Agenda and minutes

Apologies were received from Dr Harmer, Dr Robins, Mike Hay, Councillor Jones and Councillor Nesthingha.

The Environmental Health Manager assumed the Chair and invited nominations for the Chair.

Councillor Johnson was proposed by Environmental Health Manager, and seconded by Councillor Abbott. 

On a show of hands, Councillor Johnson was elected unanimously.  He assumed the Chair.

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.

There were no public questions.

To approve the minutes of the meeting held on 23 March 2017.

The minutes of the meeting held on 23 March were approved as a correct record.

Bev Sedley, Chair of Cambridge Sustainable Food will talk about some of the current work of the group, including its support for the Sugar Smart Campaign, running of cookery workshops for low income families, progress with its award scheme for food businesses, the World War 2 rationing challenge, support for a local “Food Hub” and efforts to continue Cambridge’s prominence within the national Sustainable Food City network and its designation as a recognised Sustainable Food City.

You can find out more about Cambridge Sustainable Food here:

https://www.cambridgesustainablefood.org/

This item has been allocated 30 minutes, including discussion.

The Partnership received an update from Sam Dyer and Bev Sedley on the work of the Cambridge Sustainable Food Partnership as per the agenda.

The Partnership discussed the report and raised the following questions:

     i.        Sally Sailsbury from Citizens Advice Bureau (CAB) suggested that CAB could liaise with Cambridge Sustainable Food to incorporate how to buy and cook nutritious food cheaply as part of their money management skills session.

    ii.        Expressed support for the various projects and highlighted the importance of increasing education around food and a more sustainable way of living. Highlighted that Cambridge had a lot of hidden poverty so promoting these kinds of schemes could make a big difference.

   iii.        Many more middle class areas of the community would also benefit from the project. Suggested that joint up working and collaborating with other voluntary sector groups could promote and spread the message further.  

  iv.        Capacity to broaden their remit was outlined as a potential drawback; however an increase in interns volunteering to work could provide an opportunity to concentrate resources in new areas.

   v.        A mapping exercise could contribute to identifying areas of need. This was agreed to be a good idea but required a lot of work and the data collected becomes outdated very quickly.

  vi.        The City Council’s Anti-Poverty Strategy was due to be updated soon; it was suggested that food sustainability could be incorporated with it?

Yvonne O’Donnell, City Council Environmental Health Manager, will talk about the work of the group, which includes improving the understanding about the role of district council services in improving public health, embedding health in the delivery and evaluation of services, improving the use of Strategic Needs Assessments and the way district council officers work with the public health team.

Recent projects have included the “Let’s Get Moving Programme”, developing actions to contribute to the impending Healthy Weight Strategy and other joint working initiatives between public health and district councils.

This item has been allocated 10 minutes, including discussion.

Yvonne O’Donnell, City Council Environmental Health Manager, Helen Reed Healthy Weigh Coordinator and Kate Parker, Head of Public Health Business Programmes at Cambridgeshire County Council updated the Partnership on the work of the Public Health Reference Group:

     i.        Healthy Weight Strategy had been approved, formal sign off should be granted in September by the Health Committee.

    ii.        Joint working with local districts had helped improve understanding about the role that their services played in improving public health. The approach allowed the opportunity for each area to have input, raising awareness of which issues were prevalent in each specific area. The outcome had seen different initiative set up; South Cambridgeshire District Council focused upon social isolation whilst Fenland District Council focused upon a health and wellbeing strategy.

A representative of Cambridge CAB will update the partnership on progress.

This item has been allocated 10 minutes, including discussion.

The Partnership received a progress report from Sally Sailsbury, Deputy Chief Executive Officer of Cambridge Citizens Advice Bureau (CAB) on the Advice Prescription Project.

To date the project had helped 265 clients across the city. Each client had been referred by a health practitioner. Feedback had been really positive, over 50% reported to feel less stressed after receiving advice.

Going forward, CAB aimed to expand the service into more surgeries. They were also liaising with the surgeries to find a practical and structured way to feed back to GPs.

