Agenda and draft minutes

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

To receive any apologies for absence.

Apologies for absence were received from Councillor Ali and Selena Douglas.

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 12).

There were no items of 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.

Councillor Brabazon declared an interest as she was a Governor of Haringey Royal Free, Councillor Das Neves declared an interest as she was Governor of North London Trust

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 6^th November 2025 as a correct record.

RESOLVED

To confirm and sign the minutes of the Health and Wellbeing Board meeting held on 6th November 2025 as a correct record.

The Chair drew attention to the achievement of Haringey Children’s Services being rated Outstanding. The Board also received a presentation on the Roger Sylvester Hub. Members noted the positive work taking place and the importance of celebrating achievements at a neighbourhood level.

Members discussed dementia services and provision across the borough.

It was noted that:

· Co-production and effective feedback to wider colleagues were essential.

· The chair felt their remained a lack of a clear, inspiring, and connected vision of what it is like to live in Haringey for residents with dementia.

· Members were struck by the breadth of services available; however, these were not always well joined-up.

· A neighbourhood-based approach was required to ensure patients were directed to appropriate services and received timely diagnoses.

· Concerns were raised that a significant number of residents were not accessing available services.

· A lack of marketing and awareness of dementia support groups within the community.

· The need to introduce more courses and support for carers.

· The importance of aligning dementia work with the Borough’s Ageing Well Strategy, particularly in relation to prevention.

· Opportunities to develop preventative interventions for mild cognitive impairment, including potential group-based support.

· Feedback from the St Ann’s community indicated appreciation for data on mild cognitive impairment in the borough

Members noted:

· The availability of a revised online database of services in Haringey, though this required further development and promotion.

· More could be done to raise awareness of early signs and symptoms of dementia.

· There was limited accessible information regarding research opportunities and future treatments.

· Residents within the system should be better informed about opportunities to participate in clinical trials.

· Greater collaboration with external organisations, including the Royal Free Charity (with an annual budget of £5 million), should be explored.

Officers confirmed that:

· Research activity was ongoing across memory services.

· Opportunities existed for participation in trials with UCL.

· Current involvement included a national trial on compassion-focused therapy for dementia and depression. The “Dreams” intervention for individuals with dementia and sleep disorders Members welcomed this work but requested further information on how many Haringey residents had accessed these opportunities.

Members emphasised:

· The importance of early intervention and clearer pathways for residents.

· The need for greater outreach and engagement to ensure residents were aware of available support.

Action:

It was agreed that dementia would be brought back to a future meeting of the Committee.

Members received an update on the Better Care Fund (BCF).

It was noted that:

· New national framework guidance had recently been published.

· Arrangements were being developed around neighbourhood health plans.

· Members requested that an end-of-year update be presented to the next Committee meeting.

· Members noted the need to reduce and better manage hospital admissions within the Haringey context.

· There was progress through neighbourhood working in identifying patient cohorts and reducing unplanned admissions.

· There was an ongoing collaboration with the Integrated Care Board (ICB) and Health Alliance.

· There remained scope for further improvement in the hospital discharge process

· There was a need to better engage councillors in neighbourhood working and mobilisation.

· Consideration was being given to expanding the Multi-Agency Care Collaborative (MACC) team.

· Winter vaccination programmes had not mobilised early enough to cover an early flu season this year.

Members highlighted:

· The importance of reablement and therapeutic support to ensure patients remained at home following discharge.

· The need for a holistic approach to reablement.

· That paid carers may not always recognise deterioration in a patient’s condition.

The Board noted:

· The critical role of both paid and unpaid carers, and the importance of training.

· The need to support self-funders as part of the overall care system, regardless of financial status.

· The key role of social workers in managing safe discharge, particularly through the NCL referral pathway.

· The importance of proactively including socially isolated residents in planning and strategies.

· The need for greater transparency regarding carers employed through agencies.

· That carers delivering care packages funded by Haringey Council were paid at least the London Living Wage.

· The importance of planning for winter pressures, particularly during mid- to late-summer.

· That 2026/27 would represent a continuation year in the Better Care Fund, with more fundamental changes expected in 2027/28.

· Further details would be brought forward in the coming months prior to formal sign-off.

· The continuation and renewal of the Home from Hospital service was noted

· The availability of dedicated support services, including self-referral options.

Action:

An update on this service would be brought back to the Committee in approximately six months.

Members noted:

· That further guidance on neighbourhood planning at a local level was awaited.

· A growing focus on operational delivery.

· Preparations were underway for potential future investment to support residents in Haringey.

Members received an update on the voluntary and community sector.

It was noted that:

· A new governance group, the Community Prevention Group, had been established.

· Funding had been identified for a Neighbourhood Challenge Fund.

· The fund aimed to support projects aligned with the ambitions of the neighbourhoods programme and integrated working.

Members were informed that:

· The application process ran between December and January.

· A community panel reviewed 80 applications, with 7 organisations selected for funding.

· Further details would be shared in the coming weeks.

It was noted that:

· Work was ongoing with GP practices and the voluntary sector across Haringey.

· The neighbourhood strategy would need to incorporate multiple domains and reflect lessons learned from previous years.

· A planned £570 million investment in existing housing stock over 10 years and four contractors had been appointed. The programme would address long-standing repair issues, including roofs and structural problems. This represented a scale of major works not seen in the borough for many years.

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 are to be confirmed.

To be confirmed.