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.  Although we ask members of the public recording, filming or reporting on the meeting not to include the public seating areas, members of the public attending the meeting should be aware that we cannot guarantee that they will not be filmed or recorded by others attending the meeting.  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 and using the public seating area, you are consenting to being filmed and to the possible use of those images and sound recordings.

The Chair of the meeting has the discretion to terminate or suspend filming or recording, if in his or her opinion continuation of the filming, recording or reporting would disrupt or prejudice the proceedings, infringe the rights of any individual, or may lead to the breach of a legal obligation by the Council.

The Chair referred those present to Agenda Item 1 as shown on the agenda in respect of filming at this meeting and asked that those present reviewed and noted the information contained therein.

The Chair will welcome those present to the meeting and introductions will be given.

The Chair welcomed those present to the meeting and the Board introduced themselves.

To receive any apologies for absence.

The following apologies were noted:

• Dr Sherry Tang – Vice Chair
• Sarah Price gave apologies for lateness
• Sir Paul Ennals advised that he had to leave the meeting at 7pm.

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 10).

The Board noted that there was one item of Urgent Business, on the London Health and Care Collaboration Agreement which would be tabled at Item 11.

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.

None

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

No Questions, Deputations or Petitions were tabled.

To consider and agree the minutes of the meeting of the Board held on 24^th September 2015.

RESOLVED:

That the minutes of the meeting held on 24^th September 2015 be confirmed as a correct record.

Sir Paul Ennals, the Chair of the Haringey Safeguarding Children’s Board, presented a report to the Board that was included in the agenda pack at pages 107 -155. The report was for information purposes and provided an overview of Haringey LSCB’s activities and achievements during 2014-2015; it summarised the effectiveness of safeguarding activity in Haringey and provided an overview of how well children in Haringey were protected.

The Chair of the Haringey Safeguarding Children’s Board drew the Committee’s attention to the Chair’s Foreword, especially the last paragraph; Section 6 on Board effectiveness, and the summary in Section 8. The Board noted that safeguarding arrangements within Haringey were broadly robust and effective and that the partnership had demonstrated its willingness to confront and respond to issues that arose. In terms of areas for improvement, the partnership needed to; improve its data sharing, improve its engagement of children and young people in the work it undertook and to think radically about how services would be delivered in the years ahead.

The Chair of the Haringey Safeguarding Children’s Board highlighted considerations for the Board to note in relation to the report:

• The Board considered itself to be broadly effective, providing challenge and scrutiny across partners and actively encouraging partnership working.
• Services in Haringey were at least as good as in most areas.
• Schools in Haringey were better than most and the Board noted that this was a significant indicator as good schools tended to keep children safe.
• The last year saw a significant increase in the number of referrals to Children’s Social Care, increases in the number of Children in Need, and increases in the number of children on Child Protection Plans.
• Significant improvements have been made in the way the Board tackled some of the biggest risks such as CSE and missing children.
• The Board were monitoring the introduction of Early Help services, which would be crucial in reducing the impact of a reduction in resources in years to come.
• The partnership was showing that it was ready to be open, frank and honest with each other; acknowledging when cuts were coming in and the impact this would have on children and families but try to mitigate the impact as much as it could in a multi-agency way. 

Sharon Grant, the Chair of Healthwatch Haringey, asked for clarification on the reasons behind worsening performance around home visits to children subject to child protection plans within four weeks.  The Chair of the Haringey Safeguarding Children’s Board responded that the figures noted in the report reflected performance for the last 12 months to April and that more recent performance was more encouraging. The AD Safeguarding and Social Care added that one of the main reasons was difficulty in recruiting permanent staff, which led to a relatively high level of turnover of agency staff. The AD Safeguarding and Social Care advised that the performance reflected a shortfall in home visits being done within the four week timescale not that those visits were not happening at  ...  view the full minutes text for item 35.

