Healthy City Board
Healthy City Board
DRAFT Minutes of the meeting held on 10 March 2009
The Guildhall
Present:
Rachel Johns (chair)Denise Simms
Helen ChristmasPat Hill
Cllr Sandy FraserJack Archer
Kathy ClarkDamon Copperthwaite
Fiona HowellSian Balsom
Pauline GacalAndrew Bucklee
Cllr Sian Wiseman
In attendance
Sarah HardySir Ron Cooke
Emma BlakeyMel Bradbury
Sharleene BibbingsJo Gilliland
Suzanne Carr
Item No /Agenda item
/Action
1 /Apologies:
Alison Hughes2 / Introductions and matters arising
Ron Cooke introduced himself and explained to the group that he was attending as the Chair of Without Walls.
Strategic Partnership Review
-The report has been submitted
-Rachel suggested that the HCB develops an informal discussion/ workshop to be held once a year as a half day or day session to allow time for more detailed discussion of issues and to further develop the work of the board. The first one will be held in May/June
LAA Delivery Fund
-Successful bids will be announced in April.
-The pot is now £664k (not £900k) as cancelled apprenticeship schemes meant that one of the LPSA2 reward targets wasn’t met. / HC / RJ
3 / Older People’s Partnership Board Update – Jack Archer
Jack Archer informed the group that the new chair for the OPPB is Kathy Clark. The recent meeting discussed:
-Review of the Discharge Policy
-Depression and mental health
-Summing up of CYC inspection and improvement plan.
-Discussed housing again. Visited Gale Farm Court, very impressed. Looked around a flat where the residents were previously in a care home, they are very happy in the flat.
-Dignity Campaign
-York Housing Association has obtained a contract for Handy Person service
-Age Concern – contract for signposting
Both Mel and Andrew mentioned how pleased they were to hear that depression was being highlighted for older people, and it was agreed that this would be a future agenda item. / HC
4 / City of York Community Engagement Strategy – Sharleene Bibbings
Sharleene introduced the Community Engagement Strategy and explained that it has been developed because although there is a lot of good work going on it is not necessarily joined up.
The Public involvement in Health act placed a duty on local authorities to engage, which includes informing, consulting and involving
Rachel emphasised the need for the HCB to input to the Council Engagement Strategy because of its impact on partnership.Graham Purdy who leads on community engagement for the PCT had sent his comments that the strategy links well with PCT Strategy and there are good opportunities for joined up working.
The group discussed other possible links such as the York Health Groups patient involvement strategy, the Chapter 10 Group and the LINk. Sharleene confirmed that the Older People’s Partnership Board had been consulted. Damon noted how well the document pulls together different strands, but doesn’t start to define “who” we are engaging with. The HCB could help to develop the work around “who” from a health and social care perspective. This is a possible agenda item for the informal discussion / workshop day. / HC
5. / Altogether Better Project – Suzanne Carr
Rachel Johns gave a brief explanation about the Altogether Better Project – the Big lottery Bid started the process 2½ years ago so it’s good to hear what we are actually doing. Suzanne introduced Sarah Hardy, the project’s Community Health Education Development Worker.
There are three core elements to the Altogether Better projects: healthy eating, physical activity and mental wellbeing. There are 17 projects in Yorkshire and the Humber aiming to empower people to improve their own health.
In York the project is led by a multi-agency steering group which Rachel chairs. It is funded until June 2011 and focuses on families with children; lone parents and teenage parents in Westfield (especially Foxwood), Clifton, Guildhall, and Heworth / Hull Road wards (Tang Hall) and care leavers and homeless young people across the city.
The aims of the York project are to deliver supported and accessible community health education. Element of this are:
-sustainable community development
-A target to train 190 direct beneficiaries – they go on to support the local community similar to Jamie Oliver’s “Pass it on” initiative in Rotherham. Each of these should lead to 5 indirect beneficiaries, with a total of 950 lives changed.
- signposting to other activities
So far the focus has been on familiarisation, understanding what’s already there and running two understanding health improvement courses.
The group discussed the target group of families with children and flexibility, for example involving grandparents. Jack asked about older people and Suzanne explained that although the York project isn’t focussing on older people, projects in Bradford and Leeds are. Kathy suggested the Older People’s Partnership Board could start to make links to those projects. Pauline mentioned the research centre at York St John looking at occupation and activity for mental health which could also link in well to the project. It was agreed that linking in Higher and further Education institutions around student and staff health needs could be another possible agenda item for the informal day. / KC / JA
HC
6 / LAA update – Adult Participation in sport – Jo Gilliland
Jo offered to circulate an update briefing on the LAA target with the minutes.
