Agenda and minutes

The Board will appoint a chair for the meeting.

Cllr Cathy Scott chaired the meeting.

To receive apologies for absence from those Members who are unable to attend the meeting.

Apologies were received from Cllr Carole Pattison, Cllr Mark Thompson

Tom Brailsford, Vanessa Taylor, Dr Warren Gillibrand, Alasdair Brown, Chief Supt Jim Griffiths, James Creegan, and Christine Fox.

To approve the Minutes of the meeting of the Board held on the 18^th January 2024.

That the minutes of the meeting held on the 18^th January 2024 be approved as a correct record.

Members will be asked to say if there are any items on the Agenda in which they have any disclosable pecuniary interests or any other interests, which may prevent them from participating in any discussion of the items or participating in any vote upon the items.

No interests were declared.

Most agenda items take place in public. This only changes where there is a need to consider exempt information, as contained at Schedule 12A of the Local Government Act 1972. You will be informed at this point which items are to be recommended for exclusion and to be resolved by the Board.

All agenda items were considered in public session.

The Board will receive any petitions and/or deputations from members of the public. A deputation is where up to five people can attend the meeting and make a presentation on some particular issue of concern. A member of the public can also submit a petition at the meeting relating to a matter on which the body has powers and responsibilities.

In accordance with Council Procedure Rule 10, Members of the Public must submit a deputation in writing, at least three clear working days in advance of the meeting and shall subsequently be notified if the deputation shall be heard. A maximum of four deputations shall be heard at any one meeting. 

No deputations or petitions were received.

The Board will appoint a Deputy Chair for the 2024/25 municipal year.

Dr Warren Gillibrand was nominated as the Deputy Chair of the Board for 2024/25.

To present the 2022/2023 Kirklees Safeguarding Adults Board Annual Report.

Contact:  Rob McCulloch-Graham, Independent Chair of the Kirklees Safeguarding Adults Board

Jacqui Stansfield, Safeguarding Adults Partnership Manager presented the Kirklees Safeguarding Adults Board’s (KSAB) Annual Report for 2022-23, on behalf of Rob McCulloch-Graham, Independent Chair of KSAB. In summary, the Health and Wellbeing Board (Board) was informed that one of the duties of KSAB is to produce an annual report, and the purpose of the information being presented to the Board is for information and awareness. It aims to demonstrate joint working across the partnership to deliver strategic objectives.

The Board was informed that safeguarding adults means stopping or preventing abuse or neglect of adults with care and support needs, whose care needs are caused by physical, mental or illness, people under the Care Act.

The role of KSAB is to ensure that there are arrangements in Kirklees that works well to help protect adults with care and support needs from abuse or neglect. It does this by:

-        Assuring itself that local safeguarding arrangements are in place as defined by the Care Act 2014 and statutory guidance

-        Assuring itself that safeguarding practice is person-centred and outcome focused

-        Working collaboratively to prevent abuse and neglect where possible

-        Ensuring agencies and individuals give timely and proportionate responses when abuse or neglect has occurred

-        Assuring itself that safeguarding practice is continually improving and  enhancing the quality of life of adults in its area

Referring to the slides, the Board was presented with information which gave a breakdown of the structure of KSAB and the different work groups that help to deliver the strategic objectives. The vision is to work together to keep the people of Kirklees safe from abuse and neglect and this is achieved by putting people at the heart of everything, following the six safeguarding principles.

The Board was informed that throughout the year, one of the objectives was supporting the workforce. In 2022/23, work was undertaken with regional consortium colleagues and, procuring an online platform, which has the overarching aim of enabling the joint multi-agency safeguarding adults policy and procedure to be easily accessed by partner organisations in West Yorkshire, North Yorkshire and the City of York. It is the same policy and procedures for those who work in different boroughs.

The platform provides practical support with a range of tools and guidance which have been tried and tested by practitioners. It has a dedicated area which can be populated with local safeguarding contacts and resources. Several networking events were held during 2022/23, inviting frontline staff and volunteers working in the safeguarding arena. The Dignity in Care steering group organised a network event to raise awareness of the NHS Civility and Respect campaign and how it can be adapted and adopted to improve the working practices of staff and volunteers across the safeguarding arena.

The Safeguarding Adult Review subgroup hold a network event each year and looked at learning from cases where people experience serious harm or death. The second network event followed up on practitioners and continuously take the feedback from those events to shape  ...  view the full minutes text for item 8.

This paper highlights to the Board the Kirklees Director of Public Health (DPH) Annual Report 2023/24, entitled ‘Inequalities in the experience of death and dying: What are the assets and opportunities within Kirklees communities?’

The Board will receive a presentation outlining the DPH Annual Report.

Contact:  Rachel Spencer-Henshall, Strategic Director, Corporate Strategy, Commissioning and Public Health, Lucy Wearmouth, Head of Improving Population Health and Owen Richardson, Data and Insight Enablement Lead for Public Health

Rachel Spencer-Henshall, Strategic Director Corporate Strategy, Commissioning and Public Health, introduced the item, advising the Board that this work has been undertaken alongside Kirkwood Hospice, who have been a great ally with this project.

