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Enfield Consumers of Care and Health Organisation (ECCHO)
Board Meeting
Community Interest Company no. 8484607
(ECCHO carries out the statutory duties of Healthwatch Enfield (EHW) and all
items on this agenda relate to Healthwatch Enfield)
Agenda
Meeting no. 25: Thursday, 25th January 2018 at 11.00am, to be held in public
Location: Community House, 311 Fore Street, Edmonton N9 0PZ
MINUTES
1. Minutes of October’s Board meeting
2. Action points from previous meetings
PUBLIC QUESTIONS
3. Any questions from the public about items on the agenda for this meeting
ITEMS FOR DECISION
4. Social media policy
ITEMS FOR INPUT FROM THE BOARD
5. NHS 70th Anniversary
UPDATES AND OTHER ITEMS FOR INFORMATION
6. Resources and risk
7. Strategy progress report
8. Stakeholder management
9. External communications
9.1. Performance
9.2. External factors
10. Statutory duties update
10.1. Listening to local people’s views
10.2. Quality of health and care in Enfield
11. Volunteering update
12. AOB
Close
Board Meeting: Minutes, 26th October
2017
Meeting no.24: Thursday 26th October 2017 at 11:00am (held in Room 8, Community
House, 311 Fore Street, London, N9 0PZ)
Healthwatch Enfield (EHW) is run by Enfield Consumers of care and health
Organisation Community Interest Company (ECCHO)
Present:
Parin Bahl, Chair
Audrey Lucas
Noelle Skivington
Deborah Fowler
Valerie Dinsmore, Treasurer
In attendance:
Patricia Mecinska, Chief Executive
Michelle Malwah, Information & Signposting Officer
MINUTES AND UPDATES
Welcome and apologies
Apologies were received from Audrey Lucas
1. Minutes of the previous meeting
Agreed as an accurate record.
2. Action points from previous meeting
The Board reviewed actions points and agreed:
Items 1 “Meet with Cllr Ayfer Orhan” Parin will meet with Cllr Orhan as part of
her induction as Chair.
Item 4 “Further work on the presentation and analysis of data around
communications and events is to be carried out” - revised deadline of 30th
November 2017 was agreed by the Board
Item 6 “To undertake planning around implementation, timing and mechanisms
to support work on Influencing Strategy and Healthwatch England’s Quality
statement” PB believed the date wasn’t feasible – the Board agreed for Parin
and Noelle to discuss this further
Item 7 “To liaise with Jenny Williams re. work undertaken of discharge to
support implementation of the project plan on adult social care” PM proposed
that the item be removed as it had been overtaken by other social care work.
Item 10 “Meeting with Bambos Charalambous MP” Patricia to find out what’s
happening at NMUH before making arrangements.
Item 11 “To draft a project plan for adult social care priority” – it was agreed
that Valerie will send Patricia information on the type of information required
to inform the process
Item 12 “To distribute Conflicts of interest forms to the Board” – Michelle to
send “Declaration of Interest” forms to the board alongside ‘Safeguarding self-
declaration form’
3. Questions for the public
There were no questions from the public.
ITEMS FOR DECISION
There were none tabled.
ITEMS FOR INPUT FROM THE BOARD
4. Major Pieces of Work
Accessible information Standards
Patricia updated the Board that work is currently being undertaken on collecting
baseline data. Conversations with North Middlesex University Hospital NHS Trust
around developing resources to make improvements have been positive but this is
subject to the Trust securing external resources. A meeting with the Royal Free
London NHS Foundation Trust has been arranged as issues around the Trust’s
compliance have been escalated to Healthwatch Enfield.
Healthwatch Enfield has identified the AIS champions, we have 6 at present, but we
are pursuing to recruit more individuals, to ensure we have wide representation.
Healthwatch Enfield has been commissioned to organise an EDS2 event for Barnet
Enfield and Haringey Mental Health NHS Trust which will feed into the work on AIS.
Updated project plan for AIS was sent to the board on 20th October 2017.
Mental health
Patricia updated the Board that work on mental health has progressed a lot since the
last meeting.
Patricia has been elected as the co-chair of the Mental Health Partnership Board
which has been identified as a forum for progressing the co-production agenda for
Enfield. Healthwatch Enfield has started involving Service Champions in the Barnet
Enfield and Haringey Mental Health NHS Trust’s adult pathway re-design. The
involvement of Service Champions has been evaluated and will be featured as an
example of best practice by Healthwatch England.
North Central London Sustainability and Transformation Plan (STP)
Patricia updated the Board that work on this priority area is progressing. Due to delays
in developing accessible information, we have not yet developed a directory of
resources on the Sustainability and Transformation Plan however resources have been
committed to raising individual’s awareness through face-to-face engagement with
Enfield’s residents.
The board discussed the importance of engagement being a part of every STP work-
stream. Parin suggested Healthwatch across North Central London write a joint letter
demonstrating the way engagement should be working. Following a discussion, it was
agreed that Parin will discuss this further with the Chairs of Healthwatch.
Adult Social Care
Patricia updated the Board that resources are being committed to collecting people’s
experiences of using adult social care services. In addition, Healthwatch Enfield will
be working with the Transformation team at Enfield Council to re-design the adult
social care pathway involving Service Champions in the process.
Options for undertaking work with other voluntary and community sector organisations
are currently being considered. We are also waiting for the next batch of discovery
interviews to be completed. Following a discussion, it was agreed that Patricia and
Valerie are to meet to assure the board that the work is aligned with the initial
project scope.
UPDATES AND OTHER ITEMS FOR INFORMATION
5. Chief Executive’s Report
The Board welcomed and reviewed the paper.
Parin suggested that information contained within the external factors section of
the papers should be featured on Healthwatch Enfield’s website as the section
contains useful information.
6. Finance & Resources report
The Board welcomed and reviewed the paper.
The Board were concerned that an overspend against a budget line was incurred and
reported. Patricia advised the Board about the reasons behind this; the Board agreed
that, going forward, this will require Board’s approval and needs to be reflected in
relevant strategies before resources are committed.
