Agenda item

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 and investment in young people and disadvantaged communities through the equitable distribution of assets.

12.12  The Head of Performance and Population stated that shifting the balance of investment at power was raised at the Health Inequalities Steering Group, together with engagement and empowerment. Consideration was being given to assessing the impact of initiatives and changing course when necessary. The role of the Health and Wellbeing Board would be built into the system to ensure accountability.  Options would be compiled with a way forward decided upon.

  Action: The Head of Performance and Population

12.13  The Principal Public Health Strategist stressed that the Joint strategic needs assessment process included impact assessment of programmers and policy.