Agenda and minutes

1.1  The Chair welcomed all those  present and introductions were made.

2.1  There were no declarations of interest.

3.1  The minutes were agreed as a correct record.

4.1  Paula Shaw told the Board of her experiences in giving  smoking having been a smoke for 47 years. She had been determined to succeed in this and praised the work of the Wells Street Surgery in supporting her. She told the Board of the benefits of no smoking including having more money, having time to do other things and being more energetic.

4.2  The Board congratulated Paula on giving up smoking and thanked her for attending the meeting.   

5.1  Jayne Taylor introduced the report on the tobacco control action plan and the key strategic developments within it. She outlined the work ongoing in this area including:

·  Training on carbon monoxide testing for midwives at the Homerton

·  Collaboration on enforcement with HMRC and the North Central and North East London illegal Tobacco group

·  Supporting the East London Foundation Trust in implementing their smoke-free policy

·  Promoting the Hackney Stop Smoking Service as an e-cigarette friendly service

5.2  The Board expressed its support for the action and the successes in going smoke free. Tracey Fletcher confirmed that the Homerton was committed to going smoke free and that work was ongoing with the workforce on this. Raj Radia told the Board that he had explained the stop smoking service throughout the Hoxton area. In response to a question from Alistair Wallace, Jayne Taylor confirmed that the stop smoking service was being reviewed to allocate resources to poorer sections of the community.  She confirmed that voluntary no smoking operated in some of hackney’s parks.  The Chair confirmed that the Children’s play area in Clissold Park had been made smoke free.

RESOLVED:

5.1  to agree the recommendation outlined in the report regarding the focus of tobacco control work over the next 12 months and beyond.

5.2  That members review their own organisation’s actions over the last 12 months regarding reducing smoking prevalence in the Borough

5.3  To commit to a representative from their organisation attending the second tobacco control strategy.

6.1  Dr Clare Highton introduced the report updating the Board on the development of the North East London sustainability and transformation plan. Resources would only be available through the plan. She referred to the current drive to get the NHS out of deficit. A more detailed financial breakdown would be available for the next meeting of the Board. She went on to tell the Board that the governance issues had not yet been resolved. She was to attend a governance workshop on the following Friday. In response to a question from Alistair Wallace she confirmed that that the STP would result in increased central control and less local control. 

6.2 The Board emphasised the need for partnership working with local authorities involved in the preparation of the plan. 

RESOLVED:

1. To note the summary of progress to date

2. To note progress to date and the proposed approach to developing

   governance arrangements for the STP.

7.1  The Board noted the update reports on the Hackney Devolution Pilot. Service integration work had been highlighted in three areas.  Four key areas had been identified as follows;

·  early intervention to give children a healthy and happy start to life

·  Co-ordinating community based services across providers to reduce the need for hospital or residential care admission

·  Providing equality of access and support to those with mental health conditions and physical health conditions to reduce mortality

·  Encouraging self-care and promoting independence for those who do not yet need long term services

7.2  Dr Penny Bevan told the Board that additional powers had been identified to promote health in the Borough. Further the Council was asking for an extension of its licensing objectives including in relation to off sales of alcohol and tobacco.

7.3  Dr Clare Highton referred to the potential for more integrated working between the various organisations, including integrated commissioning.    

 8.1  Gareth Wall introduced the report. He told the Board that Hackney had signed up to the local authority mental health challenge. He went on to outline the five action plans in the report. More detailed work was yet to be done. Dr Navina Evans expressed her support and the importance of mental health and wellbeing. In relation to action point 4 it was noted that the majority of people develop depression for a number of reasons. Councillor Bramble emphasised that the Council had a focus on you black men and that this should be included in any training.   

RESOLVED:

To agree the action plan, to be reported annually to the Board  

9.1  Jack Gooding introduced the report introducing the forward plan of the Health and Welling Board for the next year for discussion and approval by the Board. 

RESOLVED:

To approve the Health and Wellbeing forward plan.