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Agenda and minutes

Venue: The Council Chamber, Town Hall Hackeny, London

Contact: Peter Gray  Email: governance@hackney.gov.uk

Items
No. Item

1.

Welcome

Minutes:

1.1  The Chair welcomed all present to the meeting.

2.

Declarations of Interest - Members to Declare as Appropriate

Minutes:

2.1  There were no declarations of interests.

3.

Minutes of the Previous Meeting pdf icon PDF 74 KB

Minutes:

3.1  The minutes of the previous meeting were agreed as a correct record.

4.

Action Tracker pdf icon PDF 54 KB

Additional documents:

Minutes:

4.1  The Chair introduced the action tracker. He referred the Board to the report on Connect Hackney.  In January 2022, Connect Hackney presented their Phase 2 Reach and Impact report and the recommendations that they wanted the Health and Wellbeing Board to accept and take forward. These recommendations were accepted by the Board and the Mayor stressed the need to monitor the implementation of the recommendations in relation to social isolation. Dr Rickets (Co-Chair) reiterated this view. Nina Griffiths told the Board that connections had been made, feeding into the neighbourhoods programme. She confirmed that an update on this matter would be made to a future meeting.

 

  Action: ?

 

Donna Doherty-Kelly confirmed that Connect Hackney had been provided with an update on the current position

 

RESOLVED:

 

To note the report

5.

Question from the Public pdf icon PDF 46 KB

Minutes:

5.1  The Principal Public Health Strategist introduced the answer to the question from the member of public as follows:

 

Question:

 

I am 67 years old and I try to keep as healthy as much possible but I find that it costs quite a bit of money to use the gym and sadly the dance classes I go to, which are very cheap, have to apply for funding on a regular basis so their future is never secure which is awful since I have found dance to be so important for keeping me fit and happy - it should be recognized as a treatment by GP's.

 

I was therefore asking why we don't get some direct investment for each older person - like a sort of health package - to help them remain healthy in order to prevent further expenditure on them later?

 

Response:

 

There are a number of free and reduced cost physical activities for older people in Hackney.

 

To encourage physical activity by older people in Hackney, the Council either delivers, commissions or offers a variety of programmes or opportunities:

 

Commissioned: The Council is committed to working with local community groups and organisations to increase participation in sport and physical activity by older residents. Some examples include:

 

The Sharp End: The Sharp End is commissioned by the Council’s Public Health Team to deliver provision for older people in the borough. This currently includes 15 weekly sessions run by the Sharp End at Queensbridge Sports & Community Centre.

 

Leisure Centres:

 

Better Club 50: The Council and GLL provides discounted activities for adults that are 50+. The programme allows 50+ adults to access some of the leisure facilities for £2 a day. At Britannia Leisure Centre, the programme runs twice a week and provides a total of 34 hours of activities. At Kings Hall Leisure Centre, the programme runs every day with a total of 56 hours across 7 different activities. As part of this provision there is also 12 hours of social time, as we recognise that, for many of our 50+ users, this interaction is just as important as physical activity.

 

Concessions: The Council and GLL offer a significant discount for concessionary memberships (direct debit and pay-and-play). These various concessionary memberships are available to people to access the facilities off-peak who are:

 

In receipt of benefits (statement of proof required in the last 3 months);

A student (of any age);

Disabled or are a carer (you must have received carers allowance in last 3 months); and

 

Over 60 or if you are under 16 and your parent(s) or guardian are in receipt of benefits (in the last 3 months).

 

These various concessionary memberships demonstrate an average discount of 50% on the normal member rates. It is worth noting that neighbouring Boroughs generally offer a 30% discount for concessions.

 

Free Swimming: The Council and GLL still offer free swimming at Britannia Leisure Centre (excluding the leisure water area), Clissold Leisure Centre and Kings Hall Leisure Centre, to residents of the Borough  ...  view the full minutes text for item 5.

6.

