Venue: Ground Floor Committee Room - Loxley House, Station Street, Nottingham, NG2 3NG. View directions
Contact: Jane Garrard Email: email@example.com
To note that:
a) Caroline Shaw has replaced Tracy Taylor as the Nottingham University Hospitals NHS Trust representative on the Health and Wellbeing Board; and
b) Jane Todd has replaced Louise Craig as a representative of the Third Sector on the Health and Wellbeing Board.
note that Caroline Shaw has replaced Tracy Taylor as
the Nottingham University Hospitals NHS Trust representative on the
Health and Wellbeing Board;
(2) note that Jane Todd has replaced Louise Craig as a representative of the Third Sector on the Health and Wellbeing Board.
Apologies for absence
Councillor Cheryl Barnard
Gary Thompson (sent substitute)
Declarations of interests
To confirm the minutes of the meeting held on 30 May 2018
The minutes of the meeting held on 30 may 2018 were recorded as a correct record and signed by the Chair.
The Action Log was noted.
Caroline Keenan, Insight Specialist, Public Health, and Ian Bentley, Strategy and Commissioning Manager, Crime and Drugs Partnership, delivered a presentation highlighting the following:
Nottingham City is not on track to meeting any of the key
performance indicators in this area, with excess weight in both
adults and children being particularly high;
a whole-system approach is being developed in order to enable
people to make healthier food choices, and physical activity is
being recognised as a standalone priority;
the Sherriff’s Challenge set a
target for Nottingham schoolchildren to cumulatively walk or run
around the world. This has now done three times;
the tier 2 adult weight management
service provision has been decommissioned. An alternative is being
sought but this will not be universal and will be more
(e) a weight management app is being piloted by Nottingham City, with around 10% of GPs referring into it.
Committee members commented that shops could be encouraged more to stock healthy food, and marketing could be better and learning could be taken from other core cities. GPs also do not have a clear referral pathway for obese adults to the most cost-effective provision.
targets for under 18 conceptions and HIV late diagnosis are on
track to be met, but the target for new sexually transmitted
infection (STI) diagnosis is not;
provision is changing to meet budget pressures, which is
challenging as there has been an increase in diagnosis for
gonorrhoea and syphilis and emerging issues like drug resistant and
(h) STI figures don’t include chlamydia as Nottingham City has historically has had lower rates than statistical neighbours.
the number of adults who smoke, routine
and manual smokers, and pregnant women who smoke have all reduced.
Further work still needs to done as this still falls short of
(j) smokefree outdoor public spaces and smokefree hospitals have both been introduced, as well as smokefree policies and capacity building in organisations and at events.
Committee members were supportive of smokefree bus and tram stops across the city. The health risks of counterfeit tobacco should also be emphasised in communications.
there has been a reduction in alcohol
related hospital admissions and alcohol related crime. However, the
ability to report alcohol-related crime and antisocial behaviour
remains problematic and highly subjective as it relies on police
night time economy violent crime attributed to alcohol has risen over the past 2 years;
(m)40 Identification and Brief
Advice (IBA) training sessions were delivered to hospital staff
during 2017/18, and 1,500 individuals received IBA as part of an
(n) information and training sessions were conducted at fresher’s week at both universities.
Committee members felt that more work could be done around prevention of serving intoxicated people in bars, pubs and clubs. They also felt that reporting around total sales and consumption would be useful, and that the health impacts of alcohol consumption are being forgotten.
sign the Nottingham City Health and Wellbeing
Board’s Physical Activity and Nutrition Declaration and
identify an organisational lead to update on its implementation at
the November 2018 Board;
support the development of a system approach to eating
and moving for health and wellbeing;
consider recognising physical activity as a standalone
priority and the impact this would have within member
sustain the current level of sexual health service
provision targeting high-risk groups as a minimum due to the
proportion of young people and BME citizens who are at higher risk
of poor sexual health;
consider to what extant member organisations actively
support the smokefree agenda in line with the Tobacco Control
continue to run the Greater Nottingham Alcohol Pathway
continue to lobby for health input into
(8) develop a pathway, similar to the drugs pathway, for alcohol related crime.
