Agenda and draft minutes

Councillor Cheryl Barnard

Sarah Collis (sent substitute)

Nancy Cordy

Lucy Hubber (sent substitute)

Councillor Sam Lux

Vicky Murphy (sent substitute)

Sarah Nardone (sent substitute)

Supt Chris Pearson

Sajeeda Rose

Jules Sebelin

Jan Sensier

Geoff Wharton

None.

Minutes of the meeting held on 27 November 2025, for confirmation

The Board confirmed the minutes of the meeting held on 27 November 2024 as a correct record and they were signed by the Chair.

Report of the Assistant Chief Fire Officer, Nottinghamshire Fire and Rescue Service

Damien West, Assistant Chief Fire Officer, presented the report on occupational therapy which is now embedded within the Prevention service at Nottinghamshire Fire and rescue Service (NFRS), offering specialist assessment and weekly mental health triage of Safe and Well Visits (SWVs). Rebecca Sandy, Occupational Therapist, then delivered a presentation and highlighted the following:

(a)  home visits are offered by an occupational therapist when specialist intervention would reduce fire risks due to cooking, smoking, or the use of electrical equipment. Outcome measures used to assess the impact of these visits include SMART goals, comparison of Charlie-P scores pre and post intervention, and no further fire incidents;

(b)  a large number of cases are identified with mental health conditions and these are triaged weekly. The occupational therapist can complete an assessment of cognition, features of psychosis (delusions, hallucinations), mood, DSH and suicidality, and can then be referred to a GP or other health professional.

The following points were raised during the discussion which followed:

(c)  safe and well visits have replaced fire safety checks, and are broader in their range of prevention measures. The content of the visits can be reviewed to include more of the wider health agenda;

(d)  a current expanding sector in the NHS is improving neighbourhood health, working with other public sector bodies and the voluntary sector. The Fire Service is a part of this model as the public have trust in them;

(e)  there could be an opportunity for improvement of health outcomes through sharing of data with wider services.

Resolved to

(1)  note progress of the Occupational Therapy secondment;

(2)  encourage professional parties to encourage staff to complete NFRS’s referral training;

(3)  encourage interested parties to comment on the public consultation on the NFRS Community Risk Management Plan before 1 Decemeber 2024.

Report of the Director of Public Health

Allison Jackson, Head of Thriving Nottingham. presented the report and delivered a presentation on Thriving Nottingham, which is an integrated wellbeing service, commissioned by Nottingham City Council. The service provides access to a range of health and wellbeing support and services, tailored to individuals following an initial (telephone) health assessment. Thriving Nottingham is approaching the end of the first year of provision and over 7,500 referrals have been received to date. Thriving Nottingham has undertaken extensive engagement with communities, the voluntary and community sector and health care providers within Nottingham to ensure the service offer is relevant to, and build upon, the local landscape.

Resolved to

(1)  note and welcome the impact Thriving Nottingham has had in the first year, helping individuals across Nottingham’s communities achieve positive health and wellbeing outcomes;

(2)  note and endorse the next steps for service development;

(3)  actively promote the Thriving Nottingham service both within organisations and across Nottingham’s communities;

(4)  support the development / improvement of referral pathways where relevant;

(5)  identify further opportunities for engagement with specific communities and organisations.

Joint report of the Director of Public Health, Nottingham City Council and the Director of Strategy and System Development NHS Nottingham and Nottinghamshire Integrated Care Board.

Victoria McGregor-Riley, Director of Strategy and System Development, Nottingham and Nottinghamshire Integrated Care Board, presented the report updating Board members on progress regarding delivery of the Nottingham and Nottinghamshire Integrated Care Strategy and to outline and agree an approach to reviewing and refreshing the strategy and NHS Joint Forward Plan by March 2025, highlighting the following:

(a)  in line with guidance from the Department of Health and Social Care (DHSC), at its meeting on 13 March 2023, the Integrated Care Partnership (ICP) approved Nottingham and Nottinghamshire’s Integrated Care Strategy. Subsequent work has focussed on implementation and refining measures to monitor the impact of the strategy to assure the ICP that the right conditions for success have been established and embedded;

(b)  the Strategy is reviewed and refreshed on an annual basis. At its 28 October 2024 meeting, the ICP agreed to a light touch review of the Integrated Care Strategy. The ICP will consider the revised strategy at their meeting on 24 March 2025;

(c)  the Integrated Care Strategy is being delivered by Nottingham City and Nottinghamshire County Health and Wellbeing Boards through the implementation of their Joint Local Health and Wellbeing Strategies, and by NHS partners through delivery of the NHS Joint Forward Plan.