Joint Strategic Needs Assessment Update pdf icon PDF 59 KB

Additional documents:

Minutes:

6.1  Diana introduced the report. The Joint Strategic Needs Assessment (JSNA) process has been redesigned and approved by both Hackney and the City of London Health and Wellbeing Boards. The new process follows five main principles:

 

·  Alignment with policy and commissioning cycles

·  Hypothesis-led research

·  Active dissemination of results

·  Increased accountability

·  Impact evaluation

 

The Principal Public Health Analyst presented to the Health and Wellbeing Board:

 

·  Update on the annual work programme when this has been finalised.

·  Update on the findings and recommendations from the completed needs assessments.

·  Update on the findings from the evaluation/impact assessment following the recommendations (usually after at least 12 months from the implementation of the recommendations).

 

6.2  The Mayor referred to the ongoing work updating on the website Portal ensuring a more public facing set of data. He referred to the good engagement and responses with promotional work to ensure engagement with the services.   

 

6.3  Nina Griffiths asked how the JSNA linked in and empowered the work of the Health and Wellbeing Board and the Health and Wellbeing Strategy.

 

6.3  The Principal Public Health Analyst confirmed that some assessments are directly linked to the strategy. Assessments are used to assist commissioning with the most up to date data and evidence. She confirmed that most topics related to commissioning. There was ongoing work on mental health and inequality, etc.

 

 

7.

Community Voice- Anchor Institutions Research - Young Peoples Reflections and Recommendations pdf icon PDF 112 KB

Additional documents:

Minutes:

7.1  Sally Beven and David Kingsley presented to the Board on Anchor Institutions and Young people, highlighting:

 

·  The young Public Representatives are a sub-group of the C&H Public Representatives, made up as follows:

-  12 Young Public Reps

-  Age range - 19 - 29 yrs.

-  5 female, 7 male

-  66% Black/Black Mixed Heritage, 25% White British, 8% White Turkish;

·  The work carried out feeds into the City and Hackney Care Partnership and represented patients and residents;

·  The Focus – 100 comments had been received from questions posed on how young people perceive anchor institution and how can the institutions better serve local communities;

·  Responses:

-  There was a lack of communication with young people.

-  There was a desire for workplace opportunities.

-  The respondents  thought there is a lack of workplace opportunities available.

-  Investigation revealed that there are paid and

volunteering roles available. So why are they not used?

-  Lack of trust – government association and bad experiences.

·  Engagement to ensure the young people in to the workforce of Anchor Institutions, considering ways for this to be easier and more accessible;

·  Recommendations:

-  Honest newsletters and informational videos

-  Partnering with small organisations to put on events and provide volunteer placements

-  Collaboration between large organisations to run pop up community hubs

-  Minimum requirements of local employee figures for anchor organisations

-  Connecting frontline staff and local young people

-  Opportunities specifically for young people

8.

Learning from the City and Hackney Anchor Collaborative pdf icon PDF 155 KB

Minutes:

8.1  The Principal Public Health Specialist introduced the report, highlighting the following:

 

·  Definition of Anchor Groups;

·  Impact and key areas – environment and economy with a reduction in Inequality;

·  Impact on social conditions;

·  Policy context. It was a national priority to create new opportunities, apprenticeships;

·  There was a need to work together to benefit local residents, maximising land, etc;

·  Key way to decrease inequalities;  

·  Achieving net zero in the Borough.

 

8.2  John Hitchin told the Board that he represented Renasi, an organisation focusing on the concept of collaboration between anchor institutions. He highlighted the following:

 

·  With current changes to the NHS structure there was an opportunity  to consider new ways forward;

·  What is an Anchor Collaboration;

·  Motivation to work across a place based system allows for learning and projects that have a greater impact;

·  There had been progress in 2 streams – workforce and procurement;

·  There was collaborative debate between institutions, practical sharing of resources;

·  There were difficulties in achieving alignment in timescales;

 

8.3  The Strategic Director highlighted the following:

 

·  Difficulties in relation to accountability and governance;

·  There was no structure in place to agrees targets;

·  It would only be possible to make progress in defined areas if partners work closely together;

·  There was a need for an accountable structure in place that was adhered to;

·  There was a need for senior level support;

·  The need for more practical working.

