Partners Councillor K J Churchill Huntingdonshire District Council Cambridgeshire County Council Councillor V H Lucas Cambridgeshire County Council

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1 Strategic Health and Wellbeing Lead Officer: Dr Sue Lammin - HDC Partnership Board Terms of Reference To provide a forum for the wider engagement of parties interested in health, including mental health and related issues so that they may jointly evolve solutions to protect and improve the health and wellbeing of residents in Huntingdonshire. To provide leadership and strategic direction to Hunts local strategic partner organisations and thematic groups to enable them to contribute to improving the health and wellbeing of the people of Huntingdonshire. To consider existing issues, or those likely to arise, that may require interventions to protect the health of people in Huntingdonshire, determinant of health, improve public health or affect change to services impacting on health/care services. To ensure the delivering and implementation of local health improvement priorities, in partnership, as identified in the Huntingdonshire Sustainable Community Strategy Health and Wellbeing Action Plan and in Cambridgeshire s Local Area Agreement (LAA). Date and future meetings 3rd June Meetings are held 4 times per annum. In attendance and Dr A Bagade NHS Cambridgeshire Partners Councillor K J Churchill Huntingdonshire District Council Ms J Clarke Cambridgeshire County Council Councillor V H Lucas Cambridgeshire County Council Mrs S Smith NHS Cambridgeshire Mr N Winstone Cambridgeshire and Peterborough NHS Foundation Trust Ms C Deller, Dr S Lammin, Mrs L Sboui and Mrs J Walker Huntingdonshire District Council Apologies Mr A Akers Link Ms S Fergusson Office of Children and Young People's Services Ms S Hughes Hunts MIND Issues Discussed 1. Election of Chairman Mrs S Smith, NHS Cambridgeshire was elected Chairman of the Group for the ensuing Municipal Year. The Chairman welcomed three new Members. Councillor K J Churchill, representing Huntingdonshire District Council, Councillor V H Lucas, representing Cambridgeshire County Council and Jean Clark, Service and Development Commissioning Manager, Disability Services, Cambridgeshire County Council.

2 2. Action Sheet The Action Sheet of the last meeting of the Health and Wellbeing Group was received and noted. A series of observations were made as follows:- Mrs Smith reported that the Group was still awaiting the nomination of a representative from Hinchingbrooke Hospital. Mrs Smith undertook to chase this outstanding appointment (S Smith); Dr Lammin confirmed that she would continue to liaise between the Huntingdonshire Health and Wellbeing Group and the Cambridgeshire Health and Wellbeing Partnership (S Lammin); It was noted that Steve Plant's assistance in promoting smoking cessation had led to an increase in performance from 49% to 85%. Despite this success, Mrs Smith and Dr Lammin undertook to meet with Val Thomas to seek to identify ways to improve performance still further. The Chairman also wished to record the Groups appreciation for the effort made by Steve Plant in promoting Chlamydia screening; New Members were alerted to the arrangements made for the JSNA Seminars programme and advised that they would be invited to the Seminars in due course. The Group were urged to view past presentations via the NHS Cambridgeshire website (J Walker); The Group were reminded that Mrs Sboui had been appointed as Young People's Challenger and that she would be trying to involve young people in the Action Plans of the various thematic groups. The Group noted that the Health and Wellbeing Group would be piloting the involvement of young people in work on tackling obesity and smoking cessation. It was agreed that progress on this pilot should be included as a standard item on each meeting agenda. (J Walker) ; The Group noted that the presentation on the ageing well in Huntingdonshire Strategy had been deferred to the September meeting of the Health and Wellbeing Group (J Walker/ J Emmerton); Following a presentation on the Obesity Action Plan at the last meeting of the Group, Mrs Walker undertook to contact Ms Hughes to determine whether progress had been made in publicising the MEND programme in the MIND newsletter (J Walker); Mrs Smith informed the Group of the Change 4 Life national campaign to tackle obesity. It was suggested that an article on this campaign would also be appropriate for inclusion in the MIND newsletter and in District Wide (S Hughes/L Sboui); Dr Lammin advised the Group that Chris Lloyd, Huntingdonshire District Council had been working with Environmental Health Officers from South Cambridgeshire District Council to develop a healthy eating award, and had focused specifically on healthy eating in the workplace; Further to the presentation on the housing strategy at the last meeting of the Health and Wellbeing Group, Dr Lammin advised that the Group's Action Plan had been revised accordingly (S Lammin); The Group were informed that no feedback had been made available in relation to the Children and Young People's items on the Action Plan. Mrs Smith and Dr Lammin would be meeting with Ms S Fergusson, Children and Young People's Services on 9th June 2009 to discuss this matter further (S Lammin/S Smith); Following a meeting with Kate Brown, Dr Lammin had removed the