The Partnership discussed the presentation and made the following comments:

     i.        Praised the impact of the scheme.

    ii.        Asked if CAB had seen an increase in contact since the introduction of Personal Independence Payments (PIP). Many other services had noticed that the transfer from Disability Living Allowance to PIPs had exacerbated mental health issues for those that already suffered with them. Joint partnership working was suggested as the best way to try and alleviate some of the issues that the PIP was causing.

   iii.        Good communication and strong relationships with surgeries was agreed to be the most effective way of ensuring the progress of the project.

Kate Parker, Head of Public Health Business Programmes at Cambridgeshire County Council, will advise the partnership of agenda items that will be considered at the next HWB meeting on 6 July 2017. This is likely to include: The Annual Report for the Adult Safeguarding Board, Progress with the STP, Developing the Better Care Fund Plan, Approach to Refreshing the Cambridgeshire Health and Wellbeing Strategy and Feedback from the Joint Health and Care and Public Services Board meeting on 25 May 2017  looking at the setting up of “Living Well Partnerships”.

The HWB last met on 27 April 2017. Details of this meeting can be found here: https://cmis.cambridgeshire.gov.uk/ccc_live/Meetings/tabid/70/ctl/ViewMeetingPublic/mid/397/Meeting/711/Committee/12/Default.aspx

Members are invited to raise any issues they would like the HWB to take into account or address at its next or future meetings.

This item has been allocated 20 minutes, including discussion.

The Partnership received an update from Kate Parker, Head of Public Health Business Programmes at Cambridgeshire Count Council on the work of Cambridgeshire’s Health and Wellbeing Board.

Kate Parker gave an overview of the items covered in the meeting held on 6 July 2016. The Health and Wellbeing Strategy needed renewing, legislation had now moved on since the original one was written. Stakeholder engagement would be a key contributor; a consultation planned for the end on 2017 would be released in Sept 2018.

Suzanne Hemingway sat on the Area Executive for Cambridgeshire. She highlighted how beneficial engagement was for joining together sectors and services which are quite diverse and geographically spread out.

The Partnership made the following suggestions to be taken to the next Health and Wellbeing Board:

     i.        Health needs for homeless people needed addressing. Mental health services linked directly with homelessness.

    ii.        Rough sleeping also needed to be considered, those who sofa surf not just those who lived on the street.

   iii.        Mental health services generally with more focus on preventative activity.

Kate Parker, Head of Public Health Business Programmes at Cambridgeshire County Council, will advise the partnership of agenda items that were considered at the Health Committee meeting on 14 June 2017 and the outcome of any considerations by the committee.

The details of the 14 June Health Committee meeting can be found here:

https://cmis.cambridgeshire.gov.uk/ccc_live/Meetings/tabid/70/ctl/ViewMeetingPublic/mid/397/Meeting/194/Committee/6/Default.aspx

Members are invited to raise any issues they would like the Health Committee to take into account or address at its next or future meetings.

This item has been allocated 10 minutes including discussion.

The Partnership received an update from Kate Parker, Head of Public Health Business Programmes at Cambridgeshire Count Council on the work of Cambridgeshire’s Health Committee.

As the 14 June meeting had been the first of the new municipal year, it had largely revolved around electing a chair and vice chair, reappointing members, and agenda planning. Items to note were the public health and financial performance reports and 0-19 joint commissioning of children's health and wellbeing services.

A number of statutory health functions due to come in July were outlined-

       i.        An update would be received from Addenbrookes, the first since it was taken out of special measures.

      ii.        An update on the emergency transport service.

     iii.        An update on the relocation of out of house services which had been scheduled to take place already but had been delayed. The CCG had been invited to this event to hear questions.

The Partnership made the following suggestions to be taken to the next Health Committee:

     i.        Raise awareness of CCG's IVF consultation which was due to run until the end of July 2017, a strong public response would be needed to make a difference. 

14 September 2017, starting at 12 noon in the Guildhall

The next meeting of the Cambridge Local Health Partnership was confirmed as 14 September 2017 starting at 12 noon in the Guildhall.