Agenda and minutes

Councillor Steve Battlemuch

Alison Michalska

Jean Sharpe

Simon Smith

Leslie McDonald declared interests in agenda items 4,5 and 6 as representative of the Health and Wellbeing 3^rd Sector Forum, but this did not preclude him from speaking on the items.

To confirm the minutes of the last meeting held on 27 May 2015

The Board confirmed the minutes of the meeting held on 27 May 2015 as an accurate record and they were signed by the Chair.

Report of the Corporate Director for Children & Adults, and the Interim Director of Public Health, Nottingham City Council and the Chief Operating Officer, Nottingham City Clinical Commissioning Group.

James Rhodes, Strategic Insight Manager, presented the report and a presentation outlining progress on the delivery of the Nottingham City Joint Health and Wellbeing Strategy 2 years after it was endorsed by the Health and Wellbeing Board.

Colleagues then provided updates to the Board on progress made within the specific strategy themes.

Christine Oliver, Crime and Drugs Partnership, updated the Board on progress made against the Alcohol Misuse theme and provided the following information:

(a)  the proportion of adults drinking at increasing or higher risk levels reduced from a baseline of 12% in 2012 to 9% in 2014. The proportion of binge drinkers also decreased from 23.7% to 18.7%;

(b)  the initial consultation on commissioned services is complete with final consultation due to complete in September 2015 and an intended roll-out date of July 2016;

(c)  there are some concerns around the budget for these services.

Colin Monckton, Director of Commissioning Policy and Insight, updated the Board on progress made against the Supporting Older People theme and provided the following information:

(d)  re-organisation and streamlining of programme governance and sign-off of the Better Care Fund  Section 75 agreement are complete;

(e)  the target to reduce non-elective admissions was only partially met;

(f)  the target for 4800+ over 65s to be supported through assistive technology has been met.

Helene Denness, Consultant in Public Health, updated the Board on progress made against the Improving Mental Health – Early Years, and the Improving Mental Health – Employment themes providing the following information:

(g)  the Behaviour , Emotional and Mental Health (BEMH) Pathway was launched in December 2014. Since the launch there have been 1141 referrals, 696 of which were for behavioural and neurodevelopmental concerns;

(h)  there has been a 58% increase in the number of referrals into the Single Point of Access and the BEMH pathway since its launch;

(i)  the Nottinghamshire Fit for Work service supported 356 individuals in 2014/15, including 172 who were in work and 184 who were out of work. 306 of these had a long-term health condition;

(j)  there has been improved cross-sector partnership work around health and employment through the Building Health Partnerships initiative, Core Cities and UK Healthy Cities;

(k)  mental health training has been commissioned for cross-sector frontline staff, starting in September.

Nicky Dawson, Priority Families Programme Co-ordinator, updated the Board on the Priority Families theme and provided the following information:

(l)  the Priorities Families Scheme phase 1 has achieved its national targets 6 months early, and Nottingham has qualified as an ‘early starter’ for commencing phase 2 delivery. The early starter target has been exceeded, with nearly 300 families now supported;

(m)the scheme has won a number of awards, and was commended for its approach in a government audit;

(n)  the government is seeking a roll-out of services to adult-only families. Nottingham may be asked to pilot this scheme.

The board congratulated all those involved on the progress made, and recognised that there is still further progress to be made.

The following responses were given in answer to questions from the board:

(o)  some of the targets are broad aspirations and measure up to 10 years in the future, which is why some are marked as amber or green when have not yet been met;

(p)  young people must be registered with a GP in the city to benefit from the city’s schemes. However there is a good cross-county network of practitioners.

RESOLVED to

(1)  note the reported progress on the delivery of the Joint Health and Wellbeing Strategy;

(2)  note the following changes in the leadership of the strategy priorities:

(i)  the accountable board member for the Preventing Alcohol Misuse priority is now Alison Challenger;

(ii)  the accountable board member for the Early Intervention: Improving Mental Health priority is now Alison Challenger;

(iii)  the lead officer for the Early Intervention: Improving Mental Health priority is now Helene Denness.

(3)  provide more recent metrics for the Preventing Alcohol Misuse priority to the next meeting of the Commissioning Executive Group;

(4)  sense-check the traffic-light levels against the progress in Appendix 1 of the report at a chair’s briefing.

Report of the Interim Director of Public Health

James Rhodes presented the report, setting out the initial plans for the development of the city’s Joint Health and Wellbeing Strategy 2016-2019. The strategy will lead on specific aspects of health and wellbeing improvement and reducing health inequalities.

