Transcript

likely to be in employment than the Lambeth population. So this is again the same data on employment rates, but for disabled residents. And if we look at the chart on the right, this one is showing a different picture to what we've seen for the population as a whole, in that instead of seeing a drop in the most recent year, this group has actually seen an increase in employment since last year. And in fact, there's been a general trend of increasing employment since 2016. And for this measure, Lambeth is similar to London and England averages and ranks the second best out of the group of comparator, local authorities. So the last three slides now will tell us what we know about community connectedness and community cohesion. So firstly, we've got some information about feelings of loneliness. And the most recent data we have on this is from 2019 to '20. So things may be a bit different now, but at that point in time, 24% of adults in Lambeth reported feeling lonely, always, often, or some of the time, which was similar to our comparator neighbours, and also similar to London and England values. And in terms of inequalities, people living in the most deprived areas were more likely to report feeling lonely. (mouse clicks) And from our most recent resident survey, 81% of residents felt that their area is a place where people from different backgrounds get on well together. And this has been fairly stable across recent years. But only 39% of people felt that if they needed advice about something, they could go to someone in their neighbourhood. And this has been reducing since 2021, particularly in the last year. (mouse clicks) And then this is the final data slide that I'll share today. And this shows that 37% of residents thought that their town centre is attractive. And again, that hasn't really changed over the last few years. And 44% of respondents thought that their town centre is welcoming. And again, this hasn't really changed since 2021. This slide is purely for reference. It's in the papers shared with board members. So if anybody would like to look at either definitions or more data source, they can follow the links to that. But I will stop there and I'll unshare my screen and happy to take any questions.

• Thank you very much, Rachel. And I commend you on the presentation. Including data sources is always really helpful. And also not just numbers, but percentages is also very welcome. So that we're much closer to some sense of accuracy in the data that we're looking at. So thank you very much for that. We'll now turn to members' questions.
• Thank you. I was gonna ask Sue, the employment rate for those with a disability has increased, which is really positive. And I was just wondering if there's any learning you can take from anything that has happened to support that to the other groups. So I'll take, we'll take them in the round if you don't mind, Rachel.
• This was similar in terms of, is the next step now to look at initiatives that have worked or not worked over the last few years and where the gaps are. And we can get other parts of the system helping with these sort of problems. For example, today, we made the top working pensions in our surgery. Then we put a worker in our surgery to help people who are not working to get back into work. Expanded throughout the whole of Lambdas. They're saying, how did we make that happen? (silence)
• Okay, so do you wanna respond, Rachel? I didn't see any of that. We'll come back to you afterward. We'll do three, rounds of three. There you go.
• My turn. - Yes.
• First of all, I'd like to ask the 30% of older people, what is older people over what age? And also, I think what we just said about the DWP, I'm still concerned and I know I'm half young from last night in the motion, but winter fuel payment, as we have 16 million pounds unclaimed, which is equating to over four and a half thousand people in the borough of older people. Is this something we could do to DWP in surgeries, et cetera, to get that money given out to people who urgently need it?
• Very good. Okay, we're thinking together. Rachel.
• Yeah, thank you for those questions. Yeah, so the data on disabilities, yeah, I think it is really interesting that that's showing a different trend. I think we need to look into it a bit more to understand the reason for that. So there could be lots of different reasons. It could be a really good news story, but I think we need to understand what it is that has driven that increase. And for example, could it be changes in definitions of disability? Could it be changes in number of people considering themselves to have a disability? So we need to understand it a bit more, but absolutely then once we've understood the data, then to look at what activities or initiatives have led to an increase, if it's a genuine increase, and see if there is any learning from that. In terms of the older people, the age range is 60. Let me just double check that. (silence) Yeah, people aged 60 and above. I think, and then the final comment was about winter fuel payments. So that probably isn't my area of expertise to answer on, but I think it's a really valid point. And I think it's a really important point to maximise income for people to make sure that they are claiming everything that they're eligible for. But there may be other people in the room who are better able to answer that question.
• Right, so that would be really ideal if somebody could do that.
• I don't think I can answer the question, but I think, I mean, partly why we bring the data here is to give a bit of an overview. So the board can ask for us to bring back issues they want to delve into. So if this is an area that you might be interested in looking at and understanding better, we can look at the data, but we can also bring in the team that's responsible for this work and come and talk about what they're doing, if that's what the board would like. So I think partly why we do this is the recognition that this is a partnership and the health and wellbeing strategy covers a whole range of partners. And it's our responsibility here to, I guess, monitor what's going on and to seek more information if we need it in whatever way we want. So I guess I'm just putting it back to the--
• Yeah, thank you for that. Andrew.
• Just on that point, so I think we've had here in the past the work of the cost of living team around not just making available targeted resources for those who need it most, but also how we increase uptake of existing benefits. We have every pound counts team, which operates with the people with high needs, but there are other means of kind of raising awareness of people's benefit entitlements and so on. It would be good to understand whether you're measuring the impact of the work with DWP, 'cause if it is successful within GP surgeries, I'm sure we could think about whether that could be expanded to other surgeries, potentially other places as well. (indistinct)
• They either have certain everyday clinics, the worker in the doctor's unit.
• I think that's a great idea. And I'd really like to see whether or not that can be pursued. So that's an action that we must take from here. And that role, if that exists, is helpful in supporting our aging population, our older generation with accessing benefits too, so that it might fulfill that as well.
• On the unclaimed pension credit, the big problem here is the application is so long and vast, people give up. So I think it really is a case of having, you say DWP or someone, they give up because I think it's 200 pages long. I mean, it's just ridiculous. And if you've got someone who's 80, I mean, I don't think I would want to be filling that out. So I think, you know, there needs to be some help on this.
• Okay, so let's take that as a way as an action for us to explore. (indistinct)
• I think so.
• I'm sure there are actions already.
• Yeah, and then we can bring back and people will be reassured or there'll be some progress that we can make on that. That's great. I was thinking, is there any other board members? So I was thinking about the work around disabilities and whether or not that's a strand, whether or not this data goes to the Employment and Skills Board in terms of supporting the employment, people staying in employment or accessing employment from a protected characteristics perspective of which disability is one. And there is a subgroup of the Lambas Employment and Skills Board that focuses on the equalities agenda. I'd like to ensure that this data goes there for a start. And therefore that will help to attend to suggesting in terms of those roles and in terms of what exactly that we're doing to support. And I do believe that one of the priorities of that board is actually paying attention to what you've identified here, Rachel, which is singing large in the data, but it's also a pattern that's been present forever and a day of the massive levels of unemployment. And it is massive amongst black communities. There's an issue around disabilities and there's an issue particularly around women post COVID. And there are strands in the Employment and Skills Board work streams, which are attending to these. So perhaps it might also be useful at some point as a response to what the data is saying, because we're trying to move closer to data to help to inform our responses, our actions and our strategies, but that data needs to be triangulated. So it's this as well as other qualitative and quantitative data and anecdotes and stories that help us to have a much more intelligent conversation leading to a more intelligent response. So I'd like to see that happen, please. So that's an action. I can say that because I used to chair the Employment and Skills Board.
