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 Councillor Mike Hakata and Ms

Sharon Grant.

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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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 and petitions.

To confirm and sign the minutes of the Health and Wellbeing Board meeting held on 29 March 2023 as a correct record.

RESOLVED: That the minutes of the Health and Wellbeing Board meeting held

on 29 March 2023 be confirmed and signed as a correct record.

To receive an update on the North Central London (NCL) Inequalities Fund (IF) Programme and the projects within the Programme that support Haringey residents and patients.

Ms Rachel Lissuaer, Ms Akudo Okereafor, Ms Stephanie Otuoacheampong and Mr Paul Allen presented the item.

The meeting heard that:

• The use of the 111 phone service was a good resource. It had improved

over time and had performed well. The 111 phone service needed to be

used in the right situation and 999 was advised to be used in more

urgent or life-threatening situations.

• Parent volunteers and champions had played a critical role and they had

been involved with the programme and had contributed significantly.

They attended Maternity Voice partnerships and would be invited onto

interview panels and Board meetings.

• Some champions leads were previously volunteers and were trained.

• The ABC Parent programme was on social media including Twitter,

Instagram and WhatsApp groups.

• In terms of mainstreaming, there was a programme which provided

speech, language and communications within a children’s centre and

nursery. This programme modelled universal support in speech,

language and communication. Some testing was being done to see if it

was possible to use it as a way of reducing people’s reliance on having

Educational Health Care Plans (EHCPs) as a way of getting speech,

language, and communication input which often happened later in the

child’s development due to having to wait through the process of trying

to get the EHCPs. A business case had been constructed between

Whittington Hospital, the ICB and the Council in moving towards a

universal model.

• This programme was useful for having a preventative and supportive

network that could help avoid a crisis.

• Long term and consistent funding was required to provide security and

increasing access for people to be able to benefit across the most

vulnerable and needy communities.

• Advertising was mostly done in the east of the borough. There were

families in the area that suffered deprivation. Advertising had been done

in local areas such as the barbershops, pharmacies, supermarket,

churches and other places of worship to reach out to all families across

the demographic.

• People from all backgrounds had been affected by the cost of living, but

data showed that certain communities had worse outcomes.

• Based on a recent survey, the data showed that 76% of service users

were not from a White British or White Irish background.

• Efforts being taken to become more mainstream was reliant on

collaborative work and building pathways with partners. However, there

was a lot of stigma associated to mental health and this was counterproductive to the progress of the work being done. Attempts had been

made to dilute the stigma by working with different organisations such as

attending community events and sharing any learning with grassroots

organisations.

• Efforts had been made on building trust with the community by

collaborating with faith-based projects or gender-based projects.

• Funding was important to sustainable projects and other developmental

collaborations.

• Due to funding constraints, there had been a lack of analytical support

which was provided by local authorities. It would be useful  ...  view the full minutes text for item 8.

To receive a presentation on the Haringey Borough Partnership Update and an update for the North Central London Integrated Care Partnership Meeting.

Ms Rachel Lissauer and Ms Sara Sutton presented the item.

The meeting heard that:

• As far community leads were concerned, work was mostly done with the

principal social worker and the service managers for Children’s and Adult

social services. More specific consideration would be given to this and an

update would be provided.

• Service areas were still significantly challenged since the period of the

coronavirus crisis but there should be more emphasis should be on the

integrated response set the individuals who are discharge from hospital

were able to have adequate recovery.

• There was an organised and systematic approach towards trying to have

an organised and systematic approach towards trying to understand local

communities and to know that there were effective programmes targeting

areas of high deprivation and local communities in most need. However, it

was also important to use the outcome from the work to make a case for

greater funding. There were also other issues regarding funding that was

already allocated which was a small amount in any case.

• Funding seemingly was always allocated to outlets which were more

universally recognised.

• The ICB was going through a significant change programme at the

moment and part of the Board’s role would be to determine how to have

an aligned resourcing structure that ensured that the borough did not lose

the momentum of some of the borough partnership work. The transition to

a new operating model for the ICB would be a key area of focus for the

borough over the next few months. And then the further point on the place

and space for some of those wider.

• There were a few groups where more strategic consideration was given

such as a Place Editorial Board for considering delegation and what that

meant for boroughs. The NCL and local authority representatives were

meeting more regularly at officer and leadership level to start thinking

about shared areas of priority and focus.

• Haringey had newborn screening, but did not have reception screening

and the other NCL boroughs did. The recommendations of the National

Screening Committee were not clear, but consideration would be given via

through the Start Well programme and an update would be provided to the

Board.

• Place based delegated decision making needed to be factored.

• Population health and health inequalities needed to incorporate other

specific work such as the Coordinating Group or the racial equity group

work being done. The Racial Equity in Health and Social Care looked at

things that impacted inequality including mental health, maternity care and

other things.

• In reference to co-design and co-production or engagement, there would

be a launching of a toolkit that had been one of the five areas of thematic

work as part of the healthy neighbourhoods. This would take place on 10

July 2023, led by Public Voice.

• More people were required in the crisis team.

RESOLVED:

1. That the presentation be noted.

2. That the Health and Wellbeing Board endorse  ...  view the full minutes text for item 9.

To receive a verbal update on the Haringey Health and Wellbeing Strategy on timelines for consultation.  

Mr Will Maimaris and Ms Miho Yoshizaki presented the item and stated that the

borough would refresh its health and wellbeing strategy. There would be a four

to five year strategy starting from the beginning of next year. This was

important as it would capture some of the capture some of the progress

discussed through the borough partnership, such as tackling inequalities,

tackling racism, mental health issues and speech and language. However, they

would also be a process of going out and speaking to residents send that they

could have their say on what would contribute to better health and this would

be done over the next three to four months, largely by the Public Health team.

There would be a process whereby the borough speaks to people that often did

not have a chance to contribute. This would include communities such as those

from Eastern Europe or from the Orthodox Jewish community. In the coming

months, some broader sessions would be held in places such as the

Tottenham Leisure Centre or Saint Ann's Library.

The meeting heard that:

• Careful consideration needed to be given on how to engage with

communities. This could be done in a creative way.

• The borough had Latin, Brazilian and Columbian communities and many

members of the communities had considerable local knowledge.

• Members of the communities had complex needs and some community

voices were unheard from as certain other communities had a greater

level of campaigning.

• Consulting was important, but follow-up engagement was also important.

• It would be useful to see a strategy before consultation began.

• It would be useful to be able to provide answers to very specific

questions regarding access to services.

• Housing issues were quite prominent regarding on health issues.

Mr Maimaris stated that the plan to view a strategy would be sent out by email.

RESOLVED:

That the update be noted.

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

There were none.

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

To note the dates of future meetings:

20 September 2023

15 November 2023

17 January 2024

13 March 2024

The next meeting would be held on 20 September 2023.