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.

Apologies for absence were received from Councillors Richard Olszewski and Marcus Boyland, Dr Amarra Hughes, Steve Spoerry, Sanjay Ganvir, Stephen Heard who sent Philippa Robinson as a substitute, Natalie Fox who sent Jo Carroll as a substitute, and Vanessa Odlin who sent Pamela Akorley as a substitute.

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

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.

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 10 July 2024.

RESOLVED –

THAT the minutes of the meeting held on 10 July 2024 be agreed.

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, who introduced the report.

The Board discussed respiratory syncytial virus (RSV) vaccinations and how to maximise uptake.

RESOLVED –

THAT the report be noted.

Report of the Director of Strategy and Commissioning Adult Social Care.

This report provides an update to the Health and Wellbeing Board about the Camden 2024-25 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 2024-25 is £44 million, which includes an additional funding allocation of £5m to improve hospital discharge.

This report provides an overview of the changes to the funding investments in 2024-25, as well as proposed metric targets. The proposed local targets for the national BCF metrics measure the performance of the integrated health and care system. The targets that are 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, a two-year plan was agreed and approved for 2023-25. For 2024-25, only a lighter-touch update was therefore required to be submitted with any changes in investment as well as new metric targets. Due to the significant financial pressures across the health and care system, agreement was delayed across the 5 North Central London councils and the Integrated Care Board. This meant it was not possible to submit a Camden plan update for 2024-25 in line with the initial NHS England deadline of the 10 June 2024. A mediated process was undertaken, and agreement of the Camden 2024-25 BCF plan was reached in mid-July 2024.

Consideration was given to the report of the Director of Strategy and Commissioning Adult Social Care.

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

·       The role of the Better Care Fund in resourcing local integrated care initiatives and how the Board could input at the planning stage for next year’s fund.

·       How to involve and support carers.

RESOLVED –

THAT the report be noted

Report of the Executive Director of Adults and Health.

The Health and Wellbeing Board’s Terms of Reference require an update, firstly to allow the membership to elect a chair from amongst its membership and secondly to update an instance of outdated terminology. The changes require an update to the Constitution and therefore need to be agreed by the Health and Wellbeing Board, the Audit and Corporate Governance Committee and full Council.

Consideration was given to the report of the Executive Director Adults and Health.

The Director of Place (West) NCL ICB commented that there were some minor corrections to organisation names that he would pick up outside of the meeting.

RESOLVED –

i)                 THAT the report be noted.

ii)               THAT the Board recommend the changes to the Terms of Reference set out in paragraphs 2.1 - 2.2 to Audit and Corporate Governance Committee for recommendation on the Council.

Report of Chief Strategy and Population Health Officer, NCL Integrated Care Board (ICB).

The NCL Population Health & Integrated Care (PH & IC) Strategy was endorsed by system partners in April 2023 following a significant programme of engagement and co-production. It outlines an ambition to tackle health inequalities by a shared emphasis on early intervention, prevention and proactive care.

Since April 2023, significant socialising, and planning work across the Integrated Care Partnership (ICP) has culminated in the development of the NCL Delivery Plan (which also serves as the Joint Forward Plan (JFP)) which outlines our critical path to deliver against our PH & IC Strategy. This has been endorsed at the ICB Board of Members.

Work is ongoing to socialise the NCL Delivery Plan with the ICP and Health and Wellbeing Boards with the ask of colleagues to consider how to best remain involved in delivery moving forward and any implications for local footprint plans and strategies.

Consideration was given to the report of the Chief Strategy and Population Health Officer, NCL Integrated Care Board (ICB).

After an introduction by the Director of Place (West) NCL ICB and the Director of Strategy NCL ICB, the Board discussed the report and made the following comments:

·       The Board were interested in how the sentinel metrics aligned with existing strategies and how they would work with acute providers.

·       The link between mental health and general health.

·       A Board member described work with children and young people who were refugees who entered the country alone. The member said it was important to capture these people and their needs within the metrics.

·       Part of the Council’s contribution was providing priorities and focus and helping drive progress in those identified areas.

·       The impacts of the Darzi report and the outcomes of the Grenfell review.

·       It was important to communicate honestly about what there was and was not capacity for.

·       The system transfromation was an opportunity to think about how partnership organisations could work together to tackle some of the challenges identified in the report.

RESOLVED –

THAT the report be noted.

Report of Executive Director Adults and Health.

Good work and employment is one of the three short-term priority areas of the Camden Health and Wellbeing Strategy 2022-30, with a particular focus on supporting parents and people furthest from the labour market (e.g. people with learning disabilities) into good work and providing opportunities for Camden residents become part of our motivated, skilled health and care workforce.

The priority was last discussed by the Board in September 2023. This report provides an update on progress, highlights planned programmes of work and aims to stimulate discussion on how we best meet the needs of residents on this issue.

Consideration was given to the report of the Executive Director, Adults and Health. The report and discussion was introduced by the Managing Director, Camden Division North London Mental Health Partnership, Public Health Strategist, Head of Inclusive Economy and Good Work Camden Manager.

·       The Board welcomed the work.

·       Thought was needed to make the pathways to work within hyper-specialised provider settings, people who received care in these settings might not live locally.

·       Supporting the families of those seeking work.

·       Members of the Board discussed whether care providers could proactively link in with advisors, where appropriate, and become more systematic with supporting those experiencing medium-term unemployment with securing employment, before it became long term.

·       The Board asked whether supporting carers to secure and sustain employment was being prioritised and whether there was scope to have it as a focus.

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.

RESOLVED –

THAT the work programme be agreed.