Agenda and minutes

Health and Wellbeing Board - Tuesday 22 September 2020 12.30 pm

Venue: Virtual Meeting - Online. View directions

Contact: Mwim Chellah, Senior Democratic & Electoral Services Officer  Tel: 020 8416 9269 E-mail:

Link: View the meeting online


No. Item


Attendance by Reserve Members

To note the attendance at this meeting of any duly appointed Reserve Members.


Reserve Members may attend meetings:-


(i)            to take the place of an ordinary Member for whom they are a reserve;

(ii)          where the ordinary Member will be absent for the whole of the meeting; and

(iii)         the meeting notes at the start of the meeting at the item ‘Reserves’ that the Reserve Member is or will be attending as a reserve;

(iv)         if a Reserve Member whose intention to attend has been noted arrives after the commencement of the meeting, then that Reserve Member can only act as a Member from the start of the next item of business on the agenda after his/her arrival.


RESOLVED:  To note that there were no Reserve Members in attendance.


Appointment of Vice-Chair

To consider the appointment of the Vice-Chair of the Health and Wellbeing Board for the 2020/2021 Municipal Year.


RESOLVED:  To note the appointment of the Chair of Harrow Clinical Commissioning Group, Dr Genevieve Small, as Vice-Chair of the Board for the 2020-21 Municipal Year.


Declarations of Interest pdf icon PDF 145 KB

To receive declarations of disclosable pecuniary or non pecuniary interests, arising from business to be transacted at this meeting, from:


(a)          all Members of the Board;

(b)          all other Members present.

Additional documents:


RESOLVED:  To note that the Declarations of Interests published in advance of the meeting on the Council’s website were taken as read.


Minutes pdf icon PDF 137 KB

That the minutes of the meeting held on 14 January 2020 be taken as read and signed as a correct record.


RESOLVED:  That the minutes of the meeting held on 14 January 2020, be taken as read and signed as a correct record.


Public Questions

To receive any public questions received in accordance with Board Procedure Rule 14.


Questions will be asked in the order in which they were received.  There will be a time limit of 15 minutes for the asking and answering of public questions.


[The deadline for receipt of public questions is 3.00 pm, 18 September 2020.  Questions should be sent to

No person may submit more than one question].


RESOLVED:  To note that no public questions, petitions or deputations had been received.

Resolved Items


Out of Hospital Plan [updated with Glossary] and Implementation Plan

Additional documents:


The Board received a report on the Out of Hospital Plan and Implementation Plan which advised on the latest position in the implementation of the Harrow Out of Hospital Recovery Plan, with an updated glossary, and a summary of the North West London Out of Hospital Plan.


Members were pleased with the joint work that had been undertaken to deliver the plan. The joint approach and working was making the local authority and partners more resilient and ready for the next wave of the COVID-19 pandemic, should it happen; and most importantly the citizens and residents of Harrow are receiving the best possible protection from the coronavirus..


RESOLVED: That the report be noted.


Care Home Support Plan (Updated)

Additional documents:


The Board received the Care Home Support Plan which set out the Harrow response to the national specification – Enhanced Health to Care Homes. 


The Harrow care home model had four principal aims:


1)            provide residents living in care home the access to the right social care and health services in the place and time of their choosing;


2)            deliver high-quality personalised care within care homes;


3)            enable effective use of resources for both proactive and reactive care and support required in care homes; and


4)            reduce unnecessary conveyances to hospitals, hospital admissions, and bed days whilst ensuring the best care for people living in care homes.


Members observed that the Voluntary and Community Sector (VCS) continued to be integral in implementing the plan, and were equal partners, who were represented at the weekly health and care executive meetings.


In response to a concern from a Member in relation the restrictions and the rights of residents, it was advised that family visiting to care homes was a key issue, and the messaging to families  was important.


Members welcomed the level of competence and capacity training for care home staff.


RESOLVED: To note the report and continue to support the implementation process as part of the Harrow Out of Hospital Recovery Plan.


Mental Health and Learning Disabilities

Additional documents:


The Board received the Mental Health and Learning Disabilities report, which set out the local Harrow Health and Social Care preparation and response for Mental Health and Learning Disabilities services during the COVID-19 pandemic.


Members noted the omission of autism as a  condition addressed in the report.


In response to a Member’s question, it was advised that there was a Children and Young People’s (CYP) workstream as part of the plan which would cover out of hospital pathways in relation to mental health for children and young people.


Members expressed concern at the low number of local lead reviewers, and were advised that it was envisaged that these would increase in future.


In response to a question from a Member on Section 136 facilities, the Board was advised that there were adequate suites available should they be required.  Moreover, patients would not be kept in police holding cells, as they would be directed to available Section 136 suites within the area.


RESOLVED: To note the report.


Health and Well-Being Strategy with Obesity Strategy

Additional documents:


The Board received the Health and Wellbeing Strategy, which was a statutory requirement. It set out the strategic objectives and focus for the Joint Health and Wellbeing Board and sought to address the health and wellbeing needs of the population of Harrow. 


The strategy would cover a five-year period from 2020 – 2025 and had originally been due for presentation at the Health and Wellbeing Board in March 2020.  The Strategy had  been refreshed with Covid-19 implications.


The Health and Wellbeing Strategy also incorporated the Obesity Action Plan which was based on the needs identified in the Obesity Needs Assessment 2020.  The Health and Well-being Strategy will be incorporated into the 10 year Borough Plan now being refreshed in the light of the Covid-19 pandemic. 




(1)          the Health and Wellbeing Strategy for Harrow be approved; and


(2)          a Councillor and a GP be identified, outside of the meeting, as “healthy food champions”.


Local Outbreak Plans (Plus Update on Contain Framework)

Additional documents:


The Board received the Local Outbreak Control Plan which described the multiagency response to prevention of COVID-19, and management of further outbreaks.


RESOLVED: That the Plan be noted, especially the new legal powers and “soft powers” accorded to the Local Authority to help control local outbreaks.


Public Health Quarterly Reports [ Quarter 3 and Quarter 1]

Additional documents:


The Board received the Public Health Quarterly Update Report, which provided two quarterly public health reports: for Quarter 3, which detailed how the public health grant was spent in 2019-20; and for Quarter 1, 2020-21, which reviewed the impact of COVID 19.


RESOLVED:  That the report be noted, especially the growing importance of the wider determinants of public health in the economic recovery of the Borough post Covid-19.