Venue: Ground Floor Committee Room - Loxley House, Station Street, Nottingham, NG2 3NG. View directions
Contact: Phil Wye Email: phil.wye@nottinghamcity.gov.uk
No. | Item |
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Apologies for Absence Minutes: Mel Barratt Dr Dave Briggs (sent substitute) Sarah Collis Kathryn Craner Tim Guyler Annie Jennings Jan Sensier Catherine Underwood |
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Membership To note the following changes to non-voting members of the Board:
· Candida Brudenell has replaced Damien West as the representative of the Nottinghamshire Fire and Rescue Service. · Charlotte Throssel is a new member representing the interests of the 3rd Sector. Minutes: The Board noted that:
· Candida Brudenell has replaced Damien West as the representative of the Nottinghamshire Fire and Rescue Service. · Charlotte Throssel is a new member representing the interests of the 3rd Sector. · Councillor Sam Lux has replaced Councillor Eunice Regan as City Councillor representative. |
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Declarations of Interests Minutes: None. |
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Minutes of the meeting held on 31 May 2023, for confirmation Minutes: The minutes of the meeting held on 31 May 2023 were confirmed as a correct record and signed by the Chair. |
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Small Steps Big Changes Legacy Plans PDF 203 KB Additional documents: Minutes: Karla Capstick presented the report and delivered a presentation on Small Steps, Big Changes (SSBC), one of five partnerships funded by the National Lottery Community Fund with a £45m investment over 10 years. With less than two years until the end of the funding period, the Programme is now focussed on legacy, sustainability and how as a Partnership the SSBC story can be articulated and shared at a local and national level. The following information was highlighted:
(a)
SSBC aims to improve the life chances of babies and very young
children by delivering a significant increase in the use of
preventative approaches in pregnancy and the first four years of
life. Enhanced pathways of support have been put in place based on
local need through which all pregnant women, babies and children
living in the 4 target wards can benefit; (b)
the intended outcomes of SSBC are that children will have healthy
and positive social and emotional development, that children will
have effective and age-appropriate communication and language
skills, that children will have good nutrition, and cross
partnership system change; (c)
SSBC is now in its third phase which is continued delivery based on
learning, evaluation, legacy and sustainability. Evaluation has
been taking place with Nottingham Trent University to ascertain
which aspects can continue once the core funding ends; (d)
4,504 children have worked with 67 family mentors to improve their
outcomes through SSBC, and 323,000 books have been delivered
through the Dolly Parton Imagination Library; (e)
local evaluation has found that 100% of
families interviewed would recommend Family Mentoring to families
with young children. The longer families participated in the
programme, the more parents had interactions with their children
whilst reading a book, the longer reading sessions they had,
and the more they read to their children on a daily
basis; (f)
a pack was produced for new fathers.
Both fathers and practitioners described the pack as a useful
source of first reference, especially as it is a comprehensive
single document from a trusted source. Both fathers and
practitioners reported that the information in the pack helped with
the participants’ knowledge of the financial help available
to them. Participants learned about their rights as a new father
and what parental leave and benefits they could access; (g)
SSBC has not seen locally or nationally large statistically
significant data improvements in child development outcomes; but
does have rich qualitative data that evidences impact, alongside
case studies. Cost benefit analysis, return on investment and cost
consequence analysis is challenging to evidence. The universal,
early intervention nature of the Programme makes attribution
complex; (h)
not all evidence based interventions
have been successful locally. Where SSBC interventions have
evidenced impact, the local partnership hasn’t always been
able to commit the funding to scale up or implement; (i)
ownership of the Love Bump and Feed Your
Way campaigns is being explored post SSBC, integrating it into the
city and county breastfeeding strategy for long-term impact. There
is ambition to become a breastfeeding friendly city; (j) as part of wider maternity transformation, there are plans to embed and grow the Pregnancy Mentors model. There are also ambitions to become more father inclusive, and to support trauma informed approaches and practice. SSBC’s intellectual property will require hoisting post funding.
