Agenda and minutes

Health and Wellbeing Board
Monday 21 December 2020 5.00 pm

Venue: This will be a virtual meeting. A meeting link will be circulated in advance.

Contact: Poonam Patel Email:  Poonam.Patel@southwark.gov.uk 

Items
No. Item

1.

APOLOGIES

    To receive any apologies for absence.

    Minutes:

    Advance apologies for absence were received from Sarah Austin, David Bradley, Clive Kay, Eleanor Kelly, Chris Mikata-Pralat Catherin Negus and David Quirke-Thornton.

     

    The Board noted that Paran Govender was in attendance on Sarah Austin’s behalf; Neil Robertson was in attendance on David Bradley’s behalf and Julia Wendon was in attendance on Clive Kay’s behalf.

     

2.

CONFIRMATION OF VOTING MEMBERS

3.

NOTIFICATION OF ANY ITEMS OF BUSINESS WHICH THE CHAIR DEEMS URGENT

4.

DISCLOSURE OF INTERESTS AND DISPENSATIONS

5.

MINUTES

6.

COVID-19 UPDATE

    To receive an update on the following areas:

     

    (a)  Surveillance

     

    (b)  Testing

     

    (c)  Vaccination

    Supporting documents:

    Minutes:

    Chris Williamson, Head of Public Health Intelligence delivered a presentation to cover surveillance on COVID-19, from the monitoring report as part of Southwark’s Outbreak Prevention and Control Plan, December 2020. The tabled presentation covered data on the following areas:

    i.  Key messages

    ii.  Testing

    iii.  Testing: 4 weeks from 23/11/20 to 20/12/20*, PCR only

    iv.  Contact Tracing

    v.  Cases

    vi.  Case Demographics

    vii.  Case Distribution

    viii.  NHS111

    ix.  Secondary Care

    x.  Horizon Scanning

     

    In response to a question and answer session, the Board noted the following points:

     

    ·  Current testing picks-up the new strain of the COVID-19 virus.

     

    ·  Across London, there are just under 3000 patients in hospitals and for South East London the hospitals are just about managing with their capacity although this position is constantly changing.

     

    ·  There was approximately a two-week turnaround of data to know the hospital admission rates of COVID-19 related cases.

     

    ·  Latest figures report 260 COVID-19 related deaths in Southwark and the expected annual death rate was 300.

     

    ·  It remains to be seen if the Test and Trace System can keep up with the number of cases identified due to the new strain of the virus.

     

    Jin Lim provided a verbal presentation to cover testing, as the second area of the monitoring report.

     

    In response to a question and answer session, the Board noted the following points:

    ·  The Public Health Team (PHT) are committed to working with the schools to support them through their challenges to be tested.

     

    ·  Early conversations the PHT were having with pharmacists located near schools had agreed, where feasible, to rollout the rapid testing system to support the schools with their logistical challenges in the New Year.

     

    Sam Hepplewhite provided a verbal presentation to cover vaccinations, as the third area of the monitoring report. The Board noted that presentation slides were prepared and would be made available after the meeting.

     

    In response to a question and answer session, the Board noted the following points:

     

    ·  Eligible residents were advised to wait to be contacted by the NHS to receive their vaccination.

     

    ·  A Southwark resident aged over 80 would be contacted by the NHS, and those whom do not receive an NHS appointment will do so in the next cohort. As there are only 975 vacancies per box and needed to be delivered within 3.5 days of arrival by two Primary Care Networks (PCNs) covering the North and the South of the borough.

     

    ·  The vaccination offer will not be a ‘one-time’ offer. Residents will receive the vaccine by the NHS by following the priority list.

     

    ·  Lateral flow testing, Southwark’s messaging is to follow-up your positive lateral flow test result with a PCR (Polymerise Chain Reaction) test and then with a lateral flow test and continue with the testing process.

     

    ·  A step-by-step process would be followed in a coordinated way to reach and complete the priority list and work through all the logistics. This was inclusive of care homes and all settings the residents were located in.

     

    ·  QHS, Southwark’s care home provider were expected to  ...  view the full minutes text for item 6.

7.

PUBLIC QUESTION TIME

    To receive any question from members of the public which have been submitted in advance of the meeting in accordance with the (cabinet) procedure rules. The deadline for the receipt of a public question is midnight Tuesday, 15 December 2020.

     

    Minutes:

    Public question 1 from Mr Steve Lancashire

     

    “Given the Government’s intention to introduce legislation next year putting the ICS on a statutory basis can any Board member indicate what the implications are for the future of the recently created SEL CCG is and how democratic accountability and transparency will be embodied in these bodies?”

     

    In response, the Chair assured Mr Lancashire that the council would be responding to consultations concerning the Integrated Care System (ICS) to advocate existing democratic avenues at local government level to help ensure there remained clear democratic accountability and transparency in the proposed model for implementation.

8.

AIR QUALITY ANNUAL STATUS REPORT 2019

    To receive a report and presentation.

    Supporting documents:

    Minutes:

    Paul Newman, Team Leader - Environmental Protection Team delivered a tabled presentation to cover the Air Quality Annual Status Report 2019. The presentation slides were as follows:

     

      i.  Air quality trends

      ii.  Air quality framework

      iii.  2019 Actions

      iv.  Obstacles encountered

      v.  Next Steps (1), (2)

      vi.  Improving partnership working

     

    Kate Langford, Programme Director for Guy’s and St Thomas’ Charity, Health Effects of Air Pollution delivered a verbal update in response to Appendix 5 of the report.

