Venue: Ground Floor Committee Room - Loxley House, Station Street, Nottingham, NG2 3NG. View directions
Contact: Phil Wye Governance Officer
No. | Item |
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APPOINTMENT OF VICE CHAIR Minutes: The Board agreed to appoint Dr Ian Trimble as Vice-Chair for the 2014-15 municipal year. |
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APOLOGIES FOR ABSENCE Minutes: Lyn Bacon (Nottingham Citycare Partnership) Peter Homa (Nottingham University Hospitals NHS Trust) |
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DECLARATIONS OF INTEREST Minutes: Leslie McDonald declared interests in agenda items 6 and 7 as representative of the Health and Wellbeing 3rd Sector Forum, but this interest did not prevent him from speaking or voting on the items. |
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To confirm the minutes of the last meeting held on 25 February 2015 Minutes: The minutes of the meeting held on 25 February 2015 were confirmed by the Board, with the exception of the following:
a)
in item 50 (Apologies for absence), Councillor Alex Norris’
name was recorded incorrectly; b) the list of voting and non-voting members was incorrect.
The minutes, including changes as above, were signed by the Chair. |
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NOTTINGHAM SUSTAINABLE HEALTH AND CARE LOCAL IMPLEMENTATION PLAN PDF 979 KB Report of the Interim Director of Public Health, Nottingham City Council Minutes: Helen Ross, Insight Specialist, Public Health Sustainable Development lead, presented her report on the outcomes of the Health and Wellbeing Board Development Session on Sustainable Development. This session demonstrated how health can be improved and how health inequalities can be reduced through the further development of a local Sustainable Health and Care Local Implementation Plan. Helen gave the following updates:
a)
the Nottingham Clinical Commissioning Group (CCG) has recently won
a Green Award for its work on carbon reduction. The Nottingham CCG
is the first in the UK to reduce carbon from data transmission,
setting a benchmark; b)
Carillion, who caters for the Nottingham University Hospital NHS
Trust, has achieved gold status for its food; c)
Helen recently spoke at a national event in Bristol about
sustainable food work in Nottingham and other delegates were
impressed with Nottingham’s achievements. Nottingham is on
its way to becoming a sustainable food city; d)
a bid has been submitted to the European Regional Development Fund
for £1m to support private care homes in Nottingham to carry
out sustainability activities and initiatives; e) a second focussed workshop would be required to develop an action plan in the priority areas identified in the session. A provisional date of 24 August 2015 has been set for this workshop.
Helen gave the following answers in response to questions from members of the Board:
f) Helen is able to attend the next meeting of the Health and Wellbeing 3rd Sector Forum to engage smaller organisations, and Leslie McDonald is invited to attend the workshop in August as a representative of the 3rd sector;
g) work on sustainable development could be promoted by ward councillors. They are welcome to attend the workshops but it is difficult to accommodate a date which would suit all of them;
h) Helen will meet with the CCG to discuss co-ordinating tying these initiatives with their Vanguard Status work. Dawn Smith can help with any issues arising;
i) sustainability should be encouraged in all health and wellbeing work in Nottingham, under a strategic plan.
RESOLVED to
1)
note the outcomes of the Sustainable Development Health
and Wellbeing Board workshop; 2)
draft a Nottingham Sustainable Health and Care Local
Implementation Plan and develop action plans in the priority areas
mentioned in the report, through a second focussed workshop that
utilises the Sustainable Development Unit Local Implementation
Toolkit and an Action Learning approach, in consultation with
representatives from other partnerships such as the Nottingham
Green Theme Partnership, to ensure that value is added to
others’ work and potential duplication is avoided; 3) agree finance for room booking, meeting expenses and participation from partner organisations through existing budgets. |
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HOUSING'S CONTRIBUTION TO THE HEALTH AND WELLBEING AGENDA PDF 229 KB Report of the Director of Housing, Nottingham City Homes Minutes: Gill Moy, Director of Housing and Lorraine Raynor, Chief Environmental Health & Safer Housing Officer, Nottingham City Homes (NCH) presented their report, identifying the contribution housing services make to improving the mental and physical health outcomes for Nottingham citizens. The following points were highlighted:
a)
poor housing has an impact on
citizens’ physical and mental wellbeing. The 2004 Housing Act
made it the duty of local authorities to ensure that all homes are
safe and healthy, but this is a huge challenge in Nottingham due to
the size and variety of the housing stock; b)
housing problems cause huge cost to the
NHS. Nationally, £1.4bn would be saved annually if 3.3m poor
homes were brought up to a decent standard. The local figures for
Nottingham are unknown as homes have not been surveyed since 2006.