• So is there also an Education Board? 'Cause I think this is powerful figures for them to be spreading throughout the-
• Education are represented on there. They're one of the stakeholders. So we've got the schools, we've got the colleges, the schools, we've got them.
• How are you gonna help us solve them?
• The Employment and Skills Board, which has all those stakeholders present on the board. So we need to get familiar with that and they need to get familiar with this. So we're looking to join up the systems, yeah? Okay, so that's great. Thank you ever so much.
• Yeah, sorry, could I just bring up one other item up that wasn't mentioned. The percentage of people feeling safe in the evenings is only 56% in Lambeth. And I know last winter, and obviously we're coming into winter now, one of the big issues I had over and over and over again from residents was about nighttime safety with lighting and how dim the lights were. And it's fine when you walk out of the town hall and it's nice and bright, but when you get into residential streets in Streatham, it really isn't. And if you're a woman or kids on their own, and I did put lots of members inquiries in, and I was told that they were at a safe level where they should be. But I really do think we need to look at certain areas as to what the brightness is and also make sure we're checking them. Because one area in particular, I had residents who just kept coming back and coming back and saying, this is outrageous. I went down there and it was very, very dim. And we got someone down there to measure the lighting and hey presto, it wasn't at the level it should be. So I think it does also need to make sure it's being checked. But I think lighting is a large concern for residents.
• Okay, so that one there, there's also an action I would say, because I recall that this is a component of the violence against women and girls strategy. So we need a sort of update on the progress that's been taken around the actions pertaining to this specific item. It is contained within the bulk strategy. Okay, thank you. Move on to the next item. I'm really conscious. I don't think I've been as conscious of time as I need to be, but I'm letting you all know that I'm getting back onto the timer situation. Right, so I'm asking you all to cooperate with that so that we can finish on time. Okay, so I'm asking the board to note the report. Thank you all. The recommendations, the actions are agreed. Thank you very much, Rachel. Okay, so shall we move on to Lambeth Health Determinants Research and Evaluation Network. Anna Coffey, Grace English from High Trees, you're in attendance please. And Sophie Luna, Ella Jones and Ellie Townsend and Harry Jenkins. So thank you very much indeed for the invitation to come back.
• Three minutes.
• Oh, three minutes.
• Yeah, three minutes.
• In total?
• Nine in total, but three per person.
• Oh, okay. Yeah, that's fine.
• Could you speak up a little bit?
• Sure, of course. So thank you very much indeed for the invitation to come back. I came first to the board about a year ago to explain what the HGRC, the Health Determinants Research Faculty is. We're now entering into our third year of operating, which seems amazing and have moved very much from mobilization to delivery. And a key component of that delivery is in respect of the way in which we work with community organizations and work with our communities in terms of understanding how they can be more closely involved in research. So I wanted to invite colleagues that we're working with across the borough to come and explain some of the work they're doing very briefly. Emily's just going to give you a bit of an update in terms of our own community knowledge network, which delightfully met this afternoon for the first time and it went really well. So Emily's going to give you a quick outline of that and then we'll hand over to our colleagues.
• Everyone, so I'm Emily. So we've been developing the community knowledge network probably for the last eight months, but we started our first community engagement work with Rooted by Design probably a year ago now, but we first of all met with community organizations, brought them together, had conversations about what is research, getting their feedback, and that's kind of informed our journey then over the last year to where we are now. So we earlier this year commissioned Mavodilico CIC, they're a Southeast London based organization. They did a big piece of work around building a race equity network in Southwark. Earlier this year, probably last year. So we commissioned them early this year to work with us and they're working with us for the next year to build a community knowledge network. And that's a working name. So we're happy that that name may be different if that's what the members decide it to be. But basically we've been inviting people over the last month to come along today. And we had a session over at Clapham Library and the group that met today consisted of 15 community members. So very diverse background. So men, women, people with disabilities, and yeah, various ages. So it was quite a good representation, I believe, of the VARAM. So we brought everyone together. So 15 community members and there was also 15 system partners. So I think we had representatives from seven different teams within Lamb of Council. We also had two academics there from KCL and UCL. So King's College London, University College London. Blackfri were due to attend, but due to sickness, couldn't attend. So, and it was a wonderful conversation. I was a bit apprehensive bringing community members and staff together 'cause we really didn't know, we didn't have a delay co-facilitating it where the conversations were takers. But it's, yeah, really interesting conversations. People very much on board with a positive mindset as to where we go next. And we will be meeting for our second workshop next month. So I'd say that's kind of our most up-to-date in terms of where we are with that network. And the idea being that that network will choose our research priority. So up to now, we've been focusing on the research priority, sort of looking at the Lambeth VARAM plan and the health and wellbeing strategy. But from here, we will take what sort of the top three or five areas that that network will bring to us. And that's what we're gonna focus on 'cause we have limited capacity within our HDRC team. Hopefully that gives you a flavor, but happy to answer any questions afterwards.
• I'd like to invite Ella, who's gonna talk about the Brixton project and their research exchange.
• Thank you. Thank you for inviting us here.
• We actually want to speak up. We can't hear you and this is a live situation, which means that the public ain't gonna really hear you. So if you could just- - Is this hard enough?
