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Agenda and minutes

Agenda and minutes

Venue: Meeting Room G.01, Ground Floor, City Hall, 115 Charles Street, Leicester, LE1 1FZ

Contact: Graham Carey, Tel 0116 4546356 or Internal 376356 

Media

Items
No. Item

163.

APOLOGIES FOR ABSENCE

Additional documents:

Minutes:

Apologies for absence were received from:-

 

Councillor Piara Singh Clair          Deputy City Mayor, Culture, Leisure, Sport and Regulatory Services

 

John Adler                                         Chief Executive, University Hospitals of Leicester NHS Trust

 

Andrew Brodie                                  Assistant Chief Fire Officer, Leicestershire Fire and Rescue Service

 

Phil Coyne                                        Strategic Director City Development and Neighbourhoods, Leicester City Council

 

Professor Azhar Farooqi                 Co-Chair, Leicester City Clinical Commissioning Group

 

Steven Forbes                                  Strategic Director of Social Care and Education, Leicester City Council

 

Mark Gregory                                    General Manager, Leicestershire, East Midlands Ambulance Service NHS Trust

 

Roz Lindridge                                   Locality Director Central NHS England – Midlands & East (Central England)

 

Dr Peter Miller                                  Chief Executive, Leicestershire Partnership NHS Trust

 

Dr Avi Prasad                                   Co-Chair, Leicester City Clinical Commissioning Group

 

Chief Supt Adam Street                  Head of Local Policing Directorate, Leicestershire Police

164.

DECLARATIONS OF INTEREST

Members are asked to declare any interests they may have in the business to be discussed at the meeting.

 

Additional documents:

Minutes:

Members were asked to declare any interests they might have in the business to be discussed at the meeting.  No such delarations were made.

165.

MINUTES OF THE PREVIOUS MEETING pdf icon PDF 128 KB

The Minutes of the previous meeting of the Board held on 22 November 2018 are attached and the Board is asked to confirm them as a correct record.

 

Additional documents:

Minutes:

RESOLVED:

 

That the Minutes of the previous meeting of the Board held on 22 November 2018 be confirmed as a correct record.

166.

INTERNATIONAL WOMEN'S DAY - INTRODUCTION

There will be a short introduction for the theme to the meeting of Internalional Women’s Day.

Additional documents:

Minutes:

The Chair stated that the agenda was part of a thematic approach and there were a range of things which coalesced around women’s health. A slide was displayed showing various aspects that would be picked up later in the Health and Wellbeing Survey.  The key issues were:

 

  • 75% if women reported being in good health.
  • 50% were overweight or obese.
  • 20% reported being in poor mental health.
  • 10% often felt isolated and lonely.
  • 14% had a caring responsibility.
  • Women were more likely:-

Ø  to use health services;

Ø  live with a long term chronic condition;

Ø  want to exercise more;

Ø  overestimate weight; and

Ø  to want to lose weight.

 

The Health and Wellbeing Survey 2018 provided key data on the health of women in the City but there was also a great difference between some health issues relating to factors such as age, ethnicity, deprivation and employment.

167.

NHS SCREENING IN LEICESTER pdf icon PDF 78 KB

Dr Tim Davies, Consultant Screening & Immunisation Lead, NHS England/Pubic Health England to give a presentation on the benefits to achieved from screening programmes.  The uptake on screening services in Leicester is generally below the national average.  

Additional documents:

Minutes:

Dr Tim Davies, Consultant Screening & Immunisation Lead, NHS England/Pubic Health England gave a presentation on the benefits to be achieved from screening programmes.  The uptake on screening services in Leicester was generally below the national average.

 

During the presentation Dr Davies commented that:-

 

  • All screening programmes had false positive and false negative results, and the effectiveness of any screening programme was to have low numbers of both these false results.

 

  • Cervical Screening rates in Leicester were declining more rapidly than the decline in the national average and were now 64.3% compared to the Central Midlands rate of 72.9% and the national rate of 71.7%.

 

  • The uptake from younger women was lower than older women.  There was now collaborative working between all health agencies and providers to address this in Leicester by both national and local publicity campaigns.  Locally, UHL was working actively with GP practices and offering in-house and community clinics to improve the take up. In addition, there was a student led social media campaign, local business/community venues were being asked to display posters and there was an active Don’t Fear the Smear campaign asking women who have taken the test to take a selfie and post on their social media account with the # and to tag 5 of their friends to spread awareness.

