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 

No. Item


Welcome and Introductions


The Chair welcomed all present and invited a round of introductions.


Ed Rose and Paul Smale, Implementation Unit at the Cabinet Office, were in attendance to observe the meeting to learn more about health and wellbeing boards.  Bally Janagal and Jas Lall were present on behalf of JobCentre Plus.


Apologies had been received on behalf of Councillor Amrit Mann, Mary Harpley, Steve Shrubb, Misal Ohanian, Carl Bussey, Peter Matthew and Jo Murfitt.  Alan Adams would be joining the meeting late, as he was held up in another meeting.


Minutes of the meeting held on 3 September 2014 and Matters Arising pdf icon PDF 75 KB


The minutes of the meeting held on 3 September 2014 were agreed and signed by the Chair as a correct record.  There were no matters arising.


Update on the Better Care Fund


Ian Robinson, Interim Assistant Director Joint Commissioning, and Sue Jeffers, Managing Director Hounslow Clinical Commissioning Group, updated the Board on the resubmission of documents in September.  The borough now had to meet a condition, resulting from a discrepancy in reporting of approximately £6,000, a figure which appeared in one template but was missing in the corresponding template. 


6.35pm - Dame Jacqueline Docherty joined the meeting at this point.


Sue Jeffers wished to point out that, although this figure should be viewed in context of the overall budgets of £80million, until such time as the discrepancy was resolved Hounslow would not be Section 75 compliant.



The Board noted the verbal update on the progress of the Better Care Fund submission. 


Health and Wellbeing Strategy action plans pdf icon PDF 66 KB

Additional documents:


See reports from the Director of Public Health, Agenda Item 4.


Imran Choudhury acknowledged a concern raised that, without cross referencing, the strategy risked duplicating areas already addressed in other policy documents.  Whilst he acknowledged the benefits of a summary document that outlined the crossovers, he reminded members that the Health and Wellbeing Strategy acted as the overarching document, beneath which the commissioning intentions, policies and plans were implemented.


Nicola Burbidge confirmed that the CCG worked closely with colleagues in primary care, including monthly meetings in localities looking at ideas to improve GP practice, with the aim of making it easier to make referrals in relation to childhood obesity.  She suggested that similar efforts could be made in relation to the priority to improve oral health in children under five.  Imran Choudhury also noted the importance of involving the voluntary sector in realising the priorities and reported that he and Ian Robinson would be discussing this with VCS representatives.


In discussion on the nine priorities set out in the action plan, Ann Bond, Integrated Neurological Services, proposed that the health and wellbeing of carers should be included as an additional priority, particularly in light of the prominence given to this as a key area for development in the Care Act 2014.  Ann qualified her proposal by saying that if savings of up to 38% were being proposed in admissions to care homes, then there was also a need to look at carers’ physical and mental wellbeing.


Whilst it was recognised that the final two priorities in the current list were NHS England priorities, members accepted that there was a finite level of resources available to meet the action plan priorities.  However, members also acknowledged importance of the prevention strategy agenda.  The Chair asked Imran Choudhury and Ian Robinson to look at the proposal and report to the next Board meeting. 


Helping those who wish to give up smoking to be successful:

It was noted that there were faith communities in Hounslow whose faith viewed smoking in a negative light.  It was suggested that their support could be encouraged in helping those who wished to successfully give up smoking. It was also suggested that, as there were currently no 6th Form Colleges in the borough, the milestones listed under this priority should be amended to reflect the borough’s education provision.



The Board noted and approved the new draft action plan for the Hounslow Joint Health and Wellbeing Strategy 2013-17.


Pharmaceutical Needs Assessment Update pdf icon PDF 151 KB


See report from the Director of Public Health, Agenda Item 5.


Imran Choudhury confirmed the timeframe for completion of the Pharmaceutical Needs Assessment (PNA) as the end of March 2015.  He asked for the Board’s agreement to delegate the final approval of the document once the mandatory consultation had been completed and following a review at the Board’s meeting in February. 



·         That the delegation of work on the Hounslow Pharmaceutical Needs Assessment (PNA) to the ‘Hounslow PNA Steering Group’ be approved.

·         That the updated timeline and progress on work for the project be noted.  The Board also noted that some risks remained in meeting the statutory deadline.

·         That the sign-off of approval of the final completed PNA report be delegated to the Director of Public Health.


Adults Prevention Strategy & Children's Strategy pdf icon PDF 136 KB

Additional documents:


See reports from the Lead Cabinet Members, Agenda Item 6.


Members were assured that both the Hounslow Local Safeguarding Children Board (LSCB) and the Hounslow Local Safeguarding Adults Board (LSAB) would be considering both strategy documents in the next round of business planning for both boards.


Councillor Lily Bath drew members’ attention to the Joint Prevention Strategy for Adult Services in Hounslow 2014-18, which had been formally agreed at Cabinet the previous evening.  Ian Robinson added that it had also received CCG agreement.   


Responding to a question from Charanjit Ajitsingh in relation to whether faith issues had been looked at under equalities, Councillor Bath indicated that, whilst the strategy set a direction of travel, everything below that would indeed have regard for all faiths and beliefs.  The Chair noted that this was something the Council’s Equalities Officer could look at in more detail.


