Agenda and minutes

Apologies had been received from Vivienne Littlechild. Members were informed that Superintendent Norma Collicott was on secondment to Her Majesty’s Inspectorate of Constabulary for the next 2 years. Therefore, the Commissioner had appointed Superintendent Helen Isaac as the interim CoLP representative on the City’s Health & Wellbeing Board, as per the Board’s terms of reference.

There were no declarations.

To agree the minutes of the previous meeting.

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

Matters Arising:

Members were advised that the Assistant Director, Commissioning and Partnerships had attended the recent Health and Social Care Scrutiny Committee and gave a verbal update regarding the INEL JHOSC meeting held on 27 May 2015. Barts Health NHS Trust and the Care Quality Commission (CQC) had been in attendance, and the Committee had queried them both on the recent inspection results. Key points raised at the meeting were:

·        CQC advised re-inspections would be carried out within 12 months;

·        Barts were moving away from Clinical Advisory Groups (CAGs) to a more site-based  management system;

·        The impact on the finances of the Trust from the changes proposed by Barts Health to remedy the shortfalls identified by CQC was unclear; and

·        Barts Health Trust had agreed to report back to the INEL JHOSC later in the year.

Board Members asked that the minutes of the meeting of the Health and Social Care Scrutiny Committee be circulated to the Health and Wellbeing Board Members for information.

Report of the Director of Markets and Consumer Protection.

The Committee received the report of the Director of Markets and Consumer Protection informing Members that the Noise Strategy, agreed by Port Health and

Environmental Services (PHES) Committee in May 2012, considered

four key areas: dealing with complaints of excessive noise; minimising

noise associated with new developments; reducing noise from transport

and street works and protecting areas of relative tranquillity.

Members noted that the City Corporation had a statutory obligation to investigate complaints of excessive noise, to use its functions as a planning authority to minimise noise from new developments, and as a licensing authority, to minimise noise from entertainment.

In response to a query, Members were informed that there was growing interest in the protection and enhancement of relatively tranquil spaces in urban areas and this was reflected in both the London Plan and the draft National Planning and Policy Framework, both of which require local authorities to aim to identify and protect such areas of relative tranquillity.

Members agreed that noise pollution was a serious concern which must be bought to the attention of the City’s Licensing and Planning & Transportation Committees to ensure conditions regarding noise levels were monitored and adhered to. The Board agreed to seek assurance from the Licensing and Planning & Transportation Committees that compliance was taking place.

Resolved – that the report be received.

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

The Committee received the report of the Director of Community and Children’s Services and noted that from April 2013, local authorities had been mandated to provide comprehensive sexual health services to their residential population. This included open access to genito-urinary medicine (GUM) services, which include outpatient HIV services, HIV testing, specimen analysis and the dispensing of medication alongside a wider range of sexual health services.

Members noted as it was open access, City residents could access GUM services across the country and the City of London Corporation would be required to pay for it. Members noted that to date, the City of London Corporation had been working with local authorities across Waltham Forest, Hackney, Tower Hamlets and Newham to negotiate the tariffs and terms for payment with GUM providers who had the highest activity levels for our local authority areas. These negotiations had resulted in savings for each local authority.

Resolved – that Members approved the followed:

· Officers to work with local authorities in East London to conduct tariff

negotiations on an annual basis for the next three years (up to 2017/18) with

large GUM providers to secure competitive tariff rates, validate activity against

invoices, manage service requirements and issue the City’s financial terms

and conditions.

· Officers to publish default conditions for financial year 2015/16 on

the City of London Corporation website for other GUM providers who do not

partake in local tariff agreements, outlining:

· The City and Hackney proposed starting position for 2015/16 baseline tariff

rates and outlining our conditions to provide validation information against

invoices charged to the City;

· Notifying GUM providers that payments are processed for the City by LB

Hackney and of LB Hackney’s process for payment and expected compliance

with LB Hackney’s financial terms and condition requirements prior to being

Report of the Commissioning and Performance Manager (Public Health)

The Board received the report of the Director of Community and Children’s Services informing Members that in March 2014 the City started a Harm Reduction pilot programme within stop smoking services, with the aim of getting more people engaged in stop smoking services and increasing the quit rates of those entering services. These programmes included a “cut down” programme, an extended 12 week stop smoking programme, and the use of electronic cigarettes in addition to

traditional stop smoking services.

Members noted that the area that had been most successful was the electronic cigarette pilot within level III stop smoking services, and the alliance recommends to Members that this part of the programme is continued. However, the Members were made aware of the possibility that there may be other effects of e-cigarettes which had not yet been discovered.

Resolved – that approval be given to cease the level II pilot programmes

until such time as the pharmacists are in a position to offer electronic

cigarettes, and to continue the level III electronic cigarette programme

alongside traditional stop smoking services.

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

The Committee received the report of the Director of Community and Children’s Services informing Members of the health outcomes for each local authority area in England. Members noted that Public Health England had not produced a profile for the City of London.

Members were informed that although the City of London had a relatively small resident population, it should still be possible to produce a profile using data that was already available from Public Health England.

Resolved – that approval be given to the Chairman to write to Public Health England on behalf of the Health and Wellbeing Board, expressing concern that a profile has not been produced for the City of London and requesting that one be published in 2016.

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

The Board received the report of the Director of Community and Children’s Services and noted the Business Healthy initiative that aimed to bring together City businesses in achieving positive change for the health and wellbeing of City workers.

Members noted that Business Healthy began in 2014 and ran two expert-led events per year, and two member forum meetings. This year the City of London Corporation had launched a website as a central point of contact for the Business Healthy members and a source of up-to-date research, articles and reports. An event focused on mental health in the workplace, hosted by the Lord Mayor at Mansion House, was also being planned for September 2015.

Officers agreed to circulate a briefing note to Members regarding the focus of the event. Members agreed that the event should be publicised to all City firms.

Resolved – that the update be received.

Report of the Chair of Healthwatch

The Committee received an update from the Chair of Healthwatch informing Members that two workshops had been held on the Care Act organised by Healthwatch City of London in partnership with the City of London Corporation. The aim of the workshops was to raise awareness of the Care Act, the first part of which came into force on 1 April 2015. Attendees at the workshops included City residents, users of social care and health services and staff from local care and advice services - with staff from the City.

Events had taken place at the Artizan Street Library and Community Centre on 30 March 2015 where there were 24 attendees and on 13 April 2015 at the Sir Ralph Perring Club where there were 38 attendees.

Resolved – that the update be received.

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

The Board received an update from the Health and Wellbeing Board Executive Support Officer informing Members of local developments related to:

· Events

· City Supplement: Mental Health Needs Assessment

· Health and Wellbeing Library Collection

· Learning Well programme

· Sustainable City Awards

· Responsible licensing update

· Contaminated Land Strategy

· Mapping public healthcare and private healthcare provision in the City.

Resolved – that the report be received.

A Member raised a query regarding the City of London Corporation’s relationship with Transport for London, as the Member believed the state of transport had an impact on the health and wellbeing of a person. Board Members agreed that an accessible and high standard of service would impact positively on the wellbeing of an individual, and stress levels were affected by badly designed bus routes and road works.

Members noted that the Health and Wellbeing Board dinner would take place on 17 September 2015 at the Museum of the Order of St John.

There was no urgent business.

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.

There were no non public questions.

There was no urgent business.