Agenda and minutes

RESOLVED –

THAT the the guidance on hybrid meetings be agreed.

Apologies for absence were received from Graeme Caul, John Connolly, Sanjay Ganvir, Ammara Hughes, Sarah Mcdonnell-Davies, Keith Morgan, Julia Neuberger, Martin Pratt and Jackie Smith.

It was noted that Kevan Ritchie and Neel Gupta would no longer be members of the Board and replacement members would be found. The Chair thanked them both for their contributions and for being champions of communities.

Broadcast of the meeting

The Chair to announce the following: ‘In addition to the rights by law that the public and press have to record this meeting, I would like to remind everyone that this meeting is being broadcast live by the Council to the Internet and can be viewed on our website for twelve months after the meeting. After that time, webcasts are archived and can be made available upon request.

If you are seated in the Chamber, you are deemed to be consenting to having your contributions recorded and broadcast, including video when switched on, and to the use of those sound recordings and images for webcasting and/or training purposes.’

Any other announcements

Broadcast of the meeting

The Chair announced that the meeting was being broadcast live by the Council to the Internet and could be viewed on the website for twelve months after the meeting. After that time, webcasts were archived and could be made available upon request. Those who had asked to address the meeting were deemed to be consenting to having their contributions recorded and broadcast and to the use of those sound recordings and images for webcasting and/or training purposes.

Youth Safety Fortnight

The Chair announced that it was Youth Safety Fortnight until 10^th July with a theme of ‘keeping young people in Camden safe’. The programme that featured over 80 activities, including workshops, webinars, sporting and creative activities, as well as celebrations and educational events.

Children’s Services Ofsted result

Camden’s children’s services had been rated ‘outstanding’ by Ofsted, placing them as one of the best performers in the country. The Chair thanked the Health and Wellbeing Board for it’s role in that, noting the strength of partnerships helping to bring the system together.

Wellbeing Champions awards

The Cabinet Member for Best Start for Children and Families announced that Camden had hosted an awards ceremony for Wellbeing Champions within schools in Camden. He thanked the students, parents and teachers for making the effort to attend.

No declarations were made.

To consider and agree the minutes of the meeting held on 16 March 2022.

RESOLVED –

THAT the minutes of the meeting held on 16 March 2022 be agreed.

There were no deputations.

There was no such business.

Report of the Director of Public Health.

This report gives the Health and Wellbeing Board an update on Covid-19 response and matters relating to Public Health in Camden.

Consideration was given to the report of the Director of Public Health, who introduced the report.

In their discussion of the report the Board made the following comments:

·       The increase COVID-19 infection rate.

·       In the Autumn there would be a large scale COIVID-19 vaccination booster programme.

·       The COVID-19 Vaccination Bus, that helped bring the vaccine to hard to reach communities was being repurposed to include tackling other long term health conditions.

RESOLVED –

THAT the report be noted.

Report of the Chief Development & Population Health Officer Designate, North Central London Clinical Commissioning Group.

This report provides members with a recap on the two service reviews, one for community services and one for mental health, currently in progress across NCL. The CCG has chosen to run these two reviews in parallel partly in recognition of the number of local residents requiring both physical and mental health services and therefore the opportunities the reviews will bring for delivering a more integrated approach for local people.

Consideration was given to the report of the Chief Development & Population Health Officer Designate, North Central London Clinical Commissioning Group, now known as the North Central London Integrated Care Board (NCL ICB)

The report was introduced by the Interim Director of Aligned Commissioning NCL ICB, the Assistant Director of Mental Health and Learning Disability Commissioning Camden NCL ICB and the Deputy Director of Children and Young People Commissioning NCL ICB.

In their discussion, the Board made the following comments:

·       How other partners can do to support and contribute to the work.

·       Acknowledgement that community looks different for different areas and that codesigning with residents would be an important method in forming the model.

·       The inclusion of housing officers in multi-disciplinary mental health teams.

·       Understanding that there was a large scale of need for mental health treatment and certain groups were disproportionality disadvantaged around receiving treatment.

·       There was a joint working partnership with Camden and NHS providers to help tackle the issue of special educational needs assessment waiting times

RESOLVED –

THAT the report be noted.

Report of the Director of Public Health.

This is an update for the Health and Wellbeing Board on the Draft Annual Public Health Report 2022 on Adolescent Health and Wellbeing. Directors of Public Health in England have a statutory duty to write an Annual Public Health Report (APHR) to consider the state of health within their communities and provide evidence-based recommendations for improving health and wellbeing. 

