LGA Governance


Agenda and minutes

Agenda and minutes

Venue: Westminster Room, 8th Floor, 18 Smith Square, London, SW1P 3HZ. View directions

Contact: Alexander Saul  0207 664 3232 / Email: alexander.saul@local.gov.uk

Items
No. Item

1.

Declarations of interest

Minutes:

There were no declarations of interest.

2.

Community Wellbeing Board Away Day - Member Briefing

3.

Community Wellbeing Board 2018/19: How it works for you, Terms of Reference, Membership and Appointments to Outside Bodies pdf icon PDF 281 KB

Minutes:

The Community Wellbeing Board:

 

i. agreed its Terms of Reference;

ii. formally noted the membership for 2018/19;

iii. noted the Board meeting dates for 2018/19; and

iv. agreed the Board’s nominations to outside bodies.

4.

Community Wellbeing Board Priorities 2018/19 pdf icon PDF 289 KB

Minutes:

Mark Norris, Principal Policy Adviser, introduced the report outlining proposals for the Board’s priorities and key areas of work, set against the available resources for 2018/19. He explained proposals are based on both corporate LGA priorities and options for broader work based on a combination of areas of interest previously indicated by Board members, ongoing work and recent policy announcements by Government.

He also raised that these were set against the available resources for 2018/19 and that the Community Wellbeing team would operating at full capacity with the suggested priorities.

In the discussion that followed, the following points were raised:

 

·         It was emphasised that the Board priorities should include more support for mothers, in particular regarding support for breastfeeding.

·         A view was expressed that paragraph 15 of the report on creating healthy communities should make more of a reference to the role of family carers.

·         Members requested further information on work the LGA is undertaking regarding Housing and emphasised that it would need to be referred to in the Board priorities due to its crucial connection to health.

·         The role of planning and regeneration in health was also emphasised.

·         A view was expressed that concerns around health in prisons, specifically around mental health issues and drug and alcohol problems of those coming out of prisons, should be included in the Board priorities.

·         A suggestion was made that the Board could explore options to dive deeper into some of the issues detailed in the priorities report, such as in using Task and Finish Groups.

 

Decision

 

The Community Wellbeing Board discussed, provided direction and agreed the Board’s priorities for 2018/19.

 

Actions

 

Officers to prepare a detailed work programme to manage the day to day work.

 

Officers to circulate previous work on the impact of rough sleeping on health to the Community Wellbeing Board.

 

Officers to report back to the Community Wellbeing Board on what action the LGA is taking on housing, planning and the health of prisoners.

 

The priorities agreed by the Community Wellbeing Board will also be reported back to the LGA Executive, which oversees the work of the policy Boards and includes the Community Wellbeing Board Chairman as part of its membership.

 

5.

Update on Other Board Business pdf icon PDF 208 KB

Minutes:

Cllr Meldrum informed the Community Wellbeing Board that the fifth autism self-assessment framework (SAF) had been launched on 19 September 2018.

 

Alyson Morley, Senior Adviser, also gave an update on the LGA green paper for adult social care and wellbeing. It was explained that since being launched on 31 July the LGA green paper had proven one of the most frequently downloaded and well-read publications the LGA has ever produced. Alyson also informed the Board that as of 26 September 2018 there had been 502 responses to the consultation and that analysing these responses would follow.

 

Decision

 

Members of the Community Wellbeing Board noted the updates contained in the report.

 

6.

NHS Long Term Plan pdf icon PDF 97 KB

Additional documents:

Minutes:

The Chairman welcomed Vin Diwakar, Regional Medical Director for NHSE, to give a presentation on the development of the NHS Long Term Plan, which is expected to be published in November 2018.

 

During his presentation Vin raised the following points:

·         That the NHS working closely with Public Health England in establishing the long term plan as well.

·         That despite the NHS being a national organisation the transformation and improvement of the NHS would need to happen at a local level.

·         The Board was informed that the deadline for submissions to the 13 work streams of the NHS Long Term Plan would be 28 September.

·         It was emphasised that the cost of the NHS would continue to rise as would the cost of care.

·         That there would be a particular focus on the elderly and healthy ageing.

·         It was raised that widening health inequalities was a great concern and that the NHS Long Term Plan would focus on personal lifestyle choices including smoking and diet.

·         Delays in the diagnosing autism would also be looked into as a part of the long term plan.

·         Innovative uses of digital technology and data would also be explored as a part of the long term plan.

·         The need for integrated care systems centred on the person was emphasised, with joining these services up raised as a key challenge for the sector going forwards.

 

In the discussion that followed, the following points were raised:

·         Following a query as to whether access to adult social care records would be beneficial for the NHS, Vin confirmed that this would be highly beneficial and help counter a range of problems.

·         There is an ever growing demand for research. Was any work being done on the causes of autism? Vin confirmed that the NHS works closely with International Health Regulations to ascertain where further research is needed.

·         A view was expressed that a shared culture across the sector would be required for integration to progress, and for the democratic deficit in the NHS to be addressed. Vin agreed there needed to be improvements in local accountability.

·         Following a concern raised as to why an NHS Assembly was being considered while Health and Wellbeing Boards could carry out a similar role Vin responded that the NHS Assembly would be different in that it will operate at a national level. Vin also raised that it was still in development at and will draw representation from Councils and Health and Wellbeing Boards.

·         A concern was raised that health centres are an unused resource, in response Vin confirmed that the NHS Property Board would be looking into this.

·         Regarding a concern raised that the use of digital technology might result in inequalities in treatment, Vin confirmed that the NHS long term plan would look to use digital to enhance information and not restrict it.

·         Vin informed the Board that the divide between purchaser and provider at the NHS would need to change.

·         Vin also informed the Board that integration had been inconsistent nationally  ...  view the full minutes text for item 6.

7.

Children and Young People's Health Update pdf icon PDF 245 KB

Minutes:

Samantha Ramanah, Adviser, introduced the paper updating members on the recent policy developments and seek members’ steer on the direction of travel for some of the policy areas. Samantha also raised that this report was presented to Children and Young People Board on 10 September 2018 and brought the Board’s attention to the summary of the Children and Young People Board’s views that can be found in section 4.1.

 

The Community Wellbeing Board particularly expressed views as to emphasising the role of Health and Wellbeing Boards and how best the LGA can lobby on their need for additional powers.

 

A view was also expressed that although we need to recognise that health and wellbeing services are needed in schools, we also need to be mindful these services shouldn’t be limited to within schools to best engage with the range of young people requiring support.

 

 

Decision

 

The Community Wellbeing Board noted and commented on the activities detailed in the report.

 

Actions

 

Officers to take forward work in line with the steer from the Children and Young People and Community Wellbeing Boards.

8.

Note of last Community Wellbeing Board meeting pdf icon PDF 184 KB

Minutes:

The notes of the last meeting were agreed.