Apologies for absence were received from Councillors Lamb and Willis (no substitutes).

Apologies were also received from K Jackson (sub: M Longley), J Gardner, Y Blucher, C Gritzner, Dr Chaturvedi, M Freeston, E Chidgey and C Panniker.

The following declarations of interest were made:

(a) Councillor Salter – Agenda Item 7 (NHS Long Term Plan) – non-pecuniary interest – husband is Consultant Surgeon at Southend Hospital; daughter is a doctor at Basildon Hospital and son-in-law is a GP in the Borough;

(b) Dr J. Garcia-Lobera – Agenda Item 7 (NHS Long Term Plan) – non-pecuniary interest – practicing GP in the Borough;

Minutes attached.

Resolved:-

That the Minutes of the Meeting held on Wednesday 5^th December 2018, be confirmed as a correct record and signed.

There were no public questions.

Report of the Director of Public Health attached

The Board considered a report of the Director of Public Health proposing the adoption of the Health in All Policies (HiAP) approach as a collective tool to further enhance and build on collaboration.  In addition to the report the Board also received a Power Point presentation providing a more detailed overview of the HiAP approach.

The Board asked a number of questions which were responded to by the Director of Public Health.  The Board recognised the opportunities of a wider system approach and the significant benefits of incorporating health in all policies and across a wider sector (i.e. planning, climate change, etc).

The Board noted that there were eleven key areas and gave consideration to which of these key areas should be the main focus for the Board and where a deep dive into the issue was needed (e.g. teenage pregnancy).  The Board discussed the health indicators in more detail under the JSNA item below.

Resolved:

1. That the five key principles set out in the report to support the adoption of a Health in All Policies approach to further promote and cement local collaboration including locality working, be endorsed.

2. That the partners engaged in the activities of the Board will actively support a Health in All Policies approach to strategy development, programme delivery and process design reflecting the Health and Wellbeing priorities for the borough and the wider commissioning and service and infrastructure development landscape.

Report from the Director of Public Health attached.

The Board considered a report of the Director of Public Health summarising the key findings from the 2018/19 Joint Strategic Needs Assessment (JSNA) for Southend-on-Sea.  The summary included the current and projected population change, wider demographical information and information on the determinants of health, health inequalities and mortality.

The Board asked a number of questions which were responded to by officers. The Board also noted the change in approach and the development of a programme towards a more interactive and ‘live’ dashboard of indicators.

The Board discussed the key health areas and recognised that this was a long term approach to improve the lives of the population of the borough, i.e. the benefits and outcomes from the activity / work done now may not be seen for 5 years or more. 

On consideration of the key areas that should have a specific focus and activity for the next twelve months the Board was mindful that some of the performance data/information in the JSNA was not current and did not necessarily reflect the current picture (e.g. teenage pregnancy data is from 2016).

Resolved:

1. That the JSNA summary report, be approved.

2. That sexual health (specifically teenage pregnancy) be an area of key focus and activity for the next twelve months and the progress be reviewed through the high level action plan to embed the Health in All Policies approach to tackle health inequalities, reduce demand on public services and improving lives.

Report of the Interim Accountable Officer, CCG attached

The Board considered a report of the Interim Accountable Officer, CCG, presenting the NHS Long Term Plan.

The Board discussed the opportunities and the challenges which the Plan presented, particularly the challenges around workforce capacity, i.e. there is additional funding but not the staff to deliver.

Resolved:

1. That the importance of progressing the direction of travel outlined in the ‘Localities Strategy’ (presented to the Board on 18^th September 2018) in which collaborative working will be key to the delivery of local NHS plans and ambitions, be noted.

2. That the commitment to ensure local plans are aligned to Southend 2050 ambitions, be noted.