NCH is intending to commission the Building Research Establishment
(BRE) to survey homes in Nottingham; c)
over 1300 complaints have been made by
residents about housing in Nottingham, mainly amongst the private
rental sector. 435 homes have been improved by enforced legal
action, along with a significant number which have been improved
without having to resort to legal action; d)
all social housing in Nottingham (around
30% of the housing stock) meets the ‘Decent Homes
Standard’, but it is a challenge to keep the housing at this
high standard. The Nottingham Trent University Decent Homes Impact
Study found that the work carried out by NCH: ii) reduces respiratory illness in over 1000 children; iii) avoids 178 accidents at home, including 12 falls; iv) improves mental health and wellbeing; v) saves the NHS £700,000 a year (from a sample of health benefits);
e)
the success of NCH’s work on housing improvement has been
promoted as a leading example by Lilian Greenwood, MP for
Nottingham South, in the House of
Commons; f)
the city council has recently been successful in obtaining funding
for home improvements in Clifton, Bulwell and Sneinton, for example refurbishment of tower blocks
in Sneinton; g)
Nottingham On Call has received 11,000
calls, and made 1,007 emergency call-outs in 2014/15, saving
£302,100 by avoiding 999 call-outs. Only 1500 of these calls
were from private rentals, so there is considerable scope to
increase the number of people benefiting from the
service; h)
Around 1000 housing adaptations are made each year by NCH, along
with the provision of hundreds of specialist houses. Other schemes
such as Homelink, Independent Living
Schemes and the Hospital to Home Project have also been
successful; i)
poor quality housing has an impact on
mental health, including social isolation. Recent and future
welfare reform may also create significant future challenges as
residents receive fewer benefits. An example of a scheme which
helps reduce social isolation is Fit in the Community, which helps
to increase physical activity as well as improving mental
health; j) the Joint Memorandum of Understanding has been signed by a wide range of health, social care and housing organisations including the Department of Health and the Department for Communities and Local Government. It sets out:
ii) principles for
joint-working to deliver positive outcomes; iii) a framework for partnerships, to design and deliver healthy homes, communities and neighbourhoods as well as integrated and effective services that meet individuals’, their carers’ and their family’s needs.
Gill and Lorraine provided the following
answers in response to questions from the Board: k)
a business manager has recently been recruited to help widen the
scope of Nottingham On Call; l)
the number of homes which require improvement to bring them up to
decent standard is not known as the last survey was carried out in
2006; m)
licensing in the private rental sector
is currently discretionary, however licensing could be introduced
for the whole sector. This would give the council additional tools
and powers to intervene, but intervention and the closure of
housing is expensive. Other enforcement
options include the Nottingham Standard accreditation scheme, and a
requirement for pre-checks prior to rental of a house; n)
there is a problem with the
under-reporting of poor quality housing stock. The council is
working with the police to create a single point of contact receive
complains about landlords. Health and care partners could also
report cases they are aware of; o)
a French model where students live with older tenants to improve
their mental wellbeing is being investigated; p)
the 30% figure of for social housing in Nottingham includes all
housing associations, not only NCH. Social Landlord Forum members
are welcome to attend Health and Housing Partnership Board
meetings; q)
the Health and Housing Referral Service
helps to pick up housing problems in the private sector in the
council. The council also provides funding to Age UK to support
older people living in their own homes; r)
the Health and Housing Partnership Board
is trying to get as many partners as possible around the table and
would welcome new members from social care and the CCG. RESOLVED to
1)
note the contribution that housing providers, and
housing interventions, make to the health and wellbeing of
Nottingham Citizens, particularly in reducing demand for primary
and secondary health and social care services, and to consider the
contribution that housing services can make when commissioning
health services; 2)
note the Memorandum of Understanding (MOU) to
‘support joint action on improving health through the
home’ and to agree that the Health and Housing Partnership
Board should own such actions locally and make future
recommendations to the Commissioning Executive Group
(CEG); 3) note the outcomes from the Health and Housing event on 28th November 2014 organised by the Strategic Housing Network and the Nottingham Health and Housing Partnership Board. |
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Report of the Acting Corporate Director of Resources Minutes: Councillor Alex Norris introduced the report of the Acting Corporate Director of Resources proposing a sub-committee of the Health and Wellbeing Board with responsibilities including:
a)
performance management and amendment of the Health and Wellbeing
Commissioning Plan; b) making funding decisions relating to the spend of the Better Care Fund and Domestic Violence Commissioning pooled budgets.
