Venue: Courtyard Room - Hammersmith Town Hall. View directions
Contact: Bathsheba Mall, Committee Co-ordinator
(a) To approve as an accurate record and the Chair to sign the minutes of the meeting of the Health & Wellbeing Board held on Tuesday, 21 November 2017.
(b) To note the outstanding actions.
Apologies for absence were received from Councillors Sue Fennimore, Sue Macmillan and Rory Vaughan; Ian Lowry, Chief Executive, Sobus; and Dr Tim Spicer, Chair H&F CCG.
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 interest.
The paper proposes a two-step plan for developing a strategy and action plan to address social isolation and loneliness in the Borough. This includes (1) conducting a range of interviews with stakeholders based around three questions; (2) a facilitated workshop with stakeholders in March to agree the plan.
Julien Danero-Iglesias, Policy and Strategy Officer, provided an update on action on tackling social isolation and loneliness since the last HWB. Officers had met various organisations and were now looking at organising a workshop to bring together the community and stakeholders to develop a strategy across the council, NHS and third sector for tackling social isolation and loneliness throughout the borough.
The Older People’s Commission had also taken social isolation and loneliness as their first area of focus and would be issuing an interim report in March 2018.
Early discussions had taken place the West London Collaborative about organising the workshop. Precise details were to be determined but it might extend over one day. One part of the work could be to identify local activities and existing service provision.
Vanessa Andreae suggested holding the workshop in May-June to allow more preparation time with stakeholder organisations and enable better co-production.
Bryan Naylor, Chair of the Older Peoples Commission suggested that more than one workshop be held, of a shorter length and in different locations across the borough to target socially deprived areas. Councillor Coleman suggested that the first workshop should be limited to three or four hours.
The Board and members of the public agreed that the workshop should include community organisations and people with wide links to others. These could include:
Keith Mallinson suggested the Grove Neighbourhood Centre as a possible location for a workshop and suggested commissioning research. Michael Angus, Barons Court Project (BCP) said it might be feasible to use social media to engage people for this.
1. That the proposed workshop be scheduled in May of June
2. Format, location, duration and number of workshops, and attendees, to be further considered
The purpose of the item is to facilitate a discussion about the health (and wellbeing) needs of rough sleepers and how those needs can be better met by better/more joined up ways of working.
The Chair welcomed, Michael Angus, Project Manager at the Baron’s Court Project (BCP) to present the report of the Rough Sleepers Commission (RSC), which had been established in February 2017.
Chaired by Jon Sparkes, CEO of Crisis, the RSC had worked over nine months to help the council achieve its objective of ending rough sleeping in the borough, and had made 30 recommendations to this end. The report would be launched on 13 March.
Research methodology included service-user, peer-led work, facilitated by Groundswell. They had visited pilot projects such as Housing First. There had been a 15% increase in rough sleepers in the UK and the BCP had seen a 16% increase in the number of rough sleepers they saw.
Rough sleepers had poorer health outcomes and were more likely to have mental health issues. This could lead to physical health issues and the average life expectancy of a person who had slept rough was 47 years.
Michael Angus gave the example of one person who had slept rough for 20 years, experiencing both mental and physical problems and becoming diabetic. Another rough sleeper had been diagnosed with post-traumatic stress disorder. His payments of Universal Credit and PIP (Personal Independence Payment) were delayed, which meant no money and therefore no social interaction. He started attending the BCP and subsequently received benefits advice and support.
Councillor Coleman asked what the priority for HWB action should be. Michael Angus called for:
· Jointly commissioned services, exploring other joined-up models;
· Joined-up administration so that there were not separate compliance monitoring procedures for the CCG and the council, and separate funding applications and outcomes; and
· Joined-up funding awards between the council and CGG as there was often a mismatch in funding durations, and the lack of alignment made it difficult to achieve long-term provision.
Councillor Coleman welcomed the suggestions. Keith Mallinson proposed that a representative from Housing be appointed to the Board, given that a lack of housing exacerbated mental health conditions. This was agreed.
Councillor Coleman suggested that it would be useful to get the input of the Department for Work and Pensions (DWP), to get a better understanding of what was going on locally. The council had been trying to deal with the consequences of the introduction of Universal Credit and had held a workshop with a wide range of local players, including the DWP.
Lisa Redfern said she would ascertain what joint work was taking place within the council. She would be able to monitor progress as she attended the Social Inclusion Cabinet Member Board briefings.
Councillor Coleman asked if it was possible to explore the idea of combining approaches and unifying monitoring, grants and timelines to co-ordinate support from the council and the CCG. Janet Cree said the CCG would support this.
It was agreed that one representative from each of the council and CCG would work jointly to explore this further, identifying needs, overlaps and opportunities for alignment. They would provide an update to the Board.
ACTION: ... view the full minutes text for item 132.
Dates of Next Meeting
The Board is asked to note that the next date of the next meeting, which is scheduled for Wednesday, 21st March 2018.
The date of the next meeting was noted as Wednesday, 21 March 2018.