PAPER 4.5 Edinburgh Community Health Partnership Health Inequalities Standing Group Minute of Meeting 29th April 2010, 2.30pm 5.00pm at Leith Community Treatment Centre Present: Margaret Douglas, NHS Lothian (Chair) Paul Hambleton, CEC Corporate Services Margaret Barbier, CEC Corporate Services Moyra Burns, NHS Lothian Health Promotion Lesley Boyd, NHS Lothian Lesley Blackmore, Lothian Community Health Projects Forum Fiona Bayne, NHS Lothian Health Promotion Antonia Ineson, NHS Lothian David White, Edinburgh CHP Harriet Eddie, Volunteer Centre Edinburgh Alistair Watt, CEC Health and Social Care Colin Murray, EVOC Laura Hamilton (representing Stephanie-Anne Harris) Vittal Katikireddi, NHS Lothian Suzanne Lowden CEC Corporate Services (minutes) Apologies: David Jack, CEC Corporate Services (Co Chair) Lynne Porteous, CEC Children and Families Carena Brogan, Capital City Partnership Stephanie-Anne Harris, CEC Corporate Services Maggie Murray, CEC Edinburgh Alcohol & Drugs Partnership Linda Cunningham, CEC SfC Item Note Action by 1. Introductions 1.1 Margaret Douglas welcomed everyone to the meeting and apologies were noted. 2 Minutes of last meeting, 11 February 2010 3 3.1 A correction was required to the minute of the last meeting. Vittal Katikireddi is to be added to attendance list. The minutes were agreed as a full record of the meeting on 11 February 2010 following the inclusion of the above amendment. HISG Action Plan Draft Annual Report to CHP Margaret Barbier spoke to the draft annual report and summarised the detail of the report. Discussion took place around the level of content required in the final report. It was 1
agreed that a higher level report was preferable and that it should not cover the detailed work of the thematic areas. In summary, the HISG agreed that: a shorter version of the annual report was to be submitted to the CHP. This should include a summary of actions as detailed on p2-3 of the draft report and a summary of the financial breakdown as detailed on p15 of the draft report with an additional breakdown of spend by theme. A high level strategic approach with a focus on outcomes was to be presented in the annual report. Examples from the thematic logic models were to be used to demonstrate the outcome focused approach. Both the shorter version and the longer version of the annual report are to be lodged on JHIP page of the Council s website., 3.2 A Future Strategy for health inequalities in Edinburgh Margaret Douglas introduced the circulated paper which addressed the development of a future strategy for health inequalities and the future role of the HISG. Vittal Katikireddi then spoke to the detail of the paper. Members noted that the Edinburgh Partnership had expressed a wish to take an overview role with regard to inequalities, but no details had been finalised. Members agreed that all partnerships had a role to play in reducing inequalities. HISG members also noted that any future approach to inequalities should link together the 3 national frameworks: Equally Well, Achieving Our Potential and the Early Years Framework. HISG agreed that : a short piece of scoping work should be undertaken with members of the HISG, a map of partnership structures in Edinburgh around inequality should be compiled, a report should be submitted to the next HISG meeting in June. VK VK VK 3.3 Outstanding Actions in the current HISG Action Plan Margaret Barbier outlined outstanding actions in the current HISG work plan. These included the review of local actions on the Equally Well recommendations and the development of a performance framework for health inequalities in the city HISG agreed that further work on a review of Equally Well and the development of a performance framework should be postponed until the scoping work addressing the future direction of the work on health inequalities and the role of the HISG is complete. 2
3.4 Communication Plan Margaret Barbier spoke to the HISG communication plan and highlighted aspects of the three year plan which had been completed and those which required further action. A discussion took place on the relevance of updating this communication plan in the light of the HISG s current drive to address its purpose and remit. HISG agreed that: the communication plan should continue to emphasise its influencing role with regard to policy and funding its key messages should be focussed on the prevention of ill health and should reinforce messages from key national campaigns an ideas paper addressing the future direction of the HISG communication plan is to be prepared for the next HISG meeting in June. PH/HE 3.5 Equality Impact Assessment The HISG approved the Equalities Impact Assessment undertaken for the Edinburgh Joint Health improvement Plan 2008-2011. 4 4.1 JHIP Thematic Action Plans issues and updates Greening Edinburgh for Health Antonia Ineson, Chair of the Greening Edinburgh for Health thematic group, spoke to the Greening Edinburgh for Health through Community and Therapeutic Gardening draft action plan. The HISG was informed that a successful stakeholder event had taken place on 1st April 2010 and, as a result of this consultation, the draft action plan would be further revised to incorporate comments from the event. It was agreed that any comments on this action plan should be forwarded to Antonia Ineson by 3 rd June 2010, and that a final Greening Edinburgh for Health Action Plan would be submitted to the June HISG meeting. Following discussion on the draft action plan, Antonia raised the question about the future role of the thematic groups. HISG members noted that many actions over the last 2 years had related to writing and implementing the action plans, and developing and monitoring funded projects. Members considered the wider influencing role of the groups, the potential to develop joint actions with a range of partners and for task groups to be independent of the HISG. Following this discussion, the HISG agreed that each of the thematic groups should be asked to report back to the June HISG meeting on the preferred future role for their group. All HISG members AI All Thematic Leads 3
