Agenda and minutes

An election of Chair for this meeting only was conducted.

RESOLVED –

THAT Councillor Anna Wright be elected Chair for this meeting only.

RESOLVED –

THAT the guidance on hybrid meetings be agreed.

Apologies for absence were received from Councillors Georgia Gould and Marcus Boyland, Sarah Mcdonell- Davies and Foyezur Miah.

Apologies for absence were also received from the following Board members, who sent substitutes on their behalf:

·       Dee Hora who sent Dr Vimoshan Arumuham as a substitute.

·       Stephen Heard who sent Nikita Limbu as a substitute.

·       Vanessa Odlin who sent Sarah Hulme as a substitute.

·       Simon Wheatley who sent Kamaran Bhatti as a substitute.

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 meetings held on 22 September 2022 and 14 December 2022.

RESOLVED –

THAT the minutes of the meeting held on 22 September 2022 be agreed and the minutes of the informal meeting held on 14 December 2022 be noted.

There was no such business.

Report of the Director of Public Health.

This report provides an update on health protection issues and epidemiology in Camden.

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

RESOLVED –

THAT the report be noted.

Report of the Population Health Team (North Central London Integrated Care Board) and North London Councils Team

The Integrated Care Partnership is required to produce an integrated care strategy to set the strategic direction for health and care services across the whole geographic area of the ICS (Integrated care System). This is now presented for feedback on the delivery plan approach, and how it could support the delivery of Camden’s Joint Health and Wellbeing Strategy.

Consideration was given to the report of the Population Health Team (North Central London Integrated Care Board) and North London Councils Team.

After an introduction from the Director of Public Health and the Director of System Improvement, NCL ICB, the Board made the following comments:

·        The Board welcomed the report and were pleased to see the alignment with the Health and Wellbeing Board priorities.

·       The Board wanted to know whether, in the model,  resources would be shifted to react to changing need, or whether there would continue to be a focus on prevention and early intervention. The Director of System Improvement commented that further conversations, rooted in evidence, would be needed before an answer could be given, looking at where resources were currently and the outcomes from that.

·       The delivery plan would be critical in instilling a population health approach. It would also be important to bring health service users along with the changes, making sure they were engaged during the implementation phase.

·       An important piece of work to come out of the report would be to develop a robust secondary and tertiary prevention strategy.

·       It was acknowledged that work would need to be done to strengthen and support the voluntary sector in helping deliver the strategy. Any co-production would need to be built slowly to ensure it was done properly, it was important that the strategy reflected the needs of the community.

RESOLVED –

THAT the report be noted and particularly that the Board support the report and direction of travel.

Report of the Executive Director of Supporting People.

This report provides information for the Health and Wellbeing Board on the government’s Family Hub and Start for Life programme, how it dovetails with Camden’s current strategic objectives and, Camden’s planned approach to developing Family Hubs in the borough. It sets out how the Family Hubs funding is allocated and the headline proposals that were included in Camden’s delivery plan.

Consideration was given to the report of the Executive Director Supporting People. The report was introduced by the Executive Director Supporting People, the Director of Early Intervention and Prevention and the Early Years Operations Manager.

The Board made the following comments in their discussion of the report:

·       Good opportunities to work together in the future to support children and families with long term conditions.

·       The Board were interested in ways that health partners could be accessible through these hubs, allowing certain health service access.

·       Parents and carers had been positive about the family hubs and enhancement of universal offer.

·       In response to a question from the Board, the Director of Early Intervention and Prevention commented that it would be difficult to say what would happen to the project after year three, however, a continued service would be expected, though it was not currently clear what that would look like.

RESOLVED –

THAT the report be noted.

Report of the Director of Public Health.

The report aims to inform a themed discussion around childhood immunisations at the Health and Wellbeing Board on 15 March 2023. It includes information on Camden’s vision for long-term change, ongoing activity within the borough immunisations programme, and recently test and learn activity to implement a population health approach to childhood immunisations. 

Appendix A and B refer to the regional vision for childhood immunisations, asserting that fundamental shifts in the commissioning and delivery of immunisations are required to significantly shift the dial on uptake.

Appendix C draws attention to ongoing work through Camden’s immunisation programme, seeking to increase uptake of childhood immunisations. The Camden Immunisation Group, working with NCL immunisation improvement managers, have centred their work on three core tenets: effective call and recall; improved parental education; and addressing inequalities.

Finally, the report explains the process being tested as part of the Camden Health and Wellbeing Strategy implementation. Specifically, how the Camden population health approach has been applied within the context of the Healthy and Ready for School short-term priority, with a focus on childhood immunisations. This includes work to understand local need, map and convene stakeholders, identify new opportunities, and then transition the system towards delivery.

Consideration was given to the report of the director of Public Health who, along with the Deputy Director of Vaccination Transformation NCL ICB, introduced the report.

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

·       Barriers, even small ones could impact vaccine uptake. All barriers would need to be addressed to aid an increase in uptake.

·       Flexibility would be required around engagement; a one size fits all approach would not work.

·       Rises in illness linked to those not taking up vaccines, impacted the workforce due to sickness absence.

·       Sometimes adults with mental ill health did not utilise the full range of health services, this would likely extend to adult and child vaccinations.

·       It would be important for organisations to have conversations around the sharing of data to target groups with low vaccine uptakes.

·       Hyper local programmes, that had targeted vaccine hesitancy in a particular group had proven to be successful.

·       It might be beneficial to look at facilitating the health visitor workforce to have the skills to carry out vaccinations.

·       Making every contact count in a health setting by asking whether people had received vaccines.

·       Some barriers to vaccination uptake could be the ways in which services are commissioned and how easy getting vaccinated is to access.

·       The creation of vaccine champions allowed there to be people trusted by communities within the healthcare system.

·       Messaging from healthcare providers could increase mistrust in certain communities, it would be necessary to engage and work with community leaders to build trust with certain communities.

·       Barriers to vaccines because of structural commissioning was taken to the London Health Board, every ICS said they will make vaccine uptake a priority.

RESOLVED –

THAT the report be noted.

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. The future programme 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.

RESOLVED –

THAT the work programme be noted.

There was no such business.