LAA Local Indicator is adults being physically active for health benefits and getting five lots of 30 minutes a week of sport or physical activity. This is the more important target to us in reality but the data is new.
The designated target in the LAA is the national Indicator for adults doing 3 lots of 30 minutes sport and active leisure a week or 3x30 (effectively a subset of the wider local target).The baseline figure was derived from the Active People survey and was 24.8% (later revised to 24.9% for technical reasons), which was higher than expected. 50% of people reported doing no sport or physical activity at all. The target aspirations are tough: a 1% increase = 1661 new people doing 3x30 which is the best seen anywhere in world. The interim Active People survey for 2008 showeda significant drop to 19.3% getting 3 x 30.
Despite this, we know we are running lots of activities and getting far more participants than a couple of years ago e.g. Social Netball, Fit as a Fiddle, Walking for Health, Cycling City, Free swimming for over 60’s and under 16’s (
Concerns remain around resourcing. 5 short term externally funded posts are due to end in July this year. / JG / HC
7 / LAA update – Alcohol related hospital admissions – Mel Bradbury
The Alcohol Harm Reduction Strategy is the key strategy for this target.
Funding is going in to alcohol work, but it is disjointed. We are aiming for single services, service specifications etc and working jointly to achieve this. Consultation is ongoing about services, and Over view and Scrutiny are also looking at alcohol issues.
From 1 April a Direct Enhanced Service will mean that GPs are paid to carry out brief interventions and reviews for people with alcohol-related problems. The PCT is negotiating with the Local Medical Committee about roll out.
Services in York are provided by York Alcohol Service and the community addictions team. From this year drug and alcohol service funding are now split and commissioners are working closely with providers to implement this.
Related to the LAA target of alcohol related admissions there area difficulties in coding hospital attendances and their causes. Leeds and Harrogate are piloting new ways of recording with Government office. Conversations are ongoing about a possible pilot in York. Links with Domestic Violence work are also important.
Sandy explained the scrutiny committees concerns about the issue of definitions and data collection. The PCT and hospital have been asked to give a further briefing before the committee decides whether a review is required.
Rachel explained that our area of concern is alcohol in general, but the only suitable national indicator for the LAA is alcohol related admissions which uses the national attributable fractions system. It is an indicator of process but we would also want to use wider information such as A&E attendances.
Executive summary of Alcohol Harm Reduction Strategy to be circulated with minutes. / HC
8. / SCS Aim - Self Care
Philippa Press had written a briefing on self care and current work. The role of patient and family is an increasingly vital part of care. Any further enquiries to
9. / LAA update – Self-directed support
The good news is that far more people are accessing self directed support, however as a consequence there is pressure from Government Office to revise the targets upwards. The group noted and accepted the revised targets but expressed concern that because we were doing well with a target it was made more challenging. Its rating would now be amber rather than green.
10. / LAA update – Under 18 conception rate
Amanda Gaines had prepared an interim update. The figures have increased and we are not making as much of an impact as we would like. Unplanned and unwanted conceptions are a particular area of concern.
Rates are also rising in North Yorkshire. Pat noted the gap in understanding and roles between parents and schools.
11. / LAA update – Childhood Obesity
The Healthy Weight Active Lives strategy had been circulated. It is seen very much as a partnership agenda and the strategy is being widely circulated. A delivery group for York will be set up shortly.
It was agreed that there would be dual accountability for this work between the YorOK Board and the Healthy City Board.
12. / Adult Joint Commissioning Update – Kathy Clark
Kathy had circulated an update.
-The Joint Commissioning Group has agreed to develop a Joint Vision which will reflect the North Yorkshire version but with a York focus. The intention is to develop an interactive vision document, talking with clinicians and stakeholders and linking clearly to information form the JSNA and SCS priorities.
-The four projects are moving ahead
- The draft priorities for joint council and PCT action and investment as part of the older people’s early intervention and prevention project will be taken to the 25 March JCG and circulated with the minutes. / HC
13. / Any Other Business
It was agreed that the next meeting (9th June) will be extended to 12.30.
Pauline offered to host the informal day at York St John.
Dates of future meetings
Tuesdays at 10am:
9 June 2009 - Guildhall, York
15 September 2009 - venue tbc
8 December 2009 - venue tbc
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