 

8.4  The Chair asked whether this would be driven under the sponsorship of

the Health and Wellbeing Board or another forum. He referred to the fact that the Homerton had received £4m in decarbonisation funding. He stressed the need to agree on where resources were deployed.

 

8.5   The Consultant in Public Health stressed that there was a strength of evidence between good employment and health and social cohesion. There was an opportunity to support the main priorities of the Board and the Health and Wellbeing Strategy and link into place based workforce planning strategy. It had been proposed that the Health Inequality Steering Group discuss next steps on this matter.  The Consultant in Public Health stressed that the initiative had not progressed at the desire pace. There was a need for senior management support.

 

8.7  The Chair stressed the need to scope out the next steps and respond in the context of health inequality. He recommended that the report be noted with the development of an action plan and a report back to the September meeting of the Board on a way forward with a sign up to the anchor principle and the impact of good employment on good health.

 

8.8  Dr Rickets considered that the Health Inequality Steering Group was well placed to discuss this matter and that it should also be discussed at the Integrated Care Partnership Board in a development session.

 

8.9 

 

 

 

 

 

 

 

9.

Next Steps for City and Hackney Anchor Collaborative pdf icon PDF 33 KB

Additional documents:

Minutes:

9.1  This item was deferred to future meeting.

10.

Role of Hackney Health and Wellbeing Board in Tackling Inequalities- Health Inequalities Toolkit pdf icon PDF 51 KB

Additional documents:

Minutes:

12.1   The Head of performance and population (City and Hackney Clinical

Commissioning Group) introduced the report. The Health Inequalities Steering Group had  City and Hackney Health Inequalities Steering Group identified the need to identify tools and resources to support different teams/organisations to better consider health equity as one of its ten priorities. City and Hackney Population Health Hub delivering some of the work for this project. A resource pack has been developed, this pack is being piloted with various teams/organisations/system groups (NEL clinical network, library service, planning teams, primary care, VCSE), to coproduce the pack and include elements that are most useful to different parts of system.

 

12.2  The full resource pack (some slides included here) included:

 

·  Background on drivers of inequality and population health

·  Sources of information on local inequalities;

·  Prompts to consider how to start to understand inequalities for

different levels (teams/organisations/system);

·  Examples of tools which might support identifying and tackling

Inequalities.

 

12.3  The Population Health Hub wished to understand what support would be most helpful to better consider health inequalities in its work as a Board and also as individual partnership organisations.

 

12.4  Annie Gammon asked what information was available on what the key health inequalities areas are.

 

12.5  Councillor Kennedy stressed that the questions should be applied to the delivery for the health and wellbeing strategy, ensuring that the entire work plan is inequalities focused.

 

12.5  The Chair asked for clarification on prioritisation suggestion. He stressed the need to identify key actions within the strategy that overlap with work of the Health Inequalities Steering Group. There was a need to be clear on what work Hackney was carrying out in relation to health inequalities and outcomes with a mechanism  to measure progress.

 

12.6  The Head of Performance and Population confirmed that the questions could be applied to the delivery plan for the strategy. Outcomes for Hackney health and wellbeing had been identified. The Board would ask for a response from relevant partners on progress on each outcome.  Some work was progressing on the broad areas that came out of the prioritisation process from the Health Inequalities Steering Group with cross cutting to make relevant across partners and teams.

 

12.7  Councillor Fagana-Thomas asked how the toolkit communicated to the circumstances of Hackney and how the tools differed from the BMA.