The Board was informed that Public Health annual reports are brought every year to the Board, and it is an opportunity, to consider as a system how to use the information to inform the work going forward. It would be useful to receive feedback on how to take the report further. It is important to thank everyone who has been involved in this because it is an excellent piece of work.

Lucy Wearmouth, Head of Improving Population Health, informed the Board that the Director of Public Health (DPH), chooses what the annual report should focus on, and the 2023/24 annual report focused on death and dying. The aim is to use the report as a vehicle to identify important key issues and gaps and flag up problems and report progress. Last year’s annual report which focused on poverty, has facilitated taking conversations about poverty into areas and organisations where previously this would not have happened. The report is a key resource to inform stakeholders of priorities and recommend actions to improve and protect the health of the communities they serve.

Another important factor regarding the report, is for it to be as accessible as possible, for people to be able to read and access. It will be hosted on the Kirklees Council website, and it is in chapters, enabling people to easily find the information they require.

The focus for the 2023/24 annual report is ‘Inequalities in the experience of death and dying, taking an assets based approach looking at what are the assets and opportunities in Kirklees communities, recognising there are differences between population groups. It was recognised when undertaking this work, that there is already work happening within this space, for example, members will be aware of the Dying Well Board that is in place and there has been recent insight gathered by Kirklees and West Yorkshire Healthwatch teams. The intention was to add value to what has already happened, rather than repeating work, therefore the focus was on understanding inequalities.

The Board was informed that there are many things that can be undertaken universally to support a good death, whilst recognising there are significant inequalities across different population groups, which has been explored within the report. In relation to this, the following was undertaken:

What we did

-      Looked at national evidence, to understand which population groups are most at risk of experiencing inequalities in death and dying

-      Facilitated discussions with a wide range of Kirklees organisations who work with the following population groups, including, people who identify as LGBTQ+, people experiencing homelessness, people with learning disabilities, people with non-malignant (non-cancerous) health conditions, people with serious mental illness or addiction issues, people living in poverty or deprivation, diverse experiences by race, ethnicity or faith and unpaid carers 

What we asked

A series  ...  view the full minutes text for item 9.

To update the Board on the Mental Wellbeing theme of the Health and Wellbeing Strategy priorities.

Contact:  Rebecca Elliott, Public Health Manager

Rebecca Elliott, Public Health Manager, along with colleagues from a range of organisations, and services, advised the Board, that the update would be on the Mental Wellbeing priority of the Health and Wellbeing Strategy. The particular focus will be on the trauma informed approaches being taken across the Kirklees system. There are a number of speakers from across the Kirklees place who will contribute to the discussion, sharing some examples of the trauma informed approaches that are already happening.

The Board was informed that trauma is a public health issue, and research suggests that people who experience adverse childhood experiences are more likely to use alcohol, smoke, develop chronic diseases, and trauma can happen at anytime during the life course. Therefore, it is important to think about trauma informed approaches across the full life course. People are also more likely to develop mental health conditions and it is important to think about how trauma informed organisations are,  and how trauma responsive they are. Not only in respect of the local population, but also for the people employed.

The Board was directed to a slide which outlined a pledge that the Director of Public Health, Rachel Spencer-Henshall, agreed to last year.

‘Kirklees is committed to reducing health inequalities across the life course and tackling the risk factors that contribute towards adversity and trauma. Now more than ever, we are focused on working at place level and working with communities to really understand how we can build upon local assets and enhance protective factors for resilience. I pledge to support the ambition for West Yorkshire to be trauma informed and responsive by 2030, by sharing best practice and working in an integrated way to support those facing multiple disadvantages in the best way possible’.

Emm Irving, Head of Population Health from West Yorkshire Integrated Care Board (ICB), gave an overview of the West Yorkshire programme that supports the programmes already being undertaken in place. The Board was informed that currently in the world there is a great deal going on that is causing trauma and adversity for the population, therefore, instead of talking about what  could be done, it is important to talk about what happens if nothing is done. There is likely to be an increase in the number of children born into poverty, an increase in children and adults in the criminal justice system, an increase in violence, health harming behaviours and disease, therefore it is important to act.

The programme across West Yorkshire, looks at how to work together as a system, all organisations, the entire workforce and the population to be trauma informed. It is an iterative journey, and it does not end and therefore, the aim is to get to a position where organisations and people are trauma informed, responding and constantly learning. The West Yorkshire programme is around supporting capacity, capability and intelligence across the system including place, providing resources, training and expertise around the subject area, also working with the large West Yorkshire organisations such  ...  view the full minutes text for item 10.

To provide an update to the Health and Wellbeing Board (HWBB) on the Kirklees Health and Wellbeing Strategy (KHWS) priority of ‘Connected Care and Support.