• Yeah, that's great. - Yeah, okay. Hi everyone. Thank you for having us here today. My name is Ella. I just firstly wanna send apologies on behalf of Binky Taylor, who's the partner at the Brixton project. She would ordinarily be here, but she's moving house. So I hope I can fill her shoes. I'm the business development lead at the Brixton project. We're a participatory placemaking organization using creativity and culture to and collective resilience in the face of a rapidly redeveloping local landscape, intersect inequalities, exasperated by the pandemic and the future threat of the climate crisis. And with the support of Lamb of Heart and impact on urban health, in March 20th of this year, we launched the community research exchange, I'll call it the CRX, going forward, which brought together our local residents, organizations, creative practitioners, together with academics, funding bodies, governing bodies, for three days of expansive interrogation into how we can best embed community-led narrative in research. COVID-19 unearthed just how deep rooted inequalities penetrate every aspect of our social life with those most vulnerable at the forefront of study and scrutiny. With urgency, we probed, consulted and collected data that are equipped with a narrative far removed from the daily life of community. And as one of the organizations tasked with engaging those most effective, we know only too well how the process can burden, exhaust and actually reinforce incapacity. So the CRX seeks to mark a shift from extractive to reparative research, a model led by the lived experience of community, prioritizing listening, forged in creativity and measured by collective action. We commissioned 60 local partners and 200 residents in panels, workshops, round tables, music and dance to unpack what community research actually is. I think after the pandemic, we became aware of this word, community research, and there was a sort of rush with academia funders to sort of collect data and all of a sudden kind of require community partners as part of their research and funding bodies finally kind of needing community engagement as part of their criteria and to fulfill their criteria. So subsequently, a number of organization like ours and probably High Trees as well became concerned with or implicated in community research. However, methods of storytelling and story collecting have always taken place in community, whether in estates, community centers, libraries, or places of worship. The guardians of these networks or community leaders were definitely not however considered community researchers. So we invited these leaders along with those conducting community research more formally fellow organizations like High Trees and those institutions interested in what community have long been telling to share our work, identify overlaps and locate the gaps. A road mapping workshop in the summer with a cross section of those involved in the launch marked intention, commitment and delivery against an accountable timeline, which has come to inform the outline of a program between now and 27. This program has further been shaped in conversation with Lambeth Council across various departments and employees who after hearing us present our findings from the CRX at lunch and learn, we're keen to find out how they might embed the model as a creative framework, the best informed service provision. So our plan 2024 to 2027 program therefore aims to embed the lived experience of local people in the creative delivery of Lambeth's borough across the agency, ownership and belonging. So my proposition kind of in a space like this evening would be how my framework for engagement or research serve and shape your own service provisions to ensure it meets the needs, hopes and desires of service users. And it's so interesting coming here after today's workshop with Lambeth Heart and Mama Delico, co-creating what the next year might look like in shaping a community research provision within the borough that truly serves the community and Lambeth Heart were sort of really incredibly open in letting us take the reins in delivering the CRX in the kind of unorthodox ways that we often do, which I think is crucial in shifting the power dynamic between community and governing bodies or indeed funders. And I think they are truly leading the way in the sector and doing so hopefully making space for others to follow need (audio cuts out) Three minutes. I don't know. And now if our colleagues from High Trees could give us (audio cuts out)
• So we've got basically five minutes done.
• Yeah, the nine minutes is done. So we might have a minute.
• I was gonna say, chair, would you mind if-
• A minute, yeah, a minute or so. Yeah, I'll say it starts at three.
• Is this okay volume, Wyeth Holmes?
• Just a bit louder. Just speak like you're trying to-
• Like I'm shouting at you all. Okay, I'll give that a go. So we're from High Trees and High Trees is a community trust-based in Tull's Hill. We've been delivering services to the local community for the last 26 years. We've probably been undertaking what would now be considered community research, but wouldn't have been considered it then for about the last 10 to 12 years. Two years ago with four other community-based organisations, we set up the Lambeth Community Research Network, which is what we're here to talk to you about today. The basic principles of the network is that the community and voluntary sector holds an incredible amount of research expertise that is of value when undertaking research. There are lots of organisations in Lambeth that are at different points in their journey. Some are already undertaking fantastic research. Some have the expertise and have the knowledge, but will need more capacity building in order to be able to contribute their expertise in the way they should. It's that research should be of value to the communities being researched and they should be meaningfully involved in that. And that might be helping set the research priorities. It might be directly carrying out the research. It might be kind of helping frame what that should look like and that it should be meaningful for them. So if a community is being asked to take part in some research, they should see some value at the other side of that. It's the research undertaken by communities and community groups can be and should be as vigorous and of high quality as more traditional types of research. And one of the principles is that the ethics processes that might work or perhaps don't work, but are designed for academic institutions are not appropriate for what we would consider community-based research. What the network aims to do is provide the infrastructure within Lambeth to help us all reach those aims. So it looks like membership development and support, bringing other organisations, whether that's other Lambeth charities or whether that's academics or civil society, research institutions, alongside us to do that. It's creating a resource bank. So there is an accessible and usable online resource for organisations and Lambeth communities to easily access research that's relevant to them and to share the research that's produced. It's helping shape and helping everyone involved shape what community research is and should be and is used for. And it's about influence and action. So it's about helping community groups, organisations or communities themselves take action based on their own research findings. There's a lot more to say, but I've tried to be super quick.
• That was great. Thank you very much for that. So I'll ask the board for any questions.
• So first off, well done. So some of you might know this, but I was involved at the very beginning of the half. So I'm delighted to see how far we've got along that journey. What I'm really interested in though is how we use that community, sort of the community knowledge network, the ethos of it more broadly outside of heart. How do we make it accessible to statutory organisations, for example, when they're doing work, which they might call engagement, but actually that we can actually use some of this infrastructure to turn some of that almost into research itself, so that whatever comes out of it then is somehow captured and used going forward. It's not a one-off thing that happens with a particular bit of policy, but we can actually track it over time and bring the community with us, if you like, and make them very much part of that process. 'Cause it feels to me that there's an opportunity to do that, but I'm still struggling to work out how do we use it as an anchor point? So if guys at St Thomas', for example, want to do something and they are looking at the community, how do they tap in and use this infrastructure to enable them to do that in a better way than they would do otherwise?
• Some useful feedback. Ding, Raj.
• Yeah, I think just to reflect Ruth's comments really, I think I'm really pleased that this is here and I think it's fantastic work, but I guess I'm interested in more broadly what do you hope the legacy of all of this will be? What do you think? I hope that this will continue beyond the funding period or we'll find a way to do it, but if it doesn't, what do you hope will be left and how do we ensure that Lambeth becomes, I guess, this sort of melting pot of research that people want to come to and how do we make sure that given our large BA/ME population, we can sort of feed that into research, which is sort of neglected and not really reflecting clinical trials and other things around the country.
• Where was our next? It was here.
• Navy's first.
• Yeah, it's raw. You start.
• Thank you. You've obviously been working with Black Thrive, but I'd also like to ask with regards to anti-racist research, are you involving the Portuguese and Spanish community as they're the two largest non-speaking English communities? And also I know I've had a lot of dealings with over the last few months about the LGBTQ community within the Spanish and Portuguese community itself. There seems to be an issue there that's very concerning. So that's question number one. Question number two is elderly people. And obviously as people get older, they become progressively less able to communicate and how are you going to communicate? How is that going to transfer between you and them?
• Questions about that.
• Can your community research have any capacity to-
• You are actually going to need to speak louder.
• Sorry.
• Yeah.
• Community research have any capacity to also help us in making policy or services that we all commission and are involved with. We want the community to be able to also help people shape how they're serving the world.
• Right, he's near you.
• Oh, he's there.
• He's there.
• He's there to me.
• Okay.
• Yeah, yeah, yeah.
• So it's all good.
• Do you want me to answer?
• Yeah, you put up die and then you put one minute.
• Mine was a comment for fellow board members in the neighbourhood and wellbeing delivery lines. I think we were kind of early adopters for doing some community research and we did some on chronic pain, some on hypertension, asking focus groups and doing individual interviews on people's experience of being diagnosed with high blood pressure. And what came back was completely unexpected to be honest. And maybe now's the time to try and revisit some of that work and work out what's next to do with it. 'Cause I need help.
