Agenda and minutes

Gloucestershire Health & Wellbeing Board - Tuesday 22 September 2020 10.00 am

Venue: Virtual Meeting - Web ex meeting. View directions

Items
No. Item

1.

Declarations of interest

Please see note (a) at the end of the agenda.

Minutes:

No declarations of interest were received.

2.

Minutes of the previous meeting pdf icon PDF 78 KB

Minutes:

The minutes of the meeting held on Tuesday 21 July were agreed as a correct record.

3.

Public Questions

To answer any written questions about matters which are within the powers and duties of the Board.

 

The closing date/time for receipt of written questions is 10.00am on 15 September 2020. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email: andrea.clarke@gloucestershire.gov.uk).

 

Minutes:

No public questions were received.

 

4.

Members' Questions

To answer any written members’ questions about matters which are within the powers and duties of the Board. The closing date/time for the receipt of questions is 10.00am on 15 September 2020. Please send questions to the Chief Executive marked for the attention of Andrea Clarke (email: andrea.clarke@gloucestershire.gov.uk).

 

Minutes:

No member’s questions were received.

 

5.

Covid-19 Update pdf icon PDF 781 KB

The Board to receive a verbal update.

Minutes:

The Director of Public Health (DPH) updated the Board on the current position with regard to the number of cases and current position of the R number, nationally and locally. (The presentation slides were uploaded to the council’s website and included in the minute book.)

 

6.

Priority: Physical activity pdf icon PDF 863 KB

Minutes:

6.1       The Clinical Chair, Gloucestershire Clinical Commissioning Group (GCCG), presented the report and highlighted that the Gloucestershire Moves programme had evolved into the ‘We Can Move’ partnership approach (https://wecanmove.net/). Physical activity was now even more important given the Covid-19 pandemic and the understanding around the potential impact of being obese on a person’s recovery.

 

6.2       It was explained that ‘We can move’ has been co-funded by Sport England, the CCG, GCC, District Councils and other partners as part of a three year test and learn pilot. The current funding end would in March 2021; a business case for a continuation of funding from partners was in the process of being written. Sport England has committed to continue their funding in their latest draft strategy, which would run until 2031.

 

6.3       The strategy was about to be published for consultation; the Chair encouraged Board members to engage with the consultation.

 

6.4       The Board supported the direction of travel for this priority area.

 

7.

Priority: ACEs and resilience pdf icon PDF 323 KB

Minutes:

7.1       The Director of Public Health (DPH) presented the report. This work had been taken forward using the concept of viral change. ACEs Panel meetings had been suspended due to the pandemic but were restarting this week.

 

7.2       The DPH emphasised that much of this work had been taken forward on a shoestring budget; going forward it would need to be properly resourced. This was particularly important given that the funding for the ACEs post at the council was coming to an end.

 

7.3       Board members acknowledged that funding challenges were relevant to all priority areas discussed today. It was also noted that there were things that could still be done despite the financial position, eg. championing ACEs in organisations.

 

7.4       In considering the recommendations in the report Board members agreed: -

ØTo champion ACEs

ØTo support and embed trauma informed practice within their own organisation

ØTo use the learning from the ACEs work to inform the individual organisations recovery plans and thus further embed the vision, values and behaviours.

 

7.5       Given that resources, particularly financial resources, would be a factor for all priority areas Board members agreed that they could not fully support the recommendation to ‘Provide resource to continue and extend the scope of our work’; but that a wider discussion was required to identify how to address resource issues across all priority areas. However, Board members fully supported the direction of travel of this work.

 

8.

Priority: Healthy lifestyles pdf icon PDF 59 KB

Additional documents:

Minutes:

8.1       The DPH updated the Board on the work in support of this activity. It would be important to take forward the learning from the national whole systems obesity programme to develop a whole systems approach in Gloucestershire. It was noted that this was being discussed with Cabinet. There was anecdotal evidence that children had returned to school having put on weight during lockdown. As previously discussed the impact of obesity on an individual’s ability to recover from Covid-19 was clear.

 

8.2       The importance of communicating clear messages to the general public was discussed. It was explained that this work was being impacted by the need for officers to respond to the pandemic.

 

8.3       The Board agreed; -

ØTo note the progress to date and the delay caused by covid-19,

ØTo note the need for additional funding.

 

9.

Priority: Mental Wellbeing pdf icon PDF 119 KB

Minutes:

9.1       The Deputy Director of Strategy and Partnerships, Gloucestershire Health and Care NHS Foundation Trust (GHC NHS FT), updated the Board on this priority. The Board was informed that the Mental Health and Wellbeing Partnership Board oversaw the Mental Health Strategy Action Plan.