 

  • Traditionally, all smears were examined under a microscope and those showing minor changes were then tested for human papilloma virus (HPV), this was changing to all smears being tested for HPV first and only those showing a positive result would be examined under a microscope.  This would enable the number of test laboratories to be reduced from around 45 to 9.  There would be one test laboratory in the West Midlands and one in the East Midlands.  UHL had not bid to be a test a laboratory and mitigations would be put in place whilst people changed from one test to the other and the new arrangements were fully implemented.  The new practice and arrangements should be in place by the end of 2019.

 

  • Breast Screening rates again lower than the national rate but whereas the national rate had remained fairly static over the last 8 years; the rate in Leicester had pronounced fluctuations within it.  Leicester’s current rate was now 65.8% compared to the Central Midlands’ rate of 73.9% and the national rate of 72.1%.

 

  • The City was divided into 3 areas for the 3-year screening programme and the fluctuations in uptake were reasonably predicable depending upon which part of the city was being screened each year.

 

  • Bowel Screening in Leicester showed men had a lower uptake but higher levels of positive results and women had a higher uptake with lower levels of positive results.

 

  • The test was changing from April 2019 from one where 2 samples are taken on 3 separate occasions and these are then sent in a sealed envelope for testing in a laboratory; to one where a single sample is taken.  It was felt that this would improve the  ...  view the full minutes text for item 167.

168.

WOMEN'S HEALTH AND WELLBEING pdf icon PDF 85 KB

Khudeja Amer-Sharif, Shama Women’s Centre, to give a presentation on the delivery of mental health Support Services for bereaved Black Minority Ethnic Women and their families in Leicester through the pioneering ‘Bereavement to Achievement programme that overcomes cultural, social and economic barriersthrough early interventions, which has been delivered by Shama Women’s Centre since 2014.

Additional documents:

Minutes:

KhudejaAmer-Sharif, Shama Women’s Centre, gave a presentation on the delivery of mental health Support Services for bereaved Black Minority Ethnic Women and their families in Leicester through the pioneering ‘Bereavement to Achievement programme.  This programme overcomes cultural, social and economic barriers through early interventions and had been delivered by the Shama Women’s Centre since 2014.

 

During the presentation the following comments were noted:-

 

  • The Centre had been providing services for over 33 years.

 

  • There was an holistic offer of services including:-

 

Ø  Overcoming barriers

Ø  English as a second language

Ø  Providing the only textile training for women in Leicester

Ø  Providing creative/Social functions

Ø  Help to Find Work

Ø  Volunteering

Ø  Counselling

Ø  Bereavement

Ø  Domestic Abuse

Ø  Holistic Therapies

Ø  Health Awareness

Ø  Gym/Sauna and Nursery facilities

 

  • Through its holistic approach the mental health support programme had supported 1,225 women and their families; with 98% showing involved emotional and physical wellbeing.  73% had seen a reduction in the need to utilise statutory mental health services, with an estimated cost saving of £2.1m to the local Health and Social Care budget in the first 4 years of the programme.

 

  • The programme was funded until March 2019 by the BIG Lottery and the Centre were awaiting the outcomes of extended funding for an additional 3 years.

 

  • Over 15,000 women had entered work through the programme and 30,000 women had achieved qualifications particularly in IT and health and social care.  2,000 women had entered volunteering services.

 

  • 87% of service users had increased their health and wellbeing.

 

  • The majority of service users were BME women in Leicester and increasing numbers of refugee and asylum seekers were accessing services.

 

  • The Centre encouraged and empowered women to achieve by helping them overcoming barriers such as unemployment, educational attainment and skills, cultural, domestic abuse and FGM and health inequalities.

 

  • BME communities experience inequalities in accessing mental health services.  Mental health in SE Asian women often went ‘unrecognised’ and there were higher suicide rates for Asian women and they were dissatisfied with the mental health services they received and they were over represented in compulsory detention.

 

 

  • Often bereaved BME women suffered in silence through cultural norms or stigma.

 

  • Mapping of local services in 2014 highlighted that only 11% of BME women had taken up local bereavement counselling services by BME women.  89% of bereaved client had accessed IAPT services and found that it did not meet cultural expectations and only 7% had indicated they would use it again.