• Okay, thank you.
• Thank you board members. That's really helpful commentary and questions. In terms of the question which Ruth posed about how are we going to make the infrastructure kind of available, if you like, to the wider system. That's exactly what we're trying to do. And we're working very closely with our colleagues. As a HGRC, we were really keen to make sure that we could just come in with our size nines and stamp over everything that was going on. 'Cause there's some fantastic work already underway in the borough. So we've been working to amplify and grow what they're doing and act as the kind of bridge, the conduit, if you like, into the council as a decision maker. Obviously the HGRC is focused on the council, but more broadly in terms of the--
• The H, what?
• HGRC, which is the Health Determinants Research Collaborative. So that's our funding. So we're acting as the bridge into the council and to the wider system. And we hope to be able to support colleagues who are doing community research and developing these kinds of networks so that it's easier for them to get into those kinds of decision-making fora, if you like, and to provide the kind of support which colleagues have mentioned that they'd be interested in. So we're very happy to kind of make the connections and just do that kind of connecting work. So really keen to do that. In terms of the legacy, you're right, our programme is funded for five years. We're optimistic that we get continued funding. The national body that fund us, the National Institute for Health and Care Research have got a full ongoing budget for this kind of work. However, we think they might want to share it more widely than they do at the moment with the 30 health determinants, research collaboratives that are in place. But we're able to influence that at the moment. They've asked for kind of thinking. And we're thinking about how we do that in London as well as how we do it nationally. So we're coming together as a community across the country of similar organisations to think about the sustainability from that perspective. But in the meantime, in terms of the way we're approaching our work, we're very clearly trying to anchor it within the organisation. So it doesn't become dependent on us as a separate team that could, in many respects, become quite peripheral to the organisation, but that we work really closely and alongside people from within a number of different services. And part of that, an illustration of that, is we've just appointed a joint role which sits within adult social care, is funded separately to our funding, but has a reporting line through to us. So we'll support them in terms of their research capability and they'll bring the service expertise, if you like. And we've just gone out to advert for us an equivalent role for housing as well. So we're looking at those sorts of things and we work very closely with service teams in terms of creating the collaborations, both with our research community, if you like, in Lambas, but also in terms of our academic community. So we're anchoring what we do within other bits of the system so that it outlasts us, that's our kind of primary aim to make sure it's got that kind of longevity. In terms of- - Could I just say, also in terms of the sustainability, I was just going to see if High Trees and Brickson Project want to talk about, 'cause they've also applied for various funding calls. Can you hear me? So High Trees and Brickson Project have also applied for various funding calls already, which I think speaks to sustainability of the ongoing research. I don't know if you did an additional speech yet.
• Okay, thank you.
• No, and I think, so you're right. One of the problems we're trying to fix is that there's good intention, but absolutely unnecessarily duplication of work. There are communities that are massively over-researched and there's research saturation and there's no order. And if we love anything, it's imposing a bit of order. So I don't have the idea of creating this research bank and trying to create this network is to deal with that problem, is to make sure that there's some order, that it's very easy for everyone to access the research that does exist, to see research gaps, to be a central resource bank. So that's very much at the forefront of our mind. We're not just undertaking our own research or commissioning research. We're trying to help fix that problem and working with colleagues to do that. I guess what I'd say to what's the legacy is partly this. So partly it will be kind of the infrastructure, the order, but we're the legacy. Like part of why we think it's so important that it's community anchored organisations that are doing this work and carrying out the research is that our interest in the communities aren't just as research subjects. We were here 20 years ago, we'll be here in 20 years and actually to make this work meaningful, we believe you anchor it as close to the communities as possible. On Portuguese speaking communities and Spanish speaking communities, so the Lambeth Community Research Network is High Trees, it's Black Thrive, it's Ermo, who obviously are Portuguese, Spanish speaking, it's Stockwell Partnership and it's Juventus. So it is reflective or as reflective as possible of the organisations anchored in Lambeth who speak to all the diversity of communities in Lambeth. And we are self-selecting in that we're already carrying out research and we're interested and we work in partnership and all sorts of other projects. But the intention is to very quickly expand the base and bring other organisations on board.
• Thank you very much. And so the board is asked to note the progress in continuing to deliver the Lambeth Heart programme and to recognise the developments which we have. We've given feedback and we wanna make sure that we have regular updates to this board going forward of the works that are being conducted because we're interested in how does this serve as an asset in the system when we're sort of as a council and as our stakeholders responsible for the public purse and how that's deployed. And we wanna make sure that we are getting a range of information to support us once again in our thinking and our decision-making. So we welcome the work. Okay, thank you very much. I will move to the next item which is the Public Health Annual Report. Agent Wells, I'm trying to remember the full report. I don't know. I don't wanna not give it time. I'm getting all distressed now. But anyway, please, Impi.
• Thank you, Chair. So I'm really delighted to be able to present this year's Director of Public Health Annual Report. I'm really sorry. We had hoped that each member of the board would have a copy. We're just in the process of finishing off with our designer. But I think that next week they will be online and we should get a copy. Partly why we've chosen this group because we know already it's probably interesting to work with them. And we also can see whilst the work that we do, the impact of the population that we have and that population is changing. This report really is wanting to highlight the importance of prevention and taking a preventative approach to aging. And also really for us to consider how we begin to adapt our services to the aging population that we have, but also not forgetting the importance of I guess in health inequalities.
