Agenda and minutes

Health & Wellbeing Board
Wednesday, 21st November, 2018 6.00 pm

Venue: Courtyard Room - Hammersmith Town Hall

Contact: Bathsheba Mall, Committee Co-ordinator 

Items
No. Item

156.

Minutes and Actions pdf icon PDF 106 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 Wednesday, 12th September 2018.

 

(b)  To note the outstanding actions.

Minutes:

Clarity was provided regarding minute No. 152, membership of joint delivery boards, and coproduction.  Martin Calleja confirmed that the aim was to ensure that residents were involved in developing services.  Invitations would be sent to finalise membership for the boards for the next board meeting in early 2019 with the process led by and supported by Public Service Reform who are leading on this.  Councillor Quigley stated that coproduction should be integral to the process of determining membership from the outset.  Councillor Coleman agreed that there should be people with disabilities involved in the recruitment and selection process and acknowledged that despite the challenges of co-production, this should be started at the earliest opportunity. Officers would continue to work in consultation with policy officers and members of the Disabled Peoples Commission, and had successfully recruited five people who will be part of the implementation group.

 

Vanessa Andreae requested that the commitment to establish an action tracker to compliment the minutes be established for the next board meeting and this was agreed.

 

RESOLVED

 

1.      That officer representation on the joint delivery boards would be coproduced and that having disabled representation would be assured;

2.      An action log tracker will be established for the next board meeting; and

3.      That the minutes of the previous meeting be agreed.

 

157.

Apologies for Absence

Minutes:

Apologies for absence were received from Dr Tim Spicer, H&F CCG (Vice-chair) and Sue Spiller.

158.

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. 

Minutes:

Sue Roostan introduced the report which provides the first complete overview of the mental health provision across agencies to be completed in some time and serves as a good starting point for the Board’s chosen 2018/19 mental health focus. The current report details services for adults aged 18 to 65.  Overviews for Child and Adolescent Mental Health Services (CAMHS) and services for residents aged 65+ will follow by the end of the financial year. These will be prepared jointly by the Council and the CCG following the same format.   

 

It was acknowledged that the review had been a challenging process, involving a high number of sources and individuals involved and should be considered ‘ongoing’.   A range of key strengths were highlighted including improvements to acute bed management and discharge, access to urgent care, early intervention and psychological services.  A range of challenges and opportunities were also clearly set out that had both a service and financial impact.  These included the need to reduce dependency on high cost placements and strengthen and better co-ordinate the social care, community support and primary care offer.

 

The following key issues were discussed;

 

Bringing the work of the West London led programme and local Joint Delivery Board together and consolidating co-production. 

 

The review recognised that West London Mental Health Trust was delivering a programme of service development across H&F, Ealing and Hounslow CCGs and a local Joint Delivery Board had been established to support and compliment this programme of work.  A strong commitment to co-production was highlighted and the review set out a wide range of initiatives across sectors that were already up and running – bringing together this work was a key requirement.

 

Keith Mallinson welcomed the commitment to co-produce, observing that there were many voices not represented in shaping services.  He asked about the West London local services transformation programme, which “continue to implement the shifting settings of care” and asked whether this was on-going.  It was clarified that this was a live programme and was being supported through patient involvement and co-production for key areas e.g. the review of standards for acute services. 

 

Janet Cree clarified that the likeminded strategy was part of the overall strategy for H&F, and across NW London.  Martin Calleja added that the Council had participated in preparing about this vision and it had been coproduced with residents although its implementation could have benefited from closer involvement of ASC. It was agreed bringing together the continuing programme with the work of the local Joint Delivery Board would resolve this issue.  address the gap. 

 

Martin Calleja clarified that around 60% of the £44 million was spent on acute services.  The level of need would have to be serious, if residents were to try and access those services.  In terms of shifting settings of care, many residents wanted to remain in their own homes while accessing services.  Sarah Rushton added that there were a high number of patients who were in receipt of community services, who  ...  view the full minutes text for item 158.

159.

Hammersmith & Fulham Adults Mental Health Service Overview pdf icon PDF 76 KB

This report was prepared in partnership by Hammersmith and Fulham Clinical Commissioning Group, West London NHS and Hammersmith & Fulham Council.  It seeks to provide a single and whole system overview of local mental health services for adults aged 18-65 operating in Hammersmith & Fulham. 

 

Additional documents:

Minutes:

Sue Roostan introduced the report which provides the first complete overview of the mental health provision across agencies to be completed in some time and serves as a good starting point for the Board’s chosen 2018/19 mental health focus. The current report details services for adults aged 18 to 65.  Overviews for Child and Adolescent Mental Health Services (CAMHS) and services for residents aged 65+ will follow by the end of the financial year. These will be prepared jointly by the Council and the CCG following the same format.   

 

It was acknowledged that the review had been a challenging process, involving a high number of sources and individuals involved and should be considered ‘ongoing’.   A range of key strengths were highlighted including improvements to acute bed management and discharge, access to urgent care, early intervention and psychological services.  A range of challenges and opportunities were also clearly set out that had both a service and financial impact.  These included the need to reduce dependency on high cost placements and strengthen and better co-ordinate the social care, community support and primary care offer.

 

The following key issues were discussed:

 

Bringing the work of the West London led programme and local Joint Delivery Board together and consolidating co-production. 

 

The review recognised that West London Mental Health Trust was delivering a programme of service development across H&F, Ealing and Hounslow CCGs and a local Joint Delivery Board had been established to support and compliment this programme of work.  A strong commitment to co-production was highlighted and the review set out a wide range of initiatives across sectors that were already up and running – bringing together this work was a key requirement.

 

Keith Mallinson welcomed the commitment to co-produce, observing that there were many voices not represented in shaping services.  He asked about the West London local services transformation programme, which “continue to implement the shifting settings of care” and asked whether this was on-going.  It was clarified that this was a live programme and was being supported through patient involvement and co-production for key areas e.g. the review of standards for acute services. 

 

Janet Cree clarified that the likeminded strategy was part of the overall strategy for H&F, and across NW London.  Martin Calleja added that the Council had participated in preparing about this vision and it had been coproduced with residents although its implementation could have benefited from closer involvement of ASC. It was agreed bringing together the continuing programme with the work of the local Joint Delivery Board would resolve this issue.  address the gap. 

 

Martin Calleja clarified that around 60% of the £44 million was spent on acute services.  The level of need would have to be serious, if residents were to try and access those services.  In terms of shifting settings of care, many residents wanted to remain in their own homes while accessing services.  Sarah Rushton added that there were a high number of patients who were in receipt of community services, who could also  ...  view the full minutes text for item 159.

160.

Isolation and Loneliness pdf icon PDF 76 KB

This will be a verbal update to the Board, following a Social Isolation and Loneliness workshop taking place on 14th November 2018.

Minutes:

RESOLVED

That under Section 100A (4) of the Local Government Act 1972, the public and press be excluded from the meeting during the consideration of the following items of business, because it contains the likely disclosure of exempt information, as defined in paragraph 3 of Schedule 12A of the said Act, and that the public interest in maintaining the exemption currently outweighs the public interest in disclosing the information.

 

 

161.

Work Programme

The Board is requested to consider the items for inclusion and suggest any amendments or additional topics to be included in the future.

Minutes:

The Board noted the work programme.

162.

Dates of Next Meetings

The Board is asked to note that the dates of the meetings scheduled for the municipal year 2018/2019 are as follows:

 

Wednesday, 30th January 2019

Wednesday, 20th March 2019

Minutes:

The next meeting of the Board was noted as Wednesday, 30 January 2019.