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Agenda and minutes

Venue: Council Chamber - Waltham Forest Town Hall. View directions

Contact: Perminder Purewal, Democratic Services Officer  020 8496 4357 | Email: perminder.purewal@walthamforest.gov.uk

Items
No. Item

37.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

Apologies for absence were received from Dr Anwar Khan (WFCCG), Ceri Jacob (NHS England), Lucy Shomali (Director of Regeneration and Growth), and Jaime Walsh (Healthwatch)

 

The following substitution arrangements were in place:

Danny Batten for Ceri Jacob

Daniela Muenzel for Jaime Walsh

38.

DECLARATIONS OF INTEREST

Members are required to declare any pecuniary or non-pecuniary interests they or their spouse/partner may have in any matter which is to be considered at this meeting. Interests are defined on the inside cover of this agenda.

Minutes:

There were no declarations of interest.

 

39.

MINUTES OF THE PREVIOUS MEETING pdf icon PDF 93 KB

Minutes:

The minutes of the previous meeting held on 8 December 2016 were approved as a correct record and signed by the Chair.

 

40.

HEALTHWATCH REPORT ON HEALTH AND WELLBEING FORUM pdf icon PDF 71 KB

Minutes:

The Board noted the key points of the Health and Wellbeing Forum held on Thursday, 2 March 2017.  The Chair invited Althea Bart, Healthwatch, to feedback comments from Healthwatch at the start of each item.

 

The Chair also noted the comments from the Forum on the Sustainability and Transformation Plan (STP). The STP  was not on the Board’s agenda as the item was discussed at a public engagement meeting the previous day, at which various members of the Board, including the Chair, were present. The Chair added that there would be ongoing engagement with the STP and the item would come to future meetings of the Board.

 

41.

WHIPPS CROSS ACTION PLAN REVIEW pdf icon PDF 367 KB

Additional documents:

Minutes:

Consideration was given to the report of Mike Smeeton, Managing Director, Whipps Cross Hospital.

 

Mike Smeeton and Alwen Williams, CEO Barts Health, presented the paper with focus on the challenge questions put forward by the Board’s Business Management Group (BMG):

 

·      Please explain why there has been uneven progress in key service ratings between the November 2013 and July 2016 CQC reports. What support can Health and Wellbeing Board partners offer to support improvement in those areas that still require it?

 

Healthwatch forum comments:  Althea Bart reported that Healthwatch had a lively discussion as their members were passionate about Whipps Cross and concerns were raised about staffing levels.

 

Alwen Williams stated that Barts Health was committed to making improvements to the quality of services at Whipps Cross Hospital. The Board was reminded that the CQC inspection took place in July 2016 and the inspection report was published in December 2016.  A Quality Summit was held in January 2017 to reflect on progress made since the inspection. It was felt that the hospital had seen significant progress, however it was acknowledged that there was still a long way to go for all services to be rated good or outstanding. 

 

Ms Williams added that since the quality summit, a draft action plan was submitted to the Trust Board meeting and would be subject to scrutiny to ensure progress on all actions highlighted in the CQC inspection report. Ms Williams further stressed the commitment to improving the quality of buildings alongside strategic solutions given parts of the infrastructure date back over 100 years. The Board noted that plans are underway to redevelop Whipps Cross in the future to ensure the estate is fit for purpose and the services meet the needs of a growing and diverse population in coming years.   

 

Mike Smeeton drew the Boards’ attention to two key areas of improvement which were rated good by the CQC: Maternity and Gynaecology and the service for Children and Young People. The Board was also given details about plans to improve inadequately rated service, as outlined in the report.

 

In response to a question from the Chair about uneven areas of progress, Mike Smeeton advised that this was due to recruitment into substantive and leadership posts. The experience of staff and the size of the service also had an impact; for example the medicine service is very large compared to children service. 

 

The Chair asked for explanation into why there had been no improvements in the leadership ratings since 2013. Alwen Williams highlighted the timelines that changes were being made from a Trust wide structure to site structures.  The site leadership team were only appointed a few months before the inspection in July 2016 and inevitability, some services that had been challenged for many years would take longer to progress and change. Ms Williams was confident that if CQC came in for another inspection, the rating would be better due to changes implemented by the leadership team since July 2016. The Board noted  ...  view the full minutes text for item 41.

42.

UPDATE ON HEALTHY WEIGHT STRATEGY 2015-2020 pdf icon PDF 263 KB

Additional documents:

Minutes:

Consideration was given to the three reports from Public Health, LBWF.