4.2 Logic Model Sessions Update Suzanne Lowden provided a progress report on the outcomes of the five logic model sessions organised on the HISG themes in the first quarter of 2010. All of the groups had now received draft logic models from the Scottish Community Development Centre (SCDC), and most were now looking to further develop these logic models through an additional half day session. Overall the workshop series had been successful with a positive evaluation provided by participants. The HISG noted the spend of 7,673.30 for the delivery of the logic model workshop series and agreed that the overspend of 173.30 be drawn from the HIF Performance Management budget. The HISG also agreed that further half day sessions would be beneficial and approved additional spend to cover the costs associated with these sessions. HISG agreed that the social capital group should be approached to establish if it would require a further half day session on its logic model. SL 5 5.1 Investment Review / Issues Health Improvement Fund - Future Allocations Margaret Douglas spoke to the circulated paper, indicating that the HIF projects were coming to the end of their three year cycle of funding and were currently being reviewed by the Lothian-wide HIF Oversight Group. A list of the 19 projects based in Edinburgh and currently being funded from the general HIF allocation was provided in the report. HISG noted that a report would be made available in Oct 2010 seeking recommendations for future HIF investment. Final decisions about future HIF investment or disinvestment would then be taken in December 2010 by the HIF Oversight Group. It was noted that the current annual sum of 415,500 was likely to decrease year on year. MD 5.2 Fairer Scotland Fund Community Health Initiatives Tender The HISG was informed that a project team and project board had been established for the Fairer Scotland Fund Community Health Initiative (CHI) tender. The tender was scheduled to be advertised on 6 th May 2010 on the Public Contract Scotland website. In addition to this, the tender would also be advertised on EVOC s Compact website and the Neighbourhood Partnership website. HISG noted that Council officers responsible for FSF had advised that all FSF must be spent by 31 March 2011, which meant that the resulting contracts for CHIs would 4
terminate on that date also. HISG agreed that 45,000 should continue to be allocated to each of the 8 lots as specified in the tender documentation, giving a total investment of 360,000. 5.3 HISG Awards from Social Justice Fund and FSF Margaret Barbier presented a table of the HISG awards for both the Fairer Scotland Fund (FSF) and the Social Justice Fund (SJF). The table also summarised the HISG s total income and expenditure from both funds for a three year period from 2008-2011. HISG noted the remaining balance of 46,650 in the Social Justice Fund and 27,003 in the FSF allocation. 5.4 FSF Funding for 3 Edinburgh Community Health Initiatives Alistair Watt spoke to the circulated paper. The HISG was informed that following a recommendation made to the Council in February 2010 concerning a reduction of 50% in core costs to 3 community health initiatives, it was now necessary to seek confirmation from HISG that a total of 47,971 would be made available to the 3 projects from HISG budgets. The projects in question were: Pilton Community Health Project, Health All Round and Wester Hailes Health Agency. Following a lengthy discussion, in which concerns were expressed at the transparency of the process and regret that the HISG had not been asked to approve this allocation at an earlier stage, the HISG agreed that unspent funding from the SJF and FSF budgets should be used to offset the reduction in core costs for the 3 community health projects as detailed in the report. The agreed sums are as follows: AW Pilton Community Health Project 14, 647 Health All Round 20, 034 Wester Hailes Health Agency 13, 290 Total 47, 971 6 6.1 Please note that the sums in paragraph 2.1 of the report contained an error which was corrected after the meeting the above sums are the correct ones. Policy Review Marmot Review Executive summary The HISG noted the publication of the UK Government s All HISG 5
Marmot review and the circulated executive summary. HISG agreed that the Marmot review provided a useful framework for tackling health inequalities. The chair asked that such an approach be considered for future HISG work. members 7 AOCB 8 Dates of Next Meetings The date of the next HISG meeting is 2.30pm 5.00pm, 17th June 2010, Dunedin Room, City Chambers. All HISG members NOTE CHANGE OF DATE The date of August meeting has been changed to 12 August 2010. Venue will be the Mandela Room, City Chambers 6