Agenda and draft minutes

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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 Ms Ann Graham and Mr Richard Gourlay.

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 11).

There was no urgent business.

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(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 no deputations.

To confirm and sign the minutes of the Health and Wellbeing Board meeting held on 25 January 2022 as a correct record.

RESOLVED: 

That the minutes of the Health and Wellbeing Board meeting held on 25 January 2023 be confirmed and signed as a correct record.

To receive a presentation on Mental Health support in Haringey.

Mental Health Workshop slides have been included as an appendix.

Mr Tim Miller, Mr Temmy Fasegha, Mr Will Maimaris, Mr Gary Passaway, Ms Rachel Lissauer and Ms Lynette Charles presented the item.  

The Board welcomed the presentation. The meeting heard that:

·      There was a broad agreement on priorities and support for emphasis on prevention, early intervention and focus on tackling inequalities.

·      Alignment of resources was a key area of concern and opportunity for Haringey. The right balance between centralised and place based service and resources was considered to be important. 

·      It was important to be honest about what it would mean to an individual being put on a waiting list, including the length of time that would be spent waiting.

·      The discussion of arts and culture was not present in the presentation and needed further integration, especially as the Council had placed resources to acquire arts and culture facilities. It would help form therapeutic approaches into depression and isolation. A reading group, a drama group or other form of creative art provided people with shared cultural expression.

·      Singing and art improved people’s mental health.

·      Inpatient wards had therapeutic programmes and this helped with recovery in general.

·      There were other aspects of people's lives preventing people from having shorter stays and this included people’s working life.

·      Different sectors needed to have a method so that they could connect together.

·      The strategy needed to include assets, this could be the peer led approaches being taken. In the scenario of a serious mental illness, it would be useful to have a first point of contact and finding out how one would be encouraged to engage other available services.

·      The use of art and culture was helpful to minority communities.  Black Thrive had many learning points and an opportunity should be made to present work done by Black Thrive at the Board. 

·      For NHS talking therapy services, people did receive access for treatment but had to wait significantly longer for their second treatment. Workforce retention and recruitment remained a challenge across the NHS. If people did not get access to services on time, they would drop out of treatment and their ill health became more acute. Transparency about waiting times needed to be provided so that people could weigh up options and pursue other options whilst waiting.

·      It was important to consider how services could be offered to residents who were not on record or were isolated. There were mentally ill people that could be found on the street and those individuals did not know how to get into contact with the services that could help with their needs.

·      It was important for the wider community to have a shared understanding of mental health. It was also important for the wider community to be able to understand access to mental health care provision both for themselves and others.

·      The relationship between mental health and physical health needed further emphasis.

·      Reporting a distressed individual in the street needed to tie in with the review of the Council’s safeguarding policy. The Joint Partnership  ...  view the full minutes text for item 8.

To receive a presentation on the North Central London Population Health and Integrated Care Strategy.

Mr Will Maimaris and Ms Amy Bowen presented the item.

The meeting heard that:

·      It would be useful to have the voice of lived experience, multiple conditions and the use of the term ‘empowerment’.

·      The incentives for the new GP contracts had moved away from prevention and more emphasis had been placed on access to care and patient experience. This put an already under pressure workforce in a difficult position.  

·      There needed to be more reference of arts and culture in the understanding of the determination of good health.

·      Delivering the strategy in a meaningful way would require a significant change.

·      A recent Integrated Care Board meeting had a rich discussion including how the strategy would be held to account, how measurements would be made, a concise set of priorities, have conviction regarding the realignment of resources and ensure that primary care was adequately supported so that proactive deliveries could be made.

·      It was important to put local community priorities forward.

·      More could be done to put forward more reference to mental health and its relationship with physical health.

·      Mapping of need against resource allocations was important and needed to be outlined.  

·      It was important to have consistency with the Health and Wellbeing Board strategy.

·      It was important to ensure that finances were spent wisely.

·      Variations at hyper-local level would make allocation of funding a difficult decision making process.

·      Haringey did not have many large hospitals in comparison to other boroughs such as Camden. However, North Central London was a hub for providers and Haringey was a net importer of activity in high cost services. 

·      There were so many different focused delivery areas and it was not clear how all of the specific areas would be integrated.

·      It may useful to have specific set of outcomes and although resource allocation was a concern, it was important to see if resource allocation reflected elements that had an impact in the preventative space.

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.

The Board commented that:

·      There needed to be trust in services, relationships with health and the abilities to access services. The work done with the Welcome Advisory Board worked beyond refugees, asylum seekers and migrants and applied to the exiting communities in Haringey.

·      Work had been done regarding vulnerable migrants and much of that work had been done in Haringey with partners in conjunction with the resettlement team. It was important how this was moved forward. 

RESEOLVED:

That the update be noted.

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

There were none.

Future agenda items to include:

·         Workforce planning including for the voluntary and community sector

·         Toilet strategy

·         Look back at winter planning for last year

·         Air quality and health and link to LTNs

·         Violence against women and girls

·         Modern slavery

The listed items were noted.