Update on Sustainability and Transformation Partnership and Integrated Care System
David Pearson and Hugh Porter from the Sustainability and Transformation Partnership delivered a presentation, highlighting the following:
Nottingham and Nottinghamshire already have a strong foundation of
innovation and collaboration but is now moving from a partnership
to an Integrated Care System (ICS) with a clear focus on developing
a common purpose for the health and
wellbeing of the population;
the vision for the ICS is to provide sustainable, joined up high
quality health and social care services that maximise the health
and wellbeing of the local population, and eventually integrate
health, care and wider public services;
outcomes and quality are improving and
the costs of budgets are reducing, and a process has been agreed to
embed and scale up Integrated Personal Commissioning
(IPC) for children and adults with
mental health needs. Within Nottingham and Nottinghamshire delivery
units will be moving to Integrated Care Partnerships underpinned by
local care organisations;
plans for 2018/19 include spreading of initiatives where the
evidence is compelling, integrating commissioning and key services,
the planning and delivery of enablers, and building leadership and
workforce trust and capability;
in Nottingham and Nottinghamshire, local
healthy life expectancy is too low and shows huge variation. In
addition, there are high mortality rates for patients with
long-term conditions, elderly and frail people spend too much time
in hospital, and there are variable cancer outcomes. An ICP
provides the opportunity to blend GP, community and hospital
capabilities in a single entity to manage the entire care continuum
and common resource;
work is underway bringing multiple teams
together with a common language, shared dashboard and clear
processes in place to transfer supported patients between care
settings. The number of different forms for transfer of care has
been reduced from 40 to 1 and the average weekly supported
discharges has increased from 180 to 240;
the F12 project is developing a single
set of referral best practice guidelines for general practice,
which is already enabling the standardisation of care. Streamlining
of referral support services is now being considered to ensure that
patients consistently get the right treatment at the right time in
the right place in accordance with best practice
(h) work to date has been supported by ongoing engagement with patients and citizens, including three large public events, close working with HealthWatch and the Citizens Advisory Group, and conversations with patient groups.
RESOLVED to thank David and Hugh for the information provided.
Helene Denness, Public Health Consultant, introduced the report providing an update of incremental progress toward achieving the Council Plan target of reducing teenage pregnancy rates by a further third by 2019, highlighting the following:
in Nottingham in 2016, the most recently
available data, there was a 16.4%
decrease in the number of under-18 conceptions. This is good news,
but still higher than the all-England average and against some
other core cities;
under 18 conceptions rates are only lower than the all-England
average in two wards of the city;
young women prefer to attend pharmacies and clinics in the city
centre as it is more anonymous and due to stigmas;
challenges in Nottingham include improving equal access to
relationships and sex education, adapted services for a more
diverse city, and collection of more timely data;
(e) the Family Nurse Partnership is a universal service, but has a waiting list of over 60 young people.
note the actions, progress and risks outlined in the
update report on the teenage pregnancy priority of the Health and
(2) identify where the Board and/or Board members can support the achievement of the teenage pregnancy priorities within the Teenage Pregnancy Joint Strategic Needs Assessment (JSNA) chapter.
Claire Novak, Insight Specialist, Public Health, introduced the report providing an overview of the Nottingham City Health and Wellbeing Board’s Stakeholder Event, highlighting the following:
the event was held on Wednesday 6 June at the Council House, and
was attended by a hundred people;
the aim of the event was to improve
connectivity with the community and voluntary sector through
consultation on Nottingham City’s Joint Health and Wellbeing
Strategy 2016-2020. It included presentations, stalls, networking,
table discussions and a question and answer session;
response to the event was overwhelmingly positive, with the main
negative being that the venue was unsuitable for smaller
(d) outcomes from the session will be published on the Health and Wellbeing Board website.
RESOLVED to consider the ways in which the Board can continue to engage with the wider system in future.
The Forward Plan was noted.
Updates on issues of relevance to the Health and Wellbeing Board and/or delivery of the Joint Health and Wellbeing Strategy
The Board member updates were noted.
The new JSNA chapter was noted.
The new JSNA chapter was noted.
The new JSNA chapter was noted.
Questions from the public
Opportunity for members of the public to ask questions relating to matters within the Health and Wellbeing Board’s remit.
The maximum amount of time allocated to questions and responses is 30 minutes.
Exclusion of public
To consider excluding the public from the meeting during consideration of the remaining item in accordance with Section 100A(4) of the Local Government Act 1972 on the basis that, having regard to all the circumstances, the public interest in maintaining the exemption outweighs the public interest in disclosing the information.
RESOLVED to exclude the public from the meeting during consideration of the remaining item in accordance with Section 100A(4) of the Local Government Act 1972 on the basis that, having regard to all the circumstances, the public interest in maintaining the exemption outweighs the public interest in disclosing the information.
Health and Wellbeing Strategy 2016-2020 Outcome Progress Highlight Report. Outcome 1: Healthy Lifestyles Exempt Appendix
RESOLVED to note the exempt appendix.