Agenda and draft 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.

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 to the filming at meetings notice and attendees noted this information. This would be an informal meeting due it being inquorate.

The Health and Wellbeing Board members were senior Council officers, Cabinet Members, and representatives from Healthwatch, Bridge Renewal Trust, and the North Central London Clinical Commissioning Group. 

To receive any apologies for absence.

Apologies for absence had been received from Sharon Grant, Gary Passaway, Tobias Gould and Nadine Jeal.

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 16).

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.

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 17 Janaury 2024 as a correct record.

Due to the meeting being inquorate, it was advised that these minutes would be considered at the following meeting.

To receive a verbal update on the North Middlesex University Hospital NHS Trust Merger into Royal Free London Group.

·         Dr Nnenna Osuji provided the committee with an update on the progress of a potential merger with the Royal Free London, this currently held a planned date of the 1^st January 2025. Officers had been working in close partnership with the Royal Free London and had since created an infrastructure which included having a chairman who was the chair of both the Royal Free London and North Middlesex University Hospital, there would also be an accountable officer. There was a full business case for the proposed merger submitted to each board in July. They were approved by both boards and had since been formally submitted to NHS England, this would then go on to the Secretary of State.

·         One of the reasons for the merger would be to make improvements for patients. Another reason for this merger would be to have access to greater infrastructure and the ability to widen the hospital’s portfolio. From a Royal Free perspective, this would also allow access to a broader population. There would be an opportunity for staff to move more easily between organisations and that would allow for further career opportunities and fluidity.

·         A question raised was whether this merger would help deal with North Middlesex urgent and emergency care demand. Officers explained that not in and of itself, however the work done around this would continue. One of the commitments officers made was that local services would always be provided to local people; this change would never deplete the local provision of care, it would hopefully increase speed of access to specialist care.

Questions :

·         North Middlesex research populations did not reflect the demography of the patients served, people who came from black and minority ethnic backgrounds were underrepresented in research trials. By bringing together the infrastructure that the Royal Free offered and the population North Middlesex served, there was hope to try and balance some of the recruitment into trials. Often when people discuss research and development, they refer to therapeutic trials, but there were other types of trials around social research and health behaviors that could also be looked at.

·         It was critical to ensure that there would be an equity if a population had differential needs and differential levels of disadvantage. One of the committees brought together before any formal merger had been a Population Health committee between the two organisations. This meant that officers would always maintain a look to understand if they were maintaining equity in terms of access. Whilst a lot of work had been done around staff voice, there was more which needed to be done around patient voice.

·         In terms of making sure the hospital had the right staff and did not lose talent, there had been a pattern where people who trained at North Middlesex often remained working in the hospital. There was a clear opportunity for people to look at stretching their careers and this would therefore potentially attract greater talent.

·         One of the elements around travel was that officers were  ...  view the full minutes text for item 8.

To receive an update on the Haringey Health and Wellbeing Strategy 2024-29 draft.

Will Maimaris introduced the report for this item. This strategy was a significant milestone. Collectively across the partnership, officers identified priorities to improve the health and well-being of paradigm residents and reduce health inequalities. The main themes that emerged from the engagement for the strategy were mental health and wellbeing, preventative health and care services for all and housing and healthy placemaking; all four of the themes applied to children, working age adults, families and older people. There had been a range of online engagement and several outreach events. The idea would be that after 18 months, officers would take stock of the progress made against the initial objectives.

Questions:

·         It was noted that there should be a specific mention of mental health in elderly people in this strategy.

·         The ICB would support structuring future agendas and items around this strategy.

·         Whittington Health Trust believed more could be done to describe the work across local partners to improve life chances and local opportunities. Officers should look at how to describe the vision in a way that would bring it to whilst not over promising specific things.

·         It was also noted that more work could be done to engage with Government on the strategy.

To have an informal discussion regarding the update on the New Local Plan for Haringey.

Bryce Tudball introduced the item. He explained that the Local Plan was a key planning, corporate and engaging document which required updates every 5 years. The new local plan would replace 4 documents which were adopted in 2017. This would be a digital plan covering the period 2026-2041 and would focus on a borough wide framework for placemaking. There was ongoing engagement in relation to this and an investment had been made into the consultation process. The three most significant things the local plan would address was delivering a sustainable resilient place, delivering a fairer place and delivering a healthier and safer place. The team sought to embed health and wellbeing throughout the plan and within this plan large developments would be supported by a health impact assessment.

Questions:

·         The Council had a good track record of bringing forward improvements of social infrastructure. However, there was always room for improvement and officers sought to ensure that they could secure as much possible in the planning system to support the significant challenges around health and infrastructure.

·         A key aspect of the local plan would be delivering the Council’s inclusive economy objectives, a key driver would be improving the quality of the industrial estates and industrial areas.

·         In 2021 there was a wide range of engagement over a period of 14 weeks. Officers heard from 7,000 people, since then, there had been some ongoing conversations with resident groups. There was due to be a major consultation at the beginning of 2025 which would last for at least 2 months. Officers were keen to ensure that conversations remained consistent.

·         Officers recognised the number of fast-food takeaway shops and sought to limit a further expansion of takeaways in appropriate locations. There was also recognition of the number of gambling facilities in the area, officers sought to control the flow of these premises; this issue could be a lobbying point.

·         Officers were working closely with parties who managed the Councils properties to figure out the right solution to property usage in the future.

·         One of the major policies that the new government implemented was around planning reform; this had a focus on delivering more homes. Officers felt the borough had the right focus but were monitoring any updates on this reform.

·         The Health and Well-being Strategy Plan was a key focus of some of the conversations through the borough partnership within the neighborhoods and health inequality space.

·         Officers were actively testing concepts of engagement within The Northumberland Park Resource Centre.

·         It was noted that there was a need to recognise that residents were differentially able to engage in local issues, especially with the absence of Planning in London it was harder for people to participate.

·         Officers were working on a Gambling Harms programme. In relation to this, officers had conducted 9 focus groups and spoke to 47 residents, mainly in the east of the borough and sought their views on what they understood about gambling. These views would be shared with planning officers.

Report to follow

Officers would present this item at the next meeting.

To noite the Haringey Healthwatch Annual Report 2023/24

Cllr Das Neves thanked Sharon Grant for continuing to raise issues that were important to the community. The work conducted bought out the voices of patients and residents and their concerns and needs. There had been some conversations with Health Watch around the coming year and the committee looked forward to seeing the work progress and action.

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

There were no new items of urgent business.

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

To note the dates of future meetings:

28 November 2024

27 March 2025

The date of the next meeting is 27^th March 2025.