Agenda and minutes

Pending the Policy Committee Councillor appointments to the Health and Well Being Board, Board Members are requested to appoint a Board member to act as Chair for the duration of the meeting.

The Democratic Services Officer advised the Board that the three Councillors who had been appointed to the Health and Well Being Board (Councillor Stephen Williams, Councillor Lorraine Francis and Councillor Christine Townsend) were unable to attend this meeting due to a clash with a mandatory training session.

In their absence, they had agreed that an officer member of the HWBB should attend. Hugh Evans (Executive Director Adults and Communities) had indicated that he would be willing to chair the meeting in their absence.

RESOLVED – that Hugh Evans be elected chair for the duration of the meeting.

Please note: if the alarm sounds during the meeting, everyone should please exit the building via the way they came in, via the main entrance lobby area, and then the front ramp.  Please then assemble on the paved area between the side entrance of the cathedral and the roundabout at the Deanery Road end of the building.

If the front entrance cannot be used, alternative exits are available via staircases 2 and 3 to the left and right of the Council Chamber.  These exit to the rear of the building.  The lifts are not to be used.  Then please make your way to the assembly point at the front of the building.  Please do not return to the building until instructed to do so by the fire warden(s).

Hugh Evans welcomed all parties to the meeting and confirmed the arrangements in the event of an emergency evacuation procedure.

Apologies for absence were received from Councillor Stephen Williams, Councillor Lorraine Francis, Councillor Christine Townsend, Penny Germon, Mette Jakobsen and Christina Gray.

To note any declarations of interest from the Councillors.  They are asked to indicate the relevant agenda item, the nature of the interest and in particular whether it is a disclosable pecuniary interest.

Any declarations of interest made at the meeting which is not on the register of interests should be notified to the Monitoring Officer for inclusion.

There were no Declarations of Interest.

To agree the minutes of the previous meeting as a correct record.

RESOLVED – that the minutes of the meeting held on 28^th February 2024 be confirmed as a correct record and signed by the Chair.

Up to 30 minutes is allowed for this item.

Any member of the public or Councillor may participate in Public Forum.  The detailed arrangements for so doing are set out in the Public Information Sheet at the back of this agenda.  Public Forum items should be emailed to democratic.services@bristol.gov.uk and please note that the following deadlines will apply in relation to this meeting:-

Questions - Written questions must be received 3 clear working days prior to the meeting.  For this meeting, this means that your question(s) must be received in this office at the latest by 4.30pm on Friday 17^th May 2024.

Petitions and Statements - Petitions and statements must be received two working days prior to the meeting.  For this meeting this means that your submission must be received in this office at the latest by 12 Noon on Tuesday 21^st May 2024.

Members of the press and public who plan to attend a public meeting at City Hall are advised that you will be required to sign in when you arrive and you will be issued with a visitor pass which you will need to display at all times.

There were no Public Forum items.

Ian Hird, Policy Committee Co-ordinator (15 minutes)

Ian Hird introduced this report setting out the arrangements for appointment to the Health and Well Being Board following the end of the Mayoral System and the introduction of 8 Policy Committees.

The Board’s attention was drawn to the section in the report which set out those matters which would require formal decision-making by the Policy Committee

(matters involving expenditure over £500,000 or 2 or more electoral wards as well various planes, policies and strategies).

It was also noted that the Health Scrutiny Committee would continue since it was a statutory body. The Board noted that Councillor Tim Wye had been designated as Chair and which would report to the Public Health and Communities Committee.

The three Policy Committees which reported to the Health and Well Being Board were noted as follows: Public Health and Communities, Adult Social Care and Children + Young People.

Mark Allen-Richardson, Senior Public Health Specialist, Bristol City Council (20mins)

Mark Allen-Richardson gave a presentation on this item and made the following points:

·       The statutory powers of the Board and the six workstreams were set out

·       The RAG ratings for each item indicated that they were mostly greens indicating progress since the last reporting period, with some items showing amber indicating progress similar to the previous period

·       The Board’s attention was drawn to the strategic approach to domestic abuse which had taken some time to set up a Task and Finish Group allowing survivors to build skills and tasks

·       Similar indicators were indicated for prevention of alcohol-related admissions and reducing childhood obesity prevalence and inequalities, together with achieving an age-friendly city as part of the Ageing Well Programme

·       The Board’s attention was drawn to goals related to mental health resilience for Children and Young People and improving physical activity amongst the most deprived wards. Their attention was drawn to the Bristol Active City Network as well as the Thrive at Night Work schemes. The peer network was continuing to share practice and work was continuing through the One City Boards and the Homes and Communities Board

Board Members made the following points and Mark Allen-Richardson responded as indicated:

·       The role of  Bristol City Council was important in providing good interventions

·       A framework review would be provided at 6 monthly intervals and on aspects of the reports throughout the year with more detail to give a qualitative insight into the detail of the work

·       Regular meetings were taking place with One City partners to test the goals and provide regular reviews. Children’s Services needed to feed into the process

·       It was important to ensure connectivity with the ICS to provide improvement and to hold programmes to account in particular areas – ie Type 2 Diabetes and Cardio-Vascular Disease

·       It was acknowledged that other groups such as the Strategic Prevention Oversight Group were important

·       The navigation of services and setting of priorities would be especially important since there would shortly be a new administration and new government

ACTION: The following issues to be picked up through the Plan on a Page:

•            The role of BCC in providing interventions through the ICB

•            The role of Children’s Services

•            Connectivity with ICS to influence improvement and hold specific health programmes to account (Type 2 Diabetes, Cardio Vascular Disease)

