Venue: Ground Floor Committee Room - Loxley House, Station Street, Nottingham, NG2 3NG. View directions
Contact: Phil Wye Email: firstname.lastname@example.org
Apologies for Absence
Dr Mike Saunders
Declarations of Interests
Minutes of the meeting held on 25 January 2023, for confirmation
The minutes of the meeting held on 25 January 2023 were confirmed as a correct record and signed by the Chair.
Minutes of the meeting held on 25 January 2023, for noting
The minutes of the Commissioning Sub-Committee, held on 25 January 2023, were noted.
Report of the Director of Public Health, Nottingham City Council
Helen Johnston, Public Health Registrar, presented the report and delivered a presentation highlighting the following:
gambling means to risk loss for a
possible gain in an activity of uncertain outcome, and includes
casino games, sports bets, scratchcards, lotteries, bingo and more. It can
cause harm and significantly affects health and wellbeing. The
problems can easily be hidden and generally affect up to 10
disadvantaged groups and people with
poorer health are more likely to develop a gambling problem. There
is also a disproportionate impact for minority ethnic groups,
relative to participation;
gambling can have a negative impact on
physical and mental health, relationships, finance and employment,
and can lead to crime;
approximately 4,500 Nottingham citizens
aged 16 or over have a known gambling problem, and this is
affecting more younger people and males. In addition almost 1000
citizens aged under 16 are showing signs of a problem;
information and support is available and
expanding. An NHS Clinic is due to open in Derby soon. However, far
fewer people contacted the largest local support provider between
April 2021 and March 2022. Nottingham callers reported multiple
impacts, most commonly on finance and mental health ;
gambling premises in Nottingham are
clustered in the City Centre, Bulwell and Clifton East. Deprived
areas are more likely to contain licensed premises. Residents of
Bulwell, Clifton East, Bestwood,
Bilborough, Aspley and St Anns are estimated to have a higher risk of
developing a gambling problem;
(g) the report contains a number of actions, which are already being acted upon.
The following points were raised during the discussion which followed:
financial capability is taught in all schools as part of the
national curriculum, and gambling risk could be included in
gambling is often glorified through sponsorship of sports teams,
which impacts particularly young people The gambling industry alone
cannot be relied upon to address problems;
(j) alternative diversionary activity such as sports and activities could help young people to avoid gambling.
Resolved to note the report.
Joint report of the Clinical Director, Nottingham City Place-Based Partnership Chief Executive, Nottingham City Council, and the Director of Public Health, Nottingham City Council
Rich Brady, Programme Director for Nottingham City Place Based Partnership (PBP), introduced the report providing an overview of approach taken by the PBP 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.
Presentations were delivered on each of the four priorities of the Strategy by Jane Bethea, Helen Johnston and David Johns, highlighting the following:
Severe Multiple Disadvantage (SMD)
the aim is to ensure that people living in Nottingham City who
experience SMD receive joined up, flexible, person-centred care
from the right services, at the right time and in the right
a key delivery achievement for the programme in year 1 has been the
establishment of the Changing Futures programme which includes
specialist 1:1 intensive (including minority ethnic and gender
specialist) support to people experiencing SMD;
133 people have benefited from intensive support in the last year,
in addition to people that have been supported through the
multi-disciplinary team (MDT) and statutory services;
(d) ensuring the voice of lived experience is key to this work, including in the design and delivery of services, and understanding the needs of women and Nottingham’s diverse communities experiencing SMD, ensuring services meet their needs. There have been difficulties in recruiting people with lived experience from diverse communities in Nottingham City however this has improved.
the programme’s 10 year vision is to address lack of
financial security by making Nottingham a place where people are
able to meet their current need comfortably and have the financial
resilience to maintain this in the future;
Year 1 delivery has included a joint workshop on supporting a
coordinated approach to the cost of living, linking up support like
financial resilience sessions for NUH staff and informing
organisational recruitment policies. partnership arrangements have
been developed to strengthen the resource and profile of the
Nottingham Financial Resilience Partnership;
(g) Year 2 priorities have 5 key themes- increased incomes for those on low incomes, ensuring access to money help across the population, improved household finances, reduced food insecurity, and improved financial capability.
