Agenda and draft minutes

Venue: Virtual Meeting - MS Teams

Contact: Robert Harris 

Webcast: View the webcast

Items
No. Item

332.

Apologies for Absence

Additional documents:

Minutes:

Apologies for absence were received from Yvonne Blucher (Southend University Hospital NHS Foundation Trust)

333.

Declarations of Interest

Additional documents:

Minutes:

The following councillors and co-opted members declared interests as indicated:

 

(a)        Councillor T Harp - Minute 336 (Annual Public Health Report) - Friend employed by ‘A Better Start Southend’ - Non-pecuniary interest;

 

(b)        Councillor T Harp - Minute 339 (Flu Planning and Marketing Campaign) - Volunteer with Southend Association of Voluntary Services (SAVS) and wife is an employee of SAVS - Non-pecuniary interest;

 

(c)        Councillor L Salter - Minute 336 (Annual Public Health Report), Minute 337 (Teenage Pregnancy Implementation Plan), Minute 338 (Mid & South-Essex Health and Care Partnership Diabetes Framework), Minute 339 (Flu Planning & Marketing Campaign) and Minute 340 (COVID-19 Pandemic Updates) - Husband is consultant surgeon at Southend Hospital; daughter is a consultant at Basildon Hospital; son-in-law is general practitioner in the Borough - Non-pecuniary interests:

 

(d)        O Richards (Healthwatch Southend) - Minute 336 (Annual Public Health Report) and Minute 337 (Teenage Pregnancy Implementation Plan) - Employed by Family Action to run Healthwatch Southend, Family Action run children’s centres within the Borough and will support action arising from the Teenage Pregnancy Implementation Plan - Non-pecuniary interests; and

 

(e)        Councillor M Davidson - Minute 336 (Annual Public Health Report) - Volunteer for Southend Food Bank - Non-pecuniary interest.

 

 

334.

Minutes of the Meeting held on Wednesday 10th June 2020 pdf icon PDF 83 KB

Minutes attached

Additional documents:

Minutes:

Resolved:

 

That the minutes of the meeting held on 10 June 2020 be confirmed as a correct record and signed, subject to the inclusion of O Richards (Healthwatch Southend) in the list of co-opted members present, in place of J Broadbent (Healthwatch Southend).

335.

Public Questions

Additional documents:

Minutes:

There were no questions from members of the public relating to the responsibilities of the Board.

336.

Annual Public Health Report pdf icon PDF 91 KB

Report of Krishna Ramkhelawon attached

Additional documents:

Minutes:

The Director of Public Health reported that the Health and Social Care Act 2012 required the preparation and publication of an annual report on the health of the local population and that the report presented an opportunity to focus attention on particular issues that impacted the health and wellbeing of the local population, to highlight any concerns and make recommendations for further action.

 

The Board was advised that the report provided an update on the report for 2018 report and covered the themes of health protection and the prevention of ill-health alongside the tackling of wider health inequalities. The Director of Public Health advised the Board that the report set out a number of recommendations cross each of these themes, covering;

 

·             Flu and MMR Immunisation

·             Lessons from Outbreaks

·             Air Quality

·             Obesity

·             Parenting

·             Mental Wellbeing

 

The Board noted that the response to the COVID-19 pandemic would be more fully reflected in the annual report of the Director of Public Health for 2020, but that it would be important to significantly increase the local uptake of flu vaccines for the coming Winter period, particularly as Southend currently had one of the lowest uptake rates in the East of England. The Director of Public Health reported that, with the recent announcement that vaccinations would be offered free to those over 50 years of age, the planning of an innovative and scalable approach to the delivery of a vaccination programme had already commenced.

 

The Director of Public Health reported that there was growing evidence of the link between spatial planning and the food environment, and the health impacts for local residents in terms of obesity. The Board was advised that the development of a new Local Plan presented an opportunity for public health, public protection and planning services to work together to shape the natural and built environment, and identify measures that would have a positive gain from reduced air pollution and the tackling of obesity through the shaping of the food environment.

 

Resolved:

 

That the Annual Report of the Director of Public Health for 2019 and progress made to date with regards to the recommendations from the previous report in 2018, be noted.

337.

Teenage Pregnancy Implementation Plan pdf icon PDF 126 KB

Report of Erin Brennan-Douglas attached

Additional documents:

Minutes:

The Board considered an implementation plan developed as a result of the deep dive into teenage pregnancy and young parenthood in in the Borough.

 

The Director of Public Health reported that the plan proposed action across the following key areas and included the re-establishment of a teenage pregnancy and young parent working group from September 2020:

 

·             Leadership

·             Commissioning and Pathways

·             Data and Intelligence

·             Prevention

·             Communications and marketing

·             Support for teenage parents

 

The Board was advised that it was intended that the delivery of the plan would also involve engagement with other areas where successes had been achieved in terms of addressing teenage pregnancy and the provision of support for young parents. The co-opted members of the Board indicated that their respective organisations, including primary care, would wish to support the delivery of the plan and be involved in the taking forward of relevant actions.