 

9.2       It was agreed that Covid-19 had emphasised the importance of good mental health and wellbeing. The pandemic had had an impact on the delivery of services; work on demand modelling was on-going. As with all the priorities this was a cross cutting issue. 

 

9.3       It was stated that it was important for all Board members to understand what their organisation, as an anchor institution, could do support mental health and wellbeing. The Board was informed that the Public Health Team had commissioned some helpful additional initiatives during lockdown.

 

9.4       The Board agreed that it would continue to reflect on how it might further support joint working on mental health promotion and the interdependencies with the other Health and Wellbeing Board priorities.

 

10.

Priority: Social isolation pdf icon PDF 48 KB

Additional documents:

Minutes:

10.1     The Accountable Officer, GCCG, updated the Board. This work had been significantly impacted by the pandemic, and how people experience social isolation. Enabling Active Communities (EAC) met in August to review the deep dive undertaken in 2019. A short lived task and finish group was established to take this work forward.

 

10.2     The Board agreed to support the task and finish group and receive its recommendations on next steps.

 

11.

Priority: Early years / Best start pdf icon PDF 79 KB

Minutes:

11.1     The Director of Partnerships and Strategy, Gloucestershire County Council, updated the Board on activity. The Board was informed that it was proposed to merge the Early Outcomes for Children Working Group and the Children Friendly Gloucestershire initiative into a single multi agency group. The Board agreed that this was a positive way forward and would enable a more strategic approach to this work. It was noted that the first task of the group would be to undertake a stocktake of the current position.

 

11.2     It was also noted that a detailed needs assessment of children’s needs had been undertaken a year ago; this would need to be reviewed within the context of Covid-19.

 

12.

Priority: Housing pdf icon PDF 171 KB

Additional documents:

Minutes:

12.1     The Lead Commissioner for Public Health updated the Board on activity with regard to this priority. As with all priorities Covid-19 had impacted on this work. It was noted that the Planning For the Future White paper could have a significant impact on this area of work.

 

12.2     Detailed work was needed to get a greater understanding of the current level, and type of, private sector housing.

 

12.3     The Board agreed: -

ØTo note the progress on the Housing and Health priority of the Joint Health and Wellbeing Strategy and agree support for its continuation as set out in this paper,

ØTo commit to supporting the planned actions emerging from the Health Foundation programme to improve housing conditions, including joining up of data and intelligence and development of a proposal for potential future investment,

ØTo support work to ‘change the conversation’ with developers seeking to build in the county,

ØTo champion this agenda and add value to planned activity by setting ambitious expectations for healthy places.

 

13.

Covid-19 Reset and anchor institutions - Working Group Update

The Board to receive a verbal update.

Minutes:

13.1     The Lead Commissioner for Public Health informed the Board that the working group had identified three main areas to focus on – employment and training, maximising social value and local leadership.  A report would be presented to the Board once this work has progressed.

 

13.2     Some good work was already in place, with opportunities and support to staff to enable them to progress through organisations.

 

13.3     It would be important to have an inclusive employer approach across the board; demonstrating how to lead by example. It would be important to ensure that social value was not just an add on but was rather embedded in practice. This was an opportunity to set out a framework and set of principles.

 

13.4     The National Colour of Power Index 2020 clearly demonstrated the challenge identifying that just 52 out of the 1099 most powerful roles in the country were filled by non-white individuals; just 4.7% of the total number compared to the 13% proportion of the UK population (https://thecolourofpower.com/).

 

13.5     The Board was also informed that the Health Inequality framework was in development and would be brought to Board in due course.

 

13.6     The Board welcomed this work and looked forward to receiving an update.

 

14.

Child Friendly Gloucestershire Update pdf icon PDF 147 KB

Minutes:

14.1     The Director of Partnerships and Strategy updated the Board. They explained that although the county council was the statutory lead on children’s services it had been agreed that Dame Janet Trotter DBE CBE CVO would lead on this programme of work.

 

14.2     It was clear that it would need senior representation from across all partners in order to drive this work forward at pace.

 

14.3     Dame Janet Trotter informed the Board that it wold be important to ensure that children and young people saw that their experience and views were at the centre of this work – this was not currently the case. This would be challenging to achieve.

 

14.4     The Director informed members that the Director of Children’s Services had identified some resources to support this work through the Future Me programme.

 

14.5     The Board agreed: -

ØTo establish the Child Friendly Coalition/Strategic Group in accordance with the Terms of Reference set out at Appendix of the report, and,

ØTo agree the 3 priority areas identified in the report as the basis for the year 1 action plan. These were Pre-birth to 5 years activity, Transition to employment and Further Education, and Children and Young People’s mental health.