Eating and moving for good health
in Nottingham 1 in 4 children at primary
school are overweight, 2 in 5 at secondary school, and 7 of 10
adults. Around a quarter of adults are not active. The
programme’s vision is to be a city that makes it easier for
adults, families, children and young people to eat and move for
good health. This means achieving lasting changes to diet, physical
activity and social environment;
this will require ensuring all early years settings, schools and
academies are enabling eating and moving for good health,
supporting healthy choices in pregnancy and helping children and
adults to achieve and maintain a healthy weight, promoting
physically active lives and building active and green environments,
creating a local environment that promotes healthy food choices,
and promoting sustainable food system that tackles food
the programme is helping schools to
further their efforts through additional funding and support. It is
also offering adult weight management through Slimming World,
Aviva, and partnering with football clubs;
(k) healthy activity is being supported through active travel bids, mapping of walking routes around the city, and making cycling more accessible.
The following points were raised during discussion:
some city communities have their own
support networks and these need to be connected into this work.
Some groups such as LGBTQIA+ people are harder to reach due to poor
(m) there will be a new workstream for young people and
care leavers, including trauma informed practice;
there are still people in the city who
have not received their energy rebates, are not on the internet, do
not have bank accounts or only pay in cash. The financial wellbeing
priority work must take this into account;
people can be overwhelmed by the amount
of information provided on financial wellbeing, so messages must be
kept simple so that it is taken in. Employers can disseminate
messages to the employees on financial wellbeing, including small
and medium sized businesses;
(p) it is important that people are able to walk and cycle around the city more easily and safely. Lowering speed limits and encouraging children and parents to walk to school are important steps in this, as well as making people feel safe to do outdoor physical activity. The national StreetSafe app is available from the police to report feeling unsafe, and community speedwatch is being re-launched to monitor speeding.
note the progress of programme development and delivery
in year 1 of the Joint Health and Wellbeing Strategy;
note the key messages for the Health and Wellbeing
note the agreed Smoking & Tobacco Control and
Severe Multiple Disadvantage programme delivery plans;
Year 1 programme delivery update reports.
Report of the Director of Public Health, Nottingham City Council
David Johns, Consultant in Public Health, presented the report and delivered a presentation on the Smoking and Tobacco Control priority of the Joint Health and Wellbeing Plan, highlighting the following:
smoking remains the biggest preventable cause of all il-health in
Nottingham, with 7% of adults and 13% of pregnant women
the vision of this priority is to see smoking amongst adults
reduced to 5% or lower by 2035 across Nottinghamshire and
Nottingham City, and all born after 2022 to not be
Stop Smoking services are helping vulnerable adults to stop
smoking, along with a new Stop Smoking app for NHS staff and a new
e-cigarette pilot as a quit aid. A new trading standards officer
will promote effective regulation of tobacco products for tobacco
control, in partnership with the
(d) To promote prevention and engagement with children and young people. The INTENT programme has been launched, a free smoking prevention programme for secondary schools. Schools have also been provided with information on the risks of vaping.
The following points were made during the discussion which followed:
schools and early years settings are important to link into
there is very little data available on
vaping among young people. This could present a challenge in future
and must be kept under observation.
Resolved to endorse and support the long-term ambition and delivery of actions.
Joint Health Protection Board Update
Update from the Joint Health Protection Board
As no formal Board meeting had taken place, a written update will be provided at the next meeting.
Report of the Director for Integration, Nottingham and Nottinghamshire Integrated Care Board
Dr Dave Briggs, Medical Director, Nottingham and Nottinghamshire Integrated Care Board, presented the report on the Joint Forward Plan which provides an opportunity to create a longer-term shared sense of endeavour, a realistic and ambitious view of what is achievable and a sense of hope for teams and the public.
NHS partners would like to work with the Board in the development of this plan to ensure that the ambitions of the Integrated Care Strategy are reflected and it is proposed to schedule an item for discussion at the May meeting ahead of the document being finalised by 30th June.
schedule an item for discussion at the May meeting of
the Nottingham City Health and Wellbeing Board ahead of the
document being finalised by 30 June;
(2) delegate to the Chair and Director of Public Health any engagement with NHS partners to support the early development of the Joint Forward Plan.
Updates from Board Members
The written updates were noted.
The work plan was noted.
Future Meeting Dates
note the proposed meeting dates for the 2023-24 municipal
31 May 2023
26 July 2023
27 September 2023
29 November 2023
24 January 2024
27 March 2024
The proposed meeting dates for the 2023-24 municipal year were noted.