Agenda and draft minutes

To receive any apologies for absence received.

Apologies for absences were received from:

Karen McManus, Ron Shields, Alex Whitfield, Ros Hartley, John Amos, Jess Hutchinson, Jonathan Sly and Sam Burrows

Jason Brandon, Claire Lambon, Clare Whalley, Heather Mitchell, Shirlene Oh and Nicola Airey were in attendance as deputies.

All Members who believe they have a Disclosable Pecuniary Interest in any matter to be considered at the meeting must declare that interest and, having regard to Part 3 Paragraph 1.5 of the County Council's Members’ Code of Conduct, leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code.  Furthermore all Members with a Personal Interest in a matter being considered at the meeting should consider, having regard to Part 5, Paragraph 4 of the Code, whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, consider whether it is appropriate to leave the meeting while the matter is discussed, save for exercising any right to speak in accordance with the Code.

Members were mindful that where they believed they had a Disclosable Pecuniary Interest in any matter considered at the meeting they must declare that interest at the time of the relevant debate and, having regard to the circumstances described in Part 3, Paragraph 1.5 of the County Council's Members' Code of Conduct, leave the meeting while the matter was discussed, save for exercising any right to speak in accordance with Paragraph 1.6 of the Code. Furthermore Members were mindful that where they believed they had a Personal interest in a matter being considered at the meeting they considered whether such interest should be declared, and having regard to Part 5, Paragraph 5 of the Code, considered whether it was appropriate to leave the meeting whilst the matter was discussed, save for exercising any right to speak in accordance with the Code.

A declaration of interest was received from Councillor Jackie Porter in her capacity as an elected Member and portfolio holder at Winchester City Council.

To confirm the minutes of the previous meeting. (to follow)

The minutes of the last meeting were agreed and signed as a correct record.

To receive any deputations notified under Standing Order 12.

No deputations were received.

To receive any announcements the Chairman may wish to make.

The Chairman welcomed all members and confirmed that the Hampshire Place Assembly would follow immediately after the meeting.  The focus of the session was Alcohol: Exploring Stigma and Barrers to Support.

#Beewell Survey 

The second #BeeWell Survey for Years 9 and 10 ran from 1 Oct to the 29th November with 86 schools taking part.  The survey was open to all schools and included mainstream, independent, special schools, education centres and alternative provision. An adapted survey was made available for young people educated home. On completion of the survey all schools that had taken part would receive their private, bespoke report. The publicly available neighbourhood dashboard would be updated in March 2025. 

Councillor Steve Foster, signposted and encouraged Board members to review the programme’s website as it would be a good opportunity to view the work carried out and see how young people were being supported.

Whole Housing Approach Hampshire 

The scheme as part of the Council's strategic approach to fulfil its domestic abuse duty, part of which was to deliver elements of the Whole Housing Approach. The grant had been awarded to 9 of the 11 districts and boroughs, the remaining two would receive the grant by the end of the year. The grant means that residents within each district and borough would have access to specialist domestic abuse support and could access a flexible fund, staff would receive training and support to help them to respond effectively to victim-survivors. 

Hampshire Adults Safeguarding Board Annual Report 

The Care Act 2014 made adult safeguarding a statutory responsibility for the Local Authority, Police and ICB, stipulating that they work together as a Safeguarding Adult’s Board along with wider partners. One of the Boards statutory responsibilities is to publish an annual report detailing how effective the HSAB had been in implementing the HSAB strategy and achieved its objectives which are linked to the strategic plan. The HSAB Annual Report 2023-24 was be circulated to Board Members.  ?

NHS Hampshire and Isle of Wight

The NHS Hampshire and Isle of Wight Who We Are and What We Do, Joint Capital Resource Use Plan 2024/25 and their Renewed Ambition our joint forward plan documents were circulated. The NHS Frimley System Joint Capital Plan had been previously circulated to Board Members June.

A briefing note on the Better Care Fund Report for quarter 1 was circulated to Members at the end of the meeting.

World Mental Health Day

In a celebration of World Mental Health Day, the Director of Public Health introduced a video which showed a sensory walk which introduced the following 5 themes as set by the World Federation of Mental Health. 

-       Connect

-       Be active

-       Keep learning

-       Give

-       Take notice

Under paragraph 6 of its terms of reference, the Board annually appoints

its vice-Chairman.

The Chairman called for nominations for the position of Vice Chairman. Councillor Liz Fairhurst nominated Dr Karl Graham, Councillor Roz Chadd seconded the nomination. No further nominations were received.

Dr Karl Graham was duly elected as Vice Chairman.

To consider a report and update on multi-agency action on climate change.

The Board received a report from the Director of Public Health (item 6 in the minute book) identifying the synergies between public health improvement and action on climate change.  The Chairman welcomed Lian Davies, Penny Brown, Lyndsay Jones and Chitra Nadarajah who made a presentation. 

The speakers presented the principal tiers identified by local government and the NHS, highlighted the plans and actions undertaken across the county, based on a Mitigate > Adapt > Impact and Adapt approach.  The report described the direct health impacts arising from climate change and the actions being undertaken to minimise or negate the negative health outcomes.