A summary version of the presentation circulated as part of the agenda pack (pages 25-59) was tabled at the meeting. Dr Jeanelle de Gruchy, Director of Public Health gave the first part of the presentation on the Annual Public Health report. Hard copies of the Annual Public Health report were distributed to the Board. The second part of the presentation was delivered by Marion Morris, Head of Health Improvement, and focused on the delivery of Priority 2 of the Health and Wellbeing Strategy – Increasing Healthy Life Expectancy.  Following the presentation the Board discussed its findings.

The Director of Public Health introduced: Joan Curtis, Secretary Haringey Friends of Parks Forum; Wendy Thorogood - Smarter Travel Officer; Andrea Keeble - Commissioning Manager for Sports and Physical Activity; Dr Katrin Edelman, Clinical Service Director, Barnet Enfield Haringey Mental Health Trust.

The 2015 Annual Public Health report focused on encouraging Haringey residents to live longer, healthier lives. The Board noted that in spite of an overall improvement in life expectancy over recent years, not all had benefitted, and inequalities in life expectancy remained. There was a 7 year gap in average life expectancy between the most affluent and most deprived areas of the borough, and women were expected to live 4 years longer than men.

The Board also noted that, in terms of healthy life expectancy for Haringey, women were on average living the last 25 years of their lives in poor health, and men the last 16 years of their lives in poor health. The main reason people were living in poor health was because they had one or more long term health conditions. Long term health conditions were usually preventable and were often caused by a small number of lifestyle factors. These factors included; an unhealthy diet, low levels of physical activity, smoking and excessive alcohol intake. These factors were also the most important risk factors for people dying early. The impact of these factors on the provision of health and social care was significant. 

In response to ensuring that residents lived long, healthy lives, the Board noted that the focus was on three key areas: Making it easier for people to make the healthy choice; working with communities and giving support to those who need it most.

The Director of Public Health drew the Board’s attention to the recommendations at the back page of the Annual Public Health Report. Some of the key recommendations were noted as:

• Build on and expand the ‘Health in all Policies’ approach.
• Ensure that plans for the regeneration of Tottenham address factors related to healthy life expectancy such as employment, poor quality housing and ease of walking of cycling.
• Taking a multi-agency approach to prevention including tighter tobacco control.
• Ensuring prevention was everyone’s business from primary care through to hospital care.

The Chair queried why West Green ward had significantly higher levels of life expectancy than some of its neighbouring wards in Tottenham. In response, officers advised that the numbers were estimates and that the  ...  view the full minutes text for item 36.

1)    Update on Ambition 8 of the Health and Wellbeing Strategy - Baseline and Target Measure

2)    Clinical Commissioning Group Commissioning Intentions

3)    Health and Care Integration Programme Update

4)    Haringey Better Care Fund Plan Update

5)    Annual Safeguarding Reports – Children’s and Adults

UPDATE ON aMBITION 8 OF THE hEALTH AND wELLBEING sTRATEGY – BASELINE AND TARGET MEASURE

A report was included in the agenda pack at page 61. Dr Tamara Djuretic, Assistant Director of Public Health, gave a presentation to the Board on the baseline measure and target for Ambition 8 of the Health and Wellbeing Strategy. Following the presentation the Board discussed the findings.

Some of the key points raised in the presentation were:

• Haringey’s Health and Wellbeing Strategy’s Priority 3 focuses in improving mental health and wellbeing across the borough and Ambitions 7, 8 and 9 are set to monitor progress of the implementation of Priority 3.
• Ambition 8 was more adults will have good mental health and wellbeing.
• PHE were commissioned to undertake a survey. 10,000 households were contacted and over 1,000 people completed the survey. 500 across the borough and an additional 500 from the most deprived areas.
• The results on the Warwick Edinburgh scale were an average score of 26.10 across the borough and 26.21 in the most deprived areas. The Board noted that Haringey’s baseline WE score is moderate and that there was no significant difference in the score across the borough compared to most deprived areas.
• The maximum score was 35. A low score was classified as below 21, a moderate score was 22-29 and high score was 30 and over.
• The national average score was 25.3.
• The target for Ambition 8 was noted as increasing the average score on the short Warwick-Edinburgh mental wellbeing scale by 15% from 2015 baseline to a score of 30 by 2018.
• Scores for 16-24’s, over 65’s in most deprived areas and women were lowest.
• Factors positively impacting on mental wellbeing were; good health, time to do enjoyable activities, spending time outdoors, physical exercise, personal relationships, trust and feelings of neighbourhood belonging.
• Factors negatively impacting on mental wellbeing were;  childhood experience of unhappiness and violence, inability to work due to sickness and disability, poor educational attainment and financial difficulties.

Ms. Grant enquired whether care had been taken in the sampling in regards to race, ethnicity, age etc. The Assistant Director of Public Health responded that care had been taken around including specific demographics including a number of factors which were linked to deprivation, such as educational attainment.

RESOLVED:

I). That the findings of the borough-wide mental health and wellbeing survey be noted; and the proposed trajectory for Ambition 8 be agreed.

II). That a full report on the survey be brought back to a future meeting of the Board.

cLINICAL cOMMISSIONING gROUP cOMMISSIONING INTENTIONS

A cover report and presentation on the CCG Commissioning intentions for the forthcoming financial year were included in the agenda pack at page 67.  The Chief Officer Haringey CCG gave the presentation to the Board. The Board noted that it was a requirement for the CCG to liaise with the Health and Wellbeing Board about its commissioning intensions.

The Board noted that one of the main areas that had seen significant progress this year  ...  view the full minutes text for item 37.

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

The Director of Public Health introduced an item of Urgent Business to the committee, which provided an update on the London Health and Care Collaboration Agreement.

The London Health and Care Collaboration Agreement was agreed by all London councils and CCGs and established a London-wide framework for the acceleration of collaboration, integration and devolution, at the local, sub-regional and city-wide levels. The launch of the agreement in early December would be accompanied by the launch of a number of pilots to test different aspects of integration and devolution – Haringey CCG and Council have signalled intent to be part of two pilots.

Haringey Council and the CCG had jointly submitted an expression of interest to become a ‘prevention pilot’. The aim of this pilot was to build relationships and work intensively with London partners and national agencies (PHE, NHSE, DCLG and DWP) to explore the most effective ways of using planning and licensing powers to create healthy environments, and pilot new ways of supporting more people with health conditions (particularly mental health) into sustainable employment. Discussions were scheduled to continue over December around agreeing objectives and how the work would be supported by, the national agencies.

In addition, The NCL Collaboration Board and its five Local Authority partners submitted an expression of interest in the application of devolved powers to facilitate the improved utilisation of the health and social care estate. A successful commissioners workshop recently identified potential devolution of powers and these were being evaluated and developed prior to submission of a Business Case in early December. The project was maintaining close working with the London Office of CCGs, the office of London Local Authorities and London Transformation Programmes.

The Board noted the update on the London Health and Care Collaboration Agreement and agreed that a further update would be brought back to the Board in due course.

The Director of Public Health advised that signatures for the pilot were required by the end of the week and that the Business Case would be built around April.

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

The dates of future meetings are as follows:

·         23rd February, 18:00 – 20:00

It was noted that the date of the next meeting was 23rd February at 18:00.

Ms. Grant requested that a future agenda item be brought to the board around Social prescribing. Ms. Grant to liaise with the Director of Public Health to agree the details of the item.

The Director of Public Health advised the Board that Haringey partners received a Health Services Journal Award for innovation in Mental Health. The collaborative piece of work was based around the development of peer mentoring in schools, where Year 9 and Year 10 pupils recorded videos to express their own experiences and shared them with other pupils. The aim of the videos was to de-stigmatise mental health issues.