Agenda and minutes

RESOLVED –

THAT the the guidance on hybrid meetings be agreed.

Apologies for absence were received from Sanjay Ganvir, Ammara Hughes, Sarah McDonnell-Davies, Foyezur Miah, Vanessa Odlin, Alex Warner and Kirsten Watters.

Apologies for absence were also received from Julia Neuberger and Darren Summers who sent Chyrel Brown and Alice Langley as substitutes respectively.

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.

No declarations were made.

There were no deputations.

To consider and agree the minutes of the meeting held on 6 July 2022.

RESOLVED –

THAT the minutes of the meeting held on 6 July 2022 be agreed.

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.

RESOLVED –

THAT the report be noted.

Report of the Start Well Programme Director, North Central London Integrated Care System (NCL ICS).

An overview of opportunities for improvement in maternity, neonatal, children and young people’s services in North Central London.

Consideration was given to the report of the Start Well Programme Director, North Central London Integrated Care System (NCL ICS).

After an introduction from the Start Well Programme Director, the Start Well Lead NCL Integrated Care Board (ICB) and the Head of Communications and Engagement NCL ICB, the board made the following comments in their discussion of the report:

Concern was raised around maternity and neonatal care and the disparity with mortality rates for ethnic minorities. The Board asked what further investigations were taking place and whether Black, Asian and minority ethnic patients were involved in discussions.

The Start Well Lead NCL ICB commented that the data in the report reflected national picture for variational outcomes healthcare for different communities. The ICB had asked the local maternity network to do deep dive into experiences in different boroughs.

The Head of Communications and Engagement NCL ICB explained the ongoing work being carried out around targeted engagement to include a diversity of voices. The and the Head of Communications and Engagement NCL ICB acknowledged that there was always more work that could be done around engagement and the ICB were working with voluntary sector partners to see how we can best reach all groups.

The Board noted the need to address issues of healthcare outcome inequality at a system design stage.

The Board commented on the high number of children and young people accessing care through emergency departments. They asked whether there were reasons people were presenting at one part of the system.

The Start Well Programme Director acknowledged that reflection was needed around best practices for models of care are and what they look like.

The Start Well Lead NCL ICB said that the reasons for people presenting in emergency departments were multi factorial and that it was people from the most deprived and least deprived groups that were accessing care this way. The ICB continued to work with ABC Parenting whose aim was to empower parents to manage minor child health issues. Whilst there would not be a one size fits all answer to this, neighbourhood hubs would be important forums to address how families view and react to childhood illness.

In response to a question from the Board, Start Well Programme Director explained that engagement around the Case for Change served two purposes both to inform the Case for Change and to identify next steps. A set of questions about the Case for Change to those who had read it that asked questions around anything the resident felt was missing or further areas that should be considered. Separately, questions were asked about future priorities, largely from a perspective about experiences of care

RESOLVED –

THAT the findings of the case for change and the progress of the work programme be noted.

Report of the Director of Healthwatch Camden.

Healthwatch Camden’s 2022-2026 strategy “Championing a Healthier Future” is presented to the board shortly after its publication in July 2022. The report highlights a period of opportunity and transition, not only for Healthwatch Camden’s internal environment, but their external environment, too. This report will communicate how Healthwatch Camden will operate within integrated working whilst keeping residents at the centre of their work. The key themes within the strategy read:

-         Empowering and informing the community

-         Collaborating with partners and stakeholders

-         Keeping close to residents

-         Sustainably operating with volunteer and interns

-         What to expect from Healthwatch Camden

Consideration was given to the report of the Director of Healthwatch Camden.

The report was introduced by the Director of Healthwatch Camden.

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

·       They felt that a focused discussion on citizen engagement would be helpful and asked for an update on the work of the Integrated Care Partnership.

Action by: the Senior Policy and Projects Officer

·       The Board were interested in the future work of Healthwatch Camden and were keen to identify areas of collaboration. The Director of Healthwatch Camden said the short and midterm focus would be A&E, maternity services and health factors for young people. He said that in the future there might be scope for collaboration with Camden around social care from a service user and carer perspective.

·       The Board commented that it would be helpful for Healthwatch Camden to share work programme with members to see if priorities could be aligned to work collaboratively.

Action by: the Senior Policy and Projects Officer

RESOLVED –

THAT the report and recommendations be noted.

Report of the Director of Adult Social Care and the Head of Inclusive Economy.

This report provides strategic context on good work and employment as a short-term priority of the Camden partnership’s joint Health and Wellbeing Strategy, and the workforce challenge currently facing the health and care system. Good Work Camden’s work to support residents’ access to good work is detailed, providing an example of what works and what more can be done to help shift the dial on these issues. A focus on opportunities for broadening and deepening the partnership’s response to these interlocking challenges then follows. Key questions are included to help direct the focus of the discussion portion of the meeting.

Consideration was given to the report of the Director of Adult Social Care and the Head of Inclusive Economy.

After the report had been introduced by the Director of Adult Social Care, Camden Head of Integration & Borough Partnership Development, NCL ICB, the CEO of Camden Disability Action (CDA), the Head of Inclusive Economy and the Inclusive Economy Project Officer, the Board discussed the report. In their introduction, the CEO of CDA spoke about the work of the organisation and value and support they can offer people with disabilities.

To aid the discussion the Chair read out questions and asked for organisations to respond, these were:

·       What are you doing to recruit locally to fill gaps in your workforce, and what can the partnership do to encourage employers to recruit locally?

·       How can existing small-scale activity be scaled up to make a real impact for our residents?

·       Have you thought about how to support existing, lower paid members of staff with the cost of living crisis?

·       Are there opportunities to align health and care careers advice to schools and colleges in Camden, both now and to build a pipeline for years to come?

Key responses from the Board and invitees to these questions were:

·       CDA were planning to create routes to employment through apprenticeships and supported internships. They would continue to run employability programmes that offered peer support to those seeking employment. The CEO of CDA invited the organisations present in the meeting to work with them to get people in work.

·       The Director of Integration in Camden NCL CCG commented that there were a lot of existing initiatives, with a lot of good practice. It would be helpful to capture those experiences and gain understanding through those insights. The Board agreed that creating a centralised resource that showed best practice would be key way of sharing ways of working.

Action by: the Head of Inclusive Economy

·       Post-16 education careers advice in schools through Camden Learning could provide an opportunity for Health employers to engage with young people.

·       The Chair commented that Health partners and employers should be invited to the next meeting of the STEAM hub (Science, Technology, Engineering, Arts and Mathematics), which specialised in building young people’s awareness of STEAM industries and supported them to develop the skills employers need.

Action by: the Senior Policy and Projects Officer

·       As part of the work, a key step would be being clear and more open about the range of health careers, what is offered and what developmental opportunities are available.

·       Healthwatch Camden provided university students at UCL and overseas the opportunity to work on projects whilst still studying.

·       In relation to new approaches to local recruitment pilot, the Board agreed they should try and make the application process more simple rather than training people how to use an often difficult to navigate platform. The Board agreed that this should be a continued discussion and asked for partners to nominate relevant representatives from their organisations to talk through the issue and options  ...  view the full minutes text for item 11.

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.

Following the discussions in the meeting the Chair asked for a standing item on an update on the work around integration.

Action by: the Senior Policy and Projects Officer.

RESOLVED –

THAT the work programme be noted.

There was no such business.