Agenda and draft minutes

Health and Wellbeing Board - Monday 7 March 2022 3.00 pm

Venue: This will be a virtual meeting. For a link to the meeting contact: maria.lugangira@southwark.gov.uk

Contact: Maria Lugangira, Principal Constitutional Officer 

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:

    Advance apologies have been received from:

     

    ·  David Bardle

    ·  Cassie Buchanan

    ·  Clive Kay

    ·  David Quirke-Thornton

    ·  Chris  Mikata-Pralat

     

     

     

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

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    To agree as a correct record the open minutes of the meeting held on 13 January 2022.

    Supporting documents:

    Minutes:

    RESOLVED - That the minutes of the meeting held on 13 January 2022, be approved as a correct record of the meeting,

7.

PUBLIC QUESTION TIME (15 MINUTES)

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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 Tuesday, 1 March 2022.

    Minutes:

    There were no public questions.

     

8.

COVID-19 UPDATE

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    To receive an update at the meeting.

Minutes:

Chris Williamson, head of Public Health Intelligence for Southwark Council, presented the Covid-19 update item and highlighted the following:

 

Ø  Confirmed cases across Southwark and London continued to decline, mirroring the national trend but levels of infection remain high.

§  Southwark had 1,086 confirmed cases of COVID-19 in the week to 2 March.

 

Ø  Testing levels among Southwark residents fell significantly over the past fortnight. A further substantial reduction was expected with the end to free testing on 31 March.

§  An end to free testing would likely lead to a significant under-reporting of COVID-19 cases, meaning current data sources may be unreliable in assessing levels of infection in the borough.

 

Ø  The number of hospital inpatients with COVID-19 across London continued to decline.

§  Across the capital, there were around 1,500 hospital inpatients with COVID-19, with around 90 of these in mechanical ventilation beds in critical care.

 

Ø  Vaccination numbers were increasing slowly for first, second and booster doses; levels remained comparable to similar boroughs such as Lambeth.

§  Vaccination coverage as of Sat 5 Mar among adults 16+ yr registered with a Southwark GP:

§  Dose 1: 67%, 199,880

§  Dose 2: 64%, 191,012

§  Booster:  77%, 141,012 (of those eligible)

§  On Friday 4 March, approximately 290 vaccinations were delivered, with the majority being booster doses.

 

The latest evidence from UKHSA indicated that there had been continued growth of the Omicron subvariant BA.2.

As community testing decreased, the ability to identify changes in communities and population groups at a local level wold decline. National and regional studies would become increasingly important to monitor changes

 

RESOLVED - That the Health and Wellbeing Board note the COVID-19 Update

9.

VACCINATION UPDATE

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    To receive an update at the meeting.

     

Minutes:

The Board received a brief verbal update, The following was highlighted;

 

Vaccinations achieved so far (initial and second doses, boosters) had been through collaboration and working with many of our partners. All local partners were working to encourage all communities to make the choice to help protect themselves.

 

It was highlighted that representation among those unvaccinated in the Black African and Black Caribbean population was still dispropritinaley high therefore; there was still ongoing work that was targeted, locally and in certain neighbourhoods and estates.

 

With regards to schools, there’d be further campaigns and secondary rounds of visits.

 

Community champions and community health ambassadors would continue to extend their offer and working with community organisations would continue outreach work to those vulnerable and hard to reach groups.

 

There would be a spring dose for adults aged 75 and over, residents in care homes and individuals 12 and over who are immunosuppressed.

 

RESOLVED - That the Health and Wellbeing Board note the Vaccination Update.

 

10.

UPDATE FROM THE HEALTH AND WELLBEING VACCINATION SUB-GROUP

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    To receive an update from the Chair of the Health and Wellbeing Vaccination Sub-Group, Councillor Evelyn Akoto.

     

Minutes:

Councillor Evelyn Akoto, Chair of the H&WBB Vaccination Sub-Group provided the Board a brief overview of the Sub-Group and update of the work undertaken.

 

She explained that the Sub-Group had been set up to ensure a coordinated approach to actions arising from the Vaccination Strategy.  It aimed to support and improve the operational delivery of the COVID 19 vaccination programme, by improving coverage and reducing inequalities

 

Amongst the key stakeholders were CCG, VCS, Southwark Councillors, Public Health, Community Engagement, Comms, Clinical Leads and Emergency planning.

 

Councillor Akoto highlighted some of the The Sub-Group’s key responsibilities, which included:

·  Supporting the coordination of the vaccination programme 

·  Addressing and supporting any operational issues raised by the COVID Vaccination Operational Group

·  Ensuring  a unified and coordinated approach between organisations and teams

·  Proving  assurance and reports to the Vaccination Sub Board

 

 

At each meeting, the Sub-Group received a report from the Vaccination Strategy Co-ordination Group that provided an updated on activity undertaken

 

The Sub-Group met 8 times over the last year, with their last meeting being on 2 March 2022.

 

Going forward the focus is to move onto business as usual operations and following discussions with the Director of Public Health and Sub-Group members it was agreed to step down the sub-group and roll it into the existing immunisation group that would continue to work on improving uptake on all areas of immunisation.  