A financial forecast was tabled at the meeting – following Deborah’s questions about
the anticipated levels of income and expenditure, Patricia advised that the figures
presented are indicative as they do not include management fees.
7. Update on Communication activity
The Board welcomed and reviewed the paper.
Parin commented on the number of visitors to the website decreasing when compared
with the previous year’s data. Patricia advised the Board that this is partially to do
with the staff vacancies within the communications team alongside concerns around
the configuration of Google Analytics.
8. Update on Enter & View
The Board welcomed and reviewed the paper.
It was noted that we now have dates for the publication of the Enter and View reports
for Autumn Gardens and North Middlesex University Hospital NHS Trust’s Emergency
Department.
9. Update on Community engagement & Developing the Evidence base
The Board welcomed and reviewed the paper.
The Board were advised that Healthwatch Enfield will be migrating onto the new CRM
system shortly. Uptake of the feedback centre has been slow however, due to
availability of resources, Healthwatch Enfield has not actively promoted this new
feature. Communications plans are being developed to formally launch the feedback
centre.
The Board agreed to utilise the evidence base to inform the priority setting for the
next financial year.
10. Update on Volunteers
The Board welcomed and reviewed the paper but have asked that less detail is
included in the paper going forward.
11. CQC reports affecting Enfield
The Board welcomed and reviewed the paper.
12. Meetings Attended on behalf of Healthwatch Enfield
The Board welcomed and reviewed the paper however questions was asked about the
relevance of the report. It was agreed that the information will be collated but that
the paper will no longer be tabled at the Board meetings.
13. AOB
None discussed
Board meeting Healthwatch Enfield (run by Enfield Consumers of Care and Health Organisation)
Agenda item 2 – October 2017 Action points
No. Meeting date Agenda item no.
Action Who By when Status Note
1 14/04/2016
2 Meet with Cllr Ayfer Orhan PB Ongoing
2 16/06/2016 8 To consider with staff ways to ensure that “pop-up” stalls can generate useful feedback, that locations to date are mapped, and a programme of future stalls prepared
FA, EF 30/11/2017 Completed
3 15/09/2016 3
A methodology and tools for undertaking less resource-intensive, more targeted engagement work with the target population to be developed and piloted through the adult social care project group
PM 30/11/2017 Ongoing
We continue to trial tools that are efficient and effective with a mixed method approach producing the best results. It is proposed for the Board to consider closing this action.
4 15/09/2016 15 Further work on the presentation and analysis of data around communications and events is to be carried out
CR, FO
30/11/2017
Communications Strategy is currently in a draft format as we continue to develop our understanding of meaningful measures to inform reporting
5 09/02/2017 23 To ensure there is a system in place for recording further community engagement tools (as they develop) including a section on pop-ups
FA 30/11/2017 Completed
6 27/04/2017 5 To discuss the work on Influencing Strategy and Healthwatch England’s Quality statement
PB, NS
Board meeting Healthwatch Enfield (run by Enfield Consumers of Care and Health Organisation)
Agenda item 2 – October 2017 Action points
No. Meeting date Agenda item no.
Action Who By when Status Note
7 27/07/2017 10 To organise a meeting with Bambos Charalambous, MP MM Ongoing
It was discussed and agreed that contact all MPs and Councillors will be contacted to inform the development of Healthwatch Enfield strategy and objectives
8 27/07/2017 11 To send detail on the type of information required to inform the development of work on the adult social care priority
VD Completed
9 27/07/2017 19 To distribute Conflicts of Interest forms to the Board PM Completed
10 26/10/2017 4 To discuss the possibility of issuing a joint letter from Healthwatch organisation across North Central London to the leaders of the Sustainability and Transformation Plan
PB
11 26/10/2017 4 To arrange a meeting to assure the board that the work undertaken on adult social care is aligned with the initial project scope
PM, VD
12 26/10/2017 9 To utilise the evidence base to inform the priority setting for the next financial year
All 28/02/2017 Ongoing
13 26/10/2017 10 To include less detail in the paper on volunteering going forward
MM Completed
14 26/10/2017 12 To continue collating information on representation at meetings but not to table a specific paper on this for Board meetings
PM Completed
PM – Patricia Mecinska, Chief Executive DF – Deborah Fowler, Board member PB – Parin Bahl, Chair FA – Fazilla Amide, Healthwatch Enfield staff member VD – Valerie Dinsmore, Treasurer EF – Emma Fridden, Healthwatch Enfield staff member
Board meeting Healthwatch Enfield (run by Enfield Consumers of Care and Health Organisation)
Agenda item 2 – October 2017 Action points
NS – Noelle Skivington, Vice – chair MM – Michelle Malwah, Healthwatch Enfield staff member AL – Audrey Lucas, Board member CR – Charlotte Rowes, Healthwatch Enfield staff member FO – Faye Oliver, Healthwatch Enfield staff member
Board Report Title Finance and staffing report
Governance framework component Resources and risk
Date and Agenda Item 25th January 2018, Agenda item 6
Author Patricia Mecinska in consultation with Valerie Dinsmore
Purpose (for information, decision or consultation) Information
Key Recommendations (where applicable) N/A
Attachments N/A
Staffing One of the staff commenced a period of maternity leave on 20th November 2017. Staff members who joined Healthwatch Enfield in quarter 2 of 2017/2018 have completed an extensive induction programme and have developed a good level of understanding of Healthwatch’s statutory duties, working with stakeholders and meaningfully engaging with local communities. To build additional internal capacity and understanding of co-production, we have been committing staff time to model co-production on several pieces of work. The team now demonstrate high levels of understanding of the approach whilst also embedding an organisational culture that promotes shared support, accountability and decision-making. Finance Healthwatch Enfield’s income and expenditure for the period 1st April 2017 – 30th December 2017 is in line with the anticipated spending trends for majority of expenditure lines; any significant variations have been addressed in the notes (Figure 1). Cashflow forecast (Figure 2) anticipates year end position of £9,715.60 surplus against the budgeted deficit of £10,284.24. Proposals are being discussed with the Board.
