Greenwich Council

Agenda and minutes

Venue: Rooms 4 & 5, Town Hall, Wellington Street, Woolwich SE18 6PW. View directions

Contact: Daniel Wilkinson  Email: daniel.wilkinson@royalgreenwich.gov.uk or tel: 020 8921 5102

Note: Moved from 29 November 

Items
No. Item

1.

Apologies for Absence

To receive apologies for absence from Members of the Board.

Minutes:

Apologies for absencewere received from Councillor Danny Thorpe, Dr Ellen Wright, Val Davison, and Borough Commander Simon Dobinson

2.

Urgent Business

The Chair to announce any items of urgent business circulated separately from the main agenda.

Minutes:

There was no urgent business.

3.

Declarations of Interest pdf icon PDF 34 KB

Members to declare any personal and financial interests in items on the agenda.  Attention is drawn to the Council’s Constitution; the Council’s Code of Conduct and associated advice.

Minutes:

Resolved –

 

That the list of Councillors’ memberships as Council appointed representatives on outside bodies, joint committees and school governing bodies be noted.

4.

Minutes pdf icon PDF 77 KB

Members are requested to confirm as an accurate record the Minutes of the meeting held on 9 August 2017.

 

No motion or discussion may take place upon the Minutes except as to their accuracy, and any question on this point will be determined by a majority of the Members of the body attending who were present when the matter in question was decided.  Once confirmed, with or without amendment, the person presiding will sign the Minutes.

Minutes:

Resolved -

 

That the minutes of the meeting of the Health and Wellbeing Board held on 9 August 2017 be agreed and signed as a true and accurate record subject to an amendment to note that Rikki Garcia was present from Healthwatch Greenwich.

5.

Greenwich Health and Wellbeing Strategy - Proposed approach for the development of the next Strategy in 2018 pdf icon PDF 60 KB

To receive a progress report regarding the plan for developing the next iteration of the Greenwich Health and Wellbeing Strategy and approve the approach proposed.

Additional documents:

Minutes:

The report was presented by the Director of Public Health. He highlighted the outcomes from the Board’s workshop in October.

 

The Board indicated issues for consideration of the development of the Strategy were: the coherence of governance; public contribution and how they engaged with the public, and that the more areas that the Strategy could influence the better.

 

During discussion of the matter it was commented that more was needed to be done with Mental Wellbeing. It was questioned how they could measure impact, it was not felt that a standard performance indicator was required but that that they needed some mechanism to get feedback.

 

Resolved –

 

1.       That the progress report regarding the plan for developing the next iteration of the Greenwich Health and Wellbeing Strategy be noted

 

2.       That the proposed approach for the Greenwich Health and Wellbeing Strategy be approved.

6.

London Declaration on Healthier Food and Sugar Reduction pdf icon PDF 130 KB

To review the London Declaration on Healthier Food and Sugar Reduction, and consider how each organisation represented on the Board could adopt and / or promote the content of the Declaration.

Additional documents:

Minutes:

The report was presented by the Director of Public Health. He drew the Board’s attention to the proposed motion for Council in December, and said he was happy to work with any other organisation that wished to adapt the Declaration for their organisation.

 

The Chair suggested that the matter be mentioned in Greenwich Info.

 

The Managing Director NHS Greenwich CCG and the Chair Oxleas Trust said the Declaration was something their organisations could take on.

 

Resolved –

 

1.       That the London Declaration on Healthier Food and Sugar Reduction be noted.

 

2.       That the Cabinet Member for Health and Adult Social Care would take a motion on the Declaration to full Council on 13 December 2017 be noted.

 

7.

Health and Wellbeing Board feedback on the Mayor's Health Inequalities Strategy (HIS) Consultation pdf icon PDF 53 KB

To consider the priorities within the Mayor of London’s draft Health Inequalities Strategy, and note the consultation response sent

 

Additional documents:

Minutes:

The report was presented by the Director of Public Health.