 

  • The Centre’s Bereavement to Achievement programme, funded by lottery funds, had started in 2014 and integrated with primary and secondary services, NHS bereavement services, IAPT and hospices and community and faith groups.  The service had subsequently been described as ‘Inspirational’ by NHS England.

 

  • The Centre had been successful in educating women, in partnership with the police, to challenge accepted cultural attitudes towards abuse and report crimes of abuse.

 

Following the presentation, the Board were shown a short video of service users experiences of using the Bereavement  ...  view the full minutes text for item 168.

169.

LOCAL AUTHORITY APPROACH TO FEMALE GENITAL MUTILATION pdf icon PDF 1 MB

Etain McDermott, Public Health Leicester City Council and Nicola Bassindale, Social Care & Education, Leicester City Council to submit a report and to give a presentation on proposals to strengthen Leicester City Council and its partners’ stance against Female Genital Mutilation (FGM).  The  report provides some basic information about the practice, sets out what has been addressed so far in terms of the approach to FGM and provides some options for further work, drawing on examples from nationally recognised good practice.

Additional documents:

Minutes:

Etain McDermott, Public Health Leicester City Council and Nicola Bassindale, Social Care & Education, Leicester City Council submitted a report and gave a presentation on proposals to strengthen Leicester City Council and its partners’ stance against Female Genital Mutilation (FGM).  The report provided some basic information about the practice, set out what had been addressed so far in terms of the approach to FGM and provided some options for further work, drawing on examples from nationally recognised good practice to strengthen the Council’s and its partners stance against FGM.  Whilst the Council condemned the practice in all its recognised forms, no dedicated work had been undertaken to formally publicise this stance or indeed invite partners to join in the stance.  To address this a group of officers from a range of partners had been identified and approached with a view to forming a task and finish group.

 

The approach had received strong support and following this a Task and Finish had been established and was scheduled to start meeting in March 2019.  The purpose of the Task Group would be to gather knowledge and intelligence on the extent of FGM in Leicester, how it was being addressed by various partners and the barriers to dealing with FGM.

 

Membership of the Group would include:

  • Public Health
  • Social Care & Education (Safeguarding (Children & Adults) & Education reps)
  • Leicestershire Police
  • Clinical Commissioning Group
  • Leicestershire Partnership Trust (Health Visiting rep)
  • University Hospitals Leicester (Midwifery rep)
  • Specialist violence against women representative (Voluntary & Community Sector)
  • University of Leicester
  • Community representatives
  • Community Safety (Domestic Violence/Sexual Violence Manager)

Further members would be identified as the work progressed.

 

The Task and Finish Group’s purpose was to use the knowledge and intelligence it gathered to form an action plan that addresses key priorities. These might include

 

  • Prevention through awareness raising and education
  • Community-led initiatives to ensure appropriate messages, campaigns, etc.
  • Training and empowerment through the implementation of training & education programmes across the City tailored to professionals and communities.
  • Continued support to law enforcement officers safeguarding, reporting and recording.
  • Ensure that professionals access the LSCB multi-agency safeguarding training to include the issue of identifying girls at risk of FGM and referring them as part of child safeguarding.
  • Take a life course approach to treatment, services and support
  • Support University Hospitals Leicester NHS Trust in their work to offer women access to a specialist FGM midwife and increase access to psychological support.
  • Data collection and sharing - Agencies including health, social care, safeguarding, police and midwifery should collect and share data where appropriate.

 

It was also proposed to hold a number of community engagement events, held in conjunction with voluntary and community groups, to discuss FGM.  Events for women and children would be held separately and there would be a particular focus on engagement with men and older women.

 

An Action Plan would be then developed and submitted to a future Board meeting for comment and sign off.

 

Supt O’Neill suggested that involving the Council of Faiths at an early stage would help to encourage  ...  view the full minutes text for item 169.

170.

DOMESTIC AND SEXUAL VIOLENCE AND ABUSE IN LEICESTER pdf icon PDF 95 KB

Stephanie McBurney, Team Manager Domestic and Sexual Violence, Leicester City Council and DCI Lucy Batchelor to submit a report and give a presentation on Domestic and Sexual Violence and Abuse in Leicester, setting out the current situation, challenges and what can be done to improve pathways and support to those affected.

Additional documents:

Minutes:

Stephanie McBurney, Team Manager Domestic and Sexual Violence, Leicester City Council and DCI Lucy Batchelor submitted a report and gave a presentation on Domestic and Sexual Violence and Abuse in Leicester, setting out the current situation, the challenges and what could be done to improve pathways and provide support to those affected.