Figure 1. YTD budget vs actual figures
Apr - Dec 17 Budget
£ Over Budget
% of Budget NOTES
Income
Bank Interest Earned 0.00 22.50 -22.50 0.0% awaiting interests payment
ECCHO 0.00 0.00 0.00 0.0%
LBE Grant 165,086.00 163,192.14 1,893.86 101.16%
HWE- Donations 0.00 0.00 0.00 0.0%
Other 86.87 0.00 86.87 100.0% refund
Total Income 165,172.87 163,214.64 1,958.23 101.2%
Expense
Accomodation 4,825.37 4,874.94 -49.57 98.98%
Bank Charges 84.00 112.50 -28.50 74.67%
Equipment 94.44 149.94 -55.50 62.99%
Events
catering 121.81 749.97 -628.16 16.24% awaiting invoice for expenditure incurred for the annual conference
Interpreters 160.00 1,499.94 -1,339.94 10.67% awaiting invoice for expenditure incurred for the annual conference
Room Bookings 542.50 749.97 -207.47 72.34% awaiting invoice for expenditure incurred for the annual conference
Total Events 824.31 2,999.88 -2,175.57 27.48%
Fixtures & Fittings 791.55 749.97 41.58 105.54%
Governance Costs 10,526.96 10,874.97 -348.01 96.8%
IT
Hardware 849.99 749.97 100.02 113.34%
software 4,069.51 374.94 3,694.57 1,085.38% includes LHM fees incurred in 2017/2018 relating to expenditure for 2016/2017
Support 1,265.28 1,350.00 -84.72 93.72%
Total IT 6,184.78 2,474.91 3,709.87 249.9%
Office Costs
Internet & Hosting 573.59 749.97 -176.38 76.48% awaiting invoice
Photocopying 165.52 299.97 -134.45 55.18% awaiting invoice
Postage 130.26 374.94 -244.68 34.74%
Stationery 383.71 749.97 -366.26 51.16% awaiting invoice for expenditure incurred for the annual conference
Telephone- Landline 86.87 299.97 -213.10 28.96% awaiting invoice
Telephone-Mobile 719.64 749.97 -30.33 95.96%
Total Office Costs 2,059.59 3,224.79 -1,165.20 63.87%
Professional Fees
Accounting 1,716.00 1,680.00 36.00 102.14%
Insurance 1,046.42 1,046.42 0.00 100.0%
Legal 278.00 0.00 278.00 100.0% reflects cost of DBS checks for new volunteers/ staff
Other 562.50 0.00 562.50 100.0% outreach costs when operational resources were not available
Payroll 324.00 324.00 0.00 100.0%
Total Professional Fees 3,926.92 3,050.42 876.50 128.73%
Publicity
Advertising 0.00 749.97 -749.97 0.0%
Leaflets & Posters 251.60 900.00 -648.40 27.96% expenditure anticipated in Q4 as resources are currently in development
Promotional materials 491.10 749.97 -258.87 65.48%
Reports 0.00 374.94 -374.94 0.0% anticipated underspend against the budget line as activity carried out in-house
Total Publicity 742.70 2,774.88 -2,032.18 26.77%
Staff Costs
N.I. 26,075.33 32,721.92 -6,646.59 79.69% reflects vacancies in Q1 & Q2 and pro rata ECCHO staff costs
Pension Contributions 5,083.36 4,506.57 576.79 112.8% reflects increase in pension contributions
Salaries 82,538.38 87,383.20 -4,844.82 94.46% reflects vacancies in Q1 & Q2 and pro rata ECCHO staff costs
Total Staff Costs 113,697.07 124,611.68 -10,914.61 91.24%
Staffing Costs
Recruitment 472.00 374.94 97.06 125.89%
Subsistence 9.47 374.94 -365.47 2.53%
Training 1,005.00 999.96 5.04 100.5%
Travel 1,236.11 749.97 486.14 164.82% reflects increase in community outreach activities
Total Staffing Costs 2,722.58 2,499.81 222.77 108.91%
Subscriptions 124.01 185.22 -61.21 66.95%
Volunteer Costs
Subsistence 487.64 500.00 -12.36 97.53% reflects the cost of 3 student placements
Training 49.00 187.47 -138.47 26.14%
Travel 338.66 400.00 -61.34 84.67%
Total Volunteer Costs 875.30 1,087.47 -212.17 80.49%
Total Expense 147,479.58 159,671.38 -12,191.80 92.36%
Surplus for the year 17,693.29 3,543.26 14,150.03 499.35%
Figure 2. Cashflow forecast
Cashflow Forecast for Healthwatch Enfield - January 2018
April- June July-September October -December Jan-18 Feb Mar-18 Total Budget Difference Notes
Income
Bank Interest Earned -£ -£ -£ -£ -£ -£ -£
ECCHO -£ -£ -£ -£ -£ -£ -£ -£
LBE Grants -£ 111,505.50£ 53,580.50£ 53,580.50£ 218,666.50£ 218,666.50£ -£
HWE- Donations -£ -£ -£ -£
Other 86.87£ -£ -£ 86.87£ 86.87£
Total Income 86.87£ 111,505.50£ 53,580.50£ 53,580.50£ -£ -£ 218,753.37£ 218,666.50£ 86.87£
Expense
Accomodation 1,566.37£ 1,479.50£ 1,779.50£ 1,579.50£ -£ -£ 6,404.87£ 6,500.00£ 95.13-£
Bank Charges 84.00£ -£ -£ -£ -£ -£ 84.00£ 150.00£ 66.00-£
Equipment 19.98£ 73.17£ 1.29£ -£ -£ -£ 94.44£ 200.00£ 105.56-£
Total expense 1,670.35£ 1,552.67£ 1,780.79£ 1,579.50£ -£ -£ 6,583.31£ 6,850.00£ 266.69-£
Events
Catering 49.80£ 20.41£ 51.60£ 876.60£ -£ -£ 998.41£ 1,000.00£ 1.59-£
Interpreters -£ -£ 160.00£ 665.00£ -£ 400.00£ 1,225.00£ 2,000.00£ 775.00-£
Room Bookings 37.50£ 385.00£ 120.00£ 612.00£ 300.00£ 300.00£ 1,754.50£ 2,000.00£ 245.50-£ actual spend exceeds the budget due to increase in outreach activities i.e. bookings for festivals, freshers fair etc
Total Events 87.30£ 405.41£ 331.60£ 2,153.60£ 300.00£ 700.00£ 3,977.91£ 5,000.00£ 1,022.09-£
Fixtures & Fittings 434.50£ 357.05£ -£ 791.55£ 1,000.00£ 208.45-£
Governance Costs 3,599.00£ 3,375.29£ 3,552.67£ 1,089.00£ 1,089.00£ 1,089.00£ 13,793.96£ 14,500.00£ 706.04-£
Total cost 4,033.50£ 3,732.34£ 3,552.67£ 1,089.00£ 1,089.00£ 1,089.00£ 14,585.51£ 15,500.00£ 914.49-£
IT
Hardware 849.99£ -£ -£ -£ -£ -£ 849.99£ 1,000.00£ 150.01-£
