Agenda and minutes

Health and Wellbeing Board
Wednesday, 30th January, 2019 2.00 pm

Venue: Ground Floor Committee Room - Loxley House, Station Street, Nottingham, NG2 3NG

Contact: Jane Garrard  Email: jane.garrard@nottinghamcity.gov.uk

Items
No. Item

59.

Membership Change

To note that Caroline Shaw is no longer the Nottingham University Hospitals NHS Trust representative on the Health and Wellbeing Board and that a replacement is being identified.

Minutes:

RESOLVED to note that Tracy Taylor has replaced Caroline Shaw as the Nottingham University Hospitals NHS Trust representative on the Health and Wellbeing Board.

60.

Apologies for absence

Minutes:

Lyn Bacon (Cathy Gillet attending as substitute)

Sarah Collis

Alison Michalska

Councillor Carole McCulloch

Craig Parkin (Andy Macy attending as substitute)

 

61.

Declarations of interests

Minutes:

None

62.

Minutes pdf icon PDF 263 KB

To confirm the minutes of the meeting held on 28 November 2018

Minutes:

The minutes of the meeting held on 28 November 2018 were confirmed as an accurate record and signed by the Chair.

63.

Action Log pdf icon PDF 189 KB

Minutes:

The action log was noted.

64.

Preventing mental ill health in Nottingham City pdf icon PDF 196 KB

Additional documents:

Minutes:

Marcus Bicknell, lead for mental health at Nottingham City Clinical Commissioning Group, introduced the item on preventing mental ill health.

 

Pete Rogers, representing Nottingham Citizens, informed the Board that mental health was the number one priority for people who participated in the listening activities that Nottingham Citizens organised in late 2018; and that Nottingham Citizens is keen to work with the Board and its partners to improve mental health and wellbeing in the City.  Other representatives of Nottingham Citizens spoke about the importance of mental health to them.

 

Jane Bethea, Public Health Consultant Mental Health Lead, gave a presentation about mental health in the City.  She highlighted the following information:

 

(a)  One in four adults experience a diagnosable mental health problem in any given year.  In Nottingham this would be 64,539 adults.  This is likely to be a conservative estimate given the features of the population.

 

(b)  Approximately one in a hundred people have a serious mental health condition.  In Nottingham this would be 3,253 people.

 

(c)  10% of children aged 5-16 years have significant mental health difficulties.  In Nottingham this would be 4,243 young people.

 

(d)  A fifth of women under 24 years of age report ‘ever’ having self-harmed.  In Nottingham this would be 12,407 women.  In addition to the direct impact of self-harm, it is also a risk factor for suicide.

 

(e)  People with a serious mental illness die at least 15-20 years earlier than the general population.  This lower life expectancy is due to factors such as lifestyle and diagnostic overshadowing.

 

(f)  Multifaceted issues affect mental health and wellbeing, for example traumatic and stressful life events.  A good learning environment is also important for children and young people.  Education experiences, for example starting university can often be important times of transition in a person’s life and this can be a factor that affects mental health and wellbeing. 

 

(g)  Stigma and discrimination are significant issues.  Effective primary prevention needs people to be as comfortable having conversations about mental health as they are about physical health.

 

(h)  Time to Change is a national programme to change public attitudes about mental health.  It aims to empower people to challenge stigma and speak openly about their own mental health and change attitudes and behaviours towards those with mental health problems.  In March 2018 Nottingham was successful in bidding for £25,000 to set up hubs for 18 months, with £10,000 reserved for small grants to support community champions.

 

(i)  In Nottingham Time to Change is focusing men, African and Caribbean communities and local employers.  Targets for recruiting community champions and engaging employers have already been surpassed.

 

Micha Bradshaw, a Time to Change Champion, spoke about her experiences of mental health and highlighted that most people will be affected by mental health issues either directly or indirectly during their lifetime. 

 

Andy Winter, Director of Campus Life University of Nottingham, spoke about issues affecting the mental health of students and the support available to them.  He highlighted the following information:

 

(j)  Mental health and  ...  view the full minutes text for item 64.

65.

University of Nottingham Student Health and Wellbeing Strategy pdf icon PDF 271 KB

Additional documents:

Minutes:

Andy Winter, Director of Campus Life University of Nottingham, introduced the report outlining the University of Nottingham’s recently approved Student Health and Wellbeing Strategy.  He highlighted the following information:

 

(a)  The Strategy was developed in response to the Universities UK Step Change framework, which highlighted the importance of mental health issues in universities.

 

(b)  The University has a large and diverse population and it can be difficult to implement change consistently across that population.

 

(c)  In developing its Health and Wellbeing Strategy the University wanted to identify its strengths and weaknesses and share learning across the organisation. 

 

(d)  There is a variety of work taking place, with differing focuses and scales but the Strategy aims to capture it all.  Some areas of work have overlapping benefits.

 

(e)  Key stakeholders were consulted on the Strategy, including input from Nottingham City Council’s Director of Public Health and learning from non-university frameworks, such as the Board’s Health and Wellbeing Strategy.

 

(f)  The Strategy has five thematic areas: Healthy Campus Community; Healthy Environment; Healthy Learning Experience: Healthy Lifestyle; Healthy Mental Wellbeing.

 

(g)  The Strategy has four underpinning principles: collaboration, cohesion and consistency; education; research; and visible to all.  There are three points on the Spectrum of Intervention: preventative promotions; early intervention; and clinical and specialist services.

 

(h)  One of the current challenges is putting appropriate targets and measures in place, and a dashboard is being developed.

 

(i)  There is themed reporting on the Strategy to the Education and Student Experience Committee.  This allows for senior visibility of progress.

 

(j)  The University is fortunate to have the Cripps Health Centre on the campus.

 

(k)  There is a significant demand for counselling services, with 2135 counselling clients seen in 2017/18.  This was slightly lower than the previous year due to staff vacancies and the impact of industrial action.

 

During discussion the following points were made:

 

(l)  Student wellbeing would be enhanced by engaging with the wider city beyond the university campus.

 

(m)It is important for cross-learning to be shared between the two universities in the City.

 

(n)  There are lots of opportunities for the two universities and their students to add value to the City.

 

RESOLVED to note the University of Nottingham’s Student Health and Wellbeing Strategy.

66.

Forward Plan pdf icon PDF 239 KB

Minutes:

The Forward Plan was noted.

67.

Board Member Updates pdf icon PDF 507 KB

Updates on issues of relevance to the Health and Wellbeing Board and/or delivery of the Joint Health and Wellbeing Strategy

Additional documents:

Minutes:

The updates from Board Members were noted.

68.

New Joint Strategic Needs Assessment (JSNA) Chapter - Sexual Health and HIV pdf icon PDF 275 KB

Minutes:

The new Joint Strategic Needs Assessment Chapter on Sexual Health and HIV was noted.

69.

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.

Minutes:

None

70.

Nottingham City Safeguarding Children Board Annual Report 2017/18 pdf icon PDF 279 KB

Additional documents:

Minutes:

The Chair of the Board agreed that this item, although not on the agenda, could be considered as a matter of urgency in accordance with Section 100B(4)(b) of the Local Government Act 1972, because of the need to consider the annual report of the Nottingham City Safeguarding Children Board in a timely way.

 

The Nottingham City Safeguarding Children Board Annual Report 2017/18 was noted.