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 24 July 2018.
(b) To note the outstanding actions.
The minutes if the previous meeting agreed as an accurate record.
Apologies for Absence
Apologies for absence were received from Vanessa Andreae, Councillor Adam Connell, Keith Mallinson and Dr Tim Spicer
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.
This report is to update the Health and Wellbeing Board about the re-establishment of two Joint Delivery Boards for Learning Disabilities and Mental Health Services.
Lisa Redfern provided a summary of the report which gave an update on the implementation of two, joint health and social care delivery boards for adult learning disabilities and mental health.
Paragraphs 3.7 and 3.8 set out terms of reference and covered the core aims of the boards, identified key performance indicators (KPI’s), just working, accountability and core membership, Including a clear commitment to co-production.
Standing items for the boards to consider would include quality assurance, finance and KPI’s. It was confirmed that explicit reference to the involvement of people with learning disabilities would be included together with the council’s commitment to coproduction and this would be reflected in the appointment of a learning-disabled person.
Councillor Quigley observed that the Council had made a clear commitment to coproduction and expressed her concern that this should be incorporated from the start of the process. Councillor Quigley was assured that the coproduction was a significant priority, acknowledging the inherent difficulties and Councillor Quigley’s concern that a learning-disabled appointee to the board would receive full support.
Councillor Coleman acknowledged that honouring the Council’s commitment to coproduction would be hard, particularly in terms of doing this prior to the formation of the board. He asked officers to explore if it was feasible to undertake this work before the board appointments were formalised. Sue Spiller suggested a model that might facilitate the earlier involvement of the third sector and agreed to provide the details to Lisa Redfern. It was agreed that a further update would be provided to report on progress.
That the report be noted and that a further update on progress be provided.
Prevention Strategy Benchmarking
A verbal update on benchmarking the prevention work of other local authorities.
Katie Estdale provided a verbal update. This was the fourth of four potential areas of work discussed by the Board and proposed an analysis of the preventative work of other local authorities. A prevention strategy sought to avoid needs arising or the development of increasing need for example, using befriending services.
Following conversations with colleagues at the Association of Directors of Social Services (ADASS), it was reported that Southwark and Camden had undergone a fundamental recommissioning of services, bringing together various organisations which provide preventative services, for example, adult social care, clinical commissioning group and voluntary sector services. It was recognised that a significant percentage of the adult social care budget was dedicated to preventative services but a more holistic approach was necessary.
Sue Spiller commented that there was a huge provision from voluntary sector organisations and that consideration of this would be a good starting point for further discussions.
This is report was produced by the Care Quality Commission and presents its findings from reviews undertaking with 20 local health and care systems.
Lisa redfern reported that this report linked to discussions under Agenda Item 4 (joint health and social care delivery boards for the learning disabled and mental health). The CQC report, “Beyond barriers, how older people move between health and social care in England”, published July 2018 examined 20 different delivery systems and echoed what the Council and voluntary sector would be working together using the vehicle of a delivery board. For this to be an affective system, the different members of the boards would have worked together to better steer provision.
Referencing page 4 of the report (Summary, page 27 of the Agenda pack) Lisa Redfern said that joint working between health and social care was now critical for meeting the needs of local populations and achieving better outcomes. It was suggested that this should form the essence of the work of the Health and Wellbeing Board.
Councillor Coleman enquired if there was anything that the Board should be doing and whether it was possible tof ind examples of good practise.
Referencing a list of bullet point within the Summary, Lis Redfern suggested that Board assessed itself against these. The include a common vision and porpuse, effective and robust leadership, and strong relationships at all evels. Glendine Shepard commented that the Specialist Housing Board was considering how infromation was shared and how this could be made robust. Much of the work undertaken was pre-eviction but it was necessary to analyse what was happening before this stage, to consider the whole range of accomodation available, with a view to improving joint working.
Councillor Coleman asked if the Specialist Housing Board had coproduction representation. It was confrimed that there was currently officer disabled representation on the Board and the timing of including a coproduced, disbled representation would have to be further explored.
Councillor Richardson’s perspective as a parent of a learning-disbled child was invaluable and Councillor Coleman affirmed the importance of this being represented on the Board.
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.
COUNCILLOR Coleman confirmed the inclusion of mental health as a priorit area for the Board. It was important to understand how mental health as concern wa sbeing addressed in other workstreams. Councillor Richardson reported the the health, Inclusion and Social Care, Policy and Accountability Committee (HISPAC) would be considering a report from the West London mental Health Trust as its next meeting. Considering the different workstreams focusing on mental health, Aniata Parkin aupported Councillor Richardson’s suggestion that HISPAC undetake an alasysis of mental health related workstreams and were these were located across the Council and within the Borough, and, to identify the population needs and how these could be addressed.
ACTION: JC/LR/AP to initially discuss, map mental health provisionand undertake a gap analysis; to evidence workstreams
and where these most effective.
The following items were noted as potential items for the next meeting of the Board:
· Update on social inclusion and loneliness
· Update on preventative services
· Update on joint health and social care delivery boards
· ASCOF survey report
Dates of Next Meetings
The Board is asked to note the dates of the meetings scheduled for the municipal year 2018/2019 which are as follows:
Wednesday, 21 November 2018
Wednesday, 20 March 2018
Wednesday, 30 January 2018
The next meeting of the Board was noted as Wednesday, 21 November 2018
Meeting started: 6pm
Meeting ended: 8pm
Contact officer: Bathsheba Mall
Governance and Scrutiny
020 8753 5758