Agenda and draft minutes

Health and Well-being Board - Thursday, 9th May, 2024 10.00 am

Venue: Council Chamber, County Hall, Morpeth

Contact: Lesley Bennett 

Items
No. Item

1.

MEMBERSHIP AND TERMS OF REFERENCE

The Committee is asked to note the following membership and terms of reference for the Health & Wellbeing Board which were agreed by Council on 1 May 2024, for the ensuing year.

 

Membership 

 

25 members 

 

Chair: P. Ezhilchelvan 

Vice Chair: Board representative 

 

Conservative 

Labour 

Independent

  Group 

Liberal Democrats 

Green Party 

Ind Non-Grouped 

P. Ezhilchelvan 

M. Purvis 

 

 

 

 

V. Jones 

 

 

 

 

 

W. Pattison 

 

 

 

 

 

G. Renner Thompson 

 

 

 

 

 

G. Sanderson 

 

 

 

 

 

J. Watson 

 

 

 

 

 

 

Council Leader 

Portfolio Holder Adult Wellbeing and Health 

Portfolio Holder Children’s Services 

Portfolio Holder Healthy Lives 

Labour representative 

Executive Director of Public Health, Inequalities and Stronger Communities 

Executive Director Children, Young People and Education 

Executive Director of Place and Regeneration 

Executive Director Adults, Aging & Wellbeing 

Director of Housing and Planning 

Northumberland Fire & Rescue Service (x1 rep) 

 

North East and North Cumbria Integrated Care Board (x1 rep) 

Northumbria Healthcare NHS Foundation Trust (x1 rep) 

Northumberland Tyne and Wear NHS Foundation Trust (x1 rep) 

Newcastle Upon Tyne NHS Foundation Trust (x1 rep) 

Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust (x1 rep) 

North East Ambulance Service (to be invited) (x1 rep) 

NHS England (x1 rep) 

Voluntary Community and Social Enterprise Organisations (x1 rep) 

Healthwatch (x1 rep)          

Local Medical Committee (x1 rep)  

Local Pharmaceutical Committee (x1 rep) 

Children’s and Adults Safeguarding Board (x1 rep) 

Harrogate & District NHS Foundation Trust (x1 rep) 

Northumbria Police (x1 rep) 

 

Terms of reference.

 

Statutory functions

 

(1)    To encourage all health and care organisations which operate within Northumberland to work together in an integrated manner.

 

(2)    To provide all appropriate advice, assistance and support to encourage the development of formal partnership arrangements between social care and health services, making use of the powers provided by Section 75 of the NHS Act 2006.

 

(3)    To produce and maintain the Joint Strategic Needs Assessment (JSNA) for Northumberland, covering all needs which either fall within the responsibilities of health commissioners, but could alternatively be met or significantly affected by local authority functions or vice versa.

 

(4)    To produce a joint health and wellbeing strategy (JHWS) for Northumberland, on behalf of the Council and NHS Northumberland Clinical Commissioning Group.

 

(5)    To ensure that Healthwatch Northumberland and the people who live and work in Northumberland are involved in the production of the JSNA and the JHWS.

 

(6)    To maintain and update Northumberland’s Pharmaceutical Needs Assessment.

 

(7)    To respond to any pharmacy contract consolidation request submitted to NHS England within the statutory timeframe.

 

(8)    to consider the Northumberland County Council’s COVID 19 Outbreak Prevention and Control Plan. 

 

Development and Improvement Functions

 

(9)    To improve democratic accountability for health and wellbeing decision making.

 

(10)  To provide a focus for Health and Wellbeing Board partners and total public sector commitment to improving population wellbeing and health outcomes. 

 

(11)  To ensure that communities and service users are involved in determining needs and in designing, developing and delivering services.

 

(12)  To monitor and report progress within the priorities identified within the JHWS and to hold partners to account including the ICS, ICP and System Transformation Board.  This may be done through  ...  view the full agenda text for item 1.

Minutes:

The membership and terms of reference as agreed at the Council meeting on 1 May 2024 were noted.

2.

APOLOGIES FOR ABSENCE

Minutes:

Apologies for absence were received from A. Blair, A. Conway, V. McFarlane-Reid, and Councillors M. Purvis and G. Sanderson.

3.

MINUTES pdf icon PDF 174 KB

Minutes of the meeting of the Health and Wellbeing Board held on Thursday, 14 March 2024 as circulated, to be confirmed as a true record and signed by the Chair. 

Minutes:

RESOLVED that the minutes of the meeting of the Health and Wellbeing Board held on 14 March 2024, as circulated, be confirmed as a true record and signed by the Chair with the following amendments:-

 

Page 3 – fifth bullet point from bottom of page

 

To read ‘……..However, the numbers of people in Northumberland waiting for domiciliary care had reduced………’

 

Page 5 – third bullet point from top of page

 

To read ‘……there had not been an in-depth look into air quality…….’

4.

