Board Meeting 5:30 – 7:30 Tuesday 17th March 2020 Healthwatch Office, Mile End Hospital Agenda Time 1 Welcome, introductions and apologies 5:30-5:35 2 Minutes and actions from meeting of 21st January 2020 5:35-5:45 Governance 3 Healthwatch contract review and commissioning update – Filuck Miah 5:45-6:00 4 Healthwatch England Quality Assurance Framework – see attached 6:00-6:15 Impact Impact of 2019/20 • Urgent Care – community insights on how to shift demand and better meet needs. • Health and Wellbeing Strategy and LTP engagement- what really 5 makes people healthier? Looking at Inequalities report to Prof 6:15-6:45 Marmot if it looks interesting and try and get him, or someone from his team, to the AGM. • Young Influencers – co-designing services. • Community Insights system roll out across WEL. Engagement Raising our profile • All providers on THT Joint Directory to have Healthwatch feedback link – widget. • Annual Report and award application (template released – attached) • AGM - promote inequalities work and impact data walls. Development of 2020/2021 Priorities 6 6:45-7:15 Need to wait for Health and Wellbeing Strategy evidence, Trends Analysis and stakeholder input. Potential areas: • Vulnerable Adults • Vulnerable Young People • Inequalities • Eastern European (with WEL) • Gypsy and Traveller Community AOB 10 7:15-7:30 1 Next meeting: 5:30 – 7:30 Tuesday 21st April 2020 Venue TBC Minutes Board Meeting Meeting 21st January 2020 Board Members: David Burbidge (DB), Karen Bollan (KB), Randal Smith (RS), Kate Melvin (KM), Myra Garrett (MG), Iain MacLeoid (IM), Fathimah Rofe (FR). Observers: Gilbert Eruchacu (GE), Ashton McGregor (AM). Staff: Aurora Todisco (AT), Dianne Barham (CE). Apologies: Stephanie Dowker (SD), Filuck Miah (FM). Agenda Items & discussion Actions Welcome, introductions and apologies Minutes and actions from meeting of 17th December 2019 Add WEL and ELHCP to Priority Setting Process flowchart (page 8): WEL and ELH&CP to be added. Priority setting flowchart Actions: Ask how much NHS England is paying them and if it’s • BARTS: concern around allocation of beds among patients (stroke) p/patient. as the population of TH has risen. • Raising accessible standards for people with learning disabilities. Accessible standards to be pushed with Barts. Governance Recommendations from Finance, Personnel and Review Committee of 16th January 2020 Note there are no issues on the expenditure for quarter three and we are on target to achieve full spend on the LBTH contract at year end. Agreed to commit a proportion of our voluntary sector sub- contracting budget to Almost Any How to: interview mental health users for our Mental Health project; interviewing patients around diabetes and possibly safeguarding; lead the development of the domiciliary care service project with THT looking at co-producing, designing and commissioning with service users. Agreed to reallocate underspend on the volunteer support budget to a sessional workers’ budget to support mental health and other AT to prepare gross-net user interviews. and cost options and possible notice period Agreed a pay increase for the Community Intelligence Analyst to extension. Final bring her salary in line with similar positions in the sector. agreement to be for the FP&R Chair. CE to pursue option of hosting a Library Service Researcher through Barts to support the Community Intelligence Analyst. 2 • Noted that we will review any service contract commitments that AT to review all contracts might extend beyond the potential end date of the LBTH contract and T&Cs. and insure that we have sufficient reserves to cover any commitments. Inquire to our Independent Examiner re any potential • Agreed to pursue the change from a Charitable Company to a CIO. issues (email and info This will require changes to the Memorandum and Articles of circulated). Association and agreement at the next AGM. Also need to align RS to review the financial year and submission year. Noted also that regarding limited Memorandum of Association. Any changes liabilities the trustees’ role will not be changing and we can reassure to be drafted for final the AGM participants that the FP&C have sought professional advice agreement of the Board (at least 3 months pre on this. AGM). • Agreed that we build a regular profile raising and engagement programme in partnership with the Idea Stores and Public Health based at the Idea Store. Strategic Plan to come to There was a concern at FP&R that we need to balance our vision for local the next Board following people to shape health and social care support to better meet their needs further development adding assumptions and with our aim to be recognised by the whole community and the local health risks, analyse HWE plans