Contact:  Rachel Millson, Senior Planning and Development Manager.

Rachel Millson, Senior Strategic Planning and Development Manager, advised the Board that the discussion would focus on some of the delivery of the Connected Care and Support priority within the Kirklees Health and Wellbeing Strategy.

The Board was informed that the Health and Care Plan, outlines how the Kirklees Health and Care Partnership will work together to drive change in response to national, regional and local directives. It does support the delivery of the Health and Wellbeing Strategy and some of the strategic documents that are developed for West Yorkshire, alongside the  West Yorkshire Delivery Plan which is the Joint Forward Plan. There are metrics, initial metrics that are within the document, which have been developed in the context  of the outcomes framework which supports the Health and Wellbeing Strategy.

The initial document was signed off by the ICB Committee in May 2023, and a commitment was made that it would be a live plan. It is recognised that things change and evolve, therefore the aim was to ensure that rather than starting with a new draft of the strategy every year, there would be a commitment to update and evolve the plan. Just to reinforce that the delivery is overseen by the Delivery Collaborative and all the partners who work within health and care have a seat on that delivery collaborative.

Referring to the presentation slides, the Board was advised of the system wide, strategic priorities that are within the plan, cuts across the life course approach, as outlined in the Health and Wellbeing Strategy, Starting Well, Living Well, and Aging Well programmes. Dying Well is a programme in its own right, however, it is considered in each of the other programmes and mental wellbeing, which can affect an individual at any point of the life course.

There are partnership strategic priorities and then there are organisational level priorities that are national directives to focus on in the short term, listed as priority actions including:

-      Improving access to health and care

-      Holistic approach to out of hospital care

-      Crisis response

-      Workforce

Patrick Boosey, Transformation Programme Manager ICB, provided an update on the Starting Well Programme. The Board was advised that the Starting Well Board, has an alignment with the Children and Young People’s priorities and the subsequent resource to deliver these. It is a single place for existing Boards and groups to report to, enhancing partnership working, facilitating development of relationships, connected decision making and reducing duplication across the partnership. It is a forum to discuss complicated system wide strategic issues and  opportunities to share learning and risk.

It is a single assurance mechanism to support decision taking processes, development of a system wide work plan, supporting groups such as the Ambition Board. It is a contact for West Yorkshire level work, for example, the Integrated Care System, alignment of data and intelligence, where there is qualitative information e.g. Children and Young People’s Voice, and quantitative information and numerical shared data sets. It is a  ...  view the full minutes text for item 11.

To update the Board on the Healthy Places theme of the Joint Health and Wellbeing Strategy.

Contact:  Lucy Wearmouth, Head of Improving Population Health

Lucy Wearmouth, Head of Improving Population Health, provided the Board with an update on the Healthy Places priority within the Kirklees Health and Wellbeing Strategy. The Board was asked to consider, what would be the most useful way to receive these updates, for example, rather than tell the Board about everything in relation to Healthy Places, would it  be more useful to focus specifically on one topic area, in depth.

The Board was informed that the aim of the information being presented is to

-      Review Healthy Places Priority, which was last presented to the Board in June 2023

-      Demonstrate some examples of success and progress

-      Board to feedback on their own progress, within individual organisations

-      Plan for next steps and potentially more of a 'deep dive' focus

The Board was reminded of the ambition for the Healthy Places Priority which is that “The physical and social infrastructure and environment supports people of all ages who live, work or study in Kirklees to maximise their health opportunities and to make the healthy choice the easy choice.”

There are a number of success indicators related to this which includes:

-          Overall satisfaction with local area

-          Use of parks and greenspaces

There is also a number of ‘I’ statements, which during the consultation stage of the strategy, highlights what mattered to local people. In terms of context, Healthy Places is a large and complex priority and what is presented in the report represents a small amount of work from across the system and it would be useful to think about the theme and potential topics for deep dive.

Jo Hilton-Jones, on behalf of Stephy Rogers, Third Sector Leaders (TSL), informed the Board that TSL leads on the Community Champions Programme and have developed and supported the delivery of an excellent local programme. The model that is running now,  developed from the Covid Community Champions that ran for a time and then ceased, and was fortunate to receive Core 20 Plus 5 monies, that has enable two years funding to develop the Kirklees Programme.  Since then, there has been additional monies from the UK SPF programme in terms of levelling up, that has enabled the topics the Community Champions have been able to focus on

to be broadened.

It is important to highlight that this is very much being delivered through the VCSE. Kirklees Third Sector Leaders, are the organisation that co-ordinate the programme and the training. They ensure that all the processes, and that Champions have access to all the relevant information. Healthwatch Kirklees are a vital partner in this, analysing all the data that Community Champions collect, because when they have a meaningful contact with an individual, it is entered into a tablet and at the end of six weeks, it is analysed by Healthwatch.

The reports that are produced and the insights are already making a difference in terms of informing the local system because as well as Community Champions improving health literacy, they are letting  ...  view the full minutes text for item 12.