Agenda and minutes

Apologies had been received from Dr Martin Dudley, Deputy Billy Dove, Paul Haigh and Dr Gary Marlowe.

There were no declarations.

To receive the order of the Court of Common Council from 23^rd April 2015 (to follow).

RESOLVED – that the Court Order be received.

To elect a Chairman in accordance in Standing Order 29.

The Committee proceeded to elect a Chairman in accordance with Standing Order No. 29. A list of Members eligible to stand was read and Dr Martin Dudley being the only Member expressing a willingness to serve was declared to have been elected as Chairman of the Health and Wellbeing Board for the ensuing year.

To elect a Deputy Chairman in accordance in Standing Order 30.

The Committee proceeded to elect a Deputy Chairman in accordance with Standing Order No. 30. A list of Members eligible to stand was read and Deputy Joyce Nash being the only Member expressing a willingness to serve was declared to have been elected as Deputy Chairman of the Health and Wellbeing Board for the ensuing year.

To receive the minutes of the previous meeting.

RESOLVED – that the minutes be agreed as an accurate record.

Matter arising:

Officers informed Members that due to changes to the GP contracts in the city, residents in the ward of Portsoken may experience a change in services provided. Members were invited to submit any questions they may have to Officers, as for NHS England would be attending the Health and Social Care Scrutiny Sub Committee on 5^th May 2015 to explain the change in GP contracts and out of area registration.

Report of the Director of Community and Children’s Services.

The Committee were informed that the City of London had commissioned the development of a Sports and Physical Activity Strategy to provide a vision and priorities for sport and physical activities for the next five years. The Strategy had been developed to reflect the national, regional and local policy context. This included the Joint Health and Wellbeing Strategy which includes a

commitment to address key health and wellbeing challenges including the need:

· to consider obesity and nutrition in the City population;

· for better collaborative working with businesses to address worker health

(including stress);

· to improve access to health-promoting facilities, in particular the affordability

of leisure activities.

In response to a query from Members regarding a recent article in the media outlining the benefits of a healthy diet, Officers said although diet was key to tackling obesity, physical activity had a number of health benefits such as tackling mental health problems and promoting an active lifestyle. Members discussed the use of City owned open spaces to promote exercise. Officers informed Members that they were working closely with colleagues in the Open Spaces directorate to signpost areas located outside of the square mile which provided outdoor exercise equipment for public use.

Members noted that Fusion were limited to increasing the price of their services by 5% and any increase which exceeded this limit would need to be considered by the Community and Children’s Services Committee.

RESOLVED – That the Sports and Physical Activity Strategy be approved.

Report of the Director of Community and Children’s Services.

The Committee were informed that there were currently a variety of services and interventions available to tackle child poverty in the City. Overall the City provides quality services for those currently engaged. However, services may be uncoordinated, confusing for families to navigate, or families may not currently be engaging. The work that has been undertaken as a result of the Child Poverty Needs Assessment recognises the high quality services available in the City, but proposes that further action could be taken to tackle the issue. A case management model was proposed, which would provide targeted, tailored and intensive work with families around employment and training for adults and education and aspiration-raising activities for children. This approach would support families to engage with and navigate services, and would tackle the root causes of poverty.

RESOLVED – that the development of a case management model as an approach to tackling child poverty in the City be endorsed.

Report of the Director of Public Health.

The Committee received the annual report of the Director of Public Health and noted that mental health was a key issue, with one in four people experiencing a mental health problem at some point in their lives, and the government seeking to give equal weight to mental health and physical health. Members noted the underlying causes and consequences of poor mental health, and describes the particular issues for different groups in the City and Hackney: children and young people, adults, older people and the issues around substance misuse.

Discussions ensued regarding the levels of child poverty in the wards of Cripplegate and Aldersgate. Members thanked the Director for a useful and comprehendible reports.

RESOLVED – that the report be received.

Report of the Director of Community and Children’s Services.

Members were informed that it was timely to refresh the JHWS again this year, in order to review strategy, priorities and accompanying action plan. This could take the format of a development day or shorter facilitated workshop (of around 2 hours),

preferably in July 2015. A full consultation was not required for the refresh, although key partners would be asked for their views and input from local people can be made through Healthwatch.

RESOLVED – that a development day be organised in July for Members to discuss the refreshing of the JHWS and action plan in 2015.

Report of the Chair of Healthwatch

The Board received an update from Healthwatch which focused on:

· TheBarts NHS Trust

· CCG workshop on integrated care

· Healthwatch Chair’s involvement with Sustainable City Awards

In response to a query regarding the cost of hiring televisions for use by TC card holders, the Chair of Healthwatch agreed to circulate this information to the Member via email after the Board meeting.

RESOLVED – that the update be received.

Report of the Director of Community and Children’s Services.

The Board received an update from officers which focused on:

Local updates

· Substance Misuse Health Needs Assessment for the City of London

· London Health and Wellbeing Boards Conference 2015

· Pharmaceutical Needs Assessment

· Better Health for London: next steps report

Policy updates

· Events

· Health and Wellbeing Boards

· NHS, Public Health and integrated care

· Obesity and exercise

· Causes of mortality

· Social determinants of health

· Children and young people

· Older people

RESOLVED – that the format for future update reports and email policy bulletins be approved.

There were no questions.

The Board received a report regarding the Inclusion of a priority about the health of children and young people in the Joint Health and Wellbeing Strategy. Members noted that the children’s services review had highlighted the urgent need for including a priority relating to the health and wellbeing needs of children and young people in the Joint Health and Wellbeing Strategy and the accompanying action plan. Members were asked to approve the inclusion of a new priority in the strategy and action plan: “Ensure children and young people enjoy good physical and mental health”.

RESOLVED – That the inclusion of a new priority in the strategy and action plan to “Ensure children and young people enjoy good physical and mental health” be approved.

MOTION - That under Section 100A(4) of the Local Government Act 1972, the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in Paragraph 3 of Part I of Schedule 12A of the Local Government Act.

MOTION - That under Section 100A(4) of the Local Government Act 1972, the

public be excluded from the meeting for the following items of business on the

grounds that they involve the likely disclosure of exempt information as defined

in Paragraph 3 of Part I of Schedule 12A of the Local Government Act.

To receive the non-public minutes of the previous meeting.

RESOLVED – That the minutes be approved as an accurate record.

There were no questions.

There was no urgent business.