Agenda and minutes

Health & Wellbeing Board - Tuesday, 21st November, 2017 6.00 pm

Venue: Courtyard Room - Hammersmith Town Hall. View directions

Contact: Bathsheba Mall, Committee Co-ordinator 

No. Item


Minutes and Actions pdf icon PDF 357 KB

(a)  To approve as an accurate record and the Chair to sign the minutes of the meeting of the Health & Wellbeing Board held on 13 September 2017.


(b)  To note the outstanding actions.


The minutes of the previous meeting held on 13th September 2017 were agreed as an accurate record.


Apologies for Absence


Apologies for absence were received from Dr Tim Spicer, H&F CCG (Vice-chair) and Lisa Redfern, Director of Adult Social Services.


Declarations of Interest

If a Member of the Board, or any other member present in the meeting has a disclosable pecuniary interest in a particular item, whether or not it is entered in the Authority’s register of interests, or any other significant interest which they consider should be declared in the public interest, they should declare the existence and, unless it is a sensitive interest as defined in the Member Code of Conduct, the nature of the interest at the commencement of the consideration of that item or as soon as it becomes apparent.


At meetings where members of the public are allowed to be in attendance and speak, any Member with a disclosable pecuniary interest or other significant interest may also make representations, give evidence or answer questions about the matter.  The Member must then withdraw immediately from the meeting before the matter is discussed and any vote taken.


Where members of the public are not allowed to be in attendance and speak, then the Member with a disclosable pecuniary interest should withdraw from the meeting whilst the matter is under consideration. Members who have declared other significant interests should also withdraw from the meeting if they consider their continued participation in the matter would not be reasonable in the circumstances and may give rise to a perception of a conflict of interest.


Members are not obliged to withdraw from the meeting where a dispensation to that effect has been obtained from the Audit, Pensions and Standards Committee. 


There were no declarations of interests. 


Developing A Shared Social Isolation and Loneliness Plan pdf icon PDF 139 KB

This report summarises the work that has been done by the council and partners to date to address social isolation and loneliness in the borough and invites the Board and wider stakeholders to consider how best to take this work forward.


Additional documents:


Councillor Ben Coleman welcomed members of the public seated in the audience, most of whom represented a range of local community groups.  Introducing the report, Councillor Coleman explained that its purpose was to to facilitate a discussion and collaborative approach in developing a strategy; addressing social isolation and loneliness within the Borough. 


Gaynor Driscoll briefly highlighted several key elements which included the need to define social isolation and loneliness (SIL).  It was explained that SIL could affect young and old, new mothers, the recently bereaved and early retirees, and was also influenced by any combination of personal factors.  What was required was the proactive involvement of the local community in helping to alleviate SIL. 


Referring to anticipated Census data for 2021, social disadvantage and poverty indices in the North of the Borough expected to be high.  This, together with a more transient population, was associated with the disruption of social ties or community networks, and hence a greater risk of a loss of informal social control.  Developing strong bonds and community cohesion was a primary element in addressing SIL. With a high percentage of residents aged +50 living alone in the Borough, it was important to understand the need for a multi-generational approach.  To illustrate, simple, low cost solutions included adapting the urban streetscape to ensure that there was adequate seating, where needed. 


Bryan Naylor, from Age UK, seated in the audience, observed that SIL was a both a local and national problem with no easy or quick solution.  He was keen to see strategic outcomes. 


Dr Kellie Payne, Research and Policy Manager, Campaign to End Loneliness briefly provided details about the work of the organisation.  Highlighting the work of Jo Cox, MP to develop a National Commission on Loneliness, the difficulties faced by young mothers and the, combined risk factors affecting older people, there was agreement that SIL required a national and community based solution. 


A member of the public observed that it would be helpful to have a breakdown of the data by ethnic groups, whose experience of SIL would be markedly different.  Councillor Bevan Powell, RBKC, and a trustee of Nubian Life, expressed concern regarding the impact of SIL on older, black and minority ethnic groups (BAME), and, health inequalities experienced by them.  It was agreed that a BAME data breakdown would be helpful to understand both need and identify barriers. 


