication method.  Members of the public participating in the meeting (e.g. making deputations, asking questions, making oral protests) should be aware that they are likely to be filmed, recorded or reported on.  By entering the ‘meeting room’, you are consenting to being filmed and to the possible use of those images and sound recordings.

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The Chair referred to the notice of filming at meetings and this information was noted.

The Board welcomed everybody to the meeting.

To receive any apologies for absence.

Apologies for absence had been received from David Archibald and Councillor Hakata.

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 agenda item 13).

There was no urgent business.

A member with a disclosable pecuniary interest or a prejudicial interest in a matter who attends a meeting of the authority at which the matter is considered:

(i) must disclose the interest at the start of the meeting or when the interest becomes apparent, and

(ii) may not participate in any discussion or vote on the matter and must withdraw from the meeting room.

A member who discloses at a meeting a disclosable pecuniary interest which is not registered in the Register of Members’ Interests or the subject of a pending notification must notify the Monitoring Officer of the interest within 28 days of the disclosure.

Disclosable pecuniary interests, personal interests and prejudicial interests are defined at Paragraphs 5-7 and Appendix A of the Members’ Code of Conduct.

There were no declarations of interest.

To consider any requests received in accordance with Part 4, Section B, Paragraph 29 of the Council’s Constitution.

There were none.

To confirm and sign the minutes of the Health and Wellbeing Board meeting held on 21 September 2022 as a correct record.

RESOLVED:

That the minutes of the Health and Wellbeing Board meeting held on 21 September 2022 be confirmed and signed as a correct record.

To receive a report on the Haringey Winter System Resilience.

Ms Rachel Lissauer and Ms Sara Sutton introduced the item.

The Board heard that:

·      It was still early into the winter and the cold seasonal period had only just begun.

·      There were likely to be many issues about residents not being able to top up their meters as debt repayments were so high.

·      There was concern about adult social care users not being able to get access to warm spaces. Consideration needed to be given to the effect on the workforce and the need to be flexible and to adapt to emerging needs.

·      There needed to be a considerable amount of engagement to get to wider partnership groups from a broad range of partners and organisations.

·      Each individual organisation and frontline workforce were likely to feel the most impacted and some of the elements of the warm welcome campaign including the pay it forward idea would need to become an increasing area of focus.

·      Hospital trusts were looking to have foodbank provision within their spaces.

·      The pre-payment meters had been discussed. Energy companies were changing tariffs for people and work was being done with energy providers about what this would look like for residents with pre-payment meters, but this had not yet been outlined.

·      There were mechanisms for residents to come forward when energy costs needed to be paid. 

·      There were people who could not afford bus fare for hospital appointments. 

·      Public messaging for dealing with the winter months would be useful.

·      Household support fund would continue to be funded for another year.

·      Consideration needed to be given on how the disabled (including children and young people) could be supported such as provision of equipment.

·      Some residents in the NHS Gloucestershire area would have their energy bills paid for through the Warm Home Prescription scheme. Some consideration needed to be given to see what would be possible for Haringey residents.  

·      In relation to potential blackouts, it was important to ensure that medical equipment was up-to-date.

·      Some London boroughs were also investing in residents being given assistance to purchase healthy food.

·      If parents were cutting back on heat, then children were likely to suffer and this may increase the need of for use of the health services.

·      Household support fund also supported care leavers and would need to continue to be supported.

·      More households which were not able to heat or have proper ventilation would need to be raised with Cabinet due to the cost of living.

·      The Children and Young People Scrutiny Committee would be asked to add housing, mould and damp to the agenda.

·      The attention of central government needed to be raised regarding issues of damp and mould. It was an issue that existed both in private rented accommodation and housing associations. There were also issues with overcrowding. 

·      It was not clear if charities or trusts such as Wood Green Urban District were being contacted enough or offering enough support. Any relevant websites needed to be adequately updated.

·      The meeting noted that care leavers were included in the  ...  view the full minutes text for item 8.

A verbal update on NCL ICS population health approach by Katie Ferguson and Will Maimaris.