 

It was noted that:-

 

  • Domestic and Sexual Violence and Abuse affected large numbers of adults and children in Leicester and could have a significant impact on the health and wellbeing of those individuals directly involved and the communities around them.

 

  • Domestic violence and abuse included forced marriage, female genital mutilation and so called ‘honour based’ violence.  It could take place between those aged 16 years and over and be within an intimate partner (current or past) or familial relationship.

 

  • A 2019 Home Office report estimated the unit cost of domestic abuse to be £34,015.  Each domestic homicide is estimated to cost £2.2 million, arising from the cost of harms, health services and lost output.  In Leicester there had been 7 domestic homicides since domestic homicide reviews were made a statutory requirement.

 

  • Sexual abuse could take place inside or outside of a domestic violence situation.  Roughly a third of all sexual offences took place within a setting that would meet the definition of domestic violence and abuse.

 

  • Locally there was a growing volume in the number of increased cases, reflecting a national trend, although the rate in Leicester was lower than the national increase.  The reason for this was not fully understood.  All public sector services had a role to play in tackling the issue, supporting victims, responding to service demand and meeting the needs of victims.

 

  • It was estimated that currently services were dealing with between a fifth to a third of incidents what was realistically known to exist.

 

 

Members of the Board commented that:-

 

  • Previous work with childrens’ safeguarding had shown the positive benefits of engagement of partners in providing a cross-over of understanding of the issues amongst partners which had helped with the early identification and links into support.

 

  • Initiatives such as GPs being given a mouse mat with relevant telephone numbers on it 5 years ago, had produced a spike in the incidence of reporting issues of concerns.

 

  • 80% of children in care experienced domestic violence and this impacted significantly on their ability to form stable relationships.  The way in which schools treated cases of abuse and made school a safe environment for those vulnerable to abuse had a significant impact also.

 

  • Supt O Neill commented that domestic violence arose over number of issues such as drugs and drink etc, and part of the issue was the challenge and ability of services such as the Police to allow space to step back from simply being reactionary to dealing operationally with incidents and to understand the more holistic issues, possible early interventions and responses to incidents.

 

171.

ARMED FORCES COVENANT pdf icon PDF 90 KB

Miranda Cannon – Leicester City Council, Director champion for Armed Forces Covenant (AFC) & Co-Chair Leicester, Leicestershire and Rutland (LLR) Civil & Military Partnership Board, supported by Dr Richard Hurwood - Co-Chair LLR Civil & Military Partnership Board and Brendan Daly – Leicestershire Partnership NHS Trust, to give a presentation on delivering the Armed Forces Covenant.

Additional documents:

Minutes:

Miranda Cannon – Leicester City Council, Director Champion for Armed Forces Covenant (AFC) & Co-Chair Leicester, Leicestershire and Rutland (LLR) Civil & Military Partnership Board, supported by Dr Richard Hurwood - Co-Chair LLR Civil & Military Partnership Board and Brendan Daly – Leicestershire Partnership NHS Trust, gave a presentation on delivering the Armed Forces Covenant.

 

In addition to the information contained in the presentation the following points were noted:-

 

  • That the AFC was a national commitment by the nation to ensure that those who served in the armed services and their families were treated fairly and with respect.

 

  • The Covenant aimed to address the needs and barriers faced by servicemen and ex-servicemen and their families.

 

  • Within the LLR, there was a strong focus on working in partnership with all public sector bodies (local authorities, health trusts and CCGs, Universities and government departments) the Armed Services and Voluntary and Community Sector Groups.

 

  • The was a national fund of £10m and bids of up to £20k could be submitted on themes and priorities which changed each year.

 

  • Work was still progressing to identify all ex-servicemen in the LLR area based upon data provided by the Armed Forces Compensation Scheme database that provided data for postcodes within the LLR.

 

Members of the Board commented that:-

 

  • They were not aware of the GP accreditation scheme, but the CCG would consider how this could be supported.

 

  • The Chair commented that the Council had been awarded funding to be a Time to Change hub and he would ensure that this work was embedded within the hub.

 

The Chair thanked everyone for their presentation and it was:-

 

AGREED:-    

 

That the recommendations in the report be supported and partners consider how these can be taken forward within their own organisations.

172.

LEICESTER HEALTH AND WELLBEING SURVEY pdf icon PDF 119 KB

Nicola Moss & Joe Wheeler, Ipsos MORI North to give a presentation on results of the Leicester Health and Wellbeing Survey 201, which provides a snapshot of the health and wellbeing issues of the population aged 16 years and over in Leicester.  The current report follows on from the previous surveys in 2010, 2015 and 2016 (Children and Young People).  The report will be made available on the Leicester City Council website and data will be shared via the Leicester Open Data Platform at the following link:-

 

https://www.leicester.gov.uk/your-council/policies-plans-and-strategies/healthand-social-care/data-reports-information/leicester-health-and-wellbeingsurveys/

Additional documents:

Minutes:

Nicola Moss & Joe Wheeler, Ipsos MORI North gave a presentation on the results of the Leicester Health and Wellbeing Survey 2019, which provided a snapshot of the health and wellbeing issues of the population aged 16 years and over in Leicester.  The current report followed on from the previous surveys in 2010, 2015 and 2016 (Children and Young People).  The survey had been compiled from the views of 2,224 residents, which made the results for Leicester more statistically reliable than data extrapolated from national surveys.  The report would be made available on the Leicester City Council website and data would be shared via the Leicester Open Data Platform at the following link:-

 

https://www.leicester.gov.uk/your-council/policies-plans-and-strategies/healthand-social-care/data-reports-information/leicester-health-and-wellbeingsurveys/

 

The headline result of the survey were:-

 

  • Since 2015 more residents:-

Ø  rated their health as good;

Ø  accepted personal responsibility for their health; and

Ø  were making healthy lifestyle changes.

 

  • There were high levels of satisfaction with parks, waterways and green spaces, the local area and their home.

 

  • Physical activity had increased, particularly walking and cycling.

 

  • Challenges identified in the survey were:-

 

Ø  There were fewer visits to GPs and more visits to A&E since 2015;

Ø  50% of residents were overweight or obese, although most believed they had a healthy diet.

Ø  Only 20% had their 5 a day;

Ø  1 in 5 currently smoked;

Ø  70% of residents did not have a bike and most residents had not used a cycle route;

Ø  50% of residents were concerned with air quality; and

Ø  There were increased numbers of residents with poor mental health and wellbeing scores.

 

  • 18% of the population had a life limiting disability.

 

  • The majority did not use health technology but would do if recommended by a GP or health professional.

 

  • People were more likely to be overweight if they were either over 35 years old, off work, sick or disabled, white British, had a poor mental health score and were a social renter.

 

  • Although 87% believed they had a healthy diet, only 21% had their 5 a day and 39% ate fast food at least once a week.

 

  • Although alcohol consumption had fallen (51% never drank alcohol) 9% exceeded the recommended limit particular groups at risk were men aged over 65 years, those with no religion or belief, white British residents and those who were in poor health.

 

  • Smoking prevalence had remained static at 20%, 2% above the national average.

 

  • Inactivity had decreased since 2015 and popular growth areas were jogging/running, cycle for travel, yoga/pilates, sports and heavy gardening.

 

  • Poor mental health had increased from 14% in 215 to 17% now, and there was a close relationship between poor mental health and wellbeing and isolation.

 

The Chair thanked Nicola for the presentation and stated that the survey had presented a lot of data that was valuable to both the Council in corporate planning of health-related services but also to many partners and organisations involved in health issues.

173.

QUESTIONS FROM MEMBERS OF THE PUBLIC

The Chair to invite questions from members of the public.

Additional documents:

Minutes:

There were no questions from members of the public.

174.

DATES OF FUTURE MEETINGS

To note that future meetings of the Board will be determined at the Annual Meeting of Leicester City Council held on 16 May 2019.

 

Meetings of the Board are scheduled to be held in Meeting Room G01 at City Hall unless stated otherwise on the agenda for the meeting.

Additional documents:

Minutes:

The Board noted that future meetings of the Board would be determined at the Annual Meeting of Leicester City Council held on 16 May 2019.

 

Meetings of the Board were scheduled to be held in Meeting Room G01 at City Hall unless stated otherwise on the agenda for the meeting.

175.

ANY OTHER URGENT BUSINESS

Additional documents:

Minutes:

There were no items of Any Other Urgent Business.

176.

CLOSE OF MEETING

Additional documents:

Minutes:

The Chair declared the meeting closed at 8.00pm.