Agenda and minutes

1.1  The Chair welcomed everyone to the meeting and introductions were made.  

2.1  Apologies for absence were submitted on behalf of Raj Radia.

2.1  The Minutes of the meeting of the Health and Wellbeing Board on 13^th June were agreed as a correct record with the correction of Dr Mark Ricketts name. 

3.1  There were no declarations of interest.

4.1  There no community voice section in the meeting.

5.1  Adi Cooper presented the City and Hackney Safeguarding Adults Board – Annual Report 2017- 18.  She told the Board of ongoing work with partners who contributed to the work of the Board. The partnership had had continued to grow and develop as reflected in the annual report.  The Board continued to look at information about safeguarding activity to inform its’ priorities. It continued to raise awareness of safeguarding in City and Hackney’s communities, with the help of community and voluntary groups, especially the ‘Safeguarding Champions’. Adi told the Board that a number of multi-agency sub-groups had been established to help it deliver on its objectives and annual priorities. The group supported the development of the website for the CHSAB which incorporated suggestions made by service users and residents. Further, there had been a programme of learning workshops with the support of the Training and Development group.  Adi told the Board of a very successful event on abuse. She stressed the need for communication with residents who had indicated that they wanted information. All outcomes had been achieved and the impact of safeguarding was good.

5.2   The Chair asked whether partners were doing enough to promote adult safeguarding. Adi Cooper confirmed that more work was necessary to promote adult safeguarding.  She confirmed to the Board that there was in principle agreement to working with the children’s safeguarding Board on violence to women and girls. There were, however, legal and policy difficulties in this area that would need to be worked through.

5.3  Penny Bevan referred to the report as excellent and which demonstrated enormous progress.  She referred to the fact that there was much abuse in the home environment. She had concerns that data was not being collected on whether alcohol was a participating factor in this and asked if this data could be collected. Adi Cooper told the Board that at present there was no mechanism to collect this data but confirmed that it would be possible to look at the feasibility of doing this.     

6.1  The Board expressed concerns that there would not be a representative at the meeting to present the London Health Commission report. 

6.2  Dan Burningham introduced the Mental Health Crisis Care for Londoners, outlining the aim to move from 20 to 9 sites with an improved relationship with the Police and the Ambulance Service. The Royal London was to close with the flow being diverted to Homerton which would expand with service users influencing the design. In response to a question he confirmed that a patient would only go to the Homerton if no other bed was found. A nurse was to be appointed at the Homerton to take the pressure of A&E.  The Chair asked how the new arrangements would fit into the proposed transferred of mental health

beds from the Homerton. Dr Evans clarified that the 136 Suite would have to be supported and would into the mix if the transfer occurred. 

6.3  David Maher stressed the importance of crisis support with maximum impact street triage.

6.4  The Chair referred the Board to the list of aspirations in the London Health Commission report. The Board considered whether some of these aspirations could in the way forward for the Health and Wellbeing Board as discussed recently at a Board development session. Penny Bevan referred the Board to the summary of recommendations in the report. These had been consulted on widely with much work undertaken which was having effect, including around TB. The chair welcomed the fact that links had been made between air quality and health. Laura Sharpe welcomed the report with the social determinants of health and the consideration of a wide range of aspirations and sharing the neighbourhood’s agenda. Anne Canning recommended filtering the recommendations to find one that was not currently carried out.

7.1  The Board considered the report on the development session recently held to consider its role from the coming year and to reframe its position to other health-related decision- making committees on Hackney.  The discussion had been supported by and information pack including headline demographics, an outline of the Board’s formal role and progress made against the joint health and wellbeing strategy.

7.2  Penny recommended the establishment of a steering group to look at the recommendations in the London Health Commission report and recommend to the Board on areas that it considered relevant, linking these into overall strategy.  Paul Fleming referred to the Health and Social Care landscape as complex and ambiguous and that measuring improvement was difficult. He considered that the Board could look at what it does that tangibly demonstrates that it has made a difference.  David Maher told the Board that the report of the London Health Commission was good. He considered it important to focus on high impact themes areas where the Board could hold itself to account. 

8.1   Malcolm introduced the report, laying around Hackney’s Health & Social Care Complaints Charter.  He told the Board that this would be widely distributed and asked members to let him know of any final comments as soon as possible. The Chair asked that the charter be publicised widely.

Agreed:

1.  To formally launch the complaints charter

2.  That Charter signatories report to the next meeting on the implementation of their complaints charter delivery plan

9.1  The Chair announced that this was to be Dr Penny Bevan’s last meeting as she was soon to retire. She thanked Penny for all her work as Director of Public Health and the leadership that she brought to the role, helping to put Hackney on the map.