An overview of the consequences of global warming were shared and the equity implications highlighted, including the seldom heard and young people. Examples were given of individual agency initiatives.  Key themes included a need to retrofit domestic and commercial premises and a focus on people able to fund their own adaptions.

In response to a question about actions to address climate change consequences on the Hampshire CC estate, it was noted that HCC were working with the University of Southampton studying the issue including means to adapt – the work was due for completion in February 2025.

Other discussion points included:

·         Re-suable cups in HCC catering facilities

·         Fora for liaison between local authority and NHS bodies

·         Drawing out the long-term economic benefit of adaptions

·         National policy constrained what town and country planning authorities could do

The Board resolved to:

1.            Recognise the implications of climate change for health and the opportunities for improving health whilst reducing carbon emissions.

2.            Note the highlighted constituent organisations priorities and actions on climate change and for all organisations to consider their role in climate change mitigation and adaptation.

3.            Ensure climate change adaptation and mitigation measures consider impacts on health inequalities.

4.            Seek opportunities to collaborate on measures to mitigate and adapt to climate change, with a focus on health inequalities.

To receive a report from the Carers Together and Chair of the Hampshire Carers Partnership.

The Board received a presentation from Anne Meader who represented Carers Together and spoke on behalf of the Hampshire Carers Partnership. With experience as  a carer and as someone that had been cared the data was delivered with the additional of a human element.  

The Board heard that:

A total of 21 priorities had been set carers from a range of considerations that were important to an individual

-          These priorities has been developed into the strategy with a focus on 4 principles

-          A combined active strategy review and action plan would deliver the strategy

-          Working groups looked at the short, medium and long term aims

Ms Meader was congratulated on the extensive work that had been carried to produce  the strategy and the Board were encouraged to note that integrated neighbourhood teams had been included in the process. 

Hampshire Adults Services officers thanked Ms Meader on behalf of adults for the work carried out and reported that the strategy had made a difference when managing the business of adults care/carers, managing demand and supporting individuals and their circumstances.  It was recognised that co production was a feature that assisted people with lived experience to confidentially re-design their own help and support.  

Ms Nicola Airey of Frimley ICB discussed equality of access with the Board and suggested if not in existence, forming specific work groups to review this. It was confirmed that currently any access issues were dealt with on an individual basis. There was recognition of the inequalities that carers encounter.

The Chairman in recognition of the good work carried out by Carers Together and The Hampshire Carers Partnership, noted that the organisations were doing a good job.

RESOLVED that the Health and Wellbeing Board

• Supported the aims and implementation of The Hampshire Carers Joint Strategy 2024-2029.

• Promote the strategy through organisations and networks, to enable further recognition of the valuable role of carers and the continued implementation of the strategic aims, so the strategy continues to be a ‘living document’ and makes a difference to the health and wellbeing of Hampshire carers.

To receive an annual update of the ongoing work to support the delivery of the Joint Health and Wellbeing Strategy.

The Health and Wellbeing Board heard from the Director of Public Health who confirmed that the annual report would be presented at the next meeting of the Health and Adult Social Care Select Committee.

The Board resolved to:

·         Note the update, progress and upcoming priorities of the Board’s work

·         Share the annual report with relevant forums and within their organisations to support further engagement and development of the programme and the Board effectiveness

To receive an update on the development of the new Joint Local Health and Wellbeing Strategy (JLHWS).

The Board received a report from the Director of Public Health which provided details of the Hampshire Joint Health and Welling Draft Strategy. The public health team continued to focus on the health and wellbeing of the population, the year of health and other strategies which included the joint strategic needs assessment (JSNA), integrated Care Board (ICB) strategies and tackling health inequalities.

The Director advised that it was a requirement for the Health and Wellbeing Board to have a Joint Local Health and Wellbeing (JLHWB) Strategy and that the existing strategy ran from 2019 to 2024.  It was proposed that Board Members be engaged in the development of the new strategy through a series of workshops and the priorities in the new strategy should focus on health inequalities. To allow for evidence and data collections it was suggested that the Board considered that the new Strategy cover a ten year period.  

The Board resolved to:

1.    Note the draft JLHWS (2025-2035) overarching themes, core themes and priorities. That Board members would offer timely feedback on draft themes and agreed to receive an updated draft at the next meeting on the 12 December 2024 with the final Strategy for sign-off at its meeting on 13 March 2025.

2.    Note that any priorities for the new JLHWS be used to support a business plan for the Health and Wellbeing Board and that the Board agree to receive a business plan to sign off within the first year of the new strategy.

3.    Note that the Board would receive an Annual Report focused on the overarching themes, core themes and priorities or specific deep dives on a core theme for example.

4.    Endorse the use of existing metrics linked to chosen core themes and priorities but also that qualitative methods and evidence be incorporated into updates, reviews or to note impact of projects and work programmes. Learning from and refining approaches, projects and work programmes is essential to monitoring and evaluation of the new strategy when it goes live

To note the Forward Plan and any suggestions for inclusion.

The Board reviewed the 2024 Forward Plan.