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Agenda and minutes

Venue: Committee Room 1 - The Guildhall, Market Square, Cambridge, CB2 3QJ. View directions

Contact: Graham Saint  Strategy Officer

Note: This meeting has been specially organised to replace the cancelled meeting from 14 September 2017 

Items
No. Item

17/20/CLHP

Apologies

Minutes:

Apologies were received from County Councillor Jones

 

17/21/CLHP

Public Questions

Minutes:

There were no public questions.

 

17/22/CLHP

Minutes and Matters Arising

Minutes:

The minutes of the meeting held on 29 June 2017 were approved as a correct record and signed by the Chair.

 

17/23/CLHP

Children's Centre Services in Cambridge: A view from Romsey Mill Trust pdf icon PDF 256 KB

James Bennett, Children’s Centre Manager at Romsey Mill Trust and Neil Perry, Chief Executive at Romsey Mill Trust, will outline the early intervention work that is currently being delivered through the Children’s Centres that the Trust run in Cambridge and the possible implications for the health and wellbeing of families and communities arising from proposals to re-designate the sites, set out in the recent public consultation, as outreach locations.

 

 A decision will be taken about the proposals at a Full County Council meeting on 17 October 2017. This is an opportunity for members to consider some of the implications of any new arrangements.

 

Minutes:

The Partnership received a presentation from James Bennett, Children’s Centre Manager at Romsey Mill Trust and Neil Perry, Chief Executive at Romsey Mill Trust. The presentation gave an overview of the work carried out at Romsey Mill Trust and the potential impact of the County Council proposals to re-designate the site.

 

     i.        Romsey Mill had operated for 37 years, providing the community with a ‘cradle to career’ service.

    ii.        Many of the services were based around early intervention and provided interconnected areas of support.

   iii.        Reported that the County Council had not engaged with the centre very well during the consultation process.

  iv.        Highlighted that the review’s slogan presented a dichotomy, ‘front line services before buildings’. The Romsey Mill Children’s Centre building costs were minimal; the largest percentage of their budget went on the services and not their building.

   v.        Moving the Children’s Centre would have a detrimental impact on the users of the service.

 

The Partnership discussed the report and raised the following points:

     i.        Confirmed that the City Council had not been consulted as part of the Children’s Centre Services consultation.

    ii.        Agreed that the Children’s Centre at Romsey Mill provided crucial services and part of its effectiveness is down to its location and ease of access.

   iii.        The Children’s Centre provided a hub for a number of services to meet and work together. It had proven results of its ability to effectively reach vulnerable and otherwise hard to reach families.

  iv.        Highlighted that the Children’s Centre stood to lose one third of their funding from the review.

 

ACTION Agreed to send a representation highlighting their support for retaining the location of the Children’s Centre to Cambridgeshire County Council’s Members prior to their full council meeting on the 17 October.

17/24/CLHP

Local Authorities and Health: Joint Working pdf icon PDF 150 KB

Suzanne Hemingway, Director of Community Services for the City Council, will update members on the development of a “Living Well Partnership Concordat” and progress with the formation of an “Area Delivery Partnership” that will involve the merging of Area Executive Partnerships and Local Health Partnerships.  A paper from the Health and Wellbeing Board meeting on 6 July 2017 provides further background on page 15.

Minutes:

The Partnership received an update from Suzanne Hemingway, Director of Community Services for Cambridge City Council. The update outlined the development of a “Living Well Partnership Concordat” and the progress of the formation of an “Area Delivery Partnership” which would involve the merging of existing Area Executive Partnerships and Local Health Partnerships.

 

     i.        Confirmed that the Clinical Commissioning Group (CCG) had been working with the Health and Wellbeing Board (HWB) to establish a new method of delivery.

    ii.        The proposals for creating a new style of area delivery were set out in the report (pg11 of the agenda).

   iii.        The focus of the new delivery was to ensure engagement between Local Authorities and health service providers in order to make joined up decisions.

  iv.        More detailed information would be shared at the Partnership meeting on 23 November by which time the new arrangements and membership proposals would be finalised.

   v.        Confirmed that if any further information was received in the interim it would be circulated to Members.

 

The Partnership discussed the report and raised the following points:

     i.        The HWB’s feedback needed amending before formally presenting it.

    ii.        Feedback from South Cambridgeshire’s Local Health Partnership indicated that their November meeting would be the last.

17/25/CLHP

Refresh of Cambridgeshire's Health and Wellbeing Strategy pdf icon PDF 858 KB

Graham Saint, Strategy Officer for Cambridge City Council, will invite members to identify local health and wellbeing issues or priorities that can contribute to the current consultation for the “refresh” of Cambridgeshire’s Health and Wellbeing Strategy.

 

Minutes:

The Partnership received a presentation from Graham Saint, Strategy Officer at Cambridge City Council. The presentation invited members to identify local health and wellbeing issues or priorities that could contribute to the current consultation for the “refresh” of Cambridgeshire’s Health and Wellbeing Strategy for 2018.