Resolved to
(1)
note the update on the SSBC Programme and current
legacy plans; (2)
note the proposed areas of legacy, system risks and
next steps; (3) discuss and identify future legacy opportunities a linked to the SSBC Programme’s activity and wider learning and agree to progress with SSBC direct. |
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Gambling related harm strategy 2023-2028 PDF 331 KB Report of the Director of Public Health Additional documents: Minutes: Dr Mike Saunders presented the report and delivered a presentation on Nottingham’s first Gambling related harm strategy, which takes a public health approach to preventing and reducing gambling related harm. The strategic vision is that Nottingham City will be a place where people are protected from gambling harm, and can access and receive support. The strategy aims to prevent and reduce gambling related harm in Nottingham City. The following information was highlighted:
(a)
national survey data when applied to Nottingham City, estimates
that approximately 4,500 people aged 16 and over and 1,000
in-school 11-16-year-olds show signs of a gambling problem. Each
person with a gambling problem has 6 to 10 affected others on
average; (b)
gambling related harm can lead to mental ill health, physical ill
health, alcohol and substance use, crime, relationship breakdowns,
financial loss, loss of employment and loss of education. Support
is available but is under-utilised; (c)
an alliance of groups, services and organisations has been formed
to address gambling related harm in a partnership approach. The
group have produced Nottingham’s first Gambling related harm
strategy, which takes a public health approach to preventing and
reducing gambling related harm; (d)
the strategy’s vision is that Nottingham City will be a place
where people are protected from gambling harm, and can access and
receive support, with the aim to prevent and reduce gambling
related harm. The three strategic themes cover regulation,
knowledge and awareness, and support pathways; (e)
under the theme of regulation, the strategy seeks to review and
update local Council gambling license policy, gain assurances that
gambling businesses are responsibly preventing and responding to
gambling related harm, and review and update local Council
advertising and sponsorship policy; (f)
under the theme of knowledge and awareness, the strategy seeks to
utilise opportunities to collect local data on gambling and
gambling related harm, understand the experiences and support needs
of people affected by gambling, address priority gaps in evidence
through research and evaluation, raise awareness of gambling risks
and impacts to people and signpost support services, and provide
information on gambling risks and impacts among children and young
people and their trusted adults; (g)
under the theme of support pathways, the strategy seeks to conduct
targeted screening to detect gambling related harm and offer
referral or signposting to support services, improve pathways to
recovery by connecting providers of gambling support with other
services that promote ongoing wellbeing and help rebuild lives,
promote the visibility of gambling harm support services to make it
easier for people to find support, and promote equity of access for
people who are affected by gambling; The following information was provided during the discussion which followed:
(h)
the NHS has recently opened up a gambling addiction clinic which is
in Derby. Nottingham City Council has had discussions around
accessibility from Nottingham; (i)
more deprived areas have more gambling venues and they are not
always open to preventing gambling related harm from addiction, so
this strategy is welcomed to counteract this; (j) gambling addictions are often hidden and stigmatised, and can affect children and young people. The public health campaign will have a range of messages and make sure that people are aware of the support available.
Resolved to endorse the Nottingham City Gambling Related Harm Strategy 2023-28 |
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Joint Local Health and Wellbeing Strategy - Delivery Update PDF 430 KB Update from the Nottingham City Place-Based Partnership Additional documents:
Minutes: Rich Brady presented the report providing an overview of the approach taken by the Place Based Partnership to deliver the four priorities that make up the Joint Health and Wellbeing Strategy 2022-25, delivery progress to date and expectations in year 2. The following information was highlighted:
(a)
robust delivery plans have been agreed
and delivery activity is in progress for the Smoking and Tobacco
Control, Eating and Moving for Good Health, and Severe Multiple
Disadvantage programmes. Each delivery plan demonstrates how
population health outcomes will be improved through integrated
working, contributing to the delivery of the ambitions set in the
Joint Health and Wellbeing Strategy; (b)
while a delivery plan for the Financial
Wellbeing programme is still to be agreed, incremental delivery
activity is taking place. A financial wellbeing specific outcomes
framework is in development with a delivery plan anticipated to be
agreed later in the year; (c)
while the partnerships that underpin the
four programmes are undertaking significant activity as detailed in
the delivery updates, it is too early to assess the impact that
programme activity is having on the overall delivery of the Joint
Health and Wellbeing Strategy. The following points were made during the discussion which followed:
(d)
there are underlying issues that are constantly evolving such as
vaping and landfill and waste issues; (e)
the mobile dentistry unit could make tangible differences to uptake
of dentistry services and it will be interesting to monitor its
uptake levels; (f)
preventative measures are important to factor in so that people
will no longer need the services so much in the future; (g) there has been recent emphasis on the impact of sleep on children’s education.
