Agenda and minutes

Apologies for absence were received from Councillors Georgia Gould and Marcus Boyland, Dr Ammara Hughes and Vanessa Odlin.

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 consider the minutes of the meeting held on 20 September 2023.

RESOLVED –

THAT the minutes of the meeting held on 20 September 2023 be agreed.

There was no urgent 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.

After an introduction by the Director of Public Health, the Board discussed the report:

·       In response to a question from the Board, the Director of Public Health said that vaccinations of those under 2 years old were not at the rate that Camden wanted, perhaps because of vaccine fatigue in people. The Director of Public Health said that this had not yet translated to higher hospital admissions.

·       The Board discussed that there was acute pressure on the mental health system and there were high levels of presentations at emergency departments. A Member of the Board asked about the potential for future work analysis around delays to discharges from mental health facilities.

·       Camden had a Norovirus community and care prevention offer for care homes and education settings.

·       The Board also wanted to remind the public that there were going to be more industrial action taken by healthcare professionals in January. The health system, as a whole, was under intense operational pressure and so for non-urgent medical issues a good option would be to contact 111 or a community pharmacy.

RESOLVED –

THAT the report be noted.

Report of the Executive Director Adults & Health, Camden Council and the

Director of Integration, Camden Borough, NCL ICB

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

This paper summarises three of the key current priorities held and overseen by the Camden Integrated Care Executive (CICE). These priorities directly respond to the outcomes of the Camden Health and Care Citizens’ Assembly and the Borough partnership’s joint Health and Wellbeing Strategy. The detail of each priority is addressed in turn, including the rationale behind its prioritisation and progress made so far. Further detail is provided in the slide deck at Appendix A.

The priorities described within the paper are:

·       The evolution of integrated neighbourhood teams – and in particular the progress made so far in scoping, designing and mobilising a pilot in East Camden.

·       Optimising virtual wards – following the CICE-sponsored, multi-agency Virtual Ward Summit led by the UCL Provider Alliance

·       Baselining prevention – describing our collective ambition to better understand the resources we invest in preventative activities.

Consideration was given to the report of Report of the Executive Director Adults & Health, Camden Council and the Director of Integration, Camden Borough, NCL ICB.

The report was introduced by the Executive Director Adults & Health.

Integrated neighbourhood teams

Alex Warner introduced the section.

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

·       The new NHS vaccination strategy had been published and it fitted well with a neighbourhood approach.

·       This work provided an opportunity to deliver population health management and reduction of health inequalities in practice.

·       In response to a question from the Board, Alex Warner commented that the east of Camden was chosen for the pilot because it was a relatively simple are in terms of health geographies and existing systems. The area also had higher levels of inequality and the health needs that the pilot was looking to address.

·       A timeframe for rolling out the pilot more widely would be dependent on the combined resources of partners and was already beginning.

Virtual wards

Kate Petts introduced the section.

The Board commented that there had been a reluctance of uptake and concerns from general practice as there were instances of health teams and patients not knowing that they were on the virtual ward pathway. Where this was the case the patient would often contact their GP and create additional burden on the primary healthcare pathway. This would be something that should continue to be addressed as the use of virtual wards increased.

Prevention Baselining

The Director of Integration, Camden Borough, NCL ICB introduced the section.

The Board made the following comments:

·       The work would be useful in aligning what prevention and preventative work means to all partners and understanding what resources there would be to invest in the work.

·       The Director of Integration, Camden Borough, NCL ICB agreed to come and share an update at a future meeting.

Action by: the Director of Integration, Camden Borough, NCL ICB

RESOLVED –

THAT the report be noted.

Report of Director of Public Health.

Consideration was given to the report of the Director of Public Health, who along with the Public Health Strategist and the Participation Lead, introduced the report.

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

·       The Board member from Healthwatch Camden offered to help the programme, where possible.

·       There was a discussion about possible future funding streams.

·       The Community Champions was a great way to engage with difficult to reach communities.

·       Ensuring that residents and care providers were aware of how the system worked was important to the programme’s success and resilience moving forward.

RESOLVED –

THAT the report be noted.

Report of the Director of Health and Wellbeing.

The report updates on progress for the implementation of the community connectedness and friendships short-term priority within the Camden Health and Wellbeing Strategy 2022-30. This includes how the Camden population health approach has been applied to different issues and population groups to bring partners together from across the system to identify and prioritise opportunities for collective action and intervention.

This report describes how the process has been applied in the context of the Community Connectedness and Friendships short-term priority, including work that has been undertaken to transition to delivery.

Consideration was given to the report of the Director of Health and Wellbeing. The report was introduced by the Chief Executive Officer, Voluntary Action Camden , the Public Health Consultant, the Communications and Engagement Lead – Camden Health and Wellbeing and Donna Turnbull, Voluntary Action Camden.

The Board discussed the report and made the following comments:

·       Members who represented NHS Trusts said that wards and colleagues had varying levels of awareness of how to connect to communities and neighbourhoods.

·       The work reinforced the value that working with a neighbourhood approach could bring.

·       It would be important to have ongoing promotion of programmes as well as the initial campaigns.  This would ensure that information was accessible when needed to suggest certain programmes or avenues for residents.

·       There was a role that schools could play in signposting, though there would need to be training around signposting provided to schools as there was a training need.

·       The Board member representing the Tavistock and Portman NHS Foundation Trust commented that they were happy to be included in the work.

·       Within Primary Care there was a gap in the adolescent population around social prescribers, there might be value in upscaling the social prescribers.

RESOLVED –

THAT the report be noted.

Report of the Director of Public Health.

The 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.

At the July 2023 Board meeting the Head of Homelessness Transformation discussed the development of work on intersectionality and inequality. The Chair asked for an update on this work to be circulated to the Board when it had begun. This update can be found at Appendix A of this item.

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

RESOLVED –

THAT the report be noted.

There was no such business.