• Thank you, Jess. I think you're sharing slides for me. Let me move on to slide three, please. That'd be great. Thank you. So I guess, yeah, one of the joys of Director of Public Health is to produce an annual report. It's in retirement and it's really to provide some element of state affairs for the population, but also really give an opportunity for us to focus on an issue and consider how we take action accordingly. So this report really just provides the story of aging in Lambert. And what we try to do is to bring together the local data that we have, community use, some of the research that we've done, and also to draw on current initiatives and really ties in with a lot of what we are focusing on locally in terms of direction of travel with Lambert's 2030 commitments. So one of the things that this report also does is to help us understand the future and current impacts of Lambert's aging population. And there are a set of recommendations to all of us, basically, because this is something that affects us all in some respects. And it also really wants to take a holistic approach towards aging by taking that broader view of looking at some of the wild determinants of health and in recognition of how those impact on aging. So if we move on to the next slide, as I've alluded to, our population is aging, but we're also seeing quite a lot of diversity. And we've very deliberately not defined or provided an age range, but what we feel older people may be. And that's really because we recognize that aging is experienced differently by everybody, and we will each have our own perception of when or if we feel older. So you will find that throughout the report and we do talk about older people in when we've got specific dates related to age groups. We will note that, but I think we're very clear that we're not defining what older people are. It's in Lambeth. And just to say that currently we have about a quarter of the population in Lambeth is over 50. And we will be seeing quite a significant increase over the next 10 years of older people, particularly the 65 plus. We also know that currently over half of our, over 65 year olds are from ethnic backgrounds and about half of them are born outside of the UK. So really shifting some of what we've seen previously. And although people may be living for longer, we are seeing them live with poorer health. So about 20 years of persons life is missing in health. However, aging doesn't automatically say you're not going to enjoy good health in later life and you shouldn't be making assumptions that all older people put a demand on society, older people have a lot to offer. And we have seen that in different ways in Lambeth. So I'm really just wanting to highlight, as I mentioned, the fact that we need to be focusing on prevention and we need to be addressing health importance in relation to aging. But the key message is for all of us, whether individually or collectively, is that in terms of prevention, it's not too early and it's never too late. The report covers these four themes. And if we move on to the next slide, I can very quickly recognize every time at least grades. Some of the key things that are important in relation to aging, it's important that we consider the environment and how that's adapted to ensure that our physical and mental health can be supported. So looking at things like improving ability and quality and ensuring that there are opportunities to people to live independently by having aids and adaptations. We also know that the design of the environment has a significant impact on older people. And so, again, really important that we design our neighbourhoods to ensure that we support older people who are able to connect, but also to ensure that some of our built environments as well are supporting older people and supporting some of our older people who may be more vulnerable to some of the changes in climate. So some of the adverse heat and cold events and flooding. And then in relation to preventing ill housing, living life and service utilization, that we very clearly try and use the word service utilization we recognise that as people age, they are also likely to use our services more. Don't see this as a demand. We see this as the utilisation of safety. We see in Lambeth that quite startling actually, half of 30 plus have at least one long-term condition and a third of people in Lambeth have three or more long-term conditions. This is over 50, so very, very stark. So we recognise that if we continue this way, there will be higher needs for our services. And these services are not just health services, but beyond health and care services as well. And in terms of mental wellbeing, again, actually really positively, the older people in the borough have really good mental health wellbeing, but from about 75, that declines quite sharply. And so again, really thinking through how we can maintain that good mental wellbeing and by having a sense of purpose and possible relationships. Moving on to the next slide. This covers the economy, workplace and cost of living. I think we've already alluded to some of that today. I won't go over some of the stats, but we know that 50 pluses are claiming out of work universal credit. It's higher than that of London. There is work happening locally around this as we move through the employment and skills board, but a large proportion of those are reporting long-term health conditions and that has been a significant cause of people being unemployed. We also know that about 1/3 of 50-year-olds plus in Lambeth are economically inactive. So that again has significant impacts in terms of rising pension and poverty. And we've kind of also talked about claiming benefits. And in terms of community and social environment, I think aging is frequently negatively stereotyped and that also intersects with other forms of discrimination and that has a significant impact on people's health and wellbeing. And we really need to reframe how we view and how we speak about older people. And we also know in terms of social and community connections adults over 50 are more likely to experience loneliness, believement, and it impacts their physical and mental wellbeing. About 1/3 of people over the age of 65 live on their own in Lambeth. Just going on to the next slide, please. Jess, thanks. Which is the recommendations. So the Director of Public Health reports full-size recommendations to everybody. And I think it's really pertinent that with this issue, which is we are really off of this, and it's also very deliberately supporting the work that is currently, which you will hear about in the next item, the age-friendly work that we are doing. So it really supports some of the evidence about that work and to really tell that work going forwards. So the recommendations really have brought an action to all of us, as I said, and we all have a part to play to support aging well in the borough. I'm going to go very quickly because I'm cautious of time. (laughs) But there are 10 recommendations. The first one is really making sure that the age-friendly action plan that we're currently working on starts getting ownership beyond the council, beyond the health sector, and how we really make our whole community feel part of the family and the age-friendly action plan. I've talked about age discrimination and inequalities. Again, we really need to challenge some of the negative stereotypes that we've seen relating to aging, and also the recognition that a lot of the discrimination and inequalities we see start by early in life, and it's really because it houses people get older and then we see the widening of inequalities in older life. So really starting early, we've made a commitment here in Lambeth and as part of the Health and Wellbeing Strategy, around taking an anti-racist approach, and that's very much recommended that we really make sure we're tackling racism across the whole of our life, of course, if you want to see changes in the outcomes that we see are altered. And then really how we have much more consciousness about aging well as we look at our policies, as we develop our policies and through our practices. And this is really trying to help us think through how we are embedding the configuration of aging wells into what we do. And then related as well to the accessibility and the opportunities for older people, it came across quite strongly when we spoke to our residents. They really want to know what's going on. They have a sense that they either don't know or information is provided in an accessible way. So again, there's a pull out to statutory partners to really look at ways in which we can make this available to our older residents and in suitable formats as well. To move on to the next slide, please, Jess. And then we've talked about the built environment. Really important now to start thinking about what's happening now, but what will be happening with the increasing number of older people and how as planners and developers needs to really ensure that future housing is built to meet the needs of the aging population. And that would look at things like connectivity, size, accessibility, and location. And then the next recommendation speaks to the public realm, again, if we want our residents as they age to still feel that they can go out and feel safe, then we need to think about how we maintain the public realm, what facilities that are available to them in terms of the use of transport, but also access to things like toilets or places to rest. So again, ensuring that they feel confident enough to be out and about. And then I guess it speaks to all of us. There are lots of universal and targeted preventative services that are on offer. And yet screening programmes, vaccinations, and how really important that we support our residents in taking up these opportunities that we have a role as well in terms of making them accessible to people and recognising that we need to take into account those who may be at greater risk and less likely to access the services and really considering different ways of reaching these populations. And then just the last slide, it's the last three recommendations. So related to the first one, which is really around primary prevention, this recommendation is around the secondary prevention and the management of long-term conditions and how really importantly I've already talked about over half of the population 50 plus have at least one long-term condition. And we know that if that's not managed well, it's just the gateway to more and then the likelihood of more of the health later on in life. So again, it's around NHS colleagues in terms of identification and the management of long-term conditions. Again, we recognise some of the inequalities within that in terms of access and outcomes and really looking at ways in which we can address those. And then poverty is a driver of what we see locally here and whether it's through poor health or through lack of employment. And the council's already working on developing an anti-poverty strategy. Again, this is something that everyone needs to rally around and very much also involving the community in terms of solutions to address poverty. And to all employers in the program, really important that we need to keep people in the workplace. They want to stay in the workplace, they need to exist. And you have a good sense of mental wellbeing as well. And we all have a role in terms of how we support our employees in being able to keep healthy for longer. So I'm going to stop there. Just to say that the link will be sent next week to the report published on our members website. We are very keen to get feedback from it. Really, just to say thank you very much to (mumbles) who have worked very hard to pull this report together. Partly everybody, but the whole public health team and residents and others have been fed into (mumbles) Thank you.
