Agenda and minutes

Health and Wellbeing Board - Thursday 14 November 2024 10.00 am

Venue: Ground Floor West - Southwark Council, 160 Tooley Street, London SE1 2QH

Contact: Maria Lugangira, Principal Constitutional Officer  Email: maria.lugangira@southwark.gov.uk

Items
No. Item

1.

WELCOME AND INTRODUCTIONS

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    Minutes:

    The Chair welcomed everyone to the meeting.

     

2.

APOLOGIES

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    To receive any apologies for absence.

    Minutes:

    Apologies for absence were received from;

    -  Althea Loderick

    -  Charlene Young

    -  Councillor Maria Linforth-Hall

    -  Peter Babudu

    -  Alasdair Smith

     

3.

CONFIRMATION OF VOTING MEMBERS

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    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.

     

4.

NOTIFICATION OF ANY ITEMS OF BUSINESS WHICH THE CHAIR DEEMS URGENT

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

    Minutes:

    There were none.

5.

DISCLOSURE OF INTERESTS AND DISPENSATIONS

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    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 none.

     

6.

MINUTES

7.

PUBLIC QUESTION TIME (15 MINUTES)

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    Minutes:

    There were none

8.

SOUTHWARK MATERNITY COMMISSION

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    Supporting documents:

    Minutes:

    Liz Brutus, Assistant Director in Public Health, Southwark Council and Layla Glover

    Public Health Programme Manager, Southwark Council presented the report.

     

    The Board was provided with the context and background of the work undertaken over the last year to deliver Councillor’s Akoto, Cabinet Member for Health and Wellbeing’s vision for the Southwark Maternity Commission (SMC) which was launched on the 30th September 2024.

     

    The Commission was set up to assess and address inequalities in maternity care, particularly for families from a minority ethnic and/or socially disadvantaged background. It engaged with over 750 local residents, voluntary and community sector representatives, local maternity care service providers and local workforce.

     

    Through its work five overarching themes were identified and along with their findings 10 recommendations were made. Three were asks of central government and the remaining seven targeted the local maternity system, voluntary and community sector organisations and Southwark Council.

     

    The Southwark Maternity Commission identified five overarching themes:

    1.  Tackling discrimination and better supporting women with specific needs.

    2.  Making sure women are listened to and supported to speak up, whatever their language or background.

    3.  Providing women with the right information at the right time in the right way.

    4.  Joining up council and NHS services better around women’s needs, and making sure care is consistent across borough borders.

    5.  Supporting the workforce to remain in their roles and be able to give compassionate and kind care for all mothers.

     

    The Southwark Maternity Commission ten recommendations:

    1.  Leadership in addressing racism that leads to unequal maternal health

    2.  Develop a new national way of reporting maternal health

    3.  Review the maternity workforce

    4.  Evaluate the fairness of maternity services

    5.  Listen to and empower families

    6.  Preparation and support before pregnancy

    7.  Give parents the right information, at the right time, in the right way

    8.  Create a joined-up approach to families’ needs between the NHS, southeast London boroughs, and voluntary and community sector

    9.  Southwark Council to review their role in maternity care

    10.  Review how feedback is dealt with.

     

    As a result of these recommendations, the Commission set out its ambition for  improvements around five key outcomes within the next five years

    Outcome 1: Reduced infant mortality

    Outcome 2: Reduced maternal morbidity

    Outcome 3: Increased positive experience of maternity care

    Outcome 4: Increased staff satisfaction

    Outcome 5: Closing the health inequality gaps

     

    Next steps for the Commission is the development of an action plan, with the implementation of actions early next year, followed by a 3 year interim review and then final 5 year review.

     

    Establishing the governance arrangements around the maternity Commission is a key part of developing the action plan and ensuring it can be implemented across the health system.

     

    There was discussion around making sure that the right resourcing and support is in place to ensure the successful delivery of the action plan. Included in this should be aspects such as performance monitoring, making sure the required funding is available. The Board acknowledged the importance of having  ...  view the full minutes text for item 8.

9.

HEALTH WEIGHT IN SOUTHWARK

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    Supporting documents:

    Minutes:

    The Board received a presentation from Gillian Boundy, Senior Health Programme Manager and Sheila Katureebe, Policy and Programme Officer (Healthy Weight and Physical Activity)

     

    The presentation highlighted that children from a black ethnic background are more likely to be living with obesity than those from a white ethnic background and that this increased with age; children from Asian, mixed or other ethnic backgrounds fell in the middle.

     

    It addressed the inequalities within obesity rates in Southwark which have informed the identification of the 5 population groups prioritised in this strategy:

    • Maternity and early years
    • Children and young people
    • Black, Asian and minority ethnic groups
    • People experiencing food insecurity
    • Men aged 45 years and above.

     

    To help address the above a set of ambitions and related planned actions has been developed for each priority group. This will be reviewed annually.