DISCLOSURES OF INTEREST

Unless already entered in the Council’s Register of Members’ interests, members are required where a matter arises at a meeting;

 

a.    Which directly relates to Disclosable Pecuniary Interest (‘DPI’) as set out in Appendix B, Table 1 of the Code of Conduct, to disclose the interest, not participate in any discussion or vote and not to remain in room. Where members have a DPI or if the matter concerns an executive function and is being considered by a Cabinet Member with a DPI they must notify the Monitoring Officer and arrange for somebody else to deal with the matter.

 

b.    Which directly relates to the financial interest or well being of a Other Registrable Interest as set out in Appendix B, Table 2 of the Code of Conduct to disclose the interest and only speak on the matter if members of the public are also allowed to speak at the meeting but otherwise must not take part in any discussion or vote on the matter and must not remain the room.

 

c.    Which directly relates to their financial interest or well-being (and is not DPI) or the financial well being of a relative or close associate, to declare the interest and members may only speak on the matter if members of the public are also allowed to speak. Otherwise, the member must not take part in discussion or vote on the matter and must leave the room.

 

d.    Which affects the financial well-being of the member, a relative or close associate or a body included under the Other Registrable Interests column in Table 2, to disclose the interest and apply the test set out at paragraph 9 of Appendix B before deciding whether they may remain in the meeting.

 

e.    Where Members have or a Cabinet Member has an Other Registerable Interest or Non Registerable Interest in a matter being considered in exercise of their executive function, they must notify the Monitoring Officer and arrange for somebody else to deal with it.

 

NB Any member needing clarification must contact monitoringofficer@northumberland.gov.uk. Members are referred to the Code of Conduct which contains the matters above in full. Please refer to the guidance on disclosures at the rear of this agenda letter

Minutes:

Peter Standfield declared an interest in agenda item 5 – Adult Services Conversation – Position Statement as he was currently employed as Chief Executive of Abbeyfield Northumbria.

5.

ADULT SERVICES CONVERSATION - POSITION STATEMENT pdf icon PDF 143 KB

??The report invites the Board to contribute to the conversation about priorities for adult social care described in the attached Position Statement.?

Additional documents:

Minutes:

Members received a report and presentation inviting them to contribute to the conversation about priorities for adult social care described in the attached Position Statement.  The report was presented by Neil Bradley, Executive Director – Adults, Ageing and Wellbeing.

 

Key issues included:-

 

       The position statement was a statement of current thinking and aimed to initiate a conversation about priorities for adult social care.  Discussions would be held with a variety of stakeholders including people with needs, carers, staff, service providers, NHS partners and VCS organisations.

       The main areas covered were:-

       Reducing the need for care and support – How could wider initiatives help people to live independently without needing care and support?

       Addressing inequalities and empowering communities.

       Housing options to support independent living.

       Services that aim to reduce care and support needs.

       Matching care needs to solutions - Could organisational arrangements and processes be better?

       Information and Guidance – improve information available on website.

       Coordinating care and support – discuss what worked well and what had not.

       How we discuss care and support needs with people -

       When people can’t make decisions for themselves -

       How we agree with carers what they needs.

       Care and support services – Could more people benefit from direct payments enabling them to arrange their own support?  How well are we doing when we commission services?

       Encourage use of direct payments

       The care workforce

       Care in people’s homes

       Accommodation with care

       Other care and support services

       Final Questions – what else should we be thinking about, who should we be talking to and how else should we be exploring these issues?

 

Members welcomed the report, and a number of issues were raised

 

       It was important to focus on areas where services were doing less well, on what could be done better, and ensure that differing viewpoints were noted.  There were very different needs in different areas.  A Prevention Hub had been set up in Cramlington to set up a single point of approach to adult social care to provide a more holistic approach.  Hopefully, these hubs would eventually expand into other areas of Northumberland.

       This report fitted in well with the Director of Public Health’s current report on aging population and the refreshed Joint Health & Wellbeing Strategy.

       The report was in the spirit of everything that was being done at the moment regarding the inequalities lens.  The Northumberland Fire & Rescue service aimed to be as integrated as possible and was committed to upskilling staff.  In Cramlington, a pilot scheme was looking at fall prevention, the response and the possible knock on effect.

       CNTW welcomed this discussion which fitted in with its community transformation programme.

       There were a number of groups meeting regionally and nationally discussing this area and providing an opportunity for an exchange of ideas.

 

RESOLVED that that report and presentation be noted.

6.

NORTHUMBERLAND JOINT HEALTH AND WELLBEING STRATEGY REFRESH 2023-2028 pdf icon PDF 160 KB

The report presents a summary of the refresh of the Northumberland Joint Health and Wellbeing Strategy 2018-28 with a focus on priorities and actions for the remaining five years of the strategy.

 

Additional documents:

Minutes:

Members received a report presenting a summary of the refresh of the Northumberland Joint Health and Wellbeing Strategy 2018-28 with a focus on priorities and actions for the remaining five years of the strategy.

