Agenda and minutes

Apologies were received from Kim Curry (Jon Tomlinson deputised), Kathryn Singh (Joanne McDonough deputised), Steve Helps, Acting Chief Superintendent Colin McFarlane (DCI Jade Brice deputised) and Councillor Cynthia Ransome.  Also in attendance were Jacqueline Wilson for Paul Moffat, and Riana Nelson for Damian Allen.

The Chair welcomed Wendy Sharps and Eileen Harrington, who were observing today’s meeting.

The Chair also welcomed Susan Jordan following her appointment as Vice-Chair of the Board for the 2016/17 Municipal Year.

There were no announcements by the Chair.

(A period not exceeding 15 minutes for questions from members of the public.)

There were no questions from members of the public.

There were no declarations of interest made at the meeting.

RESOLVED that, subject to the inclusion of apologies from Norma Wardman, the minutes of the Health and Wellbeing Board held on 9th June 2016 be approved as a correct record and signed by the Chair.

The Board considered a report which provided the latest performance figures for the Quarter 1 period, 2016-17. 

It was reported that a refreshed ‘outcomes based accountability’ (OBA) exercise was completed parallel to the refresh of the Health and Wellbeing Strategy. The five outcome areas remained and a new outcome on drugs had been introduced for 2016-17.  A number of specific indicators had been identified which would measure progress towards these outcomes in 2016-17.

Further information and narrative around the performance was set out in Appendix A to the report.

The Board discussed the key points and narrative behind the latest performance figures for each outcome area in turn, as summarised below:-

Outcome 1:  All Doncaster residents to have the opportunity to be a healthy weight 

The Board noted that research was currently being undertaken around trends in the National Child Measurement Programme data and a hotspot analysis was being carried out, the results of which would be available in Quarter 3.

With regard to performance indicator (d) (% of adults achieving at least 150 minutes of physical activity per week), Dr Rupert Suckling reported that Sport England had re-launched its national strategy to help tackle this issue.  He also drew attention to the Stakeholder event to be held on 16 September 2016 in respect of a Whole Systems Approach to Physical Activity, Leisure and Sport.  Members also noted that work was ongoing in identifying the barriers faced by people in engaging in sport, particularly in deprived areas.

Arising from discussion on encouraging physical activities in schools, Cllr Nuala Fennelly and Dr Rupert Suckling agreed to follow this issue up at a future joint public health and learning and opportunities portfolio meeting.

Outcome 2:  All people in Doncaster who use alcohol do so within safe limits

In response to a suggestion made by Jacqueline Wilson, Allan Wiltshire undertook to contact the Doncaster Children’s Services Trust to ascertain whether there were any measures that the Trust held that could complement the existing performance information in the report in relation to the impact of alcohol on vulnerable children.

During discussion on alcohol related crime and the issue of data integrity, DCI Jade Brice explained that it was expected that some figures would rise in the future as a result of the Police reviewing the way in which incidents were recorded.  He explained that Officers now had to navigate complex data recording rules, and were obliged to include in the figures allegations of assaults and other incidents even where these had not been detected or proven.

With regard to the use of Licensing powers to help control the sale of alcohol, Dr Rupert Suckling confirmed that there were currently 2 cumulative impact zones operating in Doncaster, which had resulted in some licence applications from off licence premises being turned down.  It was noted that further local measures were currently being explored, such as the possible inclusion of pubs in the cumulative impact zones.  Arising from this discussion, it was agreed that the Board would  ...  view the full minutes text for item 78.

The Board received a presentation by Andy Maddison on the Doncaster Hidden Harm Strategy – Drug and Alcohol Misuse in the Household 2016-19.  This was a three-year strategy to identify, support, safeguard and improve the health and wellbeing of families where there was drug and alcohol misuse.  A copy of the Strategy was included in the agenda papers.  Members noted that Appendix A (Action Plan) had been omitted from the Agenda Pack and that this would be circulated to Members after this meeting.

During subsequent discussion, Jacqueline Wilson felt that the Strategy lacked information in a number of areas and did not provide a sufficiently accurate summary of what was currently happening in Doncaster.

Susan Jordan suggested that it would be useful to establish links between this area of work and the Doncaster Safeguarding Adults Board and offered to raise this at a future meeting of that Board.

RESOLVED that the Board agrees to provide governance and hold to account those partners integral to the success and implementation of the Hidden Harm Strategy.