Councillor Tom Bruce introduced the Joint Children and Young People’s Strategy 2015-19, also agreed by the Council’s Cabinet and the CCG.  He drew particular attention to Section 3.3 Summary of Local Health and Wellbeing Needs and the fact that Hounslow had a higher than national average percentage of 0-15 year olds living in poverty.  Child poverty was one of the five ‘golden threads’ in the strategy document that set the vision for the next four years.


Whilst acknowledging concerns in relation to the impact of budgetary restrictions on public services in the current economic climate, the Chair assured members that the Local Authority was committed to protecting the needs of its most vulnerable residents.  It had this foremost in mind when setting budgets and had undertaken to do the best it could with the available resources.  


Councillor Bruce recognized parents’ concerns in relation to bullying but suggested that the perception of bullying did not often match the reality, as the term ‘bullying’ was widely and sometimes inappropriately used.  On the question as to how academies dealt with the issue of bullying, it was confirmed that the Authority maintained good relations with the borough’s academies, which were represented on the school’s network and were closely involved in discussions on joint priorities with the Authority and local schools.


7.05pm - Alan Adams joined the meeting at this point.


Sue Jeffers suggested the inclusion of a section detailing the commendable work that was being undertaken to help alleviate the identified issues.  Alan Adams confirmed that the strategy documents set the direction of travel and the next stage was about implementing that strategic direction.  He added that the Children’s Delivery Board monitored delivery of children’s services, whilst the Joint Commissioning Board dealt with commissioning intentions.  Colleagues across the Authority were already working towards implementing the strategies and related actions. 


The sub-groups were accountable to the Board and were expected to report back to members.  It was suggested that, as these two strategy documents were so significant, members might want to set aside a longer time slot at the Board to review each strategy in turn.  The Chair agreed to take an  ...  view the full minutes text for item 27.


Public Health Commissioning Strategy pdf icon PDF 119 KB

Additional documents:


See report from the Director of Public Health, Agenda Item 7.


Councillor Gupta, Lead Cabinet Member for Public Health and Leisure, introduced the report, drawing particular attention to the snapshot of public health service usage in Hounslow over the last year (Figure 1) and the “Summary of our intentions” (Section 6).  Imran Choudhury reported that the 2013 data had just been released, although the latest data available at the time of producing the document was from 2012.



The Board noted Public Health Commissioning Strategy 2014-19.


Joint Commissioning Intentions pdf icon PDF 98 KB

Additional documents:


See report from the Hounslow Clinical Commissioning Group, Agenda Item 8.


Sue Jeffers, Managing Director Clinical Commissioning Group, drawing particular attention to the links with the three strategies on the agenda this evening.  Commissioning intentions would be delivered in context of all strategies, both local and London wide such as the Shaping a Healthier Future and Whole Systems documents.


In response to questions the following points were made:

·         Training was proposed for health professionals and schools on FGM (Female Genital Mutilation).  It was suggested that better links could be forged with communities most affected by FGM.

·         It was suggested that the plan to reduce teenage pregnancy could also look at the numbers of families using preferential terminations of pregnancies depending on the sex of the foetus.

·         It was confirmed that, whilst IT systems were not fully integrated, all blood test results were now stored in the cloud, which meant that they could be accessed and read by health professionals to prevent duplicate tests being carried out unnecessarily.



The Board approved the Joint Commissioning Intentions for 2015-16.


Revised Terms of Reference and Protocol of working between the Hounslow Health and Wellbeing Board and Partnership Delivery Sub-groups pdf icon PDF 130 KB

Additional documents:


See submitted documents, Agenda Item 9.



That the revised documents should be noted.


Any Other Business


Farewell to Cherna Crome:

Cherna Crome announced that this was to be her last meeting as a member of the Board, as the Carers’ Partnership Board would be appointing a new carers’ representative. Cherna confirmed that she would continue to be involved in both Your Voice in Health and Social Care for HealthWatch Hounslow.  Members wished to record their sincere thanks and best wishes to Cherna for her contributions to this Board and her involvement in health services over the past 20 years.


Question from the public gallery:

A member of the attending public raised concerns in relation to the priority to: “Reduce permanent admissions of older people to residential and nursing care homes by 38.5% by March 2016 (BCF)” (page 26 of the published agenda pack).  Although she was not advocating care homes, her primary concern was in relation to the unintended consequences for the families of those older people.


Alan Adams noted that the prevention strategy pulled together all the key planks necessary to support people to have care in their own homes. He acknowledged that there were some aspects of the plan that were not yet in place (such as a fully functioning Reablement Strategy) but that it was expected that these would be put in place during the life of the strategy.


Mr Adams also noted that a significant expansion of ‘telecare’ was proposed.  It was necessary to ensure that our social workers were considering ‘telecare’ in the early stages of their involvement with patients.  There was also a requirement to look at housing (Alan mentioned that a scheme would be coming online in Spring 2015 and that others were being investigated).  If done correctly Alan was confident that the borough would be able to enable people to have care through their own ‘front door’ without needing to be admitted into a home.


Sue Jeffers suggested that where people met the criteria for continuing healthcare, they went into a home.  Now the thinking was to look at keeping people in their homes for as long as possible.  People were being offered more choice through ‘personal budgets’.  On average there were five people each week who met the criteria but who chose to remain at home. 


Date of next meeting - Provisionally scheduled for 4 February 2015


The date of the forthcoming meeting was noted.