Agenda and draft minutes

To receive any apologies for absence received.

Apologies for absence were received from:

Councillor Steve Forster, Donna Jones, Police and Crime Commissioner,

Ron Shields, Chief Executive, Hampshire and IoW Healthcare NHS Foundation Trust, Stuart Ashley, Director of Children’s Services and

David Radbourne NHS England.

The following Members were In attendance as a deputy:

Karen Dawes, Head of Performance and Delivery for Donna Jones, Police and Crime Commissioner.

Paula Anderson, Deputy Chief Executive, Hampshire and IoW NHS Trust for Ron Shields, CEO Hampshire and IoW NHS Trust

Sarah Snowdon, Assistant Director, Children’s Services for Stuart Ashley, Director of Chidlren’s Services.

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.

No declarations of interest were received.

To confirm the minutes of the previous meeting.

The minutes of the last meeting were reviewed and agreed.

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 the Board and presenters back to Winchester and confirmed that in a change to usual proceedings, that no Place Assembly had been planned, instead the Place Assembly had been replaced by a workshop which focused on the development of the new HWB Strategy. 

Pharmaceutical Needs Assessment

The Pharmaceutical Needs Assessment is the tool that evaluates present and future pharmaceutical requirements of the local community. Health and Wellbeing Boards have a statutory obligation to create, consult on, agree, and publish a Pharmaceutical Needs Assessment for their respective areas. The first draft of the Hampshire Pharmaceutical Needs Assessment would be published in January as the starting point of a 60-day consultation exercise. The final Pharmaceutical Needs Assessment would be presented to the Board in June. The Public Health Team would respond to consultations by neighbouring authorities about their Pharmaceutical Needs Assessments on behalf of the Board.

#BeeWell Survey

The second year of the #BeeWell survey in Hampshire, Isle of Wight, Portsmouth and Southampton closed earlier in December which generated 20,000 responses from young people across the region. Schools would receive their individual reports in January and neighbourhood findings would be made available at the end of March.  The team continued to support partners and schools to interpret the findings, co-create solutions with young people and make positive change to support wellbeing. 

October Hampshire Place Assembly Update

The Hampshire Place Assembly held in October focused on alcohol harm and associated stigmas. Over 80 professionals from a range of organisations and people with lived experience were in attendance. The event was very positively received, particularly the impact of Emma Jones who presented her lived experience story and the Stigma Kills video developed by the NHS Addictions Provider Alliance.

A call to action focused on three key aims we can all take to reduce stigma and barriers to treatment when people need it and a range or resources were;

1. Have supportive conversations about alcohol and alcohol harm
2. Be mindful of the words we use and their impact on people
3. Know how to refer to appropriate support in your area.

The range of resources shared included Public Health’s Language Matters Guide, Alcohol Identification and Brief Advice Crib Sheet and Rethink your Drink website, along with online learning sessions provided by community alcohol treatment services in Hampshire (Inclusion), which have been attended by over 100 people. Themes identified from the event are being used to help inform the delivery of priorities led by Hampshire’s Strategic Drug & Alcohol Partnership.

Public Health continued to lead on work in this important area. A targeted social media campaign on alcohol harm had taken place in Hampshire and work continued to develop a comprehensive approach to alcohol identification and brief advice training for professionals alongside health and social care partners.

The Better Care Fund

A briefing note on the Better Care Fund Report for quarter 2 was circulated to Members at the conclusion of the meeting.

To receive a report of the Director of Public Health, providing an update on the Hampshire Mental Wellbeing Strategy 2023-28 and the Hampshire Suicide Prevention Plan 2023-28.

The Chairman welcomed Sue Cochrane and the Voices Group representatives Beeb Deacon and Lara Kynvin to provide the Board with their presentation.  Members were introduced to the Voices Group Memorial quilt made up from 36 individual squares as a display of love and care for 61 individuals that had ended their lives.  The quilt is a form of remembrance to honoured and celebrate each person’s life.

The quilt had been on tour to various venues in Portsmouth, Ryde, Southampton and was currently displayed in Southampton Solent University.   The Public Health team were thanked for the support and help with the facilitation of the tour which will include inclusion of the wider community, potentially mosques and temples, Southampton football Club etc.

The group shared experiences about the importance of prevention a creating an environment where people feel that they are speak about suicide. This work is communicated via a Facebook page, a locally produced file and a link to a YouTube channel. The Director of Public Health reported that as part of the Year of Health, there would be lots of mental health content and mental health promotion.

It was reported that contributing factors to poor mental health included known inequalities of living in deprivation when compared to those with increased wellbeing living in a higher standard of accommodation with good work prospects.  The existing Strategy continued to be driven by Health and Wellbeing Board.  The 6 priorities of prevention, wider determinants of health, stigma, capacity and capability of the workforce, suicide prevention, higher risk groups (identifying what the groups are) are major drivers in the delivery of the Strategy. An achievements snapshot showed a range of data and intelligence which enabled a refresh of the strategy index. 

