You are here:

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

1.

APPOINTMENT OF CHAIR

Minutes:

In the absence of the Chair, Councillor Clare Coghill, Councillor Naheed Asghar was nominated as Chair of the meeting.  There were no other nominations.

 

Councillor Naheed Asghar in the Chair

2.

APOLOGIES FOR ABSENCE AND SUBSTITUTE MEMBERS

Minutes:

Apologies for absence were received from Councillor Clare Coghill, Ken Aswani, Terry Huff, Ceri Jacob and Dr Tonia Myers.

3.

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:

None.

4.

MINUTES OF THE PREVIOUS MEETING pdf icon PDF 97 KB

Minutes:

The minutes of the meeting held on 16 March 2017 were approved as a correct record and signed by the Chair.

5.

HEALTHWATCH FORUM MINUTES pdf icon PDF 52 KB

Minutes:

The minutes of the Health and Wellbeing Forum held on 7 June 2017 were noted.

6.

HEALTH & WELLBEING SCORECARD UPDATE pdf icon PDF 1 MB

Additional documents:

Minutes:

Consideration was given to a report of the Public Health Consultant, London Borough of Waltham Forest.

 

Joe McDonnell introduced the report and explained how the Scorecard would inform the Board and the Business Management Group of key healthcare issues by comparison of the indicator value with its target, trend and comparators. 

 

Althea Bart was anxious that people should have the opportunity to influence the scorecard.  Mr McDonnell said that it reflects the priorities in the overall strategy, on which there had been consultation.  The process of checking that the indicators worked effectively would be ongoing and they could vary.

 

The Chair welcomed the report and said there should be a ‘deep dive’ report to a future meeting on the key targets for MMR, diabetes, obesity and breastfeeding.  Councillor Williams sought assurance that the scorecard was supported by an action plan: it was explained that this was all-encompassing rather than a separate delivery plan. 

 

With regard to breastfeeding, monitoring has traditionally relied on GPs providing data 6-8 weeks after delivery, but in future this will come from the Health Visiting service.  Joe Lindo added that there is now a breastfeeding specialist to support new mothers to starting breastfeeding as soon as possible after delivery.

 

Decision

 

The Board:

 

(a)  noted the Health and Wellbeing Scorecard and agreed to use it as a basis for reviewing performance across the three domains of HWB strategy; and

 

(b)  asked for a ‘deep dive’ report to a future meeting on the key targets for MMR, diabetes, obesity and breastfeeding. 

 

7.

SPECIAL EDUCATIONAL NEEDS AND DISABILITIES (SEND) CQC ACTION PLAN pdf icon PDF 264 KB

Challenge question: Please present an analysis of the key CQC findings and explore the role of partnership working within the action plan to ensure that outcomes will improve for children.

Additional documents:

Minutes:

Consideration was given to a report of the Assistant Director of Contracting, Waltham Forest CCG, and the Director, Disability Enablement Service.

 

Barbara Thurogood introduced the report and explained how the partners were responding the Local Area Joint Inspection carried out by the Care Quality Commission and Ofsted of the SEND reforms.  She drew the Board’s attention to the Action Plan and to proposals for the sustainability and governance of SEND services.

 

Althea Bart said Healthwatch’s main concern was the time taken to put the Action Plan in place given the number of people who use the service, and the question as to whether all eligible children were accessing the service.  She also asked about commitment to working with the voluntary sector.

 

Helen Davenport admitted that the action plan should have been in place earlier, an apologised to the Board and the families concerned.  The SEND partnership now has two parents on the Partnership Board and has underlined its commitment in particular to looked-after children.

 

Councillor Williams welcomed the involvement of parents..  She asked when the matter would come back to the Board and what difference could members expect when it did.  Given the time it would take to synthesise data across different areas of practice as well as feedback from families, Ms Davenport thought this would be the late autumn.

 

On behalf of the Council, the Deputy Chief Executive reiterated that although there was some disappointment with the extent of the actions required, there was also a great deal to celebrate.  She thanked colleagues in the CCG for their proactive response.  It was a fact that actions are largely defined by resources and demand, and the resources available to agencies are shrinking quite rapidly.  This calls for increasingly imaginative work by agencies to address often very complex needs, and this is bound to have an impact on universal services.  The question of how the public agencies work with both the voluntary sector and the community itself is a valid one, and not one that can be answered solely as a group of statutory and non-statutory partners.

 

Decision

 

The Board:

(a)      noted the contents of the report and progress made in responding to the concerns raised by the Ofsted/CQC inspection outcome;

(b)      agreed to the Chief Officer of Waltham Forest CCG and Deputy Chief Executive of the Council approving the final version of the Statement of Action for submission by the deadline; and

agreed that an update on progress be made following submission of the Statement of Action.

8.

STRATEGIC PRIORITIES pdf icon PDF 186 KB

Additional documents:

Minutes:

Consideration was given to a report of the Strategic Board Coordinator.

 

Suzanne Elwick introduced the report and outlined the series of priorities identified for task groups to develop, implement and manage plans, namely Drugs and Alcohol, Mental Health, End of Life Care and Children’s Healthy Weight. The Board itself will lead on the first two (which are acknowledged to be cross-cutting), and the process will be managed by the Business Management Group reporting to the Board.

 

Councillor Bean asked for examples of how the work would progress, and the timescales.  Neil Young said the necessary social research would be scoped, looking for example at hospice care, and along with innovative project work, this should take four to five months.

 

The Deputy Chief Executive emphasised that work was taking place in a range of places, and it was the role of this Board and the three other strategic boards to co-ordinate and deal with gaps and overlaps.  For example, the Council is working with the CCG towards a major commission on mental health, based on a different model of recovery.  Helen Davenport added that with regard to end of life care, services are fragmented and lacking the accountability needed to ensure a seamless transfer to the most appropriate care, rather than relying largely on the availability of beds.

 

The Chair summarised by noting the proposed membership of the groups and looked forward to the Board receiving quarterly updates.

 

Decision

 

The Board

 

(a)  noted the report and the examples outlined above;

 

(b)  approved the work on cross-cutting and Health and Wellbeing Board specific priorities;

 

(c)  noted the proposed membership of the task groups; and

 

(d)  looked forward to receiving quarterly updates.

 

9.

CREATING A SUSTAINABLE VOLUNTARY SECTOR IN WALTHAM FOREST pdf icon PDF 266 KB

Challenge question: What is Community Waltham Forest’s assessment of the current state of the voluntary sector in the borough? What is the organisation’s sector-wide strategy, how does it relate to priorities in the Health and Wellbeing Board Strategy and how will its success be measured?  Please include analysis of capacity  ...  view the full agenda text for item 9.

10.

EAST LONDON PARTNERSHIP BOARD UPDATE pdf icon PDF 166 KB

Additional documents:

Minutes:

Consideration was given to a report of the Director of Communications and Engagement, East London Health and Care Partnership.

 

Decision

 

The Board noted the report

11.

JOINT STRATEGY NEEDS ASSESSMENT (JSNA) pdf icon PDF 221 KB

Minutes:

Consideration was given to a report of the Public Health Consultant, London Borough of Waltham Forest.

 

Decision

 

The Partners committed to contribute to the Joint Strategy Needs Assessment, both in terms of the Steering Group and the Task and Finish Group membership.

12.

PHARMACEUTICAL NEEDS ASSESSMENT (PNA) pdf icon PDF 211 KB

Minutes:

Consideration was given to a report of the Public Health Consultant, London Borough of Waltham Forest.

 

Decision

  

The Board delegated authority to the Director of Public Health produce and publish a Pharmaceutical Needs Assessment by 1 April 2018.