The following observations were made by board members:

(a)  consultation should be carried out with members of the 3^rd sector and Healthwatch to ensure all appropriate views are heard;

(b)  the strategy should be closely aligned with the Joint Strategic Needs Assessment (JSNA) which is currently being updated;

(c)  the strategy should use clear, simple language as it represents the citizens of Nottingham and should be accessible to all of them;

(d)  the strategy should either be all-encompassing, or focus on a few important areas.

RESOLVED to

(1)  support principles for the development of the city’s Joint Health and Wellbeing Strategy 2016-2019 which were proposed at the Board Development Session held on the 22^nd June 2015;

(2)  endorse the formation of a steering group for the development of the city’s Joint Health and Wellbeing Strategy 2016-2019;

(3)  endorse the proposed process for the development of the city’s Joint Health and Wellbeing Strategy 2016-2019, particularly noting the process and timeline for engagement and consultation.

Report of the Corporate Director for Children & Adults

Helene Denness presented the report, which outlined the links between health (both physical and mental) to employment and unemployment in Nottingham, highlighting the following:

(a)  poor health and wellbeing in the working age population costs the UK over £100 billion each year through lost productivity, long-term sickness absence, unemployment and the increased costs of health and social care;

(b)  in Nottingham the number of Employment Support Allowance (ESA) is higher than the national average. The largest proportion of ESA claimants are recorded as having mental and behavioural disorders, which includes mental health problems, learning disabilities and autism.

RESOLVED to

(1)  support the health and employment action plan developed by the Mental Health and Wellbeing Steering Group;

(2)  commit to improve the health and wellbeing of individual organisations’ workforces;

(3)  consider how procurement processes could improve health and wellbeing;

(4)  explore how individual organisations can provide work opportunities for people with health problems and disabilities.

RESOLVED to note the forward plan.

Helen Jones, on behalf of the Corporate Director of Children and Adults, gave the following update:

(a)  Chris Cook and Malcolm Dillon have been appointed as independent chairs of the Children’s Safeguarding Board and the Adults Safeguarding Board. Aileen Wilson has been appointed as Head of Early Help and Tajinder Madahar has been appointed as Head of Targeted Family Support;

(b)  the Priority Families team was visited by the Department for Communities and Local Government on 30 June 2015 who congratulated them for achieving 100% of targets for phase 1 six months early;

(c)  the Association of Directors of Adult Social Services (ADASS) has released a policy paper entitled ‘Distinctive, Valued, Personal – Why Social Care Matters: The Next Five Years’ which board members should familiarise themselves with;

(d)  a new initiative called Safe Families for Children (SFFC) is being rolled out to several regions of the UK including the East Midlands. SFFC links families in crisis to local volunteers who have been specifically trained to offer help and support;

(e)  the council has won two MJ Awards for Delivering Better Outcomes (for the Schools Team) and Children’s Services (for the Business Support Team);

(f)  Ellis Guilford School and Bulwell Academy have been awarded a Good rating by Ofsted in their latest inspection.

Alison Challenger, Interim Director of Public Health, gave the following updates:

(a)  there is likely to be a reduction to the Public Health England grant awarded to Nottingham City Council, though it is not known how much this will be;

(b)  the Nottingham University Hospitals have now become Unicef Baby-Friendly hospitals which means that they support women who wish to breastfeed;

(c)  breast and bowel cancer screening is being actively promoted to the over 70s as uptake of this service has been reducing;

(d)  meningitis B vaccinations are being rolled out to all infant aged children from October 2015;

(e)  the council has signed a tobacco declaration and would encourage other organisations to also sign it.

Martin Gawith of Healthwatch Nottingham gave the following updates:

(a)  Healthwatch’s annual report has been produced and Martin will circulate this to board members;

(b)  The Healthwatch board will be expanded to cover enter-and-view capacity and mystery shopping.

Dawn Smith, Chief Officer, Nottingham City Clinical Commissioning Group gave the following updates:

(a)  South Nottinghamshire System Resilience Group has been selected as a vanguard site for urgent and emergency care. This will support ambitious improvements in urgent and emergency care for the citizens of South Nottinghamshire;

(b)  the cross-system Transforming Care Delivery Board has published a progress report on its joint work programme to transform services for people with learning disabilities and/or autism. Nottinghamshire is a fast-track area for this work, which means that it will receive additional central support and a share of a £10m transformation fund.

Helen Jones, Director of Adult Social Care informed the board that implementation of part 2 of the Care Act has been put on hold until 2020.