software 2,829.60£ 607.27£ 632.64£ 95.28£ 107.11£ 107.11£ 4,379.01£ 1,500.00£ 2,879.01£ reflects the cost of LHM payment in 17/18 incurred in 16/17 and Office365 hosting
Support 300.00£ 665.28£ 300.00£ 150.00£ 150.00£ 150.00£ 1,715.28£ 1,800.00£ 84.72-£ cost of new hardware configuration
Total IT 3,979.59£ 1,272.55£ 932.64£ 245.28£ 245.28£ 245.28£ 6,944.28£ 4,300.00£ 2,644.28£
Office Costs
Internet & Hosting 271.19£ 151.20£ 151.20£ 50.40£ 50.40£ 50.40£ 724.79£ 1,000.00£ 275.21-£
Photocopying -£ 107.20£ 58.32£ 122.62£ 60.00£ 45.00£ 393.14£ 400.00£ 6.86-£ reflects cost of more outreach activities for surveys
Postage 0.94£ 3.27£ 126.05£ 0.94£ -£ -£ 131.20£ 500.00£ 368.80-£ utilising stock purchased in 16/17 and introducing move to a more paperless way of working
Stationery 283.57£ 39.51£ 60.63£ 200.00£ 200.00£ 30.00£ 813.71£ 1,000.00£ 186.29-£ utilising stock purchased in 16/17 and introducing move to a more paperless way of working
Telephone- Landline 86.87£ 86.87£ 86.87£ 86.87£ -£ -£ 347.48£ 400.00£ 52.52-£
Telephone-Mobile 287.39£ 258.99£ 173.26£ 86.33£ 86.33£ 86.33£ 978.63£ 1,000.00£ 21.37-£
Total Office Costs 929.96£ 647.04£ 656.33£ 547.16£ 396.73£ 211.73£ 3,388.95£ 4,300.00£ 911.05-£
Professional Fees
Accounting -£ 1,716.00£ -£ -£ -£ -£ 1,716.00£ 2,800.00£ 1,084.00-£ cost of audit retained at 16/17
Insurance -£ 1,046.42£ -£ -£ -£ -£ 1,046.42£ 1,200.00£ 153.58-£
Legal 54.00£ 198.00£ 26.00£ 35.00£ -£ -£ 313.00£ -£ 313.00£
Other 562.50£ -£ -£ -£ -£ -£ 562.50£ -£ 562.50£ outreach costs when operational resources where not available
Payroll -£ 324.00£ -£ -£ -£ -£ 324.00£ 300.00£ 24.00£ reflecting increase in number of staff
Total Professional Fees 616.50£ 3,284.42£ 26.00£ 35.00£ -£ -£ 3,961.92£ 4,300.00£ 338.08-£
Publicity
Advertising -£ -£ -£ 600.00£ 200.00£ 200.00£ 1,000.00£ 1,000.00£ -£
Leaflets & Posters -£ 65.00£ 186.60£ -£ 450.00£ 450.00£ 1,151.60£ 1,200.00£ 48.40-£
Promotional materials 474.00£ 17.10£ -£ -£ 2,000.00£ -£ 2,491.10£ 2,582.00£ 90.90-£
Reports -£ -£ -£ -£ -£ -£ -£ 500.00£ 500.00-£ utilising in-house resources to achieve savings
Total Publicity 474.00£ 82.10£ 186.60£ 600.00£ -£ 650.00£ 4,642.70£ 5,282.00£ 639.30-£
Staff Costs
N.I. 5,022.39£ 9,276.92£ 11,776.02£ 4,002.31£ 4,002.31£ 4,002.31£ 38,082.26£ 43,629.22£ 5,546.96-£ reflects pro rata ECCHO contribution
Pension Contributions 1,210.52£ 1,515.90£ 2,356.94£ 802.78£ 802.78£ 802.78£ 7,491.70£ 6,008.76£ 1,482.94£ reflects increase in pension contributions & pro rata ECCHO contribution
Salaries 23,029.98£ 30,647.82£ 28,860.58£ 8,242.18£ 8,242.18£ 8,242.18£ 107,264.92£ 116,510.93£ 9,246.01-£ reflects pro rata ECCHO staff salary
Total Staff Costs 29,262.89£ 41,440.64£ 42,993.54£ 13,047.27£ 13,047.27£ 13,047.27£ 152,838.88£ 166,148.91£ 13,310.03-£
Staffing Costs
Recruitment 384.00£ 88.00£ -£ -£ -£ -£ 472.00£ 500.00£ 28.00-£
Subsistance -£ -£ 9.47£ -£ -£ -£ 9.47£ 500.00£ 490.53-£
Training 280.00£ 725.00£ -£ -£ -£ -£ 1,005.00£ 1,000.00£ 5.00£
Travel 159.50£ 360.24£ 716.37£ 200.00£ 200.00£ 200.00£ 1,836.11£ 1,000.00£ 836.11£ reflects increase in community outreach activities
Total Staffing Costs 823.50£ 1,173.24£ 725.84£ 200.00£ 200.00£ 200.00£ 3,322.58£ 3,000.00£ 322.58£
Subscriptions 61.75£ 62.26£ -£ 62.26£ -£ -£ 186.27£ 447.00£ 260.73-£
61.75£ 62.26£ -£ 62.26£ -£ -£ 186.27£ 447.00£ 260.73-£
Volunteer Costs
Subsistence 182.92£ -£ 304.72£ 100.00£ 100.00£ 100.00£ 787.64£ 1,000.00£ 212.36-£ reflects cost of additional student placements
Training 29.02£ 19.98£ -£ 49.00£ 250.00£ 201.00-£
Travel 101.31£ 24.00£ 213.35£ 250.00£ 250.00£ 250.00£ 1,088.66£ 1,500.00£ 411.34-£ reflects cost of additional student placements
Total Volunteer Costs 313.25£ 43.98£ 518.07£ 350.00£ 350.00£ 350.00£ 2,297.84£ 2,750.00£ 452.16-£
Contract management fee -£ -£ -£ -£ -£ 10,933.33£ 10,933.33£ 10,933.33£ 0.00-£
Total Expense 42,252.59£ 53,696.65£ 51,704.08£ 18,329.57£ 15,628.28£ 27,426.61£ 209,037.78£ 228,811.24£ 15,147.77-£
Balance for the Year 9,715.60£ 10,144.74-£
Board Report Title Progress report
Governance framework component Strategy
Date and Agenda Item 25th January 2018, Agenda item 7
Author Patricia Mecinska
Purpose (for information, decision or consultation) Information
Key Recommendations (where applicable) N/A
Attachments N/A
Resources continue to be committed to delivering activities against Healthwatch Enfield’s priority areas:
(1) Accessible Information Standard We have collected baseline measures to assess the local health and care services compliance with the Accessible Information Standard. The report of our visit to the Emergency Department at North Middlesex University Hospital NHS Trust has been discussed in detail with relevant officers at the Trust and we are looking forward to working closely with the Trust to co-design several solutions that can be deployed without significant commitment of resources. We have escalated issues relating to deaf access at the Royal Free London NHS Foundation Trust and have a meeting scheduled with the Deputy Director of Patient Experience early in the New Year. In early November, we organised an Equality and Diversity System grading event for Enfield