Agenda and draft minutes

Apologies for absence were received from Councillor Bora Kwon and DCI Mark Staples.

Apologies for lateness were received from Councillor Helen Rowbottom.

Councillor Natalia Perez joined the meeting remotely.

The Chair requested that a representative from the Metropolitan Police attend future meetings.

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 Standards Committee.

There were no declarations of interest.

To approve the minutes of the previous meeting as an accurate record and note any outstanding actions.

The minutes of the meeting held on 11 September 2024 were agreed as an accurate record.

This Better Care Fund paper sets out the London Borough of Hammersmith & Fulham and the H&F Integrated Care Board quarter 2 report.

Julius Olu (Assistant Director for Independent Living, Commissioning and Partnerships) presented Better Care Fund (BCF) quarter 2 report 2024-2025 for ratification by the Board. He noted that the report had been submitted to NHS England on 31 October 2024, with the agreement of the Chair.

The Health and Wellbeing Board members agreed to ratify the BCF quarter 2 report for 2024-2025.

RESOLVED

1. That the Health and Wellbeing Board ratifies the BCF quarter 2 report for 2024-2025 (Appendix 1).

2. That the Cabinet Member for Adult Social Care and Health receive an end of year report outlining the outcomes of each scheme and the difference it has made for residents of H&F.

This item from the Hammersmith & Fulham Health and Care Partnership presents their overarching partnership plan for 2025-26.

Caroline Farrar (Hammersmith & Fulham Health and Care Partnership Managing Director) presented the item on their overarching partnership plan for 2025-26. She noted that she had only been in the role from 1 July 2024 and they were still in the early stages of developing the refreshed partnership plan.

Caroline Farrar discussed some of the key insights from the Shared Needs Assessment:

• H&F had the lowest 3-year life expectancy at birth for 2020-22 in North West London, and the second lowest when looking at the one-year trend.
• 18% of the population was in the Core 20 most deprived areas, compared with 12.7% in North West London.
• There were pockets of deprivation across the borough, particularly White City and Wormholt in the north.

Caroline Farrar explained that the Partnership was complex, with multiple NHS organisations serving the borough, including two major hospital trusts, two community trusts, a mental health trust, five community health providers, and a thriving voluntary sector. She said there were a lot of high-quality providers, but the overall system was fragmented and there was a lack of continuity. She also highlighted significant inequalities in the borough and a distrust of the NHS in some communities.

Caroline Farrar said when she came into the role she spoke with many frontline staff and the public they served. They discussed what was working well and not so well and what they wanted to achieve together. The Partnership was still working on priorities and workstreams. She said it was important to focus on a small number of high priority areas and build trust. She noted their work would be guided by the Health and Wellbeing Strategy. One of the key aims was joining up services.

Caroline Farrar also noted they wanted a better understanding of neighbourhood health and for care to be more personalised. She said this was more important as the population grows and ages. The older population was expected to increase by 36% in the next nine years and that required better prevention, self-care, and joined-up working.

Councillor Helen Rowbottom asked what the timeline was for Integrated Neighbourhood Teams. Caroline Farrar said it was still at an early stage, but they wanted to be having an impact by next winter.

Councillor Rowbottom noted that a joint objective was to use the Whole Systems Integrated Care (WSIC) dataset for upstream intervention. She asked how that could be achieved at pace. Caroline Farrar said good building blocks were already in place, with two of the Primary Care Networks have ‘connecting care for children’, a joint clinic between paediatrician and GP with an multi-disciplinary team meeting afterwards which reviews the cases and enables professionals to bring forward other issues. She felt this was an example of an Integrated Neighbourhood Team approach already working well and the goal was to build on these types of arrangements. She added that the WISIC dataset was valuable and noted Dr Nicola Lang was keen to utilise it more effectively. She said they had the right support at  ...  view the full minutes text for item 5.

To discuss the Board’s work programme and suggest items for future meetings.

The Board made the following suggestions for the work programme:

• Healthwatch Update (Carleen Duffy, Healthwatch) – 19 March 2025
• Integrated Care Board Joint Forward Plan (Sue Roostan and Toby Lambert) – 19 March 2025

To note the following dates of future meetings:

·       19 March 2025

The date of the next meeting, scheduled for 19 March 2025, was noted.