 

Healthwatch Forum comments: parents at the forum expressed concern about the excessive, cheap and unhealthy food available in close proximity to schools and asked what the council was doing to stop that. The Forum also asked what was being done to educate children so they can take responsibility for their health and wellbeing.  Forum members felt more could be done in communicating the support that is available and suggested that the Council should run road shows to help people with healthy meal ideas. Comments were also made about cross-cultural differences about what it means to be healthy.

 

Joe McDonnell presented the papers with focus on the challenge questions put forward by the Board’s BMG:

 

·      Please review the effectiveness of the Healthy Weight Strategy 2015-2020 and explore the joint work on diabetes and suggest recommendations for action, joint working and signposting.

 

Joe McDonnell stated that the healthy weight strategy was launched approximately two years ago and included 60 actions.  The report provided the Board with an update on the actions.  

Joe McDonnell asked for support from the partners and drew the Board’s attention to three areas for discussion:

·         Extending healthy vending/healthy food environments beyond leisure centres, into health premises e.g. Whipps Cross

·         Consideration of meals and meal times from a healthy weight perspective for those in treatment or care, particularly in residential care homes

·         Extending actions related to workplace health beyond LBWF as an employer; including aligning with other initiatives progressing with NHS organisations as large employers

 

Joe McDonnell also highlighted the main findings of the childhood obesity report and the Board noted that there has not been much progress over the last few years. 

 

The Board were asked to take actions to improve the number of referrals from GPs to the National Diabetes Prevention Programme (funded by NHS England), including continuing publicising of the scheme through available opportunities (such as GP locality meetings), and as part of primary care commissioning.

 

The Chair commented that the NHS should be at the forefront of installing healthy vending machines and to stop selling unhealthy products rather than simply increasing their price. The Chair advised that the local authority had not seen a drop in purchases at council owned leisure centres now that unhealthy food and drinks had been replaced with healthy alternatives.

 

 

The Chair stated that policies had been put in place banning any new fast food outlets within 400 metres of a school.

 

There followed a period of discussion and questions which is summarised below:

 

Terry Huff stated that although the CCG is not one of the biggest health employers they endeavour to lead by example.

 

Ken Aswani felt healthy weight was a serious problem that needed to be tackled locally in order to make a real difference, suggesting that improved education from a young age and involving parents was key factors. 

 

Dr Myers was pleased to report that data collected from Public Health in the reception year at school would  ...  view the full minutes text for item 42.

43.

ACCESS TO PRIMARY CARE AND PROMOTING SELF-CARE pdf icon PDF 704 KB

Additional documents:

Minutes:

Consideration was given to the report of Brenda Pratt, Associate Director, Health and Social Care Integration, LBWF/WFCCG and Sharon Hanooman, Senior Social Prescriber, LBWF.

 

Brenda Pratt presented the paper responding to the challenge questions put forward by the Board’s BMG:

 

·      Please review how your projects/work [the Better Care Together programme / Social Prescribing] address access to primary care promotion of self-care, with a focus on what does work, gaps, risks and any other critical issues.

 

Brenda Pratt gave a brief overview and highlighted the main headlines within the report as included in the agenda pack. 

 

There followed a period of brief discussion and questions which are summarised below:

 

There are a fewcase studies on how the Better Care Together programme has improved outcomes for residents, however as the initiatives have only been recently implemented, it is hoped that there would be more case studies available in around  six months’ time. Case studies about social prescribing are also available. The Chair felt that these should be advertised in order to share awareness around the borough.

 

The Board discussed the capacity and sustainability of voluntary sector to deliver help in a tough financial climate.

 

Referrals: the Board noted that less than half of the borough’s GPs are making referrals and that this was a particular problem in the south of the borough.

 

Decision:

The Board

1.    Noted the report

2.    Asked the BMG to have an item on its agenda on how the HWBB can add value in working with the voluntary sector.

 

 

44.

INFORMATION/DATA SHARING FOR CHILDREN'S CENTRES

Verbal Report – No papers.

 

Councillor Grace Williams has been asked by the Children’s Health and Wellbeing meeting to raise the issue of information sharing with Children & Family Centres at the next Health and Wellbeing Board.

Minutes:

Councillor Grace Williams was asked by the Children’s Health and Wellbeing meeting to raise the issue of information sharing with Children & Family Centres at the next Health and Wellbeing Board.

 

Grace Williams remarked that we do not have information sharing that is needed to reach all children aged 0-4 years-old.  A draft information sharing agreement had been produced and would be bought back to the Board.

 

Decision:

The Board

1.    Noted the report.

2.    Requested that Children’s Health and Wellbeing Sub Committee  update be added as a standing item for future HWBB meetings.