Health, part of Barnet Enfield and Haringey Mental Health NHS Trust. The event was well attended with strong representation from the Deaf community. As a result, a meeting with the leadership has been scheduled for early 2018 to discuss options for better mental health support for individuals who are deaf. Working with Enfield Disability Action’s Deaf Project, we are developing resources and solutions to support communications with deaf people accessing dental services in the borough; this has required an extensive liaison with NHS England. We continue working with local providers and commissioners to identify and purse options for securing additional resources to improve compliance with the Accessible Information Standard for health and care services in Enfield.
(2) Mental health To advance the implementation of the recommendations of our mental health report, we continue to deploy Service Champions to inform the adult mental health pathway re-design of Barnet Enfield and Haringey Mental Health NHS Trust. The Service Champions input involves:
reviewing letters, templates and communications materials reviewing flowcharts and process diagrams proposing improvements that are based on individual’s experiences that
would be of benefit to the wider mental health service users’ community
Enfield Health, part of Barnet Enfield and Haringey Mental Health NHS Trust, has agreed to include ‘Listening to local voices on mental health’ as a standing agenda item for the Improvement Steering Group. Progress of work will be discussed at the meeting in February 2018.
(3) Adult social care
Following the distribution of our findings on information provision on adult social care to Enfield Council, in October 2017 we have been asked to join the transformation programme with a focus on the care pathway. As part of our involvement with the work, we have introduced service users to the process. To date, we attended several workshops which build on our evidence base and will contribute to the future structure of adult social care provision in Enfield. In November and December, we carried over 50 semi-structured interviews to assess people’s experiences of discharge and the interaction between health and social care in Enfield. Findings to date are not conclusive we will therefore be engaging with more individuals to identify trends and patterns.
(4) Sustainability and Transformation Plan (STP)
We continue to raise local people awareness of the North Central London Sustainability and Transformation Plan. Between October and December, we facilitated 8 engagement events discussing the aspects of the plan with 146 Enfield residents. We continue developing a guide on the STP and working with the North London Partners in Health and Care to help inform residents of the Plan and its implications, impact, and how they can get involved.
Board Report Title Relationships with stakeholders
Governance framework component Stakeholder management
Date and Agenda Item 25th January 2018, Agenda item 8
Author Patricia Mecinska
Purpose (for information, decision or consultation) Information
Key Recommendations (where applicable) N/A
Attachments N/A
Local relationships
North Middlesex University Hospital NHS Trust We continue our involvement with the Patient Experience Group. Throughout the period I attended several meetings with Nichole McIntosh, Assistant Director of Nursing, and Shelagh Prosser, Associate Director of Equality, Diversity and Inclusion, as we were considering the Trust’s response to Healthwatch Enfield’s visit to Accident and Emergency to assess the accessibility of the department to people with sensory impairments. The report of the visit was published in November 2017; we are expecting the Trust’s formal response to our findings by 31st January 2018. We have been invited to attend the Risk and Quality Committee at the Trust. The committee is chaired by John Hurst, Non-executive Director at North Middlesex University Hospital NHS Trust, with the remit to provide assurance to the Trust’s Board that risk and quality are appropriately managed, reported and acted upon. Shelagh Prosser has asked Healthwatch Enfield and Healthwatch Haringey for our support with assessing how accessible North Middlesex University Hospital NHS Trust is to local people. Since late November, we have been running a survey at relevant events and engagement sessions to build the local evidence base. We were invited to join a sub-group responsible for developing the new Patient Experience Strategy for the Trust. The strategy will include the concept of Always Events that need to be co-designed with local people. We are in the process of exploring how to support the Trust and patients with a meaningful engagement– it was agreed that Healthwatch Enfield will lead the co-design aspects of this work. On 19th December 2017, Maria Kane, previously Chief Executive at Barnet Enfield and Haringey Mental Health NHS Trust, became the new Chief Executive of North Middlesex University Hospital NHS Trust. We will be meeting Maria in her new role on 8th January 2018.