 

Resolved:

 

(1)        That the Teenage Pregnancy and Young Parents Implementation Plan, based on the strategic approach developed by Public Health England for taking a whole system approach to teenage pregnancy prevention and support for young parents and local findings, be agreed.

 

(2)        That a Teenage Pregnancy and Young Parents Working Group with senior leadership and key elected members, be established to:

 

(a)       bring together a full range of services and organisations involved in the delivery and commissioning of the teenage pregnancy and young parenthood pathways;

(b)       deliver a whole system approach to teenage pregnancy prevention and support of young parents; and

(c)       adopt a clear governance framework.

338.

Mid and South Essex Health and Care Partnership Diabetes Framework pdf icon PDF 126 KB

Report of Patricia D’Orsi attached

Additional documents:

Minutes:

The Board considered a report presented by T D’orsi and Dr S Ozturk with regard to the Mid and South Essex Diabetes Framework, that proposed a structured approach to the management and improvement of Diabetes care within health systems. The Board noted that the framework was intended to provide;

 

·             A structure to deliver new collaborative models of integrated diabetes care to meet the needs of local people with diabetes.

·             Improvements in the quality and consistency of services in line with both local and national standards and funding programmes.

·             Methods to deliver best outcomes for people living with diabetes or at risk of developing the condition across the Mid and South Essex Health and Care Partnership (HCP).

 

T D’orsi reported that the framework had been prepared for all primary care physicians, following a focus on the management and improvement of Diabetes care over the last year. The Board noted that it was critical that the importance of Diabetes care not be under estimated, particularly amongst hard to reach groups and as diabetic patients had been disproportionately affected by the impacts of the COVID-19 pandemic and that it was also important to recognise the importance of educating patients to be able to take ownership of their own conditions.

 

The Board was advised that it might be necessary to develop plans for the implementation of the framework by ‘place’, to support system implementation of the framework and that a specific pathway would be introduced to handle diabetic foot care services. The Board was also advised that the HCP was working to increase the training available to care home staff to support residents with Diabetes and that work was also to be undertaken in relation to arrangements for the consideration of food options in care homes.

 

The Cabinet member for Children and Learning emphasised the importance of the ‘Good Diabetes Care in School’ scheme, which Dr Ozturk indicated he would be happy to support.

 

Resolved:

 

That the Mid and South Essex Health and Care Partnership Diabetes Framework be agreed.

 

339.

Flu Planning and Marketing Campaign pdf icon PDF 170 KB

Report of Krishna Ramkhelawon attached

Additional documents:

Minutes:

The Director of Public Health presented an update on the flu campaign plan and implementation for 2020/21.

 

The Board was reminded that flu immunisation was critical in reducing the number of preventable deaths in older people and people within at-risk groups. The Director of Public Health reported that the Government had also recently announced that

all people between 50 and 64 years of age would also be entitled to receive a free flu jab this year, which was likely to take place from November and depending

on the availability of vaccines. The Board was reminded that the uptake of flu vaccinations across Southend was amongst the lowest in the country across all our key target groups

 

The Director of Public Health reported that the COVID-19 pandemic presented a double challenge in the coming Autumn and Winter period as, given the risks associated with the spread of coronavirus, people who were entitled to a flu vaccination should ensure they received it as soon as possible to reduce the strain on health care services and social care provision. The Board was advised that a more innovative approach to the vaccination programme was therefore to be take , involving ore direct engagement with residents and greater collaborative working between the NHS, the Council and other health and voluntary organisation to maximise the uptake of vaccinations, through the identification of champions to support the campaign and the following key objectives:

 

·             Inform: to raise awareness of flu vaccination across key audiences informed by data.

·             Educate: tailored educational messages to help overcome barriers to accepting the offer of a vaccination.

·             Inspire: encouragement from staff and wider community to increase uptake.

 

Resolved:

 

That the content of the flu campaign plan and the approach being taken to its implementation for 2020/21, be noted.

 

340.

Covid-19 Pandemic Updates (Health Protection Board and Local Outbreak Control Plan Oversight and Engagement Board) and EPUT: Response, actions and implications on Mental Health pdf icon PDF 322 KB

A. Update report from Krishna Ramkhelawon attached

 

B. EPUT: Report from Sally Morris to follow

Additional documents:

Minutes:

The Director of Public Health provided an update on the COVID-19 Local Outbreak Control Plan implementation of the national Test, Trace, Contain and Enable (TTCE) programme, which was a central part of the government’s COVID-19 recovery strategy to manage the rate of reproduction and reduce the spread of infection through coordinated effort from local and national organisations, the voluntary sector and community partners, and the general public.

 

The Board was advised that £889,000 had been allocated to Southend for the implementation of the TTCE programme in 2020/21, which was being led by the Health Protection Board, working in collaboration with local emergency planning forums, and the Outbreak Control Oversight and Engagement Board supported by the NHS and Essex Police, to facilitate communication with the public.

 

The Director of Public Health reported that the joint Essex and Southend Contact Tracing Service had commenced operation and that a mobile testing unit was operating at Southend Airport, alongside a  walk-through testing facility provided by the Department of Health and Social Care at the Short Street Car Park. The Board noted that the positivity rate for the Borough remained low, although a marginal increase in infection had been experienced, which was to be expected as a result of the increased testing capacity.