 

The Partnership made the following suggestions:

     i.        Social isolation for older people. Discussions about adult care provision had previously been undertaken between City and County Council Officers, asked whether any actions had materialised out of this?

    ii.        Confirmed that the City Council were working with the 65+ Service and housing team to tackle issues of isolation. Welcomed suggestions for new methods of interaction.

   iii.        Preventative services to help tackle issues before they had the opportunity to worsen. Low level interaction can have a large overall impact.

  iv.        Cambridge Ethnic Community Forum had seen a large increase in destitution across the city. A recent Government audit highlighted the inequality in the city; future work should focus on how communities are managing.

   v.        Highlighted how Citizens Advice Bureau cut across many of the services which had highlighted issue, it could be used as a mechanism to joint up working rather than work in isolation.

  vi.        Discussions were underway with the care network about social prescribing.

 vii.        Cambridge Sustainable Food had just received funding for a Food Poverty Coordinator. Suggested that the new post could join up working alongside other services to focus on food poverty.

viii.        Community structure needed to encourage confidence and status.

  ix.        Mental health needed to be considered amongst all age groups.

17/26/CLHP

Update on the work of the Health and Wellbeing Board

Kate Parker, Head of Public Health Business Programmes at Cambridgeshire County Council, will update members on the work of the Board.     

 

The HWB last met on 21 September 2017. Details of this meeting can be found here:

https://cmis.cambridgeshire.gov.uk/ccc_live/Meetings/tabid/70/ctl/ViewMeetingPublic/mid/397/Meeting/638/Committee/12/Default.aspx

 

The next meeting of the HWB will be on 23 November 2017.

 

Minutes:

The Partnership received an update from Kate Parker, Head of Public Health Business Programmes at Cambridgeshire County Council on the work of the Health and Wellbeing Board (HWB) which last met on 21 September 2017.

 

     i.        The HWB were developing a new strategy but to date there was no agreed consensus from Members.

    ii.        The Clinical Commissioning Group, Local Authorities, wider providers and voluntary sector representatives would be attending the next HWB meeting on 23 November.

   iii.        A development day was held in September for new Members to better understand the functions of the HWB.

  iv.        A proposal had been received to hold a joint development session with Peterborough in January which would be facilitated by the Local Government Association.

 

17/27/CLHP

Progress Report on the Advice on Prescription project, led by Cambridge Citizens Advice Bureau

Rachel Talbot, Chief Executive of Cambridge CAB will outline progress with the project and discuss any issues moving. The first quarter report for this year will be circulated to members separate to this agenda.

Minutes:

The Partnership received a progress report from Rachel Talbot, Chief Executive of Cambridge Citizens Advice Bureau (CAB) on the Advice on Prescription project.

 

     i.        The project had helped 261 people. £600,000 was gained last year and £240,000 in the first 5 months of 2017.

    ii.        Feedback had shown that doctors found the project invaluable.

   iii.        40% of clients were seeing their GP less after receiving help from the project.

 

The Partnership discussed the project and raised the following points:

     i.        Welcomed the success of the project.

    ii.        It had proven a very worthwhile investment from the Sharing Prosperity Fund.

   iii.        The long term benefits to recipients would be far reaching.

  iv.        Asked if the success of the project had been fed back to the CCG?

   v.        Cambridge CAB had tried to engage with the CCG to share their success but had not received much uptake.

  vi.        The project had successfully reached traditionally hard to reach BME groups.

 vii.        Highlighted the importance of the project running within a GP surgery because recipients felt comfortable in this environment.

viii.        Agreed that the introduction of Universal Credit would increase the amount of people using the service.

  ix.        Nationally Citizens Advice Bureau was campaigning to pause the role out of Universal Credit because of the detrimental impact it would have on recipients.

 

17/28/CLHP

Presentation: Cambridgeshire Annual Public Health Report pdf icon PDF 2 MB

Dr. Liz Robin, Director of Public Health, Cambridgeshire County Council, will present the Annual Public Health Report 2017.  This year’s report looks at wider social and environmental factors affecting our health and wellbeing, and how these influence the differences in health outcomes we see across the county.

Minutes:

The Partnership received a presentation from Dr. Liz Robin, Director of Public Health, Cambridgeshire County Council on the Annual Public Health Report 2017. This year’s report looked at wider social and environmental factors affecting health and wellbeing, and how these influenced the differences in health outcomes seen across the county.

 

     i.        Undertaking the annual report was a statutory duty written into the Public Health Act 2012.

    ii.        The report was undertaken independently from the County Council.

   iii.        Previous reports worked at a local level. This report focused on determinates of health using an index on multiple deprivation to discover wider societal issues which impacted on public health.

  iv.        Mapping helped illustrate deprivation across the region.

   v.        Recommendations highlighted the importance of communities, education and young people’s emotional wellbeing.

 

The Partnership discussed the report and raised the following points:

     i.        Highlighted the need to remember that sometimes individual houses in a wider area could skew statistics making the whole area appear worse than in reality.

    ii.        Raised concern about the impact that the reorganisation of children’s services would have of levels of deprivation.

   iii.        Agreed the importance of access and community cohesion to overcome many social issues. Services needed to suit the user rather than the professionals administering it.

 

Cambridge Pumpkin Festival

Bev Sedley from Cambridge Sustainable Food presented the Cambridge Pumpkin Festival programme.

17/29/CLHP

Next Meeting

The next meeting of the Cambridge Local Health Partnership is scheduled for 16 November 2017, starting at 12 noon in the Guildhall.

 

Minutes:

The next meeting of the Cambridge Local Health Partnership was agreed for 16 November starting at 12 noon in the Guildhall.