Working with partners local and district borough councils during mental health awareness week, a considerations included building blocks to health, looking at blue/green spaces, sensory walking trails. The importance of person centred language was explained and guides were made available in additional to the availability of mental health and wellbeing and suicide prevention training and inclusion in the fabric of the year of health lots of signposting would be available.

Within the Suicide Prevention Strategy and plan co-produced with a number of partners included representatives from Voices. Combination of increased awareness, the 7 key areas contained within the plan are aligned with the revised national suicide prevention strategy. A focus on the reduction of access to the means of suicide by the promotion suicide safer communities, research, data collection and monitoring with Coroner courts identified as useful partner.

The report of key achievements included the training offer which detailed zero suicide alignment training had been well received which had been noted as being timely. MIND also delivered a pre and post prevention in the workplace. Training is provided in education settings, in schools and colleges supported by education psychologists, in addition to safe from harm sessions made available for parents, carers and young people. The Board also commented on the use of familiar  ...  view the full minutes text for item 142.

To receive a report of the Director of Public Health giving details the Health Protection Annual Report.

The Director of Public Health reported on behalf of the Health Protection Board that weekly updates had been provided in terms of protection and infection rates. There had been recognition that social marketing could have been exploded more to increase levels of health protection comms.

In specific areas like TB the developed action plan would support any long-term impacts and officers encouraged the Board to support their work with anti-micro resistance conditions.  Hampshire Hospitals felt that more could be done when working together with Public Health in aspects such as promotions in schools etc.

The Board were keen to hear of any impacts due to a reduction in vacation levels.  Officers reported that there had been an increase in admissions that could have been avoided if patients had been vaccinated.  The NHS collectively were attempting to keep people out of hospital with vaccination presented as the most efficient and effective way to achieve this. There had also been a marked reduction in the number of staff vaccinations due to a sense that COVID and influenzas were no longer a major concern, which did not send a positive message to the population, it was difficult to know how to change.

The Board had anecdotal evidence of a vaccine restriction for the under the age of 75 which been enforced in parts of Hampshire. Clinicians had not been aware of this restriction and agreed to check with vaccination leads, however did report that there had been some challenges around the revision of eligibility which had not been helpful but agreed that there was a need to get the messaging right.

The HWB suggested alternative vaccination delivery points to investigate for next year’s drive, looking at using spaces in our town centres etc.  It was further suggested to use any analysis and data available to review what approaches worked best. The voluntary sector were keen to support the vaccination drive, and the Director of Public Health would work closely with them to gage how to utilise this important resource.

The Health Protection Board accepted the comments and agreed to take the actions forward.

RESOLVED: That the Health and Wellbeing Board

Noted and agreed the 2023-2024 Health Protection Annual Report of the

Director of Public Health.

Supported the future focus of health protection activities for 2024-2025.

To receive a report of the Director of Public Health providing a strategic overview of health inequalities in Hampshire.

The Chairman invited Mohammad Jawad to make his presentation to the Health and Wellbeing Board.  The Board heard a powerful personal account which highlighted issues faced by individuals in the community. It was emphasised that there was a real need to address inequalities and rethink methods of delivery.

Hard to reach groups remained a challenge and the importances of effective liaison and intelligence gathering by district nurses with these families were praised. The hospital setting included a focus on the homeless and the importance of communication. Officers across the Board agreed that targeting inequalities as a theme would underpin all aspects of health and wellbeing strategies.

Healthwatch Portsmouth had presented their findings on health, housing, employment challenges and modern day slavery.  The Office of the Police and Crime Commissioner confirmed that following discussions on efforts to reduce offending the role of the Hampshire Liaison Diversion Service had produced a series of useful reports. 

The Board noted the high number of residents that were digitally deprived and discussed how to reach this cohort. Officers confirmed that a range of existing networks would capture these individuals and to address the issues of digital exclusion in future strategies.

Officers agreed to take away the following actions:

-       A collective understanding and coordination for health and wellbeing strategies.

-       To explore solutions for homelessness and communication methods.

-       To continue working with the criminal justice system on modern-day slavery issues.

RESOLVED: That the Health and Wellbeing Board:

Considered health inequalities as part of all work areas as part of the developing strategy and work programmes. Adopted a systems-wide approach involving local authorities, healthcare providers, and community organisations, working in partnership to ensure coordinated efforts effective resource utilisation.

Supported targeted health interventions to tackle health inequalities to help reduce the

health gap. This includes improving access to quality healthcare and addressing specific health risks prevalent in these communities.

Monitor and evaluate health outcomes and the effectiveness of interventions to

understand the impact of strategies on health inequalities recognising the challenge of

measuring health inequalities.

To note the Forward Plan and any suggestions for inclusion.

The Board reviewed the 2024 Forward Plan.