To confirm as a correct record the minutes of the meeting of the Tower Hamlets Health and Wellbeing Board held on 11 March 2019. Also to consider matters arising.

RESOLVED:

1.    The minutes of the Health and Wellbeing Board meeting held on 11 March 2019 were approved as an accurate record and signed by the Chair.

2.    To note the Actions document.

To note any declarations of interest made by members of the Board. (See attached note of Monitoring Officer).

There were no declarations of pecuniary interests.

Introduced by Somen Banerjee, Director of Public Health. The forward plan outlines proposed agenda for the meeting scheduled on Tuesday 16 July 2019 and proposed dates for the upcoming year.

5.00-5.10pm (10 mins)

The Forward Plan was noted. It was highlighted the next Board meeting would take place on Tuesday 16 July 2019.

This item will be presented by Katie Cole – Associate Director of Public Health.

(REPORT TO FOLLOW IN A SUPPLEMENT)

5.10-5.40pm (30 mins)

The Board received the report and presentation of Katie Cole (Associate Director of Public Health) and Ann Corbett (Divisional Director of Community Safety), on preventing knife crime.

Comments from the Board:

• The work should be connected with the Violence Reduction Unit headed by the Mayor of London.
• There was a suggestion to share patient stories at start of meetings across partner boards.
• Something should be done around knife sales in shops.
• Issues in Hackney around stop and search. We need to help police foster a positive relationship with young people. We could play an intermediary role as GPs/healt professionals.
• There was a suggestion for a social prescribing approach in casualty towards knife crime.
• Knife crime is a cross borough issue and should be on the agenda at the STP level.
• Knife crime should be explored at the next health summit. The outcome of the summit should include a plan that addresses the different facets of the issue and areas of intervention for health and community safety professionals.
• School engagement - explore linkages between school exclusion and knife crime.
• There is a link between mental health and knife crime. Young people could be traumatised from witnessing knife crime and in turn carry out a knife attack.
• ISTV programme shares data. It can pick up trends but is not real time data.
• Healthwatch reported that young people often felt blamed for knife crime. Those who struggled academically could not see a positive future for themselves. Helping to create a positive environment and opportunities for all young people should be addressed from a Public Health perspective.
• The Communities Driving Change Programme continues to work towards reducing ASB and knife crime.
• Are linkages being made with adverse childhood experiences, exposure to domestic violence and other traumatic experiences in the approach to tackling knife crime? Knife crime is a safeguarding issue, a lot of work has been done on this in the ‘Troubled Lives Tragic Consequences’ work stream on the Safeguard Board. It also continues to be addressed by the youth services team.
• We should look at projects that have been immediately successful and look to scale these up. The number of critical care beds taken up by knife crime has significantly increased and this is preventing elective scheduled surgeries taking place. Therefore knife crime has had a knock on effect on the community because people are being prevented access to surgery beds for other issues. Barts would be gathering data on the impact of knife crime on beds.

• The discussion came to a close. HWB partners were advised to contact Katie Cole and Debbie Jones to participate in the prevention work. It was decided the he primary board to oversee knife crime prevention should be the Community Safety Partnership Board.

ACTIONS:

• Anne Corbett is to arrange a meeting with Sam Everington to discuss social prescribing around knife crime outside of the meeting.
• Denise Radley to raise the topic of knife crime at the Tower Hamlets Executive Group on Community Safety.

RESOLVED:

1.    To  ...  view the full minutes text for item 2.

This item will be presented by Zereen Rahman-Jennings – Macmillan Living with Cancer Programme Lead.

(REPORT TO FOLLOW IN A SUPPLEMENT)

5.40-6.10pm (30 mins)

The Board received the report and presentation of Zereen Rahman-Jennings (Macmillan Living with Cancer Programme Lead) and Becky Driscoll (Macmillan Living with Cancer Programme Coordinator).

Member comments:

• There was a suggestion the presentation should be shared at partner boards – Alliance Partnership Board (community health services), CCG, Barts Health, ELFT, housing organisations.
• The voluntary sector could play a role in providing non-clinical care and support outside of hospital.
• Importance of ensuring sustainability of the work after Macmillan’s funding ends in 2021.
• Importance of cultural change from the GP’s and other health professionals perspective, a more holistic Tower Hamlets Together approach should be taken – e.g. looking at long term conditions and social issues such as finances and housing.
• People with cancer often experience a lack of joined-up working. This can be an issue even between specialities within cancer. This would be raised at the Royal London Cancer Board.
• Healthwatch life story film – noted a case of bureaucracy hindering the efforts of family carers, for example the difficulty in getting a parking permit from the council. Healthwatch agreed to share patient case studies.

ACTION:

• Sam Everington THCCG, Jackie Sullivan Barts, Chris Banks GP Care Group and Paul Gilluley ELFT to invite Zereen and Becky to their respective boards to take forward the cancer work.
• Healthwatch to share cancer patient case studies.

RESOLVED:

1.     To note the report.  

Presented by John O’Shea - Head of SEND.

(REPORT TO FOLLOW IN A SUPPLEMENT)

6.10-6.30pm (20 mins)

[As of 6.30pm, elected Members and the Chair left the meeting. The Chair delegated authority to the Vice Chair Dr Sam Everington to chair the remainder of the meeting.

It was noted the meeting had become inquorate. The Board were informed that they were not permitted to make decisions].

The Board received a report from John O’Shea (Head of SEND) on the SEND progress update.

Comments from the Board:

• There was a suggestion to explore the transition period from child to young adult in care. Work should be done around enabling these young people to attain degrees.
• Ofsted reports have made link between exclusion and youth violence. Pupils with special educational needs have a higher likelihood of being excluded,
• There is a Transition Group that meets from education health and social care and prepares children in care for adulthood from age 14.
• SEND Team had placed 30 young people on supported internships over the year and plan to start an employment programme supported by Deutsche Bank.
• THCVS encouraged partners around the Board to support a young people’s employment programme organised by the Leonard Cheshire charity. The income threshold for organisations to participate was £500,000, so many voluntary sector organisations were excluded from taking part.

ACTION:

• John O’Shea to meet with Alison Roberts and Jackie Sullivan outside of the meeting to discuss employment opportunities for young people in care.

Presented by Warwick Tomsett – Joint Director of Integrated Commissioning. This will be a verbal presentation with accompanying slides at the meeting.

6.30-6.40pm (10 mins)

The Board received a presentation from Warwick Tomsett (Joint Director of Integrated Commissioning), on health and social care integration. The Board noted the report.

Presented by Somen Banerjee, Director of Public Health.

6.40-6.50pm (10 mins)

Dr Somen Banerjee (Director of Public Health) summarised his report on the Health and Wellbeing Strategy update. The Board noted the report.

To consider any other business the Chair considers urgent.

6.50-7.00pm (10 mins)

There was no other business.

Tuesday 16 July 2019, 5pm, venue tbc.

Tuesday 16 July 2019, 5pm, Town Hall Mulberry Place.