Venue: Ground Floor Meeting Room G02C - 160 Tooley Street, London SE1 2QH. View directions
Contact: Everton Roberts
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APOLOGIES
To receive any apologies for absence. Minutes: Apologies for absence were received from Andrew Bland, Councillor David Noakes, Dr Jonty Heaversedge, Dr Matthew Patrick, Paul Rymer and Ian Smith. |
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CONFIRMATION OF VOTING MEMBERS
Voting members of the committee to be confirmed at this point in the meeting. Minutes: Those listed as present were confirmed as the voting members for the meeting. |
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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 |
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DISCLOSURE OF INTERESTS AND DISPENSATIONS
Members of the committee to declare any interests and dispensation in respect of any item of business to be considered at this meeting. Minutes: There were no disclosures of interests or dispensations. |
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MINUTES
To agree as a correct record the open minutes of the meeting held on 21 November 2018. Supporting documents: Minutes: Due to the late circulation of the Minutes it was agreed that they be deferred to the next meeting to enable board members the opportunity to review them. |
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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. |
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COUNCIL POLICY AND RESOURCES REVENUE BUDGET 2019-20
To note the Council’s Policy and Resources Revenue Budget 2019-20 to be agreed at the Council Assembly meeting on 27 February 2019. Supporting documents: Minutes: Councillor Victoria Mills, Cabinet member for finance, performance and Brexit informed the board of the decisions taken by the council in respect of its annual policy and resources revenue budget 2019-20. |
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BREXIT PREPAREDNESS
To receive presentations from the Council and NHS Southwark Clinical Commissioning Group on preparations for Brexit. Supporting documents: Minutes: Ross Graves, Managing Director, NHS Southwark Clinical Commissioning Group introduced the report.
RESOLVED:
That the progress being made by the CCG and partners in responding to and implementing national guidance be noted. |
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LAMBETH, SOUTHWARK AND LEWISHAM SEXUAL AND REPRODUCTIVE HEALTH STRATEGY 2019-24
To approve the new Lambeth, Southwark and Lewisham (LSL) Sexual and Reproductive Health Strategy 2019-24. Supporting documents: Minutes: Kirsten Watters, Consultant in Public Health introduced the report.
RESOLVED:
1. That the new Lambeth, Southwark and Lewisham (LSL) Sexual and Reproductive Health Strategy 2019-24 be approved.
2. That it be noted that separate detailed action plans will be produced on a yearly basis, delivery of which will be overseen by the LSL Sexual Health Commissioning Partnership Board. |
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COMMUNITY SAFETY - YOUTH VIOLENCE
To receive a presentation from Stephen Douglass, Director of Communities and Caroline Thwaites, Assistant Director of Community Safety and Partnerships on Youth Violence in Southwark. Supporting documents: Minutes: The board received a presentation from Stephen Douglass, Director of Communities on youth violence and knife crime in Southwark. The board also heard from some Southwark Youth Advisors. |
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HEALTH AND WELLBEING BOARD WORK PLAN 2018-20
To note the health and wellbeing board work plan 2018-20 subject to any amendments. Supporting documents: Minutes: RESOLVED:
That the work plan for 2018 – 2020 be noted. |