and care system as the credible, influential and independent voice of the and any gaps; Income Strategy – target section public across health and social care. We feel that the priority has to be to be expanded. that we are ensuring that the voice of local people is used to improve Operational Plan – project section to be updated services to meet their needs. It’s more important that we have an impact following priority setting than we are known to the local community. session at next Board. Brief on re-commissioning process Commissioning update at FM sent apologies. Some concern that the service specification is being next Baord. co-designed without our involvement. Local Authority seems to be keen that we raise our profile. They want to know what the public says about Look at previous LBTH spec and work on re- our service, how we work collaboratively, how we emphasise the role of commissioning and de- commissioning points / volunteers and engage with local people. new one to be ready for beginning of June. In mid-February our Contract Manager will be meeting with staff and volunteers (included the Board). This is an open tender process and they are engaging a wide group of stakeholders in the developing the specification. We might want to have a look at how this worked with the recent THCVS contract. Our strength is the Community Insight System and the reports. Annual report is due earlier as our next AGM. Agreed a re-commissioning Task Group: RS and KM to lead and bring updates to the Board. LBTH Officer will need to step out of the meeting for this item. 3 Outcomes and impact year to date In order to report on impact, we are gathering quotes from commissioners and partners. We are still working on: • Young Influencers: one of our strongest selling points and could SS to link with RS to draft presentation ideas for attract additional funding. Canary Wharf groups. Set up a Task Group. • Mental Health: ELFT has £7m for a project to focus on managing severe mental health conditions in the community. We’ll be looking Look at Community Options projects (IM and at mental health alongside the wider determinants, integrated care Charlie have worked with and religious, spiritual and cultural factors in our community. them). IM has link of a breast cancer patient that has been misdiagnosed as • Diabetes (updates given with brief from FP&R). she has schizophrenia. • Safeguarding (updates given with brief from FP&R). • Domiciliary Care: in order to fill a gap of our insights we are looking Research Advisory Group at interviewing housebound patients around care received and (lead by KM) to be set and linking the project to the co-production and re-commissioning of the work with SS to draft the questionnaire. Consider Domiciliary Care service that is currently taking place in the re-interviewing same users more than one time. borough. It will also fit into the Loneliness Strategic Plan, and touch on social care and social services matters. Chinese and Vietnamese report and a further Sexual Health report completed. We still want to know how many people from each GP practice are ending GP Care Group to share up at A&E or are accessing UTC and if there is a correlation between data with us. possible failures of different booking system methods (online access vs Mission: IM to pass the link triage over the phone or GP practice with multidisciplinary team e.g. The of the person that can agree on sharing data. Mission Practice) impacting on emergency system. The aim is to demonstrate that an easier access to GPs can decrease UC admissions. 6 people have attended Who is not sharing data yet? Barts and WEL are not paying for the CIS yet (THPH, THCCG, LBTH but for us it’s publicity. Council). Training on the Community Insight System is scheduled on 12/02/2020, we Inquire THCCG on the impact the app GP@Hand have a lot of interest from across Tower Hamlets, WEL and ELHCP. is having as LBTH council lost £4m. To be raised at Simon Hall (ELH&CP) shown interest on buying licence of CIS or reports. the next H&W Board. Priority setting for 2020/21 Will need to look at cross borough priority setting as well. The 3 WEL HWs (TH, NH, WF) to select the most important priorities and to work together. One of us will be leading on each priority deciding methodology, but all will be participating to get insights of the same topic. Some ideas: • We still don’t know much about gypsy and travellers. We are wondering how they access local services as they often have issues 4 on registering to GP practice and they are marginalised. Mental Health impact (similar to homelessness) and issue of 50+ may be interesting topics. There is a disproportion costs for the NHS of gypsy and traveller people that are consistently accessing to the A&E.