Christine Smyth, from Home-Start, explained Home-Start was a small pilot project supporting socially isolated pregnant and new mothers living in the Borough.  Ms Smyth commented that working closely with the NWL Mental Health Trust, would help prevent the escalation of mental health issues.  They had identified a huge need amongst in BAME groups experiencing social isolation, with little or no family support networks. LGBTQ (Lesbian, Gay, Bisexual, Transgender Questioning/Queer) communities, socially stigmatised or rejected by their families, lacked support, and experienced SIL.  


Fawad Bhatti provided brief background details, setting out the remit of the Commission.  A key aim had been to bring together different Council services,  ...  view the full minutes text for item 123.


Safeguarding Adults Executive Board - Annual Report 2016-17 pdf icon PDF 130 KB

This report presents the Safeguarding Adults Executive Board Annual Report 2016-17.  The purpose of the Board is to ensure that member agencies work together, and independently, to secure the safety of residents who are at most at risk of harm from others, or through self-neglect.

Additional documents:


Councillor Coleman welcomed Helen Banham who presented the Annual Report of the Safeguarding Adults Executive Board (SAEB).  The report had also been considered by the Health, Adult Social Care and Social Inclusion Policy and Accountability Committee. 


Vanessa Andreae, commended the report which she had reviewed in her capacity as Chair of the CCG Quality Committee.  This was a very good report which provided great assurance about the work of the SAEB in the Borough.  During the brief discussion which followed, it was confirmed that the SAEB were in the process of looking at feedback and referral mechanisms. 


Councillor Coleman commented that the report was excellent and commended Ms Banham. On behalf of the Board, Councillor Coleman wished her well in her retirement, observing that her commitment, hard work and dedication would be greatly missed. 




That the report be noted.



Pharmaceutical Needs Assessment pdf icon PDF 346 KB

This report sets out the progress being made to develop the Health and Wellbeing Board’s Pharmaceutical Needs Assessment (PNA) for Hammersmith & Fulham, and requests agreement to undertake the required statutory consultation.


Additional documents:


Councillor Coleman welcomed Colin Brodie and Ashlee Mulimba, who presented a report on the Pharmaceutical Needs Assessment (PNA).  There was a statutory responsibility to produce a PNA for the Borough, to ensure adequate provision of local pharmacy services; to better understanding the needs of the local population; improve access to services and to identify any gaps.  A 60-day period of consultation with a prescribed group of stakeholders would be undertaken, together with engagement with residents and the Council. 


Following a question from Councillor Carlebach, it was explained that the Prescribing Wisely strategy served a useful reference point for understanding the PNA and the provision made by local pharmacies and aimed to encourage patients to be more involved in decisions about their medication.  Referencing the issue of access and gaps in provision, it was understood that opening hours and out hours provision would also be explored.


It was agreed that the Board would write to NHS England, highlighting the following points:


  • Accessible opening hours
  • Medication and self-assessment (in the context of Prescribing Wisely)
  • End of life care
  • Alcohol and drug misuse


Councillor Vaughan suggested that it would be helpful to be able identify where local pharmacy services could be sourced.  An interactive map or hyperlink on the Council or CCG’s website mapping out local pharmacists would be useful. 


Members commended the emergency support provided by local pharmacies during the Parsons Green station incident, noting that they would be have been reimbursed through NSH England.  It was suggested that pharmacies should be included in future emergency services planning, considering the support they could potential provide.


ACTION: LBHF / officer




That the Pharmaceutical Needs Assessment report be noted. 


Work Programme

The Board’s proposed work programme for the municipal year is set out as Appendix 1 to this report.


The Board is requested to consider the items within the proposed work programme and suggest any amendments or additional topics to be included in the future.


The Board noted the work programme would be subject to further discussion and development. 


Dates of Next Meetings

The Board is asked to note that the dates of the meetings scheduled for the remainder of the municipal year 2017/2018 are as follows:


Wednesday, 31st January 2018

Wednesday, 21st March 2017


The next meeting of the Board was noted as 31st January 2018.