Camden’s draft 2021/22 APHR focuses on adolescent health and wellbeing. Adolescence is a critical developmental period with biological, social, psychological and behavioural changes with long-term implications for health and well-being. This cohort has also been disproportionately affected by the impact of the Covid-19 pandemic.

This APHR is not intended to be a comprehensive review of all health and wellbeing issues affecting young people. It is a high-level report that explores each of these topic areas:

•       Healthy behaviours

•       Mental health

•       Youth Violence and safety

•       Education, training and first steps into employment

•       Long term health conditions

The APHR report has been delayed due to the pandemic and is currently in draft form. The recommendations will be taken to a workshop with the Health and Wellbeing Board in September 2022 to agree next steps. 

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Consideration was given to the report of Director of Public Health.

A Board member commented that the report did not mention the impact of pornography on adolescent mental health.

RESOLVED –

THAT the report be noted.

Report of the Director of Adult Social Care.

The Better Care Fund (BCF) is a mandatory pooled fund across social care and health that continues to act as a strategic enabler in the development of the Camden Integrated Care Partnership (ICP). 

This report provides an overview of the Camden BCF performance in 2021-22 and gives an update on the planning for the BCF in 2022-23.

Target setting for the 2021-22 BCF was challenging in the context of Covid and while not all targets were met, Camden has performed well in comparison to neighbouring boroughs and with the ongoing impact from pandemic recovery.

The Camden BCF will increase by 5.7% in 22-23 to £36m. As in previous years, the majority of funding supports core budgets and services, but the uplift does create an opportunity for some increased or new investment in some priority areas such as Autism.

The detailed requirements from central government for the BCF plan in 2022-23 have yet to be confirmed. The Health and Wellbeing Board is therefore asked to review the approach to the development of the BCF plan and to agree the delegation of the final sign off for the plan, budget and future reporting requirements to the Executive Director, Supporting People. 

Consideration was given to the report of the Director of Adult Social Care, who introduced the report.

RESOLVED –

THAT the recommendations be agreed as set out in the report..

Report of the Director of Public Health.

This report sets out Camden’s commitment to a homelessness system transformation, the initial priorities for the programme and the progress made to date. The transformation programme aims to implement a more integrated, relational, population health offer for people experiencing homelessness in Camden, learning lessons from our response to the Covid-19 pandemic and the legacy of Fulfilling Lives in Islington and Camden (FLIC), implementing NICE (National Institute for Health and Care Excellence) guidance, and delivering broader NHS and Council strategies.

The transformation will be delivered via a 2-year programme, with the appointment of a Head of Homelessness System Transformation to provide coordinated leadership, and a system-wide partnership and governance. Coproduction with residents is a central tenet of the transformation, and people with lived experience will be involved at every level, including through a funded coproduction element.

The Board are asked to consider a series of prompts about the transformation and how we can deliver improved access, experience and outcomes for people experiencing homelessness across the system, supporting them to improve their health and wellbeing and move away from homelessness.

Consideration was given to the report of the Director of Public Health.

After a brief introduction from the Chair, the Head of Homelessness System Transformation, the Assistant Director of Public Health and the Project Lead – Community Homeless Healthcare at University College Hospital (UCLH) spoke the Board through presentation included in the agenda.

The Board reflected on what their individual organisations were doing to support the work. Key comments from the discussion were:

·       Working collaboratively across organisations on the system.

·       A timeline of work would be decided over the next few meetings of the programme board. At this point, priorities would be agreed.

·       The system would allow for homelessness to be used as a proxy measure for where services have failed.

·       It would be important to look at the work already underway before coming up with new things.

·       The necessity of staff training to create a workforce that better understands homelessness. It would be key to ensure that enough people had the correct skill level and awareness of trauma based approaches to care.

·       The Board commented that housing services were an important area of discussion for this topic. Housing needed to be embedded into the system.

·       The Board asked if more work could be done around segmenting the work around the hidden homeless and prevention. Understanding where prevention measures could be adopted and individuals could be identified.

·       Providing people with the correct knowledge to receive care if they had no fixed address.

RESOLVED –

THAT the recommendations as set out in the report be agreed.

Report of the Director of Public Health.

The Camden Health and Wellbeing Board’s work programme is developed by Board members and partners, with oversight from the Chair of the Board and support from Camden strategy officers.  This programme for 2022/23 is intended to be a working document and will be reviewed and agreed by the Board at every meeting. The Board is asked to note the draft programme and suggest items for inclusion at future meetings.

Consideration was given to the report of the Director of Public Health.

In their discussion the Chair asked for a separate workshop on the adolescent public health report.

Action by: the Senior Policy and Projects Officer.

RESOLVED –

THAT the work programme be noted.

There was no such business.