 

It was noted that, due to the cancellation of the April Board meeting, the revised strategy had previously been sent out virtually to Members of the Board for information.  The original strategy 2018-28 had been aspirational but now the refreshed version had details on how the themes were moving forward.  It also now aligned with the Council’s Corporate Plan and Inequalities Plan.

 

The Board thanked everyone who had been involved in the refresh.

 

RESOLVED that the refreshed Northumberland Joint Health and Wellbeing Strategy 2023-28 be approved.

7.

NORTHUMBERLAND CHILDREN AND ADULTS SAFEGUARDING PARTNERSHIP (NCASP) ANNUAL REPORT pdf icon PDF 1 MB

To receive a report which satisfies the statutory requirements for both Children and Adults Safeguarding and outlines the progress so far in integrating the new partnership arrangements.  The report will be presented by Graham Reiter, Chair of NCASP Executive Board.

Minutes:

Members received a report which satisfied the statutory requirements for both Children and Adults Safeguarding and outlined the progress so far in integrating the new partnership arrangements.  The report was presented by Graham Reiter, Chair of NCASP Executive Board and Heather McKenzie, Senior Manager – Safeguarding Adults.

 

Key issues included:-

 

       This was the first Annual report of the Northumberland Children and Adults Safeguarding Partnership which had integrated in April 2022.  This was different approach to that of other areas nationally but was felt better to link together adults and children safeguarding.

       The new structure allowed the partnership to meet its statutory requirements and also comprised a number of newly formed groups to provide improved accountability and working towards improved outcomes for children, adults and families.  Some areas such as disabled children and young people, remained separate where required.  The chairs of these groups were from partner agencies.  The groups reported into the Children’s Business Group and Adults Business Group which were chaired by the Independent Scrutineer.  The structure ensured that the partnership was not working in silos.

       There was an effective structure in place which focused on key areas, scrutinised and oversaw and shared learning across adults and children and within partnership agencies.

       The Independent Scrutineer acted as a critical friend and provided support and challenge to the Partnership and chaired the Business Board.  The role included observing other meetings and getting the views of children and young people, looking at data and providing challenge.

       There was quality assurance oversight.

       Other Local Authorities had visited to observe how the whole family approach worked in Northumberland.  There had been an increase in chronic self-neglect particularly since Covid.  As part of the partnership there was now a task and finish group looking at neglect and the links between childhood and adult self-neglect.

       In terms of external evaluation, there had been a visit by the Department for Education in the last year to look at this model as a model of good practice, particularly around scrutiny arrangements. 

       Whilst there were a number of separate priorities for children and adults, there were also the following cross cutting themes; impact of Covid19 and domestic abuse.

       Rapid reviews were held when there was a case of death or serious harm to a child which required being reported to Ofsted.  This would identify if there was any further learning to be had.  A learning review for Children’s Services had just been published and this had been written in the voice of the child.  The National Panel had been very interested in this approach but also provided some challenge.  It had been a positive learning approach and not finger pointing.  The feedback had been very positive.

 

The Board welcomed the report and the following comments were made:-

 

       It was good to see that the partnership was working along as well as up and down.  There was join up and connectivity but, hopefully, without duplication.

       The Independent Scrutineer  ...  view the full minutes text for item 7.

8.

HEALTH AND WELLBEING BOARD – FORWARD PLAN pdf icon PDF 158 KB

To note/discuss details of forthcoming agenda items at future meetings; the latest version is enclosed.

Minutes:

Members noted details of forthcoming agenda items at future meetings.

9.

URGENT BUSINESS (IF ANY)

To consider such other business as, in the opinion of the Chair, should, by reason of special circumstances, be considered as a matter of urgency.

Minutes:

Gill O’Neill, Executive Director for Public Health, Inequalities & Stronger Communities reported that she had sent out documentation to all Board Members relating to the Community Water Fluoridation Consultation.  Oral health had been discussed at length by the Board and there was an Oral Health Strategy of which a component part was the recommendation to progress towards Community Water Fluoridation which, in Northumberland, was an expansion of an existing scheme.  Many parts of Northumberland had had water fluoridation since 1968.  Following a change in legislation, Northumberland Health & Wellbeing Board was now a consultee in the consultation which was being led by the Department of Health & Social Care.  The North East was the first region to go through this consultation process.

 

The Association of Directors of Public Health had a position statement endorsing this.  Board Members were requested to respond to the consultation process.

10.

DATE OF NEXT MEETING

The next meeting will be held on Thursday, 11 July 2024, at 10.00 a.m. at County Hall, Morpeth. 

 

A closed development session will be held on Thursday, 13 June 2024.  Details to follow.

Minutes:

A closed development session would be held on Thursday, 13 June 2024 in place of the Board meeting which had been cancelled.  Details were to follow.

 

The next meeting will be held on Thursday, 11 July 2024, at 10.00 am in County Hall, Morpeth.