Dr Will Maimaris and Ms Katie Ferguson introduced the item. Dr Maimaris explained that the Integrated Care System (ICS) was still developing. One of the areas of work was on population health including inequalities. The population health strategy provided an opportunity to embed certain principles into the Integrated Care Board, which had taken on the commissioning resource allocation functions of the CCG and also the partnership boards and the community boards that sat alongside them. This would be sponsored by the Integrated Care Partnership Board. A lot of information would be taken from the individual boroughs’ health and wellbeing strategies, so that there would be a common outcomes framework.

The meeting heard that:

·      The disparity scores for Islington were much lower. Haringey also had the greatest gap for equality and disparity. It was clear that Haringey needed more funding.

·      Equity of access was important and residents needed to be informed on how the new approach would work.

·      The strategy would need to be co-produced by those most in need of the service and residents in general.

·      Some investments have been made in the east of the borough to address health inequalities. The voluntary sector had also been engaged along with various community services. Families were engaging with various charities such as Wheely Tots and Grow Tottenham.

·      It was important that the strategy was in line with other strategies that were already being implemented.

·      The information needed to be used as evidence to assist with the increase in the required budget.

·      The borough was starting to printer light important measures that need to be taken regarding the health and care system.

The Board thanked Health colleagues for making efforts to keep resources in Haringey and were encouraged to keep going.

RESOLVED:

That the update be noted.

To receive a presentation on routine childhood immunisations.

Mr Damani Goldstein presented the item.

The Board thanked Mr Goldstein and colleagues who were workinghard on the issue.  In 2018, the borough had outbreaks of measles in school and in the Arabic speaking community. The borough’s immunisations were currently quite low and therefore with all the other external national pressures, it was possible that such infections would happen again. Commissioning and delivery sat with the NHS, but a collaborative approach was required and progress had been made to take a collaborative approach.

This item would return to the Health and Wellbeing Board to examine the improvements in a year’s time.

The Board heard that:

·      Information was required regarding where and how vaccinations occurred in the borough. It was important to get in-depth information on these issues. It was important that due to deprivation and the rising cost of living, the borough did not incur other kinds of illnesses into the population.

·      Are targeted approach and a range of different things where required. This included having walk-ins, multi-language based phone calls, reinforcement with national communications. These were some of the tools used during the vaccination campaign during the coronavirus crisis.

·      It was important to work collaboratively where possible.

·      The use of interfaith groups and messaging across synagogues and churches for different communities would be useful. Seven community newspapers could also be used.

RESOLVED:

That the presentation be noted.

To receive an update on work to tackle racism and inequalities in Haringey.

Ms Christina Andrew provided an update and stated that some forward planning work had been completed with the Coordinating Group addressing racism and discussions had been held regarding the kind of language that needed to be developed and used in order to describe the work tackling anti-racism and institutional racism. An examination was required on the culture of policy and practice rather than one off incidents. Staff members’ own experiences of discrimination was also important. Discussions were also held about defining the reason for the work clearly and concisely, so that it can be described why race was being prioritised amongst other important things and what it meant for residents. This would feed into reviewing actions and objectives. The group would meet again in the new year.

A further update would be provided at the next meeting.

RESOLVED:

That the update be noted.

To consider any new items of urgent business admitted at item 4 above.

There were none.

To receive an update on hospital discharge pathway for children.

Ms Ann Graham and Ms Miranda Tapfumanei stated that they would be working on producing a policy for discharge from hospitals for babies. This was a critical area to address and a full update would be brought to the Health and Welleing Board at the next meeting. Currently, the policy was in draft form and an NCL aligned policy was required in any case.

On 8 December 2022, an engagement meeting would be held which would include the heads of services from various local boroughs. 

The draft policy would have views of the wider system would be presented to a future Health and Wellbeing Board with an aim for it to be submitted to the wider governance for sign off. The sign off would likely occur by January 2023.

The policy would also be presented to the ASPIRE group.

Members of the Board are invited to suggest future agenda items.

To note the dates of future meetings:

21 July 2021

22 September 2021

24 November 2021

26 January 2022

16 March 2022

RESOLVED:

To note the dates of future meetings.