Agenda and minutes

Health and Wellbeing Board
Monday 4 March 2019 11.30 am

Venue: Ground Floor Meeting Room G02C - 160 Tooley Street, London SE1 2QH. View directions

Contact: Everton Roberts 

Items
No. Item

1.

APOLOGIES

2.

CONFIRMATION OF VOTING MEMBERS

3.

NOTIFICATION OF ANY ITEMS OF BUSINESS WHICH THE CHAIR DEEMS URGENT

    In special circumstances, an item of business may be added to an agenda within five clear days of the meeting.

    Minutes:

    The following items were circulated after the main agenda despatch.

     

    Supplemental Agenda No.1

     

    ·  System wide approaches to tackling inequalities in Southwark

    ·  NHS Long Term Plan and Inequalities

    ·  Brexit preparedness: preparations for a ‘no deal’ EU exit

     

    Supplemental Agenda No.2

     

    ·  Minutes – 21 November 2018

    ·  Health Inequalities in Southwark – Public Health

    ·  Healthy Communities Scrutiny Commission: Bells Garden Estate Approach

    ·  Brexit preparedness – Council Update

    ·  Youth Violence and Knife Crime in Southwark

4.

DISCLOSURE OF INTERESTS AND DISPENSATIONS

5.

MINUTES

6.

THEME: TACKLING HEALTH INEQUALITIES

    The theme for this Health and Wellbeing Board meeting is ‘Tackling Health Inequalities’.

     

    The board will receive presentations from the Council, the NHS Southwark Clinical Commissioning Group and the Chair of the Healthy Communities Scrutiny Commission on the approaches being used to tackle health inequalities in Southwark.

     

    Presentations:

     

    ·  A public health approach to tackling health inequalities in Southwark

    Jin Lim, Consultant in Public Health,

     

    ·  System wide approaches to tackling inequalities in Southwark

    Ross Graves, Managing Director, NHS Southwark Clinical Commissioning Group

     

    ·  Scrutiny Commission into Health Inequalities

    Councillor Barrie Hargrove, Chair of Health Communities Scrutiny Commission

     

    ·  NHS Long Term Plan and Inequalities

    Professor Kevin Fenton, Strategic Director of Place and Wellbeing

    Supporting documents:

    Minutes:

    The board received presentations on tackling health inequalities from Jin Lim, Consultant in Public Health, Ross Graves, Managing Director, NHS Southwark Clinical Commissioning Group, Councillor Barrie Hargrove, Chair of Healthy Communities Scrutiny Commission and Professor Kevin Fenton, Strategic Director of Place and Wellbeing.

     

    Jim Lim highlighted the following:

     

    Smoking

    ·  Considerably higher prevalence in both routine and manual workers, 1 in 4 estimated to be smokers compared to 1 in 10 for other occupations.

    ·  Higher smoking prevalence for people on lower incomes

     

    Obesity

    ·  Southwark has higher rates, but seen a slight fall over the last 2 to 3 years.  Strong association with depravation, higher obesity rates in more deprived areas.  Implications for the sort of services required and how the services are targeted.

     

    Sexual health and reproductive health

    ·  Strong inequalities dimension

    ·  Black women have poorer reproductive and sexual health

    ·  Higher STI and HIV rates in MsM communities

    ·  Late diagnosis in black African and other ethnicities

     

    Cancer screening and bowel cancer screening

    ·  Noticeable inequalities around bowel cancer screening, incident rates tend to be higher for people living in the most deprived areas.

    ·  Bowel screening uptake is lower amongst people in more deprived areas, particular from people who don’t speak English as their first language and people from a black ethnic background.

     

    Breast cancer screening

    ·  Differential in survival rates – much lower in areas of high deprivation.

    ·  Black women less likely to attend for breast cancer screening

     

    Cervical cancer

    ·  Women from most deprived groups, less likely to attend cervical cancer screening, also other groups, women with learning disabilities and women with disabilities are less likely to take up the screening service.

     

    Hunger and food poverty

    ·  Doing quite a detailed joint strategic needs assessment on food poverty, in process of developing a food poverty strategy.  It’s estimated that in London about a third of children have problems concentrating at school due to hunger.  Relatively large proportion of children in Southwark (just under 10,000).

    ·  Local data around food bank use, just under 50% of the recipients are children.  High food bank use during the summer months.

     

    Key actions short term / immediate impact

    ·  Improving access to maternity services, early registration for pregnant women.

    ·  Detection of common conditions and management, such as diabetes and vascular diseases.

    ·  Increase uptake of cancer and sexual health screening across all communities for detection and treatment.

    ·  Work that can be done around Health Improvement Services to address inequality - Smoking cessation, alcohol interventions, increasing physical activity, health eating, addressing poverty in general and income

     

    Wider determinants

     

    ·  Building strong cohesive neighbourhoods,

    ·  Good quality employment, housing and education

     

    Jin Lim also report on a presentation on health inequalities to the Healthy Communities scrutiny commission.  The discussion around the presentation was that while there was good quality data across the borough, there was an opportunity to drill down into a neighbourhood, and to pilot an estate based approach to looking at inequalities. Looking at data held by services, such as health improvement services, local providers (GPs) and the uptake of the services and outcomes,  ...  view the full minutes text for item 6.

7.

COUNCIL POLICY AND RESOURCES REVENUE BUDGET 2019-20

8.

BREXIT PREPAREDNESS

9.

LAMBETH, SOUTHWARK AND LEWISHAM SEXUAL AND REPRODUCTIVE HEALTH STRATEGY 2019-24

10.

COMMUNITY SAFETY - YOUTH VIOLENCE

11.

HEALTH AND WELLBEING BOARD WORK PLAN 2018-20