3 Heritage item from the Action Plan. Mrs Smith undertook to contact Ms Brown to ensure that access to heritage work would still be continued by the County Council, without the involvement of an LSP Thematic Group (S Smith); It was noted representation from the County Council would be reviewed following the impending election. ( S Smith) 3. Changes to Health and Wellbeing Groups at County Level Dr Lammin acquainted the Group with the changes to and terms of reference of the new Cambridgeshire Health, Care, Wellbeing and Supporting People Strategic Thematic Partnership. The Group were advised that Councillor K J Churchill would be the Member representative for Huntingdonshire District Council, Officer support would be provided by Steve Plant or Dr Sue Lammin. (K Churchill/S Lammin/S Plant) Dr Lammin reported that the first meeting of the Member Board had been held on 15th May As no Member was able to attend, the meeting was a reflection of the Officer Group. It was intended that the Officer Group would sit under the Member Board. Dr Lammin agreed to monitor the Group, and keep under review the alignment between the County and District Groups to ensure the Thematic Group remains effective / efficient given uncertainty about the County s membership and terms of reference. (S Lammin) 4. Action Plan for Health Inequalities Mrs Smith reported that an Officer Group had been established to examine the Health Inequalities across the County. The Group had identified that the most prevalent issues requiring to be addressed in areas of health inequality included healthy eating, reducing smoking during pregnancy, participation in sport and recreation for vulnerable people, increasing breast feeding at six to eight weeks, cardiac rehabilitation, holiday activity schemes and physical activity for people with disabilities. The Group were advised that proxy measures had been used to measure health inequalities over a year period. It was suggested that these findings be added to the Group's Action Plan to serve as a reminder of the areas of concern. Ms Clark, Cambridgeshire County Council offered to provide details of the health inequalities relating to learning disabilities within the District. Dr Lammin undertook to liaise with Ms Clark with regards to incorporating learning disability issues in the Group's action plan. (S Lammin/J Clark) 5. Cambridgeshire Mental Health Promotion Strategy Mrs Smith informed the Group that the Cambridgeshire Mental Health Promotion Strategy was being developed by NHS Cambridgeshire, and Inger O'Meara was leading on this strategy. It was explained that the Joint Strategic Needs Assessment for mental health had explored the determinants of mental health, and subsequently identified the need for a wider mental health promotion strategy. The Group were advised that New Horizons, the strategy for the mental health framework, would be published within the next three months and that the Cambridgeshire Mental Health Promotion Strategy would

4 be based on this. Mr Winstone, Cambridgeshire and Peterborough NHS Foundation Trust undertook to provide a description of what his organisation was trying to achieve in relation to mental health promotion. (N Winstone) Dr Lammin and Mrs Smith would be meeting with Dr Liz Robin to discuss the organisation, development and delivery of mental health services, they would also raise their concerns that there was currently no mental health representative on the County community and wellbeing Group. (S Lammin/S Smith) Mrs Smith reported on the planned events to promote mental health which included - 1. Cambridgeshire Celebrating Age - due to be held in October, intended to involve older people in their communities; 2. Mindful Employer Programme encouraging work places to support colleagues experiencing stress or difficult times; 3. Developing Cambridgeshire Physical Activity Strategy; 4. Anti-stigma work; and 5. Mental Health First Aid Training. Inger O Meara would attend the September meeting of the Group to discuss the Mental Health Promotion Strategy further. (J Walker) 6. Supporting People through the Economic Downturn The Group were acquainted with a report by the District Council's Senior Policy Officer outlining evidence of the economic downturn on Huntingdonshire's Communities, Businesses and Services. The Group were asked to consider whether their organisations had any further evidence on the impact of the economic downturn, and to this information to Mrs Walker who would feedback to the Council's Policy Team. (J Walker) The Group were informed that the County Council would be hosting a Weathering the Storm Conference on 25th June It was suggested that the economic downturn be placed as a standard Agenda item for future meetings. (J Walker) 7. National Physical Activity Strategy An update on the National Physical Activity Strategy was presented. Mrs Smith reported that the Department of Health had published a new strategy entitled Getting the Nation Moving, which aimed to get 2 million people active by the 2012 Olympics. The strategy had moved away from conventional ideas of sport and placed emphasis on exercise through activities such as gardening and dancing. NHS Cambridgeshire would be working with physical activity partners to develop the Cambridgeshire Strategic Activity Action Plan, which would identify who to target and how to deliver the strategy. Mrs Smith would be the Lead Officer for the development of the strategy and agreed to respond

5 to any relevant questions via . It was hoped that the strategy would take six months to develop, and upon completion would be presented to the County Health and Wellbeing Group. (S Smith) 8. Monitoring of Action Plan Dr Lammin updated the Group on targets achieved, projects delayed and items deleted from the Action Plan. It was suggested that future action plans have a title placed at the top of each page, Dr Lammin undertook to include this on future plans. (S Lammin) Having noted that satisfaction in relation to cultural, recreational and leisure services in Huntingdonshire would be monitored by the Quality of Life Survey, the Group were informed that this item would be removed from the Action Plan. Having regard to the development of a street-skate facility in Stukeley Meadows, the Group were advised that the project had been delayed due to financial difficulties encountered by the company providing the metal work. The ramps were due to be completed by the end of June Having been informed that information could not be supplied in relation to the number of free places provided on the proud to be loud summer scheme, the Group noted that this item would be removed from the action plan. Mrs Smith undertook to contact Simon Bell with regard to free swims for looked after children. At present this was unavailable. (S Smith). With regard to the action to maintain and increase the number of people in Huntingdonshire who stopped smoking with support from CamQuit, the Group were advised that targets were due to be relaxed as the prevalence was not as high as initially thought. (S Lammin) In light of the objective to reduce teenage conceptions, it was reported that Huntingdonshire had never had its own target. It was suggested that a member of the Hunts Sexual Health Forum be invited to a future meeting of the Group, as there had been no reduction in teenage pregnancies (J Walker). 9. Health and Wellbeing Plan The Group received the draft health and wellbeing delivery plan for , which included updated targets where appropriate. Dr Lammin added that targets for learning disability would now need to be included. (S Lammin) Mrs Smith expressed her thanks to all Group Members for their contributions over the year and to Dr Lammin and Mrs Sboui in particular for their efforts in producing the draft action plan.

6 10. Date of Next Meeting The date of the next meeting would be circulated in due course. Contact for further details Jessica Walker, Huntingdonshire District Council, Pathfinder House, St. Mary s Street, Huntingdon, Cambs, PE29 3TN. jessica.walker@huntsdc.gov.uk / Tel: (01480)