Barnet Enfield and Haringey Mental Health NHS Trust (BEH) We continue our involvement with the Improvement Steering Group and, through the Service Champions, with the adult mental health pathway re-design.
On 10th October 2017, to mark the World Mental Health Day, we launched a joint report with Barnet Enfield and Haringey Mental Health NHS Trust on the evaluation of Service Champions involvement in the service redesign. The report has attracted media attention and was featured as an example of best practice by Healthwatch England. Kathryn O’Donnell, Enfield Health Clinical Director, has announced her decision to leave the Trust and we have been invited to take part in the recruitment process for Kathryn’s replacement. Following Maria Kane’s move to North Middlesex University Hospital NHS Trust, Andy Graham has been appointed as an interim Chief Executive Officer for Barnet Enfield and Haringey Mental Health NHS Trust. Royal Free London NHS Foundation Trust We continue to strengthen our relationships and develop new ways of working with the leadership team at Chase Farm Hospital and, as a result, Healthwatch Enfield was invited to join a co-design workshop facilitated by the Institute for Healthcare Improvement. IHI is working with the Royal Free London Group to develop approaches to patient involvement. Enfield’s Clinical Commissioning Group (CCG) We continue our involvement with the Primary Care Transformation sub-group, Community Education Providers Network, Voluntary Sector Stakeholder Reference Group and the Patient and Public Involvement Committee. Vince McCabe has been appointed as an interim Director of Commissioning following Graham McDougall’s secondment to NHS England. An introductory meeting with Vince took place in early October where discussions on mental health and approaches to commissioning for Enfield, took place. Following Jenny Mazarello’s move to Lewisham Clinical Commissioning Group, a meeting with the new Head of Primary Care, John Piesse, took place. We have worked with John previously as he has been a member of the primary care team in Enfield but it the session that took place in October was a good opportunity to understand the CCG’s current priorities. John Wardell joined NHS Enfield Clinical Commissioning Group as the Chief Officer on 4th December 2017. A meeting between Healthwatch Enfield’s Chair and Chief Executive and John was arranged and we are looking forward to working more closely with the commissioners to ensure local people are involved in decisions how services are structured and delivered.
London Borough of Enfield We continue our involvement with the Dignity in Care panel, a sub-section of the Quality Checkers programme. Chief Executive of Healthwatch Enfield was invited to support recruitment of the Director of Public Health. Stakeholders involved in the process included the Leader of Enfield Council, Councilors, Chief Executive of Enfield Council, Chief Officer at NHS Enfield Clinical Commissioning Group and Voluntary and Community Sector representatives. In December 2017, Ray James, Enfield’s Director of Housing, Health and Social Care, has taken on a two-year secondment to NHS England. Independence and Wellbeing Enfield Following Healthwatch Enfield’s early involvement with Enfield Council’s trading company, we have been approached by the management team to support the development of baseline quality measures and approaches to co-production. Local MPs We received letters from Kate Osamor, MP and Bambos Charalambous, MP both regarding Independent Age’s 8 quality indicators for care homes.
Board Report Title Communications activity
Governance framework component External communications performance
Date and agenda item 25th January 2018, Agenda item 9.1
Author Faye Oliver
Purpose (for information, decision or consultation) For information
Key Recommendations (where applicable) N/A
Attachments None
Website performance The following data provides a summary of website sessions for period between October and December 2017 Sessions % new visitors Average session length Bounce rate
Oct 2017 1217 68.1 1:55 68.12
Nov 2017 1318 75.3 1:57 71.09
Dec 2017 1361 79.3 1:11 78.77
Sessions % new visitors Average session length Bounce rate
Oct 2016 1258 69.3 2:04 58.82
Nov 2016 1273 67.8 2:22 57.34
Dec 2016 1064 70 2:05 63.16 Top ten most popular news items during the period Name Views
Enfield’s Christmas Parade of Lights 566
You can now book your blood test online for the North Middlesex University Hospital 139
Holiday opening hours for health services in Enfield 90
Cornwall Villa Ward 81
News 77
About us 75
Contact us 70
Change of Medical Director at North Middlesex 62
ENABLE- Enfield Alcohol & Drug Service (Clavering) 56
Chief Executive at the North Middlesex University Hospital resigns 55 Social media performance Twitter We continue to increase our profile, presence and reach on Twitter. Tweets Impressions New followers Profile Views Mentions
Oct 2017 112 47 400 25 844 86
Nov 2017 109 55 700 16 1 076 120
Dec 2017 122 47 200 29 1 254 65
Tweets Impressions New followers Profile Views Mentions
Oct 2016 51 11 200 17 996 64
Nov 2016 47 14 800 25 570 32
Dec 2016 54 15 500 7 642 54 Facebook Through the Healthwatch Enfield page we reached 3,248 people with 5 ‘Likes’, 1 ‘Share’ and 1 ‘Comment’. Healthwatch Enfield’s profile has attracted 7 ‘Shares’ and 10 ‘Likes’. Instagram We attracted 40 new followers on Instagram bringing the total to 105. We also recorded 56 likes and 4 comments whilst issuing 15 posts. E-newsletter Within the period, we issued three e-newsletters. Recipients % Open % clicks Total opens
Xmas 2017 747 29.1 2.2 1138
Dec 2017 734 27.2 3.2 701
Sept 2017 719 29.5 3.2 646 Recipients % Open % clicks Total opens
Dec 2016 590 32.2 10.2 632
Nov 2016 591 34.3 8.5 891
Oct 2016 589 35.5 12.7 665 Media exposure Healthwatch Enfield was either featured or referred to in 6 articles published in the period Date Title Source
2/10/17 We’ll keep working to meet local needs Enfield Independent
10/10/17 Mental health champions bringing change, says new report from Healthwatch Enfield and Barnet, Enfield and Haringey Mental Health
The Times Series
10/10/17 Mental health champions bringing change, says new report from Healthwatch Enfield and Barnet, Enfield and Haringey Mental Health
Enfield Independent
10/10/17 How are service users collaborating with care providers to improve services
BEH-MHT website
10/10/17 Mental health champions bringing change, says new report from Healthwatch Enfield and Barnet, Enfield and Haringey Mental Health
Watford Observer
11/12/17 Need a doctor? Here are your Christmas Opening times Enfield Independent
Board Report Title External factors
Governance framework component External communications
Date and agenda item 25th January 2018, Agenda item 9.2
Author Patricia Mecinska
Purpose (for information, decision or consultation) For information
Key Recommendations (where applicable) N/A
Attachments None
