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Contact: Catherine Ziane-Pryor Governance Officer
APOLOGIES FOR ABSENCE
DECLARATIONS OF INTERESTS
Of the meeting held on 25 September 2019 (for confirmation)
The minutes of the meeting held on 25 September 2019 were confirmed as a correct record and signed by the Chair.
Report of the Director of Public Health
Helene Denness, Consultant in Public Health, introduced the report highlighting partnership activity that promotes the health of babies, children and young people in Nottingham, specifically focussing on efforts to reduce:
(1) the proportion of women smoking in pregnancy, which is significantly higher than the England average and the fourth highest among statistical neighbours;
(2) the proportion of year 6 children who are obese which is significantly higher than the England average and the third highest among statistical neighbours, and
(3) the percentage of mothers who breastfeed their babies at 6-8 weeks in Nottingham, whilst better than the England average is not improving and a local study indicates that breastfeeding rates are lower in younger, white women in the most deprived areas of the city.
The following points were raised during the discussion which followed:
the Council Plan has ambitious targets
to make reductions in all these areas, as did the last Council Plan
and Children and Young People’s Plan (CYPP). Funding will be
sought and, if secured, dedicated smoking in pregnancy posts
created, alongside training for staff and engagement with young
schools often reward attainment and good
behaviour with unhealthy food such as cakes and sweets, and this
culture can be difficult to change, particularly as the
Council’s relationship with schools has changed. Examples of
good alternative practice should be shared;
parents can be offended when they are
informed that their children are overweight or obese in writing
following the National Childhood Measurement Programme. Some
vulnerable parents will be unwilling to seek the suggested help and
less willing to engage;
some food cooked in classes at school is unhealthy and could be
swapped for healthier alternatives;
(e) arguably, the Council has more control and power over certain aspects of the obesogenic environment, such as licensing, advertising and sponsorship.
The Board was particularly interested in the perspective of the Youth Cabinet, given their current experience of the provision of food in schools and colleges.
The Board then split into three groups to discuss each of the three areas, and where improvement could be made. At the end of discussion each group summed up their main findings as follows:
childhood obesity – different
communities’ attitudes to food, preparation and mealtimes
could be better shared, which could start at Primary Parliament.
Also, community gardens could be used as a resource to teach
children and young people about healthy eating. Early intervention
breastfeeding – more focus could be on young
women and stigmas around breastfeeding, along with wider body image
issues. A peer support model with a celebrity or locally prominent
community member could be used;
(h) Smoking in pregnancy – Small Steps Big Changes could be used to test and learn. Support could be put in place for those who wish to swap from smoking to vaping. A peer support model would also be good here.
(1) note the contents of the report and progress on health and wellbeing outcomes in ... view the full minutes text for item 23.
DISCUSSION ON CHILDREN AND YOUNG PEOPLE PLAN DEVELOPMENT
Introduced by Sophie Russell, Head of Children’s Strategy and Improvement
Sophie Russell, Head of Children’s Strategy and Improvement, explained that the current Children and Young People’s Plan (CYPP) finishes in 2020. The Plan has four strategic priorities:
· promoting the health and wellbeing of babies, children and young people;
· safeguarding and supporting children and families;
· supporting achievement and academic attainment;
· empowering families to be strong and achieve economic wellbeing.
As a new CYPP is developed, the Board is asked to discuss whether these themes are still relevant and what should be captured in the new CYPP.
A video produced by The Pythian Club was then shown to the Board, showing young people from a range of backgrounds talking about their worries and aspirations for Nottingham.
The Board was then asked in groups to discuss what they would put in their ‘house of good things’, ‘house of worries’ and ‘house of dreams’ in the context of Nottingham. Each group was then asked for one thought to share with the Board, which were as follows:
· It would be good if there was more inter-generational discussion of problems and solutions in local communities;
· Some families are excluded from city events such as those at Old Market Square, due to high costs;
· There should be more investment in individuals and local role models in the Voluntary Community Sector.
YOUTH CABINET UPDATE
Jon Rea, Engagement and Participation Lead Officer, to introduce.
This item was withdrawn from the agenda as Youth Cabinet members had contributed to earlier discussions.
Nicky Bridges, Headteacher of Robin Hood Primary School to provide a verbal update.
This item was withdrawn from the agenda as the Primary Schools representative was unable to attend. A written update was available to Board members and is attached to these minutes.
KEY MESSAGES AND ITEMS FOR INFORMATION
The forward plan was noted.