·       Link to read across to take items to the ICP for further consideration

·       How to use the plan to assess priorities

ACTION: Mark Allen-Richardson

Ped Asgarian, Feeding Bristol (15mins)

Ped Asgarian gave a presentation on this item and made the following points:

·       The legacy work for the 2030 Good Food work was continuing following the Going for Gold award that had been obtained in 2021

·       The project was engaging a wider group of stakeholders and was following a 2 year action plan that was released approximately 18 months ago

·       Food data collection was a key part of the measurement of system change

·       Stakeholders were a key element of the process, such as Feeding Bristol, the Square Food Foundation and the Wildlife Trust as well as allowing neighbourhood partners to carry out different work

·       Development would take place on the basis of a One City approach and creating proper Disaster Risk Planning which would look at the lessons learned from COVID, as well as Community Climate Action work

·       Other projects for 2024 included Eating Better and Urban Growing

·       The involvement of the HWBB following the end of the 2 year project in December 2024 and any support for funding for other projects would be crucial

·       The One City Leap Food Equality Strategy Action Plan (FESAP) had been released in 2022 with 5 main priority themes and with food at the heart of decision-making and had been produced with a multitude of stakeholders and community groups

·       The Action Plan had been co-produced in 2023 with a 10 year strategy and 3 year action plans including regular iterations of it.

·       Discussions on how to embed the FESAP across the city had been taking place with a range of stakeholders and was a major part of the decision-making process, linked to the Parks and Green Spaces Strategy and community climate action work and city regeneration work to ensure it is aligned

·       The project would support approximately 100 projects across the city for those struggling with food and equalities including family hubs, transport, housing, various community groups, cross-sector steering groups and anti-poverty groups. Key elements of the work include a food justice element and food resilience

·       Forthcoming events included Food Justice Fortnight 2024, Food Justice Networks to make locally produced food more available for areas of deprivation and British Food Education Charter which would involve work across the city in key areas such as schools

·       A city mapping project was taking place to support the Bristol Eating Better Award (BEBA) along with workshops for Disaster Risk Planning to assess the impact of COVID and look to obtain an improved response in future

·       The 1^st July 2024 FEAP would tackle food insecurity, food inequality and provide case studies with local data on the Joint Strategic Needs Analysis (JSNA) and community data to give both an overview and detailed

breakdown on progress with actions

The Board was requested to advise of any missing areas that needed to be included.

In response to Board Members’ questions, Ped Asgarian, Liz Le Breton and Lucy Tordo-Gillingham made the following points:

·       Work was taking place on contracting issues, quality and sourcing for school lunches. It was noted  ...  view the full minutes text for item 9.

Emily Moseley and Sally Hogg, Bristol City Council (30mins)

Emily Moseley and Sally Hogg introduced this report and made the following points as part of their presentation:

·       In 2020, Bristol City Council had signed a Healthy Weight declaration just before the COVID pandemic which was one of the three system-level strategies within the ICB strategy

·       Within the BNSSG area, one in five children were living with overweight and obesity and 2 of 3 adults and more than one million admissions linked to obesity in England. This deprived an individual of an extra 9 years of life and would soon overtake tobacco smoking as the most common cause of death

·       Data from the national child measurement programme had assessed that 80% of children will still be obese in childhood with children in the most deprived areas being the worst affected. There had been a big increase in these levels during COVID, particularly in Year 6

·       Obesity was still regarded as a lifestyle choice but a health map graph showed that there were a wide range of factors influencing weight. Some of these were complex issues leading to multiple causes and requiring a whole systems approach including co-ordinated work within the community

·       There were solid building blocks within the family and community. Another part of the approach was the impact of stigma and weight discrimination. The Local Government Declaration on Healthy Weight would help with this process in addressing the wider determinants of weight and support primary prevention. The BNSSG Joint Forward Plan for 2024 to 2029 would be partnering with Food Active to develop a declaration and outline the principal commitments set out in five different sections

·       The timeline was set out and included workshops, consultation mechanisms and representatives from different organisations. The goal was to achieve a 2025 ICS declaration in March 2025

·       The difficulties of aligning all the work in this area were noted. However, it was the only way to tackle healthy weight as an ICS.

Board Members made the following comments and Sally Hogg and Emily Moseley responded to these as follows:

·       This area required a strong lobby but was vital to address the damage of products perpetuating poor diets since it is one of the most socially unfair situations

·       The Board noted that priorities for this work were being set at the moment. The One City Board was continuing to focus on child poverty and the impact of this on educational standards which show decline in those areas most affected by this problem. It was also noted that similar discussions were taking place in local authorities throughout the country

·       They key focus of this work was unfairness, in particular the experience of those people with Learning Disabilities or Autism who may rely on lower quality food because it was cheaper. Since an increase in the quality of local food engenders good health, the way food is managed and provided in key organisations such as care homes was important. Key discussions were also taking place with schools who were a key element for children. The Board  ...  view the full minutes text for item 10.

The Board noted the Forward Plan, including the SEND strategy to be brought forward as required since it would form part of the HWBB.

The next formal Board Meeting is provisionally scheduled for 2.30pm on Wednesday 31^st July 2024 in the Bordeaux Room, City Hall, College Green, Bristol.

It was noted that the next HWBB meeting would be a Development Session and would be held at 2.30pm on Wednesday 26^th June 2024 in the Bordeaux Room, City Hall, College Green, Bristol.