Agenda and minutes

The Chair welcomed everyone to the meeting. Members of the Board introduced themselves.

Apologies for absence were received from Dr Henrietta Hughes, Olav Ernstzen and Dr Jo Sauvage. Dr Katie Coleman would be substituting for Dr Sauvage and Emma Whitby would be substituting for Olav Ernstzen.

If you have a Disclosable Pecuniary Interest* in an item of business:

·         if it is not yet on the council’s register, you must declare both the existence and details of it at the start of the meeting or when it becomes apparent;

·         you may choose to declare a Disclosable Pecuniary Interest that is already in the register in the interests of openness and transparency. 

In both the above cases, you must leave the room without participating in discussion of the item.

If you have a personal interest in an item of business and you intend to speak or vote on the item you must declare both the existence and details of it at the start of the meeting or when it becomes apparent but you may participate in the discussion and vote on the item.

*(a)Employment, etc - Any employment, office, trade, profession or vocation carried on for profit or gain.

 (b)Sponsorship - Any payment or other financial benefit in respect of your expenses in carrying out duties as a member, or of your election; including from a trade union.

 (c)Contracts - Any current contract for goods, services or works, between you or your partner (or a body in which one of you has a beneficial interest) and the council.

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 (f)Corporate tenancies - Any tenancy between the council and a body in which you or your partner have a beneficial interest.

 (g)Securities - Any beneficial interest in securities of a body which has a place of business or land in the council’s area, if the total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body or of any one class of its issued share capital. 

This applies to all voting members present at the meeting.

Dr Gillian Greenhough and Dr Katie Coleman declared an interest as GPs in agenda item B4.

The order of business would be as per the agenda.

That the minutes of the meeting of the Board held on 12 March 2014 be confirmed as a correct record and the Chair be authorised to sign them.

Thanos Morphitis, Service Director, Strategy and Commissioning introduced the report,

Members acknowledged the importance of the early intervention work. Officers should always look for areas for improvement particularly around partnership working.

RESOLVED:

That, together with the Children and Families Board, the Board committed to a long-term focus on early intervention and prevention in Islington.

That an initial summit be held, jointly with the Children and Families Board, in November about children, young people and parent/families that considers:

·         how smart investment can be applied to make a culture shift from late intervention to early intervention that results in local savings

·         how the culture change required for early intervention can be achieved in the following areas:

-      balancing acute/complex/severe needs and early intervention

-      individual and collective leadership

-      funding early intervention

-      commissioning for early intervention and prevention, which includes

-      innovation and building local evidence – how we diversify our local evidence base on prevention and early intervention

-      collaboration and shared goals with external partners such as schools and the third sector

That a further summit be held to consider how the early intervention and prevention approach could be applied to the rest of the life course i.e. adults and older people.

Sabrina Rees, Head of Children's Health Commissioning and Jason Strelitz, Acting Assistant Director, Public Health introduced the report outlining plans to develop a comprehensive health commissioning strategy for Islington children and young people.

Members would welcome a more explicit commitment to early intervention work in the Commissioning Intentions. The theme of patient voice and personalisation should also be reflected in the principles.

Members applauded the positive outcome data particularly given the high levels of deprivation in the borough. The Strategy should outline what differences would be made by the production of the document.

RESOLVED:

That the Health and Wellbeing Board endorse the production of a CYP Health strategy across Islington CCG and the Local Authority.

That the comments of the Board on the CYP Health Strategy be noted.

Lela Kogbara, Assistant Chief Executive (Strategy and Community Partnerships) introduced the report which explained some of the changes that had been introduced so far as part of the government’s programme of welfare reform, the rationale for those changes and the impact that they were having in Islington on children and families and people in receipt of sickness and disability benefits.

Section 5 included some negative comments about GPs but these were just the reported opinions of some services and were not stated as true. They did not apply to all GPs and apologies were given if the report presented the data in a negative way.

Members congratulated officers on the 87% success rate on ATOS appeals.

The additional workload on GPs related to benefits assessments was onerous and challenging and the way this was managed needed to be examined.

The provision of appropriate employment opportunities important and this needed to be carefully managed.

RESOLVED:

The Board noted the impact of welfare reform locally, particularly households with children and people on sickness and disability benefits.

That the comments of the Board be noted by officers.

Dr Katie Coleman, joint Vice-Chair of the Islington Clinical Commissioning group introduced the report.

Members recognised that although the patient access was only intended for individuals to view their own records, there were likely to be concerns about other agencies having access to that data.

There would need to be extensive training on the new system, particularly around domestic violence and child protection issues which would have financial implications.

Records would be prospective not retrospective and would just include coding not full plain text of consultations.

RESOLVED:

That the report be noted.

Julie Billett, Corporate Director of Public Health introduced the report.

RESOLVED:

That the priorities and planned actions for tobacco control in Islington, including joint activities with Camden be noted.

That the proposed partnership and governance arrangements for tobacco control across Camden and Islington be agreed.

Julie Billett, Corporate Director of Public Health introduced the report.

Healthwatch may have a useful role in feeding back on the views of the voluntary sector.

There was a rolling programme of updating existing factsheets. Members could feedback further comments outside of the meeting.

RESOLVED:

That Islington’s progress on the JSNA and the actions and timescales for updating it, particularly the work to collect resident and patient views be noted.

That the proposed approach and timetable for feeding back to the Health and Wellbeing Board on the JSNA be agreed.

Julie Billett, Corporate Director of Public Health introduced the report.

RESOLVED:

That progress against the Health and Wellbeing Boards three priorities be noted.

Thanos Morphitis, Service Director, Strategy and Commissioning introduced the report.

Members noted that Islington had not been selected to be part of the London Food Flagship programme but officers had worked hard on the submission and the Food Strategy would be available as part of their work.

Members welcomed the process and the work of officers on this issue.

RESOLVED:

That the Project Team (from Children’s Services, Public Health and Environment and Regeneration use the Flagship Plan as a basis to develop, with partners, a new Food Strategy for Islington.

That the actions within the Food Strategy be rolled out within existing resources.

That the Health and Wellbeing Board agree the Food Strategy, once finalised

RESOLVED:

That the work programme be noted.