 

S Morris advised the Board that COVID-19 had and was continuing to have, significant implications for mental health providers such as Essex Partnership University NHS Trust (EPUT). The Board noted that, during the peak of the pandemic, there had been a noticeable reduction in mental health referrals but that, since the lift in lockdown restrictions, referrals appeared to be rising to above pre-COVID-19 levels, involving a higher proportion of new patients with complex mental health needs and patients accessing services for the first time, alongside increased Mental Health Act presentations.

 

The Board was advised that EPUT had successfully been able to mitigate some of the mental health issues arising from the pandemic, but that difficulties had been experienced in securing COVID-secure wards and bed capacity, such that out of area resources had needed to be identified.

 

Resolved:

 

(1)        That progress and the on-going implementation of the Local Outbreak Control Plan by the Local Health Protection Board and the Outbreak Control Oversight and Engagement Board, be noted.

 

(2)        That the current position with regard to COVID-19 and the provision of local mental health services be noted.

 

(3)        That the appreciation of the Board for the contribution of S Morris to its work over many years be recorded, as she was shortly due to leave EPUT.

341.

Improving SEN and Disabilities Progress Update Report: Next Steps, organisational structure and HWB responsibilities pdf icon PDF 154 KB

Report of Michael Marks attached

Additional documents:

Minutes:

The Board considered a report of the Director of Education and Early Years, with regard to children and young people with Special Educational Needs and Disabilities (SEND), setting out progress in key areas the and role of the Board in the strategic oversight and governance of SEND on an ongoing basis.

 

The Director of Education and Early Years reported that progress had been made in developing a new local governance framework for SEND, with significant engagement and agreement achieved at a joint meeting of partners in July 2020.

 

The Board was advised that a draft version of the framework was due to be issued for consultation shortly and that the first meeting of the new SEND Strategic Partnership Board would be held in October/November 2020 to agree final governance arrangements. The Board noted that it was intended that all new groups, membership and functions would be operational by the end of November 2020.

 

The Director of Education and Early Years reported that development sessions were to be held with relevant stakeholders to review current evidence, to finalise the self-evaluation and to agree priorities and areas for improvement, that would result in a refresh of the current SEND strategy in December 2020. The Board noted that children and young people, parents, carers and the community and voluntary sector would be integral stakeholders to this work.

 

The Board was advised that an updated SEND summary (Joint Strategic Needs Assessment chapter) would be available at the end of September 2020, which had been extended to include a greater breadth of evidence and qualitative information from across the local area, alongside the development of an outcomes framework and different ways to capture and understand views and experiences of children, parents and carers, including the first results from the POET (Personalisation Outcome Evaluation Tool) survey that were currently being analysed.

 

The Board noted that the Council had continue to progress the actions identified in the Written Statement of Action arising from the SEND inspection in October 2018, in addition to continuing to deliver good outcomes. The Director of Education and Early Years reported that, whilst the impact of the COVID-19 pandemic and delay in securing recruitment to key posts had slowed the progress that was noted earlier in the year, significant achievements had been made in many areas as set out in the report.

 

Resolved:

 

(1)        That progress on leadership and governance be noted and that the Board support the pace required for the changes.

 

(2)        That the new organisational structure be agreed, pending further stakeholder consultation and liaison with the HWBB leadership and governance workstream.

 

(3)        That the sign-off arrangements for the terms of reference and membership be agreed at SEND Strategic Partnership Board level, given the attention needed to pace.

 

(4)        That the role of the Board in undertaking the statutory requirements be noted.

 

(5)        That the Director of Education and Early Years circulate the results from the POET survey to the Board, once they have been analysed.

 

342.

Alliance Update and Overview

Verbal update from Patricia D’Orsi (no papers)

Additional documents:

Minutes:

With the agreement of the Board, T D’Orsi confirmed that she would bring a written report on the progress of the alliance to the next meeting, including details of the recent refresh of its priorities.

343.

Greater Essex LeDeR Annual Report pdf icon PDF 359 KB

Report of Krishna Ramkhelawon attached

Additional documents:

Minutes:

The Director of Public Health presented the Greater Essex Annual Learning Disabilities Mortality Review (LeDeR) Report for 2019/20 The Board was reminded that the LeDeR programme aimed to review the deaths of all people with learning disabilities aged from four years and upwards in order to identify health inequalities and issues which contributed to early or preventable deaths, to raise the age at which people with learning disabilities were dying.

 

The Board noted that the LeDeR programme had commenced in Southend, Essex and Thurrock September 2017 and was currently managed through the Learning

Disability Health Equalities Team that worked on behalf of the collaborative forum of the three local authorities and relevant Clinical Commissioning Groups.

 

The report detailed progress against the action plan for the year, including the establishment of processes to ensure that reviews were completed within timescales and identified a number of cross-system priorities for 2020/21 to be taken forward through the commissioning of specialist healthcare functions.

 

Resolved:

 

(1)        That the report be noted.

 

(2)        That the proposed priorities for 2020/21 be noted.

 

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