 

12.8  The Head of Performance and Population confirmed that an attempt was made to encompass all the tools available, distilling these to helpful prompts to assist in considering health inequalities. The prompts could be distilled into the options discussed at the meeting.

 

12.9  Dr Mark Rickets consider the at the prompts were helpful and confirmation would be should on whether these were considered as a part of ongoing planning, shaping work as it emerges.

 

12.10  The Consultant in Public Health stressed the need to consider current patterns and identify inequalities.

 

12.11  Rosemary Jawara stressed the need to work more collaboratively in relation to health inequalities, working towards a shift in the power structure, making room for growth  ...  view the full minutes text for item 10.

11.

Child Q Safeguarding Report pdf icon PDF 38 KB

Additional documents:

Minutes:

11.1  The Director of Children’s Social Care introduced the report. On 14th

  March 2022 City and Hackney Safeguarding Children  Partnership

(CHSCP) published a Local Child Safeguarding Practice Review about

the intimate body search of a fifteen year old black girl in a school in Hackney. The report highlighted significant concern about both school and police response to this child’s presentation in school whereby a criminal rather than safeguarding lens was applied. The report concluded that racism was a likely factor in how Child Q was treated and made 14 recommendations for change.

 

11.2  Since May 2022, a Strategic Response Group has met on a fortnightly basis to continue to oversee the Council’s response. This is chaired by the Chief Executive and attended by the Mayor, Deputy Mayor Bramble, Cllr Fajana Thomas and key senior officers. A fortnightly group is also in place to coordinate community and stakeholder engagement activity, chaired by the Head of Policy and Strategic Delivery.

 

11.3  The Council is not named in any of the 14 recommendations and the oversight of the recommendations is undertaken by the ICSC. The Council’s role focuses on:

 

·  Ensuring that partners implement the recommendations with rigour and openness that leads to substantive change and that progress and outcomes are communicated widely.

·  Understanding and responding to the impact of the Review on staff and communities.

·  Engaging with the wider issues that are being raised in response to the Review and ensuring that these are recorded, analysed and can inform wider policy responses.

·  Identifying the national policy issues and engaging with central government departments on key asks directly and through wider campaigns

 

11.4  The Director of Children’s Social Care highlighted the following:

 

·  Working with partners to support the implementation of recommendations

·  Working with the Metropolitan Police

·  A shared strategic action plan to restore trust and confidence 

·  Revising protocols and guidance on the role of police in schools

·  Working with schools

·  Sustained work on anti-racism

·  Sustained work on the voice of the child across the borough

·  Sustained work on the voice of the parent/carer across the borough

·  Hackney inclusion charter

·  Schools and staffing

·  Promoting anti-discriminatory practices with school governors

·  Public affairs and campaigns work

·  Lesson learnt from this incident and actions which have been prioritised for change

·  Actions and plans to engage, involve and reassure the community and other key stakeholders (e.g. parents, children etc) in response to concerns arising from the review

·  Mitigating ongoing community impacts and tensions

 

11.5  The Senior Professional Adviser highlighted the following:

 

·  The challenge of embedding the lessons learned. A number of these were linked to policy guidance;

·  The challenge relating to the themes emerging from the report on how to build a culture of safeguarding first across the  systems;

·  Frontline staff were working with young people on safeguarding;

·  Active anti-rascist practice

·  Working collaboratively with partners and engaging the children in the community;

 

11.6  The Chair stressed that the health system played a crucial role in

identifying harm and making safeguarding referrals. He referred to the Public Health  ...  view the full minutes text for item 11.

12.

Health and Wellbeing Board Forward Plan 2022 pdf icon PDF 31 KB

13.

Any other business that the chair considers urgent - Director of Public Health 2020/21 pdf icon PDF 72 KB

Additional documents:

Minutes:

13.1  The Chair introduced the report to be taken under any other business. It was noted that the Director of Public Health’s Annual Report had been published with high level recommendations for next steps around children and young people.

14.

Date of next meeting - 1 September 2022