Agenda and minutes
Venue: Conference Hall - Brent Civic Centre, Engineers Way, Wembley, HA9 0FJ. View directions
Contact: Hannah O'Brien, Senior Governance Officer Tel: 020 8937 1339; Email: hannah.o'brien@brent.gov.uk
Media
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Apologies for absence and clarification of alternate members For Members of the Board to note any apologies for absence. Additional documents: Minutes: Apologies for absence were received from the following:
· Kim Wright (Chief Executive, Brent Council) · Councillor Donnelly-Jackson (Brent Council) · Dr Mohammad Haidar (Vice Chair) · Tom Shakespeare (Managing Director Brent Integrated Care Partnership) · Sarah Law (Nursing and Residential Care Sector), substituted by Ramona Muraru · Jackie Allain (Director of Operations, CLCH), substituted by Patrick Laffey · Simon Crawford (Deputy CEO, LNWT), substituted by Mark Titcombe
The Chair welcomed those present to the meeting and advised attendees that would be Dr Mohammad Haidar’s final meeting as Vice Chair of the Health and Wellbeing Board and Clinical Director for Brent. He asked the Health and Wellbeing Board to record its thanks to Dr Haidar for the work he had put in to the Board from a health perspective and wished him well in his new role undertaking work across NWL for vascular, renal and community pharmacy.
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Declarations of Interest Members are invited to declare at this stage of the meeting, the nature and existence of any relevant disclosable pecuniary or personal interests in the items on this agenda and to specify the item(s) to which they relate. Additional documents: Minutes: None declared. |
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Minutes of the previous meeting To approve the minutes of the previous meeting as a correct record. Additional documents: Minutes: RESOLVED: That the minutes of the previous meeting, held on 23 July 2024, be approved as an accurate record of the meeting.
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Matters arising (if any) To consider any matters arising from the minutes of the previous meeting. Additional documents: Minutes: None. |
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Winter Immunisations Update To outline the approach to the development and operationalisation of the 2024-25 winter plan for immunisations for the Brent borough and an update on progress to date for seasonal immunisations. Additional documents: Minutes: Zaid Dowlut (Head of Place – Primary Care, NWL ICB) introduced the report, which provided an update on Brent’s flu and covid-19 vaccination programme 2024 in the context of the national immunisation programme. In introducing the report, he highlighted the following key points:
· In line with national guidance, the NHS was offering the vaccination programme in Brent to the eligible cohort, which remained the same as the previous year as outlined in section 3.5 of the report. · The adult flu campaign began on 3 October 2024 and the children’s and maternal flu campaign began in early September. By the end of the first week of October over 61,000 flu vaccinations had been carried out in Brent which included those administered by GPs, Primary Care Networks (PCNs) and community pharmacies. · Another vaccination was also being delivered which was the RSV vaccination for older adults particularly at risk and pregnant women passed more than 28 weeks gestation to protect their babies. · Up to 6 October 2024, there had been 16,500 covid-19 vaccinations administered with no figures available yet for the remainder of the month. Those vaccinations had been delivered in community pharmacies and PCNs, supported by the NWL roving team and UCLH Find and Treat Teams. Whilst those mechanisms were being well utilised and good progress was being made, the progress did vary across NWL. · The appendix to the report provided a breakdown of vaccination rates by PCN areas in Brent, with Harness being the leading PCN. · Members were reassured that throughout Brent, primary care was working in partnership with the NWL roving team, GPs, PCNs and UCLH, as well as Brent Health Matters (BHM) which had a network of events planned in November 2024 to promote the vaccinations campaign.
The Chair then invited contributions from those present. The following points were made:
· The Board noted the drive to encourage parents to get their 2-3 year olds vaccinated and, highlighting the fact that older children were also eligible, asked what the general advice was for parents and carers who had children older than 2-3 years old. They were advised that the guidance stated that all children within the eligibility criteria should be vaccinated, but NWL ICB had a task in convincing parents of the benefits of the vaccination programme, which was why they had scheduled promotion events with partners such as BHM to disseminate those messages. · The Board were pleased there appeared to be good take up from community pharmacies in delivering vaccinations and an increase in the number of locations that people could receive their vaccinations, but raised concerns that there were still some gaps in coverage such as in Church End where there were no local pharmacists delivering vaccinations and challenges in encouraging take up. They queried how proactive the NHS was in reaching out to pharmacies to encourage them to get authorisation to administer vaccinations. In response, officers agreed to take away the issue relating to the south of the Borough to reach out to pharmacies and increase the ... view the full minutes text for item 5. |
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Healthwatch half year update on Annual Plan To provide an update on Healthwatch Brent’s progress from April to October 2024, and plans for November 2024 to March 2025. Additional documents: Minutes:
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Early Years: Family Wellbeing Centres and Best Start for Life Progress Update To provide an update on the progress of Family Wellbeing Centres (FWCs) and Family Hub and Start for Life programmes. Additional documents:
Minutes: This item provided an update on the progress of the Family Wellbeing Centres (FWCs), Family Hubs and Start for Life programmes. This update also included the Family Wellbeing Centre Annual Report for 2023-24.
The Chair opened the item by welcoming three parents who used the FWCs to the meeting and invited them to tell the Board about their views and experiences on how services were working for families.