NHS Digital’s adult social care activity and finance report 2016-17 This NHS Digital report shows that, despite a real-terms increase in adult social care spending for the first time since 2009/10, there was ‘minimal change in activity’, probably due to increasing costs in provision of care, including national minimum wage and rising cost of care homes. NHS Digital also found significant variation in local authority expenditure. 42 councils reduced expenditure on adult social care, but four increased it by more than 20 per cent. The report also showed that 59 per cent of people with long term care plans had their support reviewed during the year, up from 55 per cent the previous year. The number of people receiving long-term support was down by 4,080 to 868,440, and the number of carers who received support fell by five per cent. NHS Digital also published findings on the Adult Social Care Outcomes Framework which show that the proportion of adults with a learning disability in paid employment has fallen by around 6 per cent in each of the last three years. The State of Care 2017 This year’s CQC assessment found that quality of care has been maintained “in the toughest climate most can remember”. However, the CQC’s chief executive David Behan has pointed out that for the first time some services have deteriorated from the previous year. He also warned that social care remains one of the “greatest unresolved public policy issues” and a solution was urgently required. Services are at “full stretch” with complex demand increasing, an ageing population and people living longer with poor health and there is a limit to providers’ resilience. Overall, quality has improved, but with too much variation within sectors, in different sectors and geographically. Some services have deteriorated – when providers are reinspected, most of those rated as good remained so, but 26 per cent of mental health services and 23 per cent of adult social care services had dropped at least one rating. In general practice this was only two per cent. The report found a wide variation in how health and social care systems join up, with too many people receiving fragmented care built around organisations’ priorities or targets. The systems that worked well together had enthusiastic leaders who were committed to equality and quality improvement. Health and social care in the budget The Chancellor allocated £2.5bn new revenue funding across three financial years, including £335m for winter pressures this year, £1.6bn in 2018-19 and £900m in 2019-2020. Attached to this is an expectation that this should be used to meet four-hour A&E targets, reduce waiting lists and improve elective waiting time targets. NHS leaders called for £8bn, while the Kings
Fund, Nuffield Trust and the Health Foundation have said £4bn is needed next year alone. The general view on the additional funding is that it will plug some gaps, but not all. The Treasury also committed to an extra £3.5bn capital spending over the next five years, with the NHS expected to match this through land sales. £2.6bn of this will be allocated through STPs, and the first 12 recipients have been announced, subject to business case approval by the regulators and the Department of Health. Philip Hammond also announced that additional funding will be provided for a pay rise for NHS staff, but this would be attached to the Agenda for Change terms and conditions. A two-way street A new report by the Nuffield Trust asks what CCGs can teach us about accountability in STPs. Interviews with leaders in the NHS indicate that there is growing confusion about accountability and a return to command and control management. Anxiety in NHS England and the government about NHS delivery is meaning that the NHS is “reverting to type”. The Nuffield Trust says that these problems could hamper work to join up services through STPs and accountable care systems. The Nuffield Trust recommends that STPs should have the ability to implement local objectives alongside national priorities; lines of accountability for organisations and STPs should be clarified and they should be held to account. London devolution gets green light London’s postponed health devolution deal has finally been signed off by the government. The deal will provide new flexibilities over money raised through sale of NHS assets, streamlined NHS regulation and delegation of commissioning responsibility for primary care and specialized services in a bid to encourage investment in prevention. Councils and the NHS will establish a joint London workforce board, and a London estates board will also be established – the agreement document says decisions over estates will be a critical development for addressing the need for new schools and homes. Deferring elective procedures NHS England is allowing trusts to defer non-urgent elective procedures until mid-January to free up beds for A&E patients. Other measures could include using day case facilities to provide inpatient care and ‘hot clinics’ for specialist care for patients referred by GPs. These measures follow recommendations from the new national emergency pressures panel. Local system review: interim findings The CQC has completed six of the 20 reviews of health and social care integration commissioned by the Department of Health, and has produced an interim report. This considers system leadership, maintaining people’s wellbeing in their usual place of residence, care and support for people experiencing a crisis, and step down – return to usual residence or admission to a new place. The CQC says it found too many examples of people not being treated in the right place at the right time by the right person, and some patients experienced harm through waiting too long in hospital. The focus on delayed transfers of care is diverting attention from tackling important issues such as social care and GP capacity and targets for individual organisations are hindering joined-up health and social care. Also, there area serious risks from the social care market and poor workforce capacity. The CQC advises that national bodies should look at how national targets and funding flows incentivise behaviour, and address risks in the social care market and workforce as a matter of urgency.
Social care green paper Care Minister Jackie Doyle-Price has confirmed that the £72,000 limit on care costs will not be introduced, However, the consultation on the social care green paper will include proposals for a limit in social care costs for individuals. She also confirmed that the green paper will focus primarily on older people but will consider elements of the adult social care system that are relevant to all adults. A parallel and aligned programme of work will consider the needs of working age adults with disabilities. Also, the needs of carers will be an integral part of the green paper, building on information from last year’s call for evidence on a proposed new carers strategy. An action plan for carers will be published in the New Year.
