Agenda and minutes

Apologies for absence were received from Councillors Marcus Boyland and Anna Wright, John Connolly, Sanjay Ganvir, Stephen Heard, John Lawlor, Robert Vincent and Kirsten Watters.

No declarations were made.

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 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.’

Requests to speak at the Board meeting on a matter within its terms of reference must be made in writing to the clerk named on the front of this agenda by 5pm two working days before the meeting.

There were no deputations.

To note the Health and Wellbeing Board terms of reference.

The Terms of Reference for the Health and Wellbeing Board were noted.

To consider the minutes of the meeting held on 4 May 2023.

RESOLVED –

THAT the minutes of the meeting held on 4 May 2023 be agreed.

There was no urgent business.

To consider the appointment of Ruby Nasser as the Primary Schools Representative co-opted member.

RESOLVED –

THAT Ruby Nasser be appointed as the Primary Schools Representative co-opted member.

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. The Report was introduced by the Public Health Consultant.

A member of the Board asked that we take learning from the rise in cases of Scarlet Fever and provide information that is going to be sent to schools to GP surgeries in advance. The Public Health Consultant said that work was happening to ensure good information circulation.

RESOLVED –

THAT the report be noted.

Report of the Founder of the Leanne Pero Foundation.

The Black Women Rising cancer support project is the flagship programme of The Leanne Pero Foundation, a registered UK charity offering vital help, information and practical advice for people of colour who have been diagnosed with cancer. This item provides an opportunity for learning on the matter of tackling inequalities and disproportionality, a key priority of the Borough Partnership’s Health and Wellbeing Strategy, as well as exposure to the local health system for the charity.

Consideration was given to the Founder of the Leanne Pero Foundation. The report was introduced by the Commissioning Engagement Lead and the Partnerships Lead, Leanne Pero Foundation.

Public Health work involved cancer prevention and information promotion; colleagues could come together with Leanne Pero Foundation on cancer prevention work to ensure that the messaging was appropriate for all audiences. It would also be an opportunity to look at cancer pathways to see where groups were being lost or were missing.

Action by: the Public Health Consultant

The Director of Integration - Camden Directorate, North Central London ICB said that he would put the Foundation in touch with the general practice community to look at promoting communication material. He would also facilitate introductions with  the Training Hub that provides workforce training for Camden. To create connection at broader levels, and the targeting of groups with disproportionate health outcomes, the Director of Integration said that he would also put the Foundation in touch with the NCL Cancer Alliance.

Action by: The Director of Integration - Camden Directorate, North Central London ICB

The Board discussed the late issue of late diagnosis of cancer within communities. The Board to committed to looking more deeply into disproportionality of health outcomes when considering reports.

RESOLVED –

THAT the report be noted.

Report of the Executive Director, Adults and Health.

This paper gives an overview of the work taking place across Camden Adult Social Care, with a particular focus on Neighbourhoods, Adult Early Help, Co-production (Participation and Engagement), Transforming Care and Support at Home, as well as the Accommodation Strategy.

Consideration was given to the Executive Director, Adults and Health. The Executive Director, Adults and Health, the Head of Adult Social Care (ASC) Operations and the Head of ASC Strategy and Commissioning introduced the report.

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

·       As well as testing the structure, paying attention to the impact on how residents accessed healthcare would be important.

·       For the accommodation strategy, the team would look at resident pathways and housing need as well as longer term investment.

·       It would be helpful to look at previous examples of integrated working to see what worked and what did not.

·       Clarity on the role and resources for the voluntary and community sector would be helpful, allowing for skills to be developed where needed. The Head of ASC Strategy and Commissioning said that Community connectedness was an important part of the vision and that they would look to bring a range of different partners and stakeholders into neighbourhood work conversations.

RESOLVED –

THAT the report be noted.

Report of the Executive Director, Adults and Health.

This report seeks Health and Wellbeing Board approval of the Camden 2023-25 Better Care Fund (BCF) plan.  Under the BCF, local authorities and NHS Integrated Care Boards are required to enter into annual pooled budget arrangements and agree an integrated spending plan for the BCF funding. The total Camden BCF in 2023-24 is £40.4 million, which includes an additional funding allocation of £3m to improve hospital discharge.

The report provides an overview of the two-year (2023-25) BCF Plan, which continues to act as a strategic enabler in the development of the Camden Integrated Care Partnership (ICP). The plan includes proposed local targets for the national BCF metrics that measure the performance of the integrated health and care system. The targets set represent an ambitious aim to continue with the post-pandemic recovery and have been developed in partnership with social care and NHS colleagues.

In most previous years BCF plans were required for a single year, however, this year a two-year plan is required. For 2023-24 the Camden BCF Plan is largely a continuation of the expenditure plan for 2022-23 with adjustments for inflation, and new allocations to support improved hospital discharge. A review will be undertaken in the autumn to look at further opportunities for amendments for the 2024-25 BCF.

Consideration was given to the report of the Executive Director, Adults and Health, who gave an introduction of the report.

RESOLVED –

THAT the Board agrees the recommendations as set out in the report.

Report of the Director of Public Health.

Camden’s Homelessness System Transformation is a three-year programme running from April 2022 to March 2025 that aims to implement a more holistic, integrated approach to homelessness in all its forms.

The programme takes a ‘whole system’ view of homelessness that looks at perspectives across health and social care, housing, community and justice sectors, and brings these key partners together alongside people with lived experience in a coproduction approach.

Since presenting to the Health and Wellbeing Board in July 2022, significant progress has been made. Multiagency governance has been strengthened, the programme has collaboratively agreed five overarching system priorities and, within this framework, a set of tangible objectives for 2023/24. The paper expands on these successes, also reflecting on lessons learnt, existing and surfacing challenges for homeless residents and next steps for the programme.

Consideration was given to the report of the Director of Public Health. The report was introduced by the Head of Homelessness System Transformation and the Public Health Consultant.

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

·       The Board welcomed the work and thought that this model could be used to look at other areas of inequality and access to services.

·       Work that was happening around transitional safeguarding would benefit from learning from and identifying itself within the system.

·       The impact of the programme so far had been substantial.

·       The sessions that were being run provided opportunities for service leaders to hear and understand blocks within service systems.

·       the Head of Homelessness System Transformation said that intersectionality and inequality was an area of development within the system. Work around this was expected to happen within the next 8 months. The Chair asked for an update on this work to be circulated to the Board when it had begun.

Action by: the Head of Homelessness System Transformation.

·       The Board mentioned the work of the Equality Forum and whether there was space to link this work with them.

·       It would be of value to return to the wider care setting with examples of what had not worked well with navigating the healthcare system.

·       Some of the barriers had been created because of commissioning structures.

·       The Director of Integration - Camden Directorate, North Central London ICB, said that he would be happy to help facilitate contact with professional groups.

·       A&E was a key area of the system, however, making referrals under the Homelessness Reduction Act was not easily navigable.

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.

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

In their discussion of the work programme, the Board requested an updated on the Population Health and Integration Strategy at the next appropriate meeting.

Action by: the Senior Policy and Projects officer

RESOLVED –

THAT the report be noted.

·       20 September 2023

·       20 December 2023

·       13 March 2024

The dates of the next meeting and future meetings were noted.

There was no such business.