RESOLVED to
1)
note the changes to the Terms of Reference for the
Health and Wellbeing Board; 2)
establish a sub-committee of the Health and Wellbeing
Board called the Health and Wellbeing Board Commissioning
Sub-Committee, and agree the terms of reference subject to the
following changes: i
that the Terms of Reference allow for additional
meetings as and when required, should a decision be needed
urgently, and; ii
that the Terms of Reference include reference to the
Section 75 agreement signed by the CCG; 2) note that Full Council approved the membership and voting arrangements for the Health and Wellbeing Board Commissioning Sub-Committee, subject to the establishment of the sub-committee by this Board. |
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Minutes: RESOLVED to note the forward plan, subject to the addition of a report on Child Sexual Exploitation as agreed at the meeting on 25 February 2015. |
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UPDATES |
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Corporate Director for Children and Families PDF 148 KB Minutes: Alison Michalska, Corporate Director for Children and Adults, gave the following updates:
a)
Changes to the Adult Social Care structure b)
Fostering and Adoption c)
Education Improvement Board d)
Early Help, Safeguarding and Family Support Delivery Plan e)
Project Evolution f)
Independent Chair – Safeguarding Boards g)
Dolly Parton’s Imagination Library |
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Director of Public Health Minutes: Alison Challenger, Interim Director of Public Health, gave the following updates:
a)
the Joint Strategic Needs Assessment (JSNA) is currently being
refreshed; b) as part of the smoke-free agenda, the Nottingham University Hospitals NHS Trust is making its grounds completely smoke-free. This is a huge challenges but should be in place by October. |
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Healthwatch Nottingham Minutes: No update |
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Clinical Commissioning Group PDF 336 KB Additional documents: Minutes: Dawn Smith, Chief Officer, Nottingham City Clinical Commissioning Group (CCG) gave the following update:
a)
NHS 111 re-procurement b)
The selection of Quality Premium Indicators for 2015/16 c)
360° Stakeholder Survey d)
Diabetes Care in Nottingham City e)
Improving Patient Flow through Nottingham University Hospitals NHS
Trust |
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The Care Act Minutes: Helen Jones, Director of Adult Social Care, Nottingham City Council, provided an update on the implementation of the Care Act in Nottingham City:
a)
Nottingham City Council has delivered against all legal
requirements in the implementation of the care act to
date; b) Nottingham City Council has volunteered to undertake a piece of work on the funding impacts of new reforms, as there has been national lobbying for additional guidance prior to consultation taking place. |
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HEALTH AND WELLBEING BOARD MEETING DATES 2015-16 To consider meeting on the following Wednesdays at 1.30pm: 2014: 29 July, 30 September, 25 November 2015: 27 January, 30 March 2015 Minutes: RESOLVED to meet on the following Wednesdays at 1.30pm:
2015: 29 July, 30 September, 25 November 2016: 27 January, 30 March |