Agenda and minutes

Health and Wellbeing Board - Wednesday 21 July 2021 3.00 pm

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

Contact: Tim Murtagh - Email: tim.murtagh@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 Clive Kay, Chief Executive of King’s College Hospital NHS and Eleanor Kelly, Chief Executive Officer of Southwark Council.

     

     

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 of the meeting.

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

    To agree as a correct record the open minutes of the meeting held on 9 June 2021.

    Supporting documents:

    Minutes:

    RESOLVED:

     

    That the minutes of the meeting held on 9 June 2021, be approved as a correct record of the meeting.

7.

COVID-19 UPDATE

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    Data - Surveillance

    Minutes:

    Chris Williamson, head of Public Health Intelligence for Southwark Council, presented the Covid-19 update item with power point slides and outlined the following:

     

    Key messages:

     

    ·  Cases continue to rise rapidly across London with all boroughs experiencing significant increases in their incidence rates. The R number now between 1.2 and 1.4.

     

    ·  Confirmed cases have continued to increase substantially over the past week, both locally and across London.

     

    ·  Number of hospital inpatients with Covid-19 symptoms had increased.

     

    ·  Coverage of the COVID-19 vaccine continued to increase, and was comparable to similar boroughs such as Lambeth. However, the numbers were slow for those that had been vaccinated.

     

    ·  Data on local hospitals’ confirmed Covid-19 admissions and inpatient diagnoses were provided by NHS situation reports.

     

    ·  Over 119,000 (42%) eligible Southwark GP patients have full, second-dose coverage; levels are higher in 55+ year age groups, CEV patients, health and social care workers.

     

    The four key concerns regarding rising infection levels:

     

    ·  While hospitalisations and mortality are currently low, increasing infections will eventually filter through into hospital admissions and deaths.

     

    ·  More than 1 in 10 people with symptoms are estimated to develop “long COVID”, with symptoms persisting for more than 12 weeks, causing significant impacts on their health and potential future demand for healthcare.

     

    ·  Wider circulation of the virus within the population increases the likelihood of new variants emerging that may evade the protection of the vaccine.

     

    ·  Impact on the wider workforce and economy, with increasing numbers of staff required to self isolate.

     

    The Chair thanked officers for their presentations and thanked everyone for their contributions towards the discussion and concerns that were raised.

     

    RESOLVED:

     

    That the Health and Wellbeing Board noted the COVID-19 Update.

8.

UPDATE ON VACCINATION

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    Minutes:

    Sangeeta Leahy, director of Public Health presented an update on the vaccination programme.

     

    The following points were noted.

     

    ·  Effectiveness of the vaccination, long term Covid and Covid mortality.

     

    ·  Those vaccinated in the older age group – only 80% have had their first vaccination injection, particularly those that are in the higher risk group.

     

    ·  Letters, telephone calls and text messages sent to promote the vaccine which was a major concern in some parts of the borough. Also involved the collation of information especially from individuals who felt they were too old to take the vaccine.

     

    ·  The health department has done a lot of work – targeting care homes, older residents and health workers in areas that had high rates of coved cases in the community. 

     

    ·  The health department were unable to provide specific data on the breakdown on numbers. Although it was noted that a small minority of residents did not partake in discussions when asked about the vaccine.

     

      80% of over 65 year olds had received both vaccinations.

     

      53% of 18 to 29 year olds received had been vaccinated. 

     

      70% of 40 to 49 year olds had been vaccinated.

     

    ·  Concerns about upcoming summer events and focussing on the hard to reach

    target groups.

     

    ·  Highlighted vaccine roll out programme for secondary school children.

9.

PUBLIC QUESTION TIME

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    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 Thursday, 15 July 2021.

    Minutes:

    The Health and Wellbeing Board acknowledged the written public questions that were submitted by Elizabeth Rylance-Watson on behalf of Southwark KONP and Southwark Pensioners Action Group (SPAG) summarised below:

     

    ·  Issues facing migrants or those with no immigration status to register with a GP and receive the Covid vaccination

    ·  Mental Health Strategy

    ·  Update on Suicide Strategy

    ·  Crisis in Mental Health

     

    Steve Lancashire said he understood the Board’s procedure on public questions being limited to 50 words; however he asked if it were possible to receive written responses to those questions which he stated would be really helpful.

     

    The chair explained the Board’s terms of reference for public questions sets out that a resident could submit a question to the board meeting so other residents have the opportunity to ask a question.

     

    It was agreed that a response would be provided to the questions.

     

    The chair suggested that officers present proposals so that there is more evident sessions from the wider community to the board meetings.  They in turn could share their experiences on health and wellbeing in a structured way.

     

    .