• Thank you very much. And we really welcome this report because we really do want to support the aging well agenda in this borough. And I think that it's right that you say that we have to, it's a whole thing, it's a whole lifespan agenda that also if we're not dealing with the earlier ages in terms of some of the contributors to poor health and liberty, then it will explode in the older years. So it's great that we're attending to it in this way and have prioritized it in this way. So may I ask board members if they have any questions or comments?
• Thank you, Bim Pei. I just, as you quite eloquently said, the population is growing and a third of Lambeth residents to be elderly by 2031 is huge amount. I'm just wondering, I was quite concerned to see that Age UK Lambeth's budget had been cut quite a bit. And I'm just wondering if we're taking away someone who is such a huge partner and so well known and we are increasing so much, what are we doing to replace that?
• It's just a comment that I think goes to your last point. One of our fellow consultants is doing some work in Southwark and I think it's going to start in Lambeth. Yes, she is. Oh, with you, Di. Just around how we proactively manage, Di, you might want to say more about it, how we proactively manage the ageing population and because of the capability to try and keep them well.
• So yes, you're referring to Dr. Tanya Kelsey. So she's aware that we've done lots of work on identifying people who are living with chronic pain who are largely utilisers of the services to use the language and also are dropping out of work because of pain and being less mobile and becoming more and more frail, even if they're in working age. So we're going to work together on a number of areas to try and help primary care to contribute to the age-friendly agenda, managing long-term conditions.
• So we'll come back to that because that's obviously is a significant contribution, right? So we'll come back, when I say come back to it, we'll want an update in relation to the progress that's been made around that because that is excellent partnership working and an indicator of the way that we need to take this thing forward when people take responsibility for their part in contributing to this wider agenda, that's wonderful. Thank you very much. I don't know if anybody wanted to take a word with that. Okay, we'll go to Mark here.
• My question's around communications. I always look forward to the new public. It was an interesting reading. Shocked to hear that now that it used to be 15 years of life in disability, now it's 20 years. Well, that's all patients have, they always sort of think about that in their 40s and 50s. How are you going to get this report out there to the public so that they can start acting on their own sort of behaviour without you know, to come to us at all? And yeah, I suppose a comment, building on Louise's comment, what's the contribution of each of the partners around this table and from a King's Health Partners perspective, but also a King's College London perspective, priority around healthy aging is a priority theme within the university, for example, that you probably know, but also these recommendations, a number of them are obviously very relevant to the work of the academic health sciences centre and the partner. So just as far as committing to A, taking these back to our executive group and to the previous item, ensuring that these different initiatives are informing the work we're all doing together rather than working separately and just committing.
• That's quite right and...
• I guess it's a follow-up comment in that, okay. In my head, I'm thinking, so where's our contribution to this? In how we move this agenda forward. And we have a signposting service. And so one of the things we should be doing is actually doing that every contact counts thing, where you're actually then saying to people, and have you heard and do you know, and do you want information on and sharing that? And I think I'd like to perhaps start to commit to that. My team will hate me for it, but I think it's something we can do.
• That's great, that's great, thank you for that. So I think that there's quite a lot of work and I think there's comments there. There was a question about funding. We're in a big squeeze, let me tell you. It's not pretty in terms of finance, but I don't know if there was any comment on that at all.
• Just to say H-U-K are a keen partner with us. In fact, they very much influence our teenage friend. Sorry, you need to.
• Sorry, so H-U-K very key partner with us on this and they've worked together on this. And actually in the actual report, we do have the forward is by the chief exec of H-U-K and we recognise a lot of what they provide. I guess we understand some of the financial challenges across the board. And I think it's pretty tough. I think we recognise that as we're looking to get the recommendations that we are in a financially challenging environment. But a lot of this is shared responsibility and it's how we're using the resources, including our communities in addressing this issue. And we also have individual responsibilities around this. So I think it's not great. We would need great to have lots of resource, but I think we're living in a climate that is not what we might want, but there are still things we can do and probably much more impactful when we do them together. So it's not just about one organisation. We've spoken to lots of other organisations like some of the faith organisations, all the wonderful things they do and actually we need to bring that together. So I think that's what I can say about that. And then in terms of the work that Daniel is posing, it'd be really, really interesting to see how we progress with that work on chronic pain. Chronic pain is a significant issue for us here in Lambeth and so we really welcome that. And I think you're right about communications. The recommendations are to everybody, including our residents. One of the reasons why there has been a bit of delay is that we will really also want to make sure that this report is accessible. But also to say to all partners here, I'm very willing to come to your boards anywhere you welcome me and I'd be very happy to talk through the reports in more detail and absolutely it's relevant to everybody. And I'm quite pleased actually I got the response I did 'cause it means that it's obviously a relevant issue for people. And thank you very much for already putting your hand up and that's actually what we are hoping this report does, that it gets people thinking. And if that's what we can achieve by it then that's a positive step. So thank you.
• Thank you. So yeah, I'm actually really grateful for this work because I think oftentimes I think, do we not think that we've got an aging population coming nationally if not globally because of the declining birth rates and what are the implications of that and how are we planning and preparing our adult social care, our health systems, our public health, our mental health system, our physical health system for these realities? How are we preparing that? Or are we just going on just reactionary and actually we're not helping to do that preventative stuff that means that people end up in the most acute states in our hospital and it's actually not sustainable. We haven't got the money. Where is the money gonna come from? So it's great that this effort is being made in terms of this report. And I really hope that as you say and as has been said that it equips, it starts to equip the discussions that are taking place in our stakeholders so that their responses and contributions is contribution to the whole. The reality that we're having an aging population, many of their health needs to get more acute and we're not doing anything but earlier down the road to prevent it. I'd like us to think more, so all comments really, really welcome and contributions really will welcome. I think there is something about how do we communicate this out to our wider population, not just the aging population because it's everybody's business. Yeah, so when they say working together to safeguard adults, safeguard all that, what's that? This is about almost about safeguarding our communities and this requires us all to work together. So thanks very much for that. So may we note the report and its findings?
• Noted.
• Thank you very much. So if we can move on real briskly and I'm gonna ask for extra time tonight. I'm very sorry for everybody.
• All right, well, there's only about three minutes before I can might as well ask now. So, okay, can we have extra time and can we work it? Let's work, let's jointly look at this. Can we say about 15 minutes or 20 minutes? (indistinct) Is it supposed to be half an hour? (indistinct) Right, okay, thank you for educating me on the points. Yeah, right, freak me out. It's like, what? No, so we're gonna work together to be really precise. Please.
• Apologize, I don't need to leave at this point for an unavoidable family commitment. Otherwise my partner won't be able to travel for her work.
• Oh, no, thank you for your time.
• Sorry.
• Thank you for your time. And your offer. We don't let these things go because we work together, right?