 

The Director of Public Health further explained that under this proposal there will be a local vaccination group (with the same partners working on the covid vaccination programme) that will oversee all the vaccination programmes and will work on promoting other vaccination programmes. This will then link into the wider Health Protection Committee, which will look at border health protection issues such as screening, immunisation, air quality….

 

RESOLVED – The Board noted the updated and the new proposed arrangements.

11.

JSNA PROGRAMME UPDATE

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    Supporting documents:

    Minutes:

    Chris Williamson, head of Public Health Intelligence for Southwark Council, presented the report.

     

    He explained that Joint Strategic Needs Assessment (JSNA) is a process designed to inform and underpin the Joint Health and Wellbeing Strategy (JHWS) by identifying areas of unmet need, both now and into the future. It is a statutory requirement for Local Authorities and their partners (under both the Health and Social Care Act 2012 and the Local Government and Public Involvement in Health Act 2007 s116 and s116A).

     

    With regards to the State of the Borough report he explained that this provides an update on health and wellbeing in Southwark. It sought to provide an analysis of our population, along with details of the health inequalities that exist in the borough. The report forms part of the borough’s Joint Strategic Needs Assessment (JSNA) work programme, and informs the Joint Health & Wellbeing Strategy (JHWS) and it is envisaged other local action to improve health and wellbeing in Southwark.

     

    A number of projects were currently underway as part of the JSNA programme:

    §  Air Quality Needs Assessment

    §  Severe & Multiple Disadvantage Needs Assessment

     

    In addition to the projects currently underway the recommendation was that  the JSNA programme focuses on a number of areas over the coming year, including:

     

    §  Pharmaceutical Needs Assessment. A statutory requirement of the Health & Wellbeing Board and is required to be published by October 2022.

    §  Analysis of 2021 Census. Results of the Census will start to be released from the summer, with data being released over an 18month period. This data will give a rich understand of the changing demography and social determinants of health, along with intersectionality within key groups from ethnic minorities to sexual orientation.

    §  Cancer Screening.Previous local needs assessments published in 2018 and 2019 highlighted significant inequalities in coverage, particularly among residents from an ethnic minority background. National research has pointed to a significant fall in cancer screening as a result of the pandemic. Recovery of cancer screening programmes will be a key area of work over the coming years.

    §  Special Educational Needs & Disabilities. This group experiences significantly poorer health outcomes than the general population. The last needs assessment on this was published in 2018, and colleagues in Education welcome a refresh of this work.

     

    RESOLVED – That Health and Wellbeing Board;

     

    1.  Note the findings of the State of the Borough report, and agree an annual update.

     

    2.  Note the population groups and communities identified with the poorest outcomes.

     

    3.  Note and agree the JSNA projects recommended for 2022/23.

     

     

     

12.

JOINT HEALTH AND WELLBEING STRATEGY 2022 - 27

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    Supporting documents:

    Minutes:

    Jin Lim, Deputy Director of Public Health present the report

     

    He explained that the focus of the strategy was on tackling health inequalities that lead to differences in health and life expectancy within the borough. Existing inequalities in Southwark had been exacerbated by the Covid-19 pandemic. The poorest outcomes were concentrated for people living in deprived neighbourhoods. The pandemic exposed and exacerbated existing inequalities within Southwark - there being a disproportionate impact on Black, Asian and minority ethnic communities, deprived areas and people living in care homes. The need to address these inequalities underpinned the strategy itself, and the work to empower communities through coproduction.

     

    He clarified that any further comments received on the Strategy would help shape the final version, which would be coming back to the Board in July 2022 for adoption.

     

    RESOLVED – That the Southwark Health and Wellbeing Board agree that final version of the Joint Health and Wellbeing Strategy be returned to the Board in July for adoption.

     

     

13.

LOCAL CARE PARTNERSHIP DEVELOPMENT WITHIN OUR HEALTHIER SOUTH EAST LONDON INTEGRATED CARE SYSTEM

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    Supporting documents:

    Minutes:

    The Board was provided with key updates that had happened since its last briefing.

     

    Ø  The Department of Health & Social Care published a white paper ‘Health and social care integration: joining up care for people, places and populations’, which sets out the government’s proposals for health and care integration, The white paper focused on the following key areas, which aligned to work already in-train through SEL ICS and at place-level through Partnership Southwark:

    Ø  The Partnership Southwark Strategic Board met in shadow form in January and focused on how the partnership would  create a local health and care plan, ensuring this is rooted in community engagement and feedback,

    Ø  The Partnership Southwark Strategic Board agreed to stand down the Partnership Southwark Task and Finish Group, which would be replaced with a delivery Executive that will meet regularly and include senior operational representatives from all partners. 

    Ø  A workshop was held with the support of Community Southwark and engagement leads from across the Partnership to engage with service users, carers and community representatives.

     

    With regards to the role profile for the Executive Place Director, who will hold the place-level delegations for Southwark on behalf of the Integrated Care Board and discharge these delegations through the Local Care Partnership, this was being finalised with South East London ICS.

     

    RESOLVED - The Southwark Health and Wellbeing Board note the update on progress with Partnership Southwark’s leadership and governance arrangements, in the context of wider South East London Integrated Care System (SEL ICS) developments.

     

14.

ANY OTHER BUSINESS

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    Minutes:

    There was none.

15.

NEXT MEETING

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    7 July 2022

    Minutes:

    The next meeting of the Board would be on 4 July 2022.