Agenda and minutes

To approve the minutes of the meeting held on 18 October 2017 as an accurate record.

RESOLVED that the minutes of the meeting held on 18 October 2017 were agreed as an accurate record.

In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.

There were no disclosures at this meeting.

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.

Cllr Hall expressed concerns of a statement criticising the Board which was aired at Cabinet and Council.

Members of the Board discussed the progress that had been made since the constitution of the Board, and further discussed that the Board development was an ongoing process which would take time to build. It was agreed that the Board needed to work collaboratively in this manner and use the Board development to agree on how to achieve this. It was acknowledged that the voluntary and community sector had been heard and now have representation on the Board and that they would be involved.

The report of the Croydon Transformation Board & Alliance Update is attached.

A report was shared to the Board providing an update of the progression of the alliance into its full ten year term.

The Board was impressed that the overall narrative of the alliance was successfully working as the alliance had taken a long time to reach its current progression stage. Work had been supported by the voluntary and the community sector, existing hubs and six GPs and the voluntary sector was keen to be involved going forward. The Board noted the huddles in GPs and highlighted the confidence it was bringing to alliance, which was a good foundation for the future. The NHS had also reconfirmed commitment to the Alliance.

Members of the Board was interested in the transformation in year one and it was discussed whether the expectation was for the service to work in the same way.  It was identified that some partners would have higher savings as in a full year.

It was identified there are demographic variations across Croydon e.g. Coulsdon and Sanderstead which has a high number of over 65s, and the question was asked about how this approach could benefit across the whole of the borough. It was identified that there are different processes building capacity across Croydon that should address this issue.

Members of the Board highlighted the need to listen and adapt to things that was not working. Relationships and behavioural change, as they put the people of Croydon first.

The Board NOTED the contents of the report, ensuring feedback and engagement is fed back to the Board going forward.

A presentation of the Mayor of London’s Health Inequalities Strategy.

A presentation shared an overview of the Mayor of London’s strategy and Croydon’s response to the national health policy, devolution and social economic change. The presentation showed a difference in what the Mayor and the local authority can do.

The Board discussed the situation of the funding. It was noted that the process of the Board’s engagement for the development of the response was raised, and it was noted that there should be a clear process. The Board also noted that issues around STP response to tobacco, and it was suggested that the council reviewed the tobacco section of the STP Plan and feedback into the STP process.

The Board NOTED the presentation.

A presentation from the Director of Public Health.

The independent report shared the demographic challenges in Croydon.

The report was welcomed by the Board, and Members discussed that funding is important for transformation, nonetheless it was highlighted that it was important not to lose sight of transforming the system within the current cash envelope.

The Board NOTED the report.

The report of the Pharmaceutical Needs Assessment – Delegated Responsibility is attached.

The report highlighted the progression in the development of the Pharmaceutical Needs Assessment in 2018.

The Board discussed the consultation processes and requested to be informed of events that would be shared and distributed to the Members networks.

The Board NOTED the progress and agreed to delegate the sign off to the Chair and the Director of Public Health.

A presentation of the Dementia Friendly Borough.

An update on the vision of making Croydon a dementia friendly borough was shared with the Board. The presentation looked into the wider solution and identified key things.

The Board welcomed the work from the officer and supported the work going forward. Members of the Board made recommendations of contact that can feed into the work further which would create awareness of the progression throughout the borough.

The Board NOTED the progress, and was enthusiastic of the work going forward.

The report of the Health Protection Update is attached.

The officer shared the report with the Board highlighting the areas in protecting health around communicable diseases and emergency preparedness.

The Board NOTED the contents of the report.

For members of the public to ask questions to items on this agenda of the Health & Wellbeing Board meeting.

Questions should be of general interest, not personal issues, and must be received in writing no later than noon on the Friday prior to the meeting.

There will be a time limit of 15 minutes for all questions and responses which will be minuted. The responses to any outstanding questions will be included as an Appendix to the minutes.

There were no public questions heard at the meeting.

This was not required.