Agenda and minutes

Councillor Peter Roberts was elected as Chair and Councillor Kevin Price was elected as Vice Chair for the ensuing year.

Apologies were received from Councillor Joan Whitehead and Antoinette Jackson.

To approve the minutes of the meeting held on 27 March 2014.

The minutes of the meeting held on 27 March 2014 were approved as a correct record.

This is an opportunity for members of the public to ask a question or make a statement to the Partnership. Please refer to the Public Participation section at the end of this agenda.

No public questions were received.

Francis Swann, Housing Support Manager at the City Council, will give a short presentation about the newly commissioned Housing Related Support for Older People Service, providing details about what is available and how to access it. This needs based service will be available to all residents in the city and not just those living in the City's sheltered accommodation. A short briefing will provide details of what's available and how to access it.

Francis Swann, Housing Support Manager at the City Council, gave a short presentation about the newly commissioned Housing Related Support Service for Older People Service in Cambridge providing details about what is available and how to access it. Francis said this is a needs based service that will be available to all residents in the city and not just those living in the City's sheltered accommodation. The starting point will be a reassessment of local need, which will be taking place over the next 6 months, with emphasis on more targeted and preventative work.

Some of the issues discussed by the Partnership were:

·        Older people seem to like living in sheltered accommodation and there is a big demand for this type of housing – additional investment is required

·        Older people with assets should be encouraged to spend more of their money on looking after themselves, such as purchasing community alarms.

·        More older people should be involved in social events to help combat isolation – sheltered accommodation events were now open to local people.

·        There was probably more room for people to begin to manage their own health and care – so approaches like tele-care were being investigated.

·        Continuing need for better dialogue for hospital discharges – some recent problems had arisen that could have been avoided.

·        Referral routes to the services came from a variety of sources, mostly from GPs and Social Care professionals but early assessments seemed to offer the best way forward.

• The contract is for 3 years and then will be subject to renegotiation, so budgets were secure over the next few years.

Health and Wellbeing Board

Liz Robin, Director of Public Health will give an update on the work of the Board.

The last meeting of the Health and Wellbeing Board was on 11June 2014. The agenda can be found here: http://www2.cambridgeshire.gov.uk/CommitteeMinutes/Committees/Meeting.aspx?meetingID=913

The headline items include:

i.                 NHS Cambridgeshire and Peterborough CCG – update on local quality premium indicators for 2013/14

ii.               Local health economy 5 year strategic plan

iii.             Annual public health report

iv.             Summary report on the findings of the Joint Strategic Needs Assessment (JSNA) on autism, personality disorders and dual diagnosis

Health and Wellbeing Board

Liz Robin, Director of Public Health gave an update on the work of the Board, including discussions at its last meeting on 11June 2014.

NHS Cambridgeshire and Peterborough CCG had succeeded in achieving most of the local quality premium indicators for 2013/14 it had previously negotiated. It should be eligible to the reward attached to this success but had been told this could not be drawn down because the CCG was presently running a deficit. The HWB felt that this was unfair and was lobbying to have this reward was released.

In the HWB’s discussions about the local health economy and the CCG’s new 5 year strategic plan the pressures across the health care system were noted. The CCG was having difficulty in matching the increased activity in the local NHS hospitals and consequently was running up a deficit. The CCG had been recognised as being a challenged commissioning group and was working with national bodies to create a more stable health care system. A “blue-print” for change had been developed by PWC and a concordat agreed with providers.

Liz said that the HWB would be lobbying NHS England and others to alter the present payment by results arrangements as it felt these were preventing sufficient investment in community services to break the cycle of crisis management.

Liz outlined the main messages from her Annual Public Health report and members discussed the PHOF indicators for Cambridge that had got worse over the past year. It was felt that reducing falls and reducing fuel poverty were the areas where the Partnership should focus, although members in the meeting did not think they had sufficient knowledge of the reasons why these were high, such as the location of the falls or why fuel poverty occurred, or existing activity to reduce them.

Liz was asked to look into providing additional statistics that might provide additional insight into the reasons why the indicators had worsened.

Liz also set out the main conclusions of the summary report on the findings of the Joint Strategic Needs Assessment (JSNA) on autism, personality disorders and dual diagnosis. Liz said that the report showed high rates of diagnosis for autism in Cambridge. Members thought that dual diagnosis presented some of the bigger challenges, especially around personality disorders, drugs and alcohol.

Members are asked to confirm the priorities for the Cambridge Local Health Partnership to explore over the next year, taking into account the Director of Public Health’s independent annual report on the health of local people and other sources of evidence. This report can be found here:

http://www2.cambridgeshire.gov.uk/CommitteeMinutes/Committees/AgendaItem.aspx?agendaItemID=9838

A paper, Reviewing Priorities and Setting out a Forward Plan for the Year, is attached.

Members said that they wanted to focus on two areas, derived from the PHOF indicators, at the next CLHP meeting. These were: reducing the number of falls, and; reducing fuel poverty. It was felt the biggest gains could be made from partnership work in these areas.

Partners will be asked to consider their contributions in advance of the meeting, particularly how low income (and inequalities), poor mental health, homelessness and lack of physical activity, influenced these indicators. These are issues that the Partnership has previously identified as being important to good health and wellbeing in the city. 

1.           To hold a local Workshop to help explore how local advice services can contribute an improvement in well-being locally, based on the evidence provided by the CAB Health Outreach Service in Sefton. A Draft Workshop Proposal is attached.

2.           To arrange a meeting between local housing leads and GPs to improve the local links between housing and health and social care services.

1.         The proposal to hold a workshop to help explore how local advice services can contribute an improvement in         well-being locally, based on the evidence provided by the CAB Health Outreach Service in Sefton, was agreed. This will take place on 30 July 2014.

2.         A Housing Officer from the Council would be attending a CamHealth GP committee on 10 July to help improve the local links between housing and health and social care services.

12.00 noon on 27^th October 2014

12.00 Noon on the 23^rd October 2014