The Board received and noted a discussion paper and presentation by Dr Rupert Suckling and Sarah Smith on the issue of prevention. 

The Board was asked to consider the question of how to ensure a system wide commitment to the prevention agenda across Doncaster and what the initial focus should be for a high impact area of prevention.

On the subject of focussing on a high impact area of prevention, Dr David Crichton suggested that smoking and obesity should be treated as priorities.

Members then discussed various issues in relation to prevention, including the following:-

·         Councillor Nuala Fennelly felt that more could be done in terms of providing members of the public with guidance and information to help them make healthier lifestyle choices and take steps to improve their health and wellbeing.

·         Arising from a comment by Steve Shore, the Board discussed the important role that Employers had in spreading the health and wellbeing message to their employees and helping them and their families to lead healthier lifestyles.  Peter Dale stated that he would raise this as an agenda item at a future meeting of the Enterprising Doncaster Board.  Susan Jordan added that St Leger Homes of Doncaster were currently working towards obtaining a Workplace Wellbeing Charter.

·         The Board recognised that cultural and societal issues often had a significant influence on people’s lifestyles and health and wellbeing and the key to success was in identifying different ways of educating and engaging with people to get the message across.

·         Richard Wells, Chair of the Doncaster Local Pharmaceutical Committee drew the Board’s attention to the Government’s proposed cuts to community pharmacy funding.  He then highlighted the important role that pharmacies could play in prevention work.

In summing up, Dr Rupert Suckling suggested that the Board’s Steering Group should be tasked with carrying out further work in relation to the Prevention Strategy and the agreed high impact areas of obesity and smoking, with a further report being brought back to this Board at the appropriate time.

RESOLVED that:-

(1)         smoking and obesity should be the initial focus for high impact areas of prevention; and

(2)         the HWB Steering Group be asked to carry out further work in respect of the Prevention Strategy and, in particular, the high impact areas identified above for consideration at a future Board meeting.

The Board received and noted a presentation by Clare Henry and Teresa Hubery which provided an update on the development of the Local Plan and outlined where opportunities to support residents to lead healthier lives had been incorporated.

Members were informed that the National Planning Policy Framework 2012 had recognised the importance of promoting healthy communities and acknowledged that the built and natural environment impacted on people’s health and wellbeing.  In terms of Doncaster’s Local Plan, the Board noted that this included a new aim – “Aim 8 – Improve the health and wellbeing of people of all ages and backgrounds and reduce inequalities and ill health (including obesity rates) across the Borough.”  This would enable the Council to take measures such as restricting the number of hot food outlets/takeaways in certain parts of the Borough and have greater control over their locations.  Another initiative was the introduction of Health Impact Assessments (HIAs), which was a means of judging the effects of a proposed development on the health and wellbeing of different groups of people.   HIAs would be required where certain criteria were met.

After the Board had welcomed the incorporation of the health and wellbeing element in the Local Plan, and the officers had answered questions, it was

                        RESOLVED to note the contents of the presentation.

The Board received a presentation and paper by Andrew Clayton on the Doncaster Local Digital Roadmap.  This was a plan to join up information and systems across health and care providers in Doncaster, with the ambition of delivering comprehensive shared health and care records, available to all appropriate practitioners at the point of care, by 2020.  Members were advised that delivery of the roadmap would be beneficial in a number of ways, including:-

·         Better information sharing between practitioners across health and care services would improve the quality and safety of services provided; and

·         Access to more digital health and care services and the increased capability provided by these services to support patient self-care would help to improve health and wellbeing in Doncaster.

During subsequent discussion, Members acknowledged that this project, including the development of a shared care record and joined up infrastructure, would amount to a significant piece of work.  It was noted that partners were already looking at data sharing agreements and it was hoped that the project would be in a strong position to challenge effectively for funding at the appropriate time.

RESOLVED to endorse the Doncaster Local Digital Roadmap.

The Board considered a report which provided an update on the work of the HWB Steering Group to deliver the Board’s work programme and also provided a draft Forward Plan for future Board meetings, as set out in Appendix A to the report.

Dr Rupert Suckling summarised the salient points in the report, which included updates on:

·                Obesity;

·                BME Health Needs Assessment;

·                Better Care Fund;

·                Personal Health Budgets; and

·                Forward plan for the Board (Appendix A to the report).

RESOLVED:

(1)          to note the update from the Officer Group; and

(2)          to agree the proposed Forward Plan, as detailed in Appendix A to the report.