• Okay, great, so the age-friendly action plan. I'm sure the board all agrees that we really did need to give these items time. We have to look going forward about what, how many items are on the board if we wanna finish on time, but I cannot be disrespecting some of these items by just with, no, it's too vital, but there's an issue about the slide count, good. That's another thing. Thanks, Raj, for reminding me of that. Have you told them? I don't want no more than five slides per. Reasonable, okay, good. So let's send that out as a message from the chair. Yeah, cool, okay, excellent. Right, so the action plan, the age-friendly Lambeth action plan, 2024 to '27, Jess Engen.
• Hi, I'm here. Can you see my, hi, thank you.
• Sorry for having to be over time, but we did really have to give the other items justice. I do apologise.
• No, that's mine. I will try and be brief. I think this really follows on nicely from all the discussions that's been had and obviously the annual public health report. So I'm Jess Engen, consultant in public health and here to present and kind of provide an update on age-friendly Lambeth and specifically the action plan. So really speaks to kind of how we as a council and as a system are gonna start addressing some of the kind of recommendations that we've discussed and some of the data that you've seen today. So just to briefly sort of explain how we've come to developing the action plan. As you seen from the last talk, there's a lot of work that's been gone, that's kind of gone into really trying to understand aging in Lambeth and the sort of current situation and what our residents feel about aging in Lambeth and also sort of what the evidence base says on what sort of good practise is. So we have the annual public health report and we also have a data profile. So really has provided a good understanding of our kind of older adult population. We've also worked really closely with kind of leads across the council. So about 14 different teams across the council have contributed actions towards the action plan and have highlighted what they can do to contribute to this agenda. And then a really, really key part throughout the whole of sort of age-friendly Lambeth has been how we have engaged with residents and really listened to what residents are telling us. So we carried out quite an extensive engagement last year and we presented the results of that to the health and wellbeing board. Since then, we've developed an age-friendly forum. So this is really a space for residents and also our voluntary and community sector organisations to come together and kind of allow them to continue this kind of conversation, allow to continue to sort of feed in and share views. So we've had three forum meetings so far and we've had around over 125 attendees across those sort of three meetings. And we took the draft action plan to the forum and asked them to kind of review and their feedback was really helpful and shaped how we then went out and did a sort of broader consultation. So the consultation, so we got really positive results from the consultation. So overall there were around 80% of respondents said they strongly agreed or agreed that the action plan as a whole would support us in becoming an age-friendly borough. And then we asked residents about each of the eight different domains within the action plans. We scored lower than seven in the 10 respondents saying that they strongly agreed or agreed that the actions would be supportive in that area. So there's a few sort of comments or quotes that we've taken from the consultation. You can see there, we had about 300 respondents. It was online, but we also kind of supplemented that by going out into the community and taking the consultation out there to make sure that we were speaking to a wide range of residents and we had a good sort of representation of our Lambeth older population reflected in the respondents to the consultation. So the plan itself, so we have 57 actions within the plan that sort of cover the eight different domains. I'm not gonna go through all 57. I know you've got the full plan in your papers, but I will just pick out a few examples in the plan and particularly how they sort of link to what residents have told us and then how that sort of translates into some of the actions. So in terms of housing, downsizing was mentioned. So there's a specific action there to strengthen the offer and the support available to residents wishing to downsize their homes. In terms of sort of transport and traveling around the borough pedestrian safety came up and also crossing times at sort of traffic lights. So there's a specific action in there to increase the pedestrian crossing time as part of the road danger reduction strategy. Also lots of positive comments about the freedom pass. That was something that was really, really valued by residents. So in terms of outdoor spaces and buildings, one thing that has come up quite a bit is e-bikes, the presence of e-bikes on pavements and trailing cables and the problems this causes for residents walking around or trying to move around the borough. So there's a action in the plan to reduce the presence of e-bikes and sort of trailing cables on Lambeth pavements. And then, so cost of living, I know that's something that's come up and as mentioned, one of the actions, so the tackling poverty team are really working to raise awareness of the availability of pension credit and to increase that uptake 'cause we know we do have a lot of unclaimed pension credits. And we also, so support for carers is something that came up and that we have the carer strategy and then we'll see a recent unpaid carers award. In terms of communication and participation, this is one of the main ones that comes up is around information, the availability of information and advice and I think as we were sort of talking to different organisations, teams across the council, there's a lot available and there's a lot of services and support already out there, but residents said they really felt that they didn't always know what was available to them and so we've put in an action around developing an age-friendly newsletter and this will be co-developed with our age-friendly forum and available online, but also paper-based to really try and bring together and join up information about what is on offer and what's available to support older people in the borough. And then finally, civic participation and employment. So volunteering and taking part in sort of adult learning was something that a lot of residents said they'd be interested to learn more about or to participate more in and obviously this is something that can also help in terms of upskilling residents and supporting in terms of remaining in the workplace. So we have an action, several actions in there around increasing kind of opportunities for volunteering increasing awareness around a kind of adult learning offer. So we're currently going through sort of boards for sign-offs that we're due to go to informal cabinet and cabinet with the age-friendly action plan. And then the plan is to obviously deliver this across the next sort of three years and at which point we'll review. We'll be having more age-friendly forums. This is obviously a really important part. So we'll be continuing to work with our residents as we're delivering the plan. And some of those actions, as I mentioned, kind of involve co-developing with our residents. And then we'll continue to work in partnership with our kind of key stakeholders and, you know, HGK Lambeth who've been a key partner. And then we'll be sort of checking in with our departmental leads and seeing how those actions are going and monitoring those and then developing a sort of evaluative approach to really understand how well this has sort of been embedded. And then just very briefly, I just wanted to sort of mention the Age Well Festival, if I can, that took place on the 5th of October. So this was the second Ageing Well Festival we had and it was another really successful event. Councillor Garden opened the event and we had around 450 residents attending, lots of kind of conversations, lots of information, given out, there were around 20 stalls, blood pressure checks and COVID and flu vaccinations were given and yeah, just lots of sort of fun activities. So we had some really positive verbal feedback from residents and we'll be analysing the resident forms there and just a couple of photos of the event. But I will stop there and yeah, happy to answer any questions.
• Thank you, great work. So now we'll turn to members questions. Tim.
• I just wanted to comment just by thinking about Pang, Bimpi, Jess, Megan and the team for all their work on this and how much has gone into it. And I think how excited I am about sort of the potential this has to influence future strategies and the Land With Local Plan and everything else over the next few years. And also just to highlight how much this ties into the Borough Plan as well, with the ambition to be the best place to grow up and grow old. So I'm just really looking forward to looking back in a few years at the difference that I think this will make. And hopefully looking back in many, many years, the differences will make when I'm probably at that point in my own journey as well. So thank you very much.
• I'm already there, but anyway, yes. Okay, thank you, great. And for your support and leadership on this agenda as well, Tim. Thank you.