 

The Chair welcomed that there would be parity between mental and physical health. The Chair requested that the matter of TB be taken up with Housing.

Action: Public Health

 

In response to questions from the Board the Director of Public Health clarified the timescales for the Strategy consultation. He said the responses from other boroughs was not known at present. There was a new governance model proposed for health and care work with an overarching group, the London Health Board chaired by the Mayor of London, and underneath that a number of sub-groups and that would be where there would be discussions on how to reach the public.

 

The Chair Oxleas Trust commented on mental health provision. He said there had been a rise in the number of emergency admissions, but the reason for the rise was not known at present. There would be London-wide work to achieve the best configuration to provide support but there were cost implications. It was noted that there had been an increase in younger people.

 

The Chair requested that an item be brought to a future meeting of the Board with regard to mental health provision across the Borough.

Action: Health and Adult Services

 

Members discussed the draft Strategy. The Board felt the Strategy was comprehensive and good overall. The Board was happy with Greenwich’s response.

 

Resolved –

 

1.       That the priorities within the Mayor of London’s draft Health Inequalities Strategy be noted

 

2.       That the consultation response sent to the GLA on 30th

November 2017 be noted

 

 

8.

South East London CCG Commissioning Review Update pdf icon PDF 21 KB

To receive an update on the SE London CCG Commissioning Review

Additional documents:

Minutes:

The Chief Officer Greenwich CCG introduced himself and explained his current role and his future role as the CCG structure changed. He gave a presentation ‘South East London CCG Commissioning Review’.

 

Councillors commented that the elected members did not find the NHS to be as consultative as they would expect and while it was appreciated that they did have a partnership and dialogue it was felt there would be a democratic deficit as things moved to a South East London framework. Dr Krishna Subbarayan noted that while the NHS was not democratic as such, the GP representatives were all elected by the GPs in the Borough.

 

In response to comments from the Board the Chief Officer Greenwich CCG said he understood there were concerns about the change in the structure. They did have financial fragility, but they wanted longevity and stability. He detailed their financial progress, and indicated that it was hoped that as an aggregate there would be stability across the CCGs and institutions. He thought they did need to consider value for money, but if a provider was able to change that would be better than an imposition of sharper measures. There would be a reduction in costs by working together.

 

The Director of Health and Adult Services commented there was a lot of challenges being faced by the CCG, the local authority and by partners, but they were not necessarily resolvable by the Health and Wellbeing Board, but they all had a commitment to do what they could.

 

The Chair agreed to members of the public addressing the Board.

 

A member of the public addressed the Board and raised issues about devolution of health, and about procurement

 

Board Members explain there was a difference between sustainability and transformation partnership (STPs) on one side, and devolution/the Memorandum of Understanding on the other, and it was noted that Greenwich was lucky in that its STP was not a device for cuts. Devolution would be a long process and it would take time to judge what the Memorandum of Understanding achieved. There would be talks about what the trust was to do the Queen Elisabeth Hospital’s land to ensure it was for public benefit. With regard to procurement contractors might choose to collaborate thus allowing the desired outcomes.

 

A member of the public addressed the Board and queried what had happened to the nursery that Oxleas used to have for its patients, and whether supermarkets could introduce single portions to tackle obesity.

 

The Chair of Oxleas Trust explained the patients at Oxleas still did gardening as a therapy but they no longer sold things. The Director of Public Health agreed that food portion size was an important factor in obesity but that it was for Public Health England to work with supermarkets on the matter.

 

The Chair thanked the Chief Officer Greenwich CCG for his presentation.

 

Resolved –

 

That the presentation on South East London CCG Commissioning Review Update be noted.

9.

Progress since CQC inspection pdf icon PDF 21 KB

To receive a presentation on CQC inspection

Additional documents:

Minutes:

In the absence of the Chief Executive, Lewisham and Greenwich NHS Trust, the Board agreed to defer the item to the next meeting.