Board Report Title Listening to local people’s views
Governance framework component Statutory duties
Date and agenda item 25th January 2018, Agenda item 10.1
Author Faye Oliver & Fazilla Amide
Purpose (for information, decision or consultation) For information
Key Recommendations (where applicable) N/A
Attachments None
In quarter three, we engaged with 1,618 people at 40 events, raising awareness of Healthwatch Enfield as well as listening to local people’s experience of health and care services in the borough. The comparative figures for the previous year’s performance within the same period are: 325 and 8 respectively. Our engagement activities included:
8 hospital and health clinic pop up stalls reaching 326 people 5 pop ups in libraries and community centres engaging with 170 people 3 events marking the World Mental Health Day on 10 October, where 210 people were
engaged, including 120 Year 5 and 6 students 27 other outreach events reaching 1,122 people
Pop-ups
Subject Date No.
Ruth Winston Centre 02/10/17 50
NMUH Pop Up 10-12noon 03/10/17 100
Saheli Mental Health Day 06/10/17 50
Mind in Enfield World Mental health Day Event 10/10/17 40
Evergreen Health Centre pop up 01/11/17 50
Chase Farm Pop Up 07/11/17 35
Carlton House Surgery 11/11/17 36
NMUH Pop Up 20/11/17 40
Woodberry Practice 20/11/17 10
North Mid pop up 05/12/17 25
Chase Farm pop up 11/12/17 30
Edmonton Green Library pop up 14/12/17 20
Ordnance Road Library 19/12/17 10
Engagement Activities
Subject Date No.
Turkey Street Ward Forum 02/10/17 16
World Mental Health Day for year 5 & 6 pupils 10/10/17 120
LGBTQ AGM 10/10/17 10
Southbury Ward Forum 11/10/17 17
EDA AGM 12/10/17 40
Discharge surveys NMUH 13/10/17 3
Eldon Childrens Centre Event 17/10/17 34
Enfield Lock Ward Forum 17/10/17 15
All Saints Church Event 18/10/17 10
EDA Deaf Drop -in centre 19/10/17 25
Rose Taylor Day Centre 19/10/17 50
Friends of Jubilee Park 24/10/17 50
Highways Ward Forum 25/10/17 15
Celebrating Diversity in Enfield 26/10/17 60
GGGCE drop in 27/10/17 10
Pymmes Park Parkrun 28/10/17 60
Winchmore School -Assembly 31/10/17 100
Wellbeing Day 04/11/17 75
ERWA 04/11/17 15
Winchmore Hill School Assembly 08/11/17 100
EDS2 Grading Event 09/11/17 60
Saheli 17/11/17 40
Carers Rights Day 24/11/17 20
Parade of Lights 01/12/17 40
Over 50's Somali womens group 05/12/17 30
Diabetes UK 12/12/17 20
Annual Conference 13/12/17 87
In addition to listening to people’s experiences of health and care services in Enfield, we have also utilised the following surveys:
What is important to you when receiving help What services do you access and how do you like to find out about them
(aimed at people under the age of 25) Who do you speak to when you are feeling low/sad and how do you like
to learn about health services? (easy read version aimed at people under the age of 12)
People’s experiences of hospital discharge Accessibility of North Middlesex University Hospital NHS Trust What are the experiences of the Turkish community using health and
care in Enfield What are the experiences of the Somalian community using health and
care in Enfield Do you understand what your doctor tells you (easy read)
Annual conference On 13th December 2017, we hosted Healthwatch Enfield’s annual conference to gather local people’s views on shaping the Care Closer to Home agenda for the borough. The conference was attended by 87 individuals focussing on workshops facilitated by health and social care commissioners and providers. 95% of attendees rated the conference as either ‘good’ or excellent’. Almost all attendees said that they found the group discussions, debates, conversations and hearing other people’s views helpful. Individuals mentioned that they enjoyed the workshop style sessions. 100% of attendees felt that they were able to provide their views. Individuals felt that the facilitators were good at giving everyone an opportunity to talk and including all attendees in the discussions. When asked this question, 60% of individuals said that they would like more events like the conference, to provide forums and opportunity for discussion and sharing.
We are in the process of collating feedback from the discussions – this will be collated into a thematic report launching in February 2018. The report will be featured on our website, distributed to all attendees and other relevant stakeholders and we will seek to utilise the emerging evidence base to continue conversations with the local people and influence the future shape of services in Enfield.
1
Board Report Title Quality of health and care in Enfield
Governance framework component Statutory duties
Date and Agenda Item 25th January 2018, Agenda Item 10.2
Author Emma Friddin
Purpose (for information, decision or consultation) For information
Key Recommendations (where applicable) N/A
Attachments N/A
Please note that data contained within this report is based on feedback and intelligence recorded through the Healthwatch Enfield feedback centre only. Due to unanticipated issues encountered during the migration onto a new CRM system, a complete and validated dataset is not available at the time of writing. For the period October 2017 to December 2018:
85 reviews have been written on Healthwatch Enfield’s feedback centre 15 inspection reports have been published by the CQC about Enfield services 1 Enter and View visit has been completed
Quality and feedback on GPs in Enfield 38 reviews have been written on our feedback centre during Q4 2017/18 about GP practices in Enfield. The overall rating given to GP practices by patients writing reviews is 3.5 stars out of 5 stars. The main themes highlighted include:
Treatment and care Administration (including booking appointments) Staff Access to services Continuity and integration of care Communication
2
3
The CQC has published 4 reports relating to Enfield GP practices during Q4 2017/18. GP practice Date of
publications
Current rating Previous rating Previous publication
Southbury Surgery 09/11/2017
Requires improvement Inadequate 30/03/2017
Enfield Island Surgery 14/11/2017
Good Good 31/03/2017
Brick Lane Surgery 28/11/2017
Good No previous rating No rating
Chalfont Road Surgery 28/11/2017
Good Good 04/11/2016
Quality and feedback on hospitals in Enfield North Middlesex Hospital University Hospital NHS Trust 20 reviews have been written on our feedback centre about NMUH. The overall rating given to NMUH by patients writing reviews is 4 stars out of 5 stars. The main themes highlighted include:
Treatment and care Staff Access to services Facilities and Surroundings
4