Wahid told the Board that he and his 9-month old daughter had used the FWCs and found them very helpful, particularly for information and signposting to health services and legal advice. All the help the FWCs had provided had been really appreciated and he felt that the centres were something positive in the borough. In terms of accessing the services as a father, he highlighted that he was not treated any differently as a man and he was welcomed by all the staff within the FWC.
Isra informed the Board that she was a migrant refugee who worked in co-production, researching migrant health, and she particularly appreciated the initiative the Board had taken to include service users in this discussion. Her experience of FWCs had been very helpful for her because she did not have her family in the country for support and could turn to FWCs for advice from someone she trusted. She expressed appreciation for the staff within the FWCs, and when she attended sessions feeling stressed about the challenges of parenting, the staff there helped her to think in a way that best supported her and her family. Isra highlighted that she had not known about FWCs until her daughter was one year old when her health visitor had mentioned it to her, and whilst she had been attending other playgroup sessions with her daughter, she felt that FWCs were distinguished from other organisations in the way the staff supported families, with the triage service being very well managed, taking a holistic approach.
Khadra introduced her two and a half year old daughter to the Board who had attended the meeting with her. She began her remarks by informing the Board she had not known about FWCs when her daughter had been born. In the first year of her life, her daughter had been diagnosed with multiple medical conditions and at one and a half years old had been diagnosed with a learning disability. At this time Khadra had felt isolated and overwhelmed and asked for support from her paediatrician. Her paediatrician had referred Khadra and her daughter to a FWC, which she informed the Board had changed their lives. She expressed gratitude to her key worker who would see them face to face when needed, called her every fortnight, got them in touch with SEND playgroups, referred her to a course for managing behaviours in autistic children, and arranged for a play therapy specialist to visit her home and help them adapt play to their needs. She concluded that this had helped her adjust and kept her family ... view the full minutes text for item 7. |
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Brent Children's Trust (BCT) Progress Report To provide an update of the Brent Children’s Trust (BCT) work programme covering the period April to October 2024. Additional documents:
Minutes: Nigel Chapman (Corporate Director Children and Young People, Brent Council) introduced the report, which provided an update on the Brent Children’s Trust (BCT) work programme covering the period April to October 2024. He explained that the document set out how the Trust operated and its governance arrangements. He added that, whilst it was unusual to still have a children’s trust in local authorities, Brent had retained its Trust as it was felt to be a good vehicle to ensure all issues affecting children and health related matters were contained within one place to avoid the risk that they become overwhelmed or subsumed within adult work. The BCT pulled together areas that needed greater attention and oversight. In presenting the update, he highlighted the following key points:
Jonathan Turner (Borough Lead Director – Brent, NWL ICB) added that the partners within the Trust were working more closely together than ever before, taking joint ownership of issues across both the local authority and NHS together. Some of the issues surrounding SEND did involve a level of dialogue between the ICP and Integrated Care Board (ICB) as a lot of those services were delivered at NWL level, and there was dialogue surrounding where there were issues such as CAMHS.
Robyn Doran (Director of Transformation, CNWL, and Brent ICP Director) re-emphasised the benefit of integrating the BCT within the ICP structure to build a tighter interface between the ICP workstreams and children’s work. The Trust had providers and commissioners at the table, so all were responsible for delivering a better service for children in the borough.
The Chair then invited comments and questions from members, with the following issues raised:
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Darzi Report Summary and next steps for Brent To provide a briefing note summarising the recently published Darzi report and any next steps for Brent in response to the report. Additional documents: Minutes: Jonathan Turner (Borough Director, Brent Integrated Care Partnership) introduced the report, which had been commissioned by the new government to review the current ‘state of play’ of the NHS and looked at patient access, quality of care and the overall performance of the health system. The final report identified some themes on how to ‘repair’ the NHS but did not provide a plan or set of recommendations. The report aimed to set the context and tone for the coming NHS 10 Year Plan, due to be published in Spring 2025. In presenting the document, he highlighted the following key points:
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Brent Pharmaceutical Needs Assessment (PNA) To agree how the responsibility for the revision of the Pharmaceutical Needs Assessment should be discharged. Additional documents: Minutes: Dr Melanie Smith (Director of Public Health, Brent Council) introduced the report, which proposed how the revision of the Brent Pharmaceutical Needs Assessment (PNA) should be undertaken in Brent. In introducing the report, she highlighted the following points:
As no further issues were raised, the Board RESOLVED: i) To agree the establishment of a task and finish Pharmaceutical Needs Assessment Steering Group. ii) To agree the terms of reference for the PNA Steering Group attached as Appendix 1 of the report. iii) To delegate to the PNA Steering Group the task of overseeing the conduct, consultation and publication of the revised PNA.
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Health and Wellbeing Board Forward Look To discuss and agree any future agenda items for the Health and Wellbeing Board. Additional documents: Minutes: The Chair gave members the opportunity to highlight any items they would like to see the Health and Wellbeing Board consider in the future. The Board asked for further details on when to expect the NWL Children’s Mental Health Strategy to be presented.
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Any other urgent business Notice of items to be raised under this heading must be given in writing to the Deputy Director – Democratic Services or their representative before the meeting in accordance with Standing Order 60. Additional documents: Minutes: None. |