• Action plan. My question's around where the different areas that are in the plan. Will there be links to what's currently happening in that sort of section so that people can then say, click on to volunteering, I want to do that, I can go and do that. So we can also signpost it, 'cause if people come to me regularly and say, you know, I'm retired and I don't know what to do now, and we say, I'm out here, and then say, I need some volunteering or, you know, what do they want to do?
• Yes, good results, actually, in that sense. 'Cause when people come to our surgeries, actually, there are-
• People ask you the same, right?
• They do.
• Okay, did you want to respond to any of those feedback and comments, Jess?
• Yeah, Jess, thank you so much. It's been, you know, it's really been a collective effort and lots of involvement from different parts of the council and yeah, across the system. I think that's a really key point and one of the strongest actions I think we have is around that join-up of information and just bringing it all together. And I think that connection between, so they're very much interconnected domains. So through things like our newsletter or through the sort of events in the forum and really creating that network, we'll be able to share with all partners, all the different parts of the system that are working together to improve aging and provide support to our older residents.
• See, one thing that I would ask is that the Age Friendly Forum also helps to support the mental health agenda for the borough, particularly with the aging population and the aging, we know what the demographics of that is and we know they're going to have multiple, they already have multiple morbidities. And so how is the, and I'm just looking at the forum as one opportunity, but actually within the Age Friendly action plan and strategy, how are we making sure that we're attending to that using the mechanism of the PCREF? That's what I want to know. So it's an action that needs to come offline here because you won't have thought about that to any great degree, I'm not seeing that, but that's actually what does need to happen, right? We need to be thinking about, what do we need in that regard? And there are opportunities to influence the shape and form of mental health service provision for older people by community participation in helping to shape that service innovation and transformation. So I don't want duplication of these spaces. It's actually about optimizing, utilizing some of these spaces to support that agenda. So that's what I would like to see happen. So that would be an action that I hope that people understand that we also need to pursue with this agenda. And that leads into thinking about dementia and so forth and so forth. What do you call them? You call them the, oh, there's a name for it, mental health disorders. I don't like the term disorders. They're from injuries, what's that called?
• Brain injury.
• Like from brain injury or?
• Trauma.
• Or from brain trauma or things like that?
• It's life trauma.
• Life trauma, all right, okay. Let's knock it down on that point there, right? Great, and also to make sure that we are consistently thinking about the demographics of our population that picks up our Portuguese and Spanish speaking communities that speaks up our black communities and our communities with disabilities who are also aging and the intersectionality they're in. So that's what I would add. Thank you so much, great work. The board is asked to note the findings of the consultation and the action plan. And is that agreed? Wonderful. And any further comments on the action plan for either publication, maybe? Maybe, no, yeah, we're good to go. Thank you everybody, yeah.
• Thank you.
• And now we're at the Better Care Fund. Oh no, it really is going to 8.30. Jane, if we could have an update on the Better Care Fund for quarter one that'd be great.
• Thank you, Chair. I'm just bringing the quarter one return for the Lambeth Better Care Fund to the board tonight. As board members will remember, the Better Care Fund is a poor budget and we've got a requirement to report into the Health and Wellbeing Board as part of the planning process. Just tonight, what I would want to say that the current programmes are on track to being delivered to the activity they predicted with the slight qualification that given that Age UK had some delay in being able to recruit staff for their care or support service, they might have some difficulty recovering that activity, but they have now recruited. So hopefully that will be able to pick up before the end of the year. We have reviewed the activity across all of the programmes and it does look like that we're going to be on track for meeting the three metrics. Given the timescale to return this quarter's document was the 29th of August, we did approach you and ask whether you would take Chair's action to sign it off so we could submit it on time, which helpfully you did, but what we'd like to ask the board to do tonight is to ratify that decision, please.
• Nice, Jane.
• Nice, Jane.
• Oh, nice.
• You like Jane.
• Yeah, yeah, yeah. So we can, and that is it. Can we ask the board if they've got any questions on this report?
• To ratify it.
• And so is that joint across the piece? Excellent.
• Just on the record, I think, just on the support of my carers, I think I understand where that role has now been filled.
• Yeah, yeah, that's what they said. It's filled, so we should be acting on that shortly in terms of delivery. Yeah, great. Okay, the Better Care Fund for quarter one report has been ratified from the Health and Wellbeing Board following submission to the Better Care for National Team on the 29th of August. Right, brilliant, everybody. And last but not least, quarter report of the--
• (indistinct) Yeah, so you would have seen the (indistinct) which is a reflection of all some of the activities that we've been doing in relation to public health. Just to draw your attention, yes, the Age and Wellness Festival, so a big thank you to all those who participated and who helped to organize it. And something that's very relevant to all of us. We are for the conversations today. We are, Lambert is involved in two national pilots around PVD health checks. So this is cardiovascular disease health checks. So there's a additional pilot, which is looking at how the checks can be done online. And there's the pilot around doing the checks in workplaces. We are very keen to promote that, and recognize that one of the key things we should be engaging in if we want to age well. So I just encourage everyone. We are currently here in the Civic Center, so please do walk and have your check done, and we'll be going around workplaces and probably engaging with some of the partners here around that. And then the last thing is just to please note the Children and Young People's Demographic Fact Sheet. Really interesting information in there. I'm quite happy to return to that at a later stage, but that's on our website. Probably it's under the health profile section of the Lab of Cancer website.
• Is it cool?
• It's the Children and Young People Aged Under 20 Demographics Fact Sheet. It just goes to the health profile. Thank you.
• Everybody typing it down. All right, thank you so much. So questions from the board.
• You really benefited from the health check and was very grateful for it.
• My cholesterol was well done.
• Yeah, I bet. (laughs)
• Really?
• Thank you.
• Yeah.
• Oh, yeah. We like that.
• Turn off and you never know, you might be healthier.
• Oh, is it? Where is it again?
• Civic.
• Civic Center.
• Half an hour.
• What times, times?
• It's on the internet. You can just go on and look.
• Open air for you.
• You can turn up.
• So I want the public to know, that's what I'm asking.
• You let us know when you want to come in with your data.
• Yeah, okay, we'll sort that out. Yeah, because we want the public to know. This is not just for, this is for the public. So we want them to know about this. These pilots and-
• Workplaces too, isn't it?
• Yeah, and other workplaces. So we want to publicize that. Might be that we do a little video or something and get that out. Do you know what I mean? Seriously, Andrew.
• It wasn't on that, it was just supporting that though.
• Yeah.
• We have a new bus. New health and wellbeing bus, don't we?
• That's right.
• With a new livery and it's all electric. So, great bus.
• It's great, it's great. I love the fact that we've got this bus. And the images. (laughs)
• Long story.
• They're correct. Yeah, and they represent the demographics of the borough, which is great. So thank you very much for that. And so we note that report and we're good to go. So I conclude the business for this evening.
• Thank you very much.
• Well done everybody and thank you.
• This is for you.
• Nine minutes.
• No, why was it near, but don't do things like that to me. My brain can't take it.