     

    In response to a question and answer session, the Board noted the following points:

     

    ·  Ella Kissi-Debrah, a nine-year-old girl, had severe asthma and had tragically  died due to air pollution in 2013. This emphasised the need to take more action towards improving air quality in the borough.

     

    ·  The air quality school’s audits were offered to any school that were reported to be above the objected limit for air pollution. Southwark School audits were paid for by the Council and all non-Southwark schools received their audits via a framework agreement.

     

    ·  Schools that were maintained and non-maintained in the Old Kent Road Opportunity Area received funding under the Old Kent Road regeneration fund programme.

     

    ·  There was a need to make a real step-change in tackling air pollution as it was everyone’s business and a continuation of the one-year public health campaign linked with effective engagement could still help to try, and get people to change their behaviours like stop using cars where feasible and lead by example.

     

    ·  Building a combined evidence base case would be more effective to make a change. By looking at health inequalities caused by air pollution and those that benefit from it to how to improve air quality (reducing air pollution) to help address the health inequalities.

     

    ·  London was considered probably the best monitored city in the world when it came to air quality, as the London Network can give data detail resolution from approximately 500 meters.

     

    ·  The council’s improved air quality monitoring capabilities were detailed in Appendix 1, page 51 of the report. Although, there was still a demand to obtain granular data from various traffic schemes and the impact this had on air quality.

     

    ·  Need to improve engagement with the residents when imposing low traffic neighbourhoods (LTNs) by supporting the schemes with an evidence-based approach to achieve the support from the neighbourhoods involved and the residents of the borough as a whole.

     

    ·  Working with the schools would also be an effective way forward in trying to raise awareness.

     

    ·  Air travel did not affect ground level pollution although the main burden of air pollutants from aviation were during take-off and testing of the engines. Evidence had shown that the particulate burden at ground level in the borough was when the wind blows in from the direction of Heathrow.

     

    The Chair thanked the presenters and the opportunity to work collaboratively with Guy’s and St Thomas’ Charity in transforming the borough through the ten-year commitment to deliver health benefits and a safer environment.

     

    RESOLVED:

     

    1.  That the Health and Wellbeing Board  ...  view the full minutes text for item 8.

9.

JOINT MENTAL HEALTH AND WELLBEING STRATEGY UPDATE

    To agree the proposed approach to refreshing the Joint Health and Wellbeing Strategy.

    Supporting documents:

    Minutes:

    Genette Laws, Director of Commissioning for Children’s and Adults’ Services introduced the report and drew the Board’s attention to the timetable as set out on page 13 of the report. The Board noted that the engagement would be short, sharp and meaningful and give an opportunity for others to participate like HealthWatch.

     

    RESOLVED:

     

    1.  That the Health and Wellbeing Board agreed to the outlined approach to the refresh of the Mental Health and Wellbeing Strategy.

     

    2.  That the Health and Wellbeing Board agreed that an update on progress would be appropriate in the Spring of 2021.

10.

NHS ENGLAND NEXT STEPS FOR INTEGRATED CARE SYSTEMS

    To note the report and the timelines for engagement feedback.

    Supporting documents:

    Minutes:

    The following points made under Item 07 were considered accepted and noted by the Board for this Agenda Item.

     

    ·  The NHS Integrating Care, Next steps to building strong and effective integrated care systems across England document (Appendix A) set out two proposals on how the Integrated Care System (ICS) could be embedded in the proposed legislative reform or guidance.

     

    ·  The deadline for the interested individuals and organisations to respond to the document fell on Friday, 8 January 2021, which would most likely lead to a detailed and formal consultation for all that were interested.

     

    ·  The proposals included:

     

    (a)  A statutory committee model (CCG remains); or

     

    (b)  A statutory corporate body model (ICS brings in CCG).

     

    ·  The commitments towards addressing governance and public accountability were mentioned in the NHS document (see paragraph 2.28, Appendix A) and that more details were to be expected in the formal consultation.

     

    ·  “Place” was discussed in the document, which meant the Borough Based Board played an important role in responding to the proposals.

     

    ·  There was an opportunity for everyone to respond by 8 January 2021 and emphasise their areas of concern.

     

    RESOLVED:

     

    1.  That the Health and Wellbeing board noted the contents of the report and the timelines for engagement feedback.

     

11.

HEALTH AND WELLBEING BOARD WORK PLAN

    To receive and consider the proposed work plan.

    Supporting documents:

    Minutes:

    Jin Lim, Acting Director of Public Health presented the report and drew the Board’s attention to Appendix 1 of the report. The Board noted that the three month work plan was a working document and a twelve month work plan would be established following a workshop in early Spring.

     

    RESOLVED:

     

    1.  That the Health and Wellbeing Board considered and approved the proposed forward plan for the next 3 months (Appendix 1) subject to any amendments.

     

    2.  Agreed that a workshop with partners be organised in early Spring to further develop the forward work plan for the rest of the year to reflect partnership priorities.

     

    The Chair concluded the meeting by noting that the next meeting would be held on 4 February 2021 and thanked everyone for following the COVID-19 rules and guidance. The Chair also stressed the importance for everyone and their networks to continue to follow the lockdown rules to help keep the infection rates down and thanked everyone who was in involved in delivering public health services during the pandemic.