     

10.

DRAFT REFRESH MENTAL HEALTH AND WELLBEING STRATEGY

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    Minutes:

    Chris Williamson presented the strategy with a summary, review and update.

     

    The following points were noted:

     

    Mental Health Strategy  Workstreams

     

    ·  Primary care and improving access to psychological therapies (IAPT)

    ·  Prevention and mental health promotion

    ·  Averting crisis and reducing suicide

    ·  Recovery, volunteering and employment support

    ·  Older people and dementia

    ·  Autism and learning disabilities (new)

    ·  Personalised health care budgets for Mental Health (new)

    ·  Housing and complex care and support

    ·  Hoarding (new)

    ·  Mental Health meds optimisation (new)

    ·  Children and Young People’s services

    ·  Wellbeing, information, advice and support in the community

    ·  Workforce development

    ·  Engagement and Co-Design

     

     

    RESOLVED:

     

    That the Health and Wellbeing Board noted the information on the draft refresh mental health and wellbeing strategy.

11.

ANNUAL STATUS REVIEW ON AIR QUALITY

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    Supporting documents:

    Minutes:

    Paul Newman, team leader – Environmental Protection presented and spoke mainly about the public consultation, which he said, was happy to provide the results of the consultation.

     

    ·  Public consultation: Monday 26 July 2021 for six weeks

    ·  Report to cabinet member in November 2021

    ·  Report to cabinet meeting in January 2022

    ·  Implementation in April 2022

     

    The chair requested other organisations should be consulted as well as other groups related to the board, residents and schools. Sangeeta agreed and said effective communication was the key in order to have a more formal review of the strategy

     

    RESOLVED:

     

    1.  That the contents of the Southwark Annual Status Report 2020 (ASR 2020), set out in Appendix 1 be noted.

     

    2.  That the review and development of a cross-cutting Air Quality Strategy and Action Plan be noted; this would be informed by a reviewed  Air Quality Joint Strategic Needs Assessment as outlined in paragraph 41 of the report.

     

    3.  That it be agreed the Health and Wellbeing Board have oversight of the proposed Air Quality Strategy and Action Plan, as outlined in paragraph 42, through the director of Public Health chairing an officers air quality steering group. This would enable policies and plans that impact on air quality, that would be considered by the Board’s membership, which would ensure a comprehensive strategic approach to air quality in Southwark.

12.

UPDATE ON HEALTH AND WELLBEING BOARD STRATEGY REFRESH

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    Minutes:

    Jin Lim, deputy director of Public Health presented the item and outlined the following:

     

    Jin mentioned that a systems leadership workshop took place the previous week to kick off the refresh and developmental process for the joint health and wellbeing strategy (current strategy from 2015 to 2020). 

     

    At the workshop – presentations were received from the ICS, Partnership Southwark, SLam, the DCS on how they are tackling health and inequalities.

     

    The groups agreed the next steps would be to set up a task and finish group with the key partners - because this has to be a partnership approach. It would include the CCG, Partnership Southwark, ICS, DCS and council colleagues.

     

    The purpose of the task and finish group was to identify for each of these key priorities that were agreed are as follows:

     

    ·  Best Start

    ·  Employment

    ·  Standard of Living

    ·  Healthy Places

    ·  Prevention and

    ·  Integration

     

    Jin mentioned the Strategy was not about duplication but to look at the current work and to identify any existing groups that the council could draw on and then agree the action plan based on those groups and forums.  Officers would also be drawing on the expertise of others.

     

    The chair thanked Jin for his presentation.  

13.

HEALTH AND WELLBEING MONITORING REPORT

14.

PHARMACEUTICAL NEEDS ASSESSMENT (PNA) STATEMENT NO.4

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    Supporting documents:

    Minutes:

    Leidon Shapo, head of Programmes for Health and Social Care Integration gave an overview on this.

     

    Cllr David Noakes explained the pharmacies were showing up in the old wards pre boundary changes. The officers agreed to provide information on the new wards.

     

    RESOLVED:

     

    1.  That the Health and Wellbeing Board welcomed any pharmacy changes, from the previous Pharmaceutical Needs Assessment (PNA) supplementary statement (no.3, 1/09/2020).

    2.  That the current PNA supplementary statement no. 4 (9/07/2021) be approved.

15.

ANY OTHER BUSINESS

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    Minutes:

    There was none.

16.

NEXT MEETING

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    15 SEPTEMBER 2021 3PM-5PM

    Minutes:

    Noted the next Board meeting would take place on 15 September which was re-arranged for Thursday 23 September 2021.

     

    Councillor Jasmine Ali said: H&WB should ensure representatives from Adults and Children’s Services are invited to the meetings.