Resolved to

(1)  note the approach for the review of the Integrated Care Strategy and the refresh of the NHS Joint Forward Plan;

(2)  endorse the proposed Integrated Care Strategy to be presented to the Integrated Care Partnership for their 24 March 2025 meeting;

(3)  agree to delegate ongoing input from the Health and Wellbeing Board regarding the review of the Integrated Care Strategy and refresh of the NHS Joint Forward Plan to the Chair of the Nottingham Health and Wellbeing Board and Director of Public Health;

(4)  Agree to the Chair and Director of Public Health submitting the formal statement of opinion for the draft revised NHS Joint Forward Plan.

Report of the Nottingham City Place-Based Partnership

Rich Brady, Director of Strategy and Partnerships, Nottingham City Place Based Partnership, presented the report on a development session was held with Health and Wellbeing Board members to review the Place-Based Partnership’s Race Health Inequalities Maturity Matrix. The purpose of the session was to understand how the Health and Wellbeing Board could enhance, influence or enact the Maturity Matrix.

While attendance was low, this allowed for focused conversations, reflections and challenge. Board members in attendance reflected on the value of the tool as an enabler for difficult conversations that may not otherwise take place within organisations. Board members also reflected on the versatility of the tool and the potential for it to be utilised as a decision support tool by the Board.

Resolved to

(1)  note the reflections form the Race Health Inequalities Maturity Matrix Development Session;

(2)  use the Maturity Matrix to conduct self-assessments within their organisations;

(3)  following self-assessments, share good practice case studies aligned to at least one of the principles and a principle to develop further;

(4)  following completion of self-assessments by all members, hold a further development session as a full Board within six months to assess how the Maturity Matrix can be adopted by the Health and Wellbeing Board as a decision support tool.

Report of the Director of Public Health

David Johns, Deputy Director of Public Health, presented the report on the development of a new Joint Local Health and Wellbeing Strategy (JLHWS) for Nottingham as the current JLHWS, agreed by the Board in March 2022, will expire at the end of March 2025, and providing an overview of proposed updates to the JLHWS for the Boards approval, ahead of publication via the Health and Wellbeing Board’s website in April 2025. The following was highlighted:

(a)  In line with previous Board discussions the updated JLHWS will have six priorities, in addition to a cross-cutting commitment to addressing mental health and race health inequalities. The six priorities are;

1) Smoking and tobacco control

2) Eating and moving for good health

3) Severe multiple disadvantage

4) Work and health

5) Best start

6) Alcohol

(b)  alcohol use is a significant contributor to poor health outcomes in Nottingham, ranked in 6^th and has been identified as a causal factor in more than 60 medical conditions, including various cancers, heart disease and liver disease. It is estimated that 1,948 potential years of life are lost due to alcohol-related conditions amongst males in Nottingham (2023).2 Nottingham sees significantly higher hospital admissions for alcohol-specific and alcohol-related conditions than the England average;

(c)  the importance of a babies’ earliest days and years to their lifelong health and wellbeing is well recognised. In order to ensure sufficient focus on this critical period it is proposed for inclusion as a priority in the JLHWS. This will be complemented by the development of a separate (long-term) Best start strategy for Nottingham, with initial work to develop this already well underway;

(d)  specific content for each of the six priorities is currently being prepared, with headings largely mirroring those in the current document. This will set out the scope, key stakeholders and high-level outcomes and delivery plans for each priority. In a change to the current strategy there will be additional sections detailing the relevance to and relationship with the cross-cutting programmes (mental health, race health inequalities).

Resolved to

(1)  approve the inclusion of six priorities within the updated JHLWS for Nottingham, to be the focus of delivery for a further three-year period (April 2025-March 2028), with the overall aim of improving healthy life expectancy and reducing health inequalities in Nottingham;

(2)  note the ongoing / planned work to finalise the detailed content of the updated JLHWS for Nottingham;

(3)  delegate responsibility for agreeing the final document to the Chair of the Health and Wellbeing Board and Director of Public Health ahead of publication on the Healthy Nottingham website in April 2025;

(4)  seek endorsement of the updated JLHWS and commitment to supporting its delivery within members respective organisations / sectors.

Report of the Chair

Alison Donaldson, Programme and Strategy Manager, Commissioning and Partnerships, presented the report providing oversight to the Board of the monitored progress of delivery of the Nottingham City Better Care Fund (BCF) 2024/25 plan.

Resolved to

(1)  note the content of the Nottingham BCF Quarter 2 reporting template that was submitted to NHS England on 31 October 2024;

(2)  note the content of the Nottingham BCF Quarter 3 reporting template that was submitted to NHS England on 14 February 2025;

(3)  delegate authority for the chair of the HWB Board to approve the 2025-26 BCF plan submission to meet the national deadline and for the HWB Board to ratify retrospectively.

Update from the Joint Health Protection Board

David Johns, Deputy Director of Public Health, informed the Board that there had been no meeting of the Joint Health Protection Board since the last Board meeting.

Updates from Board Members

The written updates were noted.

To note the provisional dates for the 2025-26 municipal year:

28 May 2025

24 September 2025

26 November 2025

25 February 2026

The provisional dates for the 2025-26 municipal year were noted.

The work plan was noted.