     

    Southwark’s Healthy Weight Strategy 2022-27 sets how obesity is being tackled. This involves Partnership between Southwark Council, the South East London ICB (Southwark) and VCS. The strategy is currently in year 3

     

    RESOLVED - The Health and Wellbeing Board;

     

    1.  Notes the healthy weight profile for the child and adult population in Southwark, the progress made in implementation of the Southwark Healthy Weight Strategy  and the potential areas for further development  set out at paragraph 23 of the report.

     

10.

HEALTH PROTECTION ANNUAL REPORT 2023/24

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    Supporting documents:

    Minutes:

    Sarah Robinson, Senior Public Health Programme Manager presented the report that covered the period 1 April 2023 to 31 March 2024 and provided an overview of activity, incidents, risks and achievements related to health protection, infectious diseases, environmental risks and screening programmes in Southwark. The Plan also included work delivered by public health, environmental health, NHS, emergency planning and VCS.

     

    The oversight and assurance of the local Health Protection system continues via the Health Protection board which is chaired by Southwark’s Director of Public Health. This multi-agency partnership provides challenge and oversight of local Health Protection arrangements and ensures inequalities are considered and risks are mitigated, reduced and managed.

     

    Some areas of work and risks highlighted included the significant increase in measles cases which led to the UKHSA incident response level being raised in January 2024. This increase in cases in London was in part driven by falling vaccination rates as a result of the pandemic.

     

    Further highlighted was that measles cases are higher in more deprived areas reflecting vaccination inequalities. Work has been undertaken across the system particularly with the ICB primary care and public health to try and address those falling vaccination rates and bring coverage back up to pre pandemic levels.

     

    Some examples of this work includes a whole programme of pop-up clinics and outreach delivered in libraries, children and family centres. There's been an enhanced offer of the MMR vaccination in schools and a lot of training and awareness raising in particular with Southwark’s community health ambassadors who have helped and spread the message. There are also small grant programmes for community groups to help address vaccine confidence within their own communities.

     

    RESOLVED - The Southwark Health and Wellbeing Board;

     

    1.  Notes the Health Protection Annual Report 2023/24 and health protection activity across the system during this period.

    2.  Agrees to receive a health protection report annually

     

11.

SOUTHWARK JOINT HEALTH AND WELLBEING STRATEGY 2022-27 - PROGRESS REPORT: NOVEMBER 2024

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    Supporting documents:

    Minutes:

    Rosie Dalton-Lucas, Head of Place and Partnerships, Public Health presented the report Dominic Dee, Public Health Speciality Registrar

     

    The Joint Health & Wellbeing Strategy 2022-27 provides the strategic vision for both improving health & wellbeing and reducing health inequalities in the borough. Outlined in the strategy are  five priority areas:

     

    1.  A whole-family approach to giving children the best start in life

    2.  Healthy employment and good health for working age adults

    3.  Early identification and support to stay well

    4.  Strong and connected communities

    5.  Integration of health and social care

     

    The presentation highlighted that most actions had been progressed with the report outlining what had been achieved. It showed the overview and breadth of work that was ongoing in the strategy.

     

    Some of the achievements further highlighted:

    ·  460 mental first aiders in 96 schools. Children and family support centres were successfully being utilised to target individuals from the most disadvantaged areas.

    ·  The health and care jobs hub were helping support individuals from underrepresented communities gain the skills they need  to access good quality health and care.  The six-week programme supported 41 residents to date being offered work in local health jobs, health and care. Work such as administrative work in local GP practises. The residential care charter ensures high quality care for residents and safe and fair pay for care home staff.

    ·  Targeted lung health check programme has reached over 6000 people with targeted CT scans and checks for smokers and high risk people

    ·  Peer mentors have supported over 100 people with substance misuse problems

    ·  The making every contact count programme has already in the first six months of the programme trained 500 staff and volunteers

    ·  Following on from the success of the free school meal programme, a new process of auto enrolment has meant that over 600 new pupils have been identified for free school meals

     

     

    RESOLVED - The Southwark Health and Wellbeing Board;

     

    1.  Notes progress against actions contained within the Joint Health and Wellbeing Strategy and areas that may require further development and focus.

    2.  Agrees to the development of a new action plan to cover the years 2025-27 and agrees to receive the new action plan in March 2025 after a period of engagement.

    3.  Agrees that the process of receiving updates to actions contained within a refreshed action plan will be determined at future meetings.

     

12.

PARTNERSHIP SOUTHWARK HEALTH AND CARE PLAN REFRESH OF STRATEGIC PRIORITIES

13.

AIR QUALITY ANNUAL STATUS REPORT 2023

14.

PHARMACEUTICAL NEEDS ASSESSMENT (PNA) BRIEFING

15.

ANY OTHER BUSINESS

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    Minutes:

    There was none.