Resolved to note the update provided by the Nottingham City Place-Based Partnership Programme Oversight Group |
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Nottingham and Nottinghamshire NHS Joint Forward Plan PDF 375 KB Report of the Director of Integration, Nottingham and Nottinghamshire Integrated Care Board Minutes: Lucy Dadge and Joanna Cooper presented the report briefing members of the Board on the development of the Nottingham and Nottinghamshire NHS Joint Forward Plan as required under the Health and Care Act 2022. The Plan is in its final draft version and has already been approved by the Nottinghamshire Health and Wellbeing Board. It will be a live document delivery and oversight arrangements are being drawn up for an annual refresh.
Resolved to
(1)
note the development of the Nottingham and
Nottinghamshire NHS Joint Forward Plan as required under the Health
and Care Act 2022; (2) approve the following statement of support: The Nottingham Health and Wellbeing Board is satisfied that the NHS Joint Forward Plan for Nottingham and Nottinghamshire takes full account and outlines the ICB's contribution to the delivery of the Integrated Care Strategy. We welcome the strong commitment and connectivity to the Joint Local Health and Wellbeing Strategy. |
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Government Response to the Hewitt Review 2023 PDF 201 KB Director of Integration, Nottingham and Nottinghamshire Integrated Care Board. Minutes: Following the item at the last Board meeting on the Hewitt Review, Lucy Dadge presented the report briefing members of the Board on the Government's response.
Resolved to note and the Government response to the Hewitt Review 2023. |
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Joint Health Protection Board Update Update from the Joint Health Protection Board Minutes: Lucy Hubber provided an interim update as the Joint Health Protection Board has not met since the last update provided to the Health and Wellbeing Board in May 2023. The following points were raised:
(a)
there has been recent media coverage of
an increase in sexually transmitted infections, and Nottingham has
a high rate. A much more comprehensive sexual health service is
currently being commissioned, and additional online testing
capacity has also been commissioned; (b) there has been an increase in cases of measles nationally, and there is a strong ambition locally to increase immunity. The Council is working with the ICB to put in additional investment and catch-up capacity, targeted and accessible for communities that have low uptake levels. Learning from the pandemic demonstrated that each community has its own concerns and requires a different response.
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Board Member Updates PDF 363 KB Updates from Board Members Minutes: The following updates were provided:
·
Nottingham City Council has established four Family Hubs in
Bestwood, Broxtowe, Hyson Green and the
Meadows, providing families with easier access to universal and
early help services delivered by the local authority, health
partners, community and voluntary services, both in the Family Hub
buildings and in community venues across the city. ·
Ofsted have confirmed a second monitoring visit of Children’s
Services will be conducted during July. The purpose of the
monitoring visits are to assess the progress and effectiveness of a
focused area of the local authority Children’s
Services. ·
Nottingham City Council has been selected to take part in the CQC
pilot assessment scheme. CQC will be conducting their on-site visit
during the week commencing 31st July when they will speak to staff,
citizens and partners. · A motion has passed at the County Council to improve oral health by making sure that the whole water supply is fluoridated. This should lead to cross boundary work. |
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Minutes: The work plan was noted. |
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Future Meeting Dates 27 September 2023 29 November 2023 24 January 2024 27 March 2024 Minutes: The future meeting dates were noted. |