Agenda and draft minutes

Health and Wellbeing Board
Wednesday 11 November 2020 1.00 pm

Venue: This will be a virtual meeting. A meeting link will be circulated in advance.

Contact: Poonam Patel Email:  Poonam.Patel@southwark.gov.uk 

Items
No. Item

1.

WELCOME AND INTRODUCTION

2.

APOLOGIES

3.

CONFIRMATION OF VOTING MEMBERS

4.

NOTIFICATION OF ANY ITEMS OF BUSINESS WHICH THE CHAIR DEEMS URGENT

5.

DISCLOSURE OF INTERESTS AND DISPENSATIONS

6.

MINUTES

7.

COVID-19 OVERSIGHT

    (a)  COVID-19 surveillance report - presentation

     

    ·  To receive a presentation

     

    (b)  Report on implementing the Outbreak Prevention Control Plan

     

    ·  To receive and consider the report

     

     

    Supporting documents:

    Minutes:

    Chris Williamson, Head of Public Health Intelligence delivered a presentation on COVID-19 monitoring report as part of Southwark’s Outbreak Prevention and Control Plan. The presentation covered data on the following areas:

     

      i.  Test and Trace;

      ii.  Community testing to date;

      iii.  Impacts of local contact tracing and Test and Trace case completion;

      iv.  Incidence rates and daily cases;

      v.  Case demographics;

      vi.  Geographical view of the cases in the borough;

      vii.  Hospital admissions; and

      viii.  Horizon scan view of the current position from the national alert level to NHS demand.

     

    Jin Lim introduced the covering report as read and the Board noted the following points made:

     

    ·  Close surveillance of the incidence data would continue along with the rise of incidences for those in the age group 40 to 59.

     

    ·  Three strands remain in focus in the plan:

     

      i.  Prevent:

    §  The Community Health Ambassadors programme was launched and open for registration.  Please to contact Community Southwark to register. The programme is open to all residents of Southwark and volunteers linked with Southwark’s Voluntary Community Sector.

     

    §  A weekly schedule of proactive deployment and reactive enforcement via the enforcement team was in place.

     

    §  There has been extensive work with the communications team, key partners and communities to reach targeted groups via a diverse range of communication methods; from online forums to leaflets sent by post.

     

      ii.  Identify:

     

    §  Local contact tracing services had been live for five weeks.

     

    §  The Peckham Pulse site was now restored and up and running. Residents no longer need to travel to Milton Keynes for their test.

     

    §  The Department of Health and Social Care confirmed that mass testing via the rapid lateral flow tests approach would occur. The council were looking at this approach very carefully prior to local adoption and learn from existing pilots.

     

      iii.  Control:

     

    §  There was on going work with the Acute Response Team and Public Health England (PHE) to manage local incidences and the consultant-led service runs seven days a week, 9am to 5pm. 

     

    ·  The four detailed appendices included in the report covered:

     

      i.  Key actions from the last 7 – 14 days around outbreak prevention plan and control;

      ii.  A communications brief about the health ambassadors programme;

      iii.  The emerging lessons and the experience of setting up the contact tracing service; and

      iv.  The three tiers and the escalation framework. Southwark were at medium before the second lockdown and now at the high-level tier.

     

    The Chair thanked Chris and Jin for their presentations and reports and welcomed all points made.

     

    In response, to a question and answer session the Board noted the following points:

     

    ·  Important not to rush into the rapid lateral flow tests and to be as efficient and effective as possible in the deployment of mass testing.

     

    ·  The time lag of data flow from national to local level was due to the national system in place. The difficulties in tracking down cases were being worked through from local knowledge and data intelligence although efforts are  ...  view the full minutes text for item 7.

8.

MENTAL HEALTH AND WELLBEING

    (a)  Mental health and wellbeing needs  - presentation

     

    ·  To receive a presentation

     

    (b)  Reports on mental health and wellbeing strategy, community mental health transformation and mental health promotion: SLAM & Community Partnership

     

    ·  To receive and consider reports

     

     

    Supporting documents:

    Minutes:

    Farrah Hart, Public Health Consultant presented an abridged presentation of Appendix 1 of the report, COVID-19: Mental Health Rapid Impact Assessment, Southwark’s Joint Strategic Needs Assessment. The abridged presentation covered the following slides:

     

      i.  The COVID-19 pandemic has exacerbated the risk factors for poor mental health and weakened the protective ones.

      ii.  The COVID-19 pandemic impacts on mental health and wellbeing across the life-course: summary of concerns.

      iii.  Thrive LDN is a London wide initiative to improve the mental health and wellbeing of the all Londoners.

     

    Sam Hepplewhite, Place Based Director (Southwark), NHS Southwark East London CCG presented pages 75 to 81 from Supplemental Agenda Pack No. 1; NHS SEL CCG and Southwark Council Joint Mental Health and Wellbeing Strategy 2018 – 2021.

     

    Dr Nancy Kuchenmann (Vice-Chair) introduced pages 1 to 9 from Supplemental Agenda Pack No. 2; Reshaping our Mental Health Services Across South East London. Emily Finch, Clinical Director of South London and Maudsley, NHS Foundation Trust presented the Southwark Community Transformation – current focus areas from the same presentation pack.

     

    RanjeetKaile, Interim Director of Communications of South London and Maudsley, NHS Foundation Trust presented the COVID-19: Preventing a mental ill-health crisis across south London from Supplemental Agenda Pack No. 3, page 1. 

     

    The Chair thanked everyone for their presentation and the accompanying report. It was noted that the Board welcomed the points made in each of the presentations and all opportunities to refresh the Joint Mental Health and Wellbeing Strategy.

     

    In response to a question and answer session the Board noted the following points:

     

    Presentation: NHS SEL CCG and Southwark Council Joint Mental Health and Wellbeing Strategy 2018 – 2021

     

    ·  Immediate priorities as part of the refresh strategy would include looking at wellbeing, in terms of responding to a large population that were not generally feeling good. Additionally, in response to the new models of care there was an opportunity to look at the workforce being flexible about considering different ways of working.

     

    ·  The refreshed strategy to be done without delay to reflect the current times and build upon it. For example, to include a refresh of the ‘Talking Therapies’ section and to draw upon the positives from the community offer.

     

    ·  Include in the strategy how services like the Nest and the Wellbeing Hub were delivering their services during the second lock down to advocate the mental health prevention agenda.

     

    ·  To be mindful about the unpaid carers when thinking about the workforce and reaching those on the frontline.

     

    ·  Supporting families that had been unable to visit care homes. There are over 400 people in the care homes, which was affecting over 400 families in the borough.

     

    Presentation: Reshaping our Mental Health Services Across South East London presentation

     

    ·  2021/22 the projected funds are for the integrated care system and £121m will be distributed across six south London boroughs and the amounts for allocation were still being assessed to consider borough need. The funds are expected to be in the region of £366m for  ...  view the full minutes text for item 8.

9.

SOUTHWARK STANDS TOGETHER

    ·  To receive a verbal update

    Minutes:

    The following points were noted in response to the verbal update:

     

    ·  The council accepted the Southwark Stands Together (SST) recommendations and work was going on to achieve them right across the council with an oversight group in place.

     

    ·  In response to the public health strand, there is direct liaison with the CCG, NHS, VCS and with the communities following the listening and round table events during the summer.

     

    ·  The internal and external stakeholders and partners were all in involved to help deliver upon the action plan, which they helped to establish.

     

    ·  Funding is in place to shape the health inequalities framework and action plan.

     

    ·  The Borough Based Board accepted at their last meeting the SST recommendations and the Health strand findings.

     

    ·  Some of the key recommendations put before the Borough Based Board were addressing:

     

      i.  The lower uptake on prevention i.e. screening;

      ii.  The lower uptake on health improvement services i.e. weight management and smoking sensation; and

      iii.  The variation of detection and management of hypertension and diabetes.

     

    ·  Worked closely with CCG, NHS and VCS on developing recovery plans.

     

    ·  A report back to the Guy’s and St. Thomas’ Governing Board was scheduled.

     

    The outcomes to date could reach beyond Southwark and be considered for implementation more widely.

10.

PUBLIC QUESTION TIME

    To receive any questions from members of the public which have been submitted in advance of the meeting in accordance with the (cabinet) procedure rules. The deadline for the receipt of a public question is midnight Friday, 6 November 2020.

     

    Minutes:

    Public question 1 from Mrs Elizabeth Rylance-Watson

     

    “South London and Maudsely Board Assurance Framework September 2020 below reports the highest level of risk consistently since June 2018 against workforce. So, how does the HWB intend to assure itself that any of today’s papers on Mental Health are either realistic or achievable?”

     

    In response, Councillor Dennis gave assurances that she had recently been appointed to re-join the Councillor of Governors Board at SLaM within her new capacity as Cabinet Member for Social Support and Homelessness. Questions relating to workforce was a regular topic for the Board at SLaM and the reports would continue to be closely examined for this Board.

     

     

    Public question 2 from Mr Tom White

     

    “King’s A&E remains the WRONG DOOR for people in Mental Health crisis. July, no out of hours psychiatrist. October, no bed for an adolescent.  Does this Board accept that it is time to call time on NHS total refusal to allow the Maudsely its own ED in collaboration with Kings?”

     

    In response, Councillor Akoto emphasised the need to know the specific details, if the performance and monitoring reports were not presenting problems that may exist. It was noted, in Mr White’s absence that he should be advised to provide specific details of the matters he had raised with the Vice-Chair, Dr Nancy Kuchemann.

11.

FUTURE MEETING DATES

    To note the 2020-2021 future meeting dates of the Health and Wellbeing Board:

     

    ·  4 February 2021

    ·  18 March 2021

    ·  28 April 2021

    ·  9 June 2021

    ·  21 July 2021

    ·  15 September 2021

     

    Minutes:

    The future meeting dates were noted. The next meeting will be held on 21 December 2020 and the Air Quality status annual report 2019 would be presented.

     

    It was noted that an updated performance report on all other health matters would be taken by the Board in 2021.