Hounslow Council


Agenda and minutes

Venue: Committee Rooms 1 & 2, Civic Centre, Lampton Road, Hounslow. View directions

Contact: Kay Duffy on 020 8583 2067 or at: Email: kay.duffy@hounslow.gov.uk 

Items
No. Item

1.

Welcome and Introductions

Minutes:

Councillor Mann, chairing the meeting in Councillor Curran’s absence, welcomed all in attendance and called for a round of introductions.

 

2.

Minutes of the meeting held on 16 March 2017 and Matters Arising pdf icon PDF 134 KB

Minutes:

The minutes of the meeting held on 16 March 2017 were agreed and signed by the Chair, subject to the following amendments:

 

Attendance list:

Patricia Wright confirmed that she was now in post on a permanent basis at Hounslow and Richmond Community Healthcare.

 

Minute 23: Tackling Physical Inactivity in Hounslow (Resolved: 1st bullet):

Remove the duplicated wording: “supported the” from this bullet.  

 

Minute 28: Any Other Business:

Replace ‘her’ with ‘Sue Jeffers’ in the following sentence “On the occasion of her retirement as Managing Director of Hounslow CCG…”

3.

Joint Strategic Needs Assessment - Laurence Gibson (LBH Public Health) pdf icon PDF 133 KB

Additional documents:

Minutes:

Laurence Gibson provided a slide presentation (included for reference with the electronic agenda for this meeting on the Council’s website).  He reminded members that the Health and Wellbeing Strategy document was drafted in response to the needs identified through the process.

 

In response to questions the following discussion points were raised:

·       Assurances were sought that efforts had been made to engage with a wide range of groups, including voluntary sector.  Laurence confirmed that work had taken place to engage with the community and voluntary sector, and would continue to do so.

·       Laurence sought to assure the Board that the needs of carers would continue to be represented strongly in the document.  Moving towards drafting the strategy document officers would be looking to making linkages between social, voluntary, carers and mental health. 

·       Whilst it was acknowledged that the JSNA should remain a dynamic log of issues present in the borough, Imran Choudhury stressed the importance of signing off on the JSNA in order to begin drafting the Joint Health and Wellbeing Strategy document. 

·       Imran suggested that, whilst a designated sub-group had not yet been formed, an ad-hoc sub-group could reflect this Board’s membership and draw together representatives from a wide breadth of the borough’s stakeholders.

·       Councillor Kaur drew attention to the increased pressure on all services and asked whether work had been carried out to look at how issues had been addressed in other UK regions.  There was broad support for Councillor Kaur’s comments on securing multi-agency buy-in to ensure available resources were used to their maximum potential. 

·       Councillor Kaur recommended that priorities for the strategy could be chosen in order of those issues where the most impact could be made and multi-agency buy in could be secured, as opposed to where the greatest need had been identified. 

·       Sarah Rushton raised concern that alcohol had not been included in the JSNA, particularly in light of the comparatively heavy use of alcohol in the borough. Laurence confirmed that it had been identified as one of the three leading causes of morbidity alongside smoking and inadequate physical activity.

·       Peter Mas-Mollinedo thanked the officer for his work on the numerous fact sheets and asked him to consider suggested amendments submitted before this meeting.  Peter noted the importance of looking at issues in combination, using the example of the possible links between falls and stroke.

·       Patricia Wright noted the importance of social isolation on an individual’s mental health.  Laurence confirmed that officers had plotted risk factors of social isolation in the borough and were now developing further work on the area as a result of the assessment.  She supported the concept of multi-agency working, drawing attention to the NHS message “every contact counts”, which aimed to provide patients with a consistent message from each health professional they met. 

·       Patricia reported that hospital admissions figures were managed in relation to short-term and long-term admissions, a distinction that was not evident from the figures submitted in the report.

·       Dominic Conlin echoed the comments on better use  ...  view the full minutes text for item 3.

4.

Futureproofing health and social care in Hounslow - developing a view of the system in 2022 - Mary Clegg (Hounslow CCG) pdf icon PDF 139 KB

Additional documents:

Minutes:

Mary Clegg, Managing Director of Hounslow Clinical Commissioning Group (CCG), referred to the Sustainability and Transformation Plan (STP), which she said set out clear objectives for Northwest London.  She acknowledged that, whilst a clear list of Hounslow specific immediate challenges and opportunities was currently unavailable, she had requested that such a list could be drawn up and brought back to this Board for further discussion, possibly as early as October. 

 

Responding to concerns that the Patient Participation Group (PPG) was not currently being consulted with in a positive constructive manner, Ms Clegg sought to assure the Board that she would like to make the locality PPG meetings a regular event. 

 

Alan Adams drew attention to the Board’s Joint Commissioning sub-group, which was looking at a vision for integration of health and social care in Hounslow.  He expressed the view that Hounslow was a good representative for working together and looking forward.

 

Charanjit Ajitsingh noted concerns, however, that longstanding challenges had not actually been resolved, but that the same methods to tackle them had been repeated over time but branded with different language.

 

Resolved:

The Health and Wellbeing Board noted the work being undertaken in Hounslow to develop a view of the health and care system in 2022.

5.

Pharmaceutical Needs Assessment (PNA) 2018 Update - Imran Choudhury pdf icon PDF 226 KB

Minutes:

Imran Choudhury presented the submitted report and briefed members on the assessment process, drawing attention to the deadlines and providing assurances that Hounslow was on track to complete by April 2018. 

 

Peter Mas-Mollinedo asked whether the borough could effect a difference in relation to the current proposals to withdraw funding from community pharmacies.  Mr Choudhury noted that, whilst he didn’t disagree that something could and should be done to support community pharmacies, the actual assessment process had been defined on a national level. 

 

Sarah Rushton proposed that the WLMHT’s chief pharmacist should be invited to take part in the Hounslow PNA Steering Group. 

 

Resolved:

·       The Board noted that the consultation on a draft Pharmaceutical Needs Assessment (‘PNA 2018’) for Hounslow was planned between 18th September 2017 and 17th November 2017

·       The Board noted the conclusion of the public, commissioner, and pharmacy contractor questionnaires on current pharmaceutical service provision

·       The Board agreed to receive an update on progress and the project plan timelines from the ‘Hounslow PNA Steering Group’ on the production of the 2018 Hounslow PNA

·       The Board agreed to delegate to the Director of Public Health the approval of the final assessment.

 

6.

Reducing Variation in Feltham - Mary Clegg (Hounslow CCG) * pdf icon PDF 173 KB

Additional documents:

Minutes:

Mary Clegg briefed members on her proposals to reduce health variation in Feltham and requested members’ support to establish a project group as a formal sub-group of the Hounslow Health and Wellbeing Board. 

 

Richard Eason asked that voluntary sector should be involved in this sub-group once established.  Imran Choudhury noted that the Public Health team had also been looking Feltham in relation to levels of physical inactivity, suggesting that Feltham could be nominated as a priority area for a number of strategies. 

 

Councillor Kaur suggested the inclusion of representation from Heathrow Airport on the sub-group in recognition of its status as the dominant employer in the area.  She expressed the view that involving employers in the sub-group could also open further funding streams.

 

Resolved:

The Board agreed to establish a formal sub-group of the Hounslow Health and Wellbeing Board on reducing variation in Feltham.

7.

Sustainability and Transformation Plan - Mary Clegg (Hounslow CCG) * pdf icon PDF 234 KB

Additional documents:

Minutes:

Mary Clegg, Managing Director of the Hounslow Clinical Commissioning Group, provided assurances that work on the plans was continuing.  It was acknowledged that the Hounslow STP Implementation Group had not met for some time.  Alan Adams explained that the group had agreed to meet only when there was something meaningful to debate. 

 

Mary Clegg responded to questions on the submitted report, noting that she hoped to comment further on the estate funding at the Board’s October meeting.  She acknowledged concerns raised on the lack of clarity on which areas of the plan had allocated funding and which had not.  The Board’s comments on the submitted plan centred on concerns that the three identified workstreams (workforce, digital and estate) were not adequately addressed for this borough by the document.  Members highlighted issues with sustainability and equality gaps caused by the recruitment of nursing staff and asked that training and the cost of housing was taken into account, particularly for those working in outer London boroughs where income rates were lower and longer commutes to work were a factor.

 

Concerns were raised at the lack of clarity on how Hounslow residents were affected by and involved in the STP process, and on how the STP affected the health and wellbeing of Hounslow residents.

 

Resolved:

The Board noted the submitted report of the Sustainability and Transformation work across the eight clinical commissioning groups (CCGs) and local authorities of North West London.

8.

Community Infrastructure Levy (CIL) Health Infrastructure Investment - Mary Clegg (Hounslow CCG) * pdf icon PDF 146 KB

Minutes:

Mary Clegg introduced the submitted report, drawing the Board’s attention to the assessment criteria under Section 2.  Councillor Kaur suggested a possible project aimed at encouraging more patients to go online to access health records, prescription services, e-consultations, etc.

 

Mary confirmed that the submission deadline listed under timetable for implementation related to the Council request that applications for health infrastructure and estates were submitted by September 2017. Councillor Kaur indicated that applications for health infrastructure would not compete for available planning obligations funding with voluntary sector or residents’ proposals, as these applications were covered by Regulation 123 of the CIL Regulations 2010.  Councillor Curran offered a word of caution that many of the planning developments under construction across the borough currently had been confirmed before the introduction of CIL and would, therefore, not contribute to the fund.  The ability to realise all of the projects submitted for CIL funding depended on the property markets remaining buoyant.

 

Resolved:

·       The Hounslow Health and Wellbeing Board agreed to note the approach and criteria proposed by the Clinical Commissioning Group (CCG) to assess health related applications for Community Infrastruction Levy (CIL) funding to meet the London Borough of Hounslow’s deadline for CIL applications. The health related projects will be prioritised by the CCG prior to submission to the London Borough of Hounslow.

·       The Board further agreed to engage and seek support from Council colleagues for the proposed approach and investment in health infrastructure to meet growing needs and population increases.

 

9.

Childhood Sexual Exploitation update (for information) pdf icon PDF 295 KB

Minutes:

The Board noted the submitted report.

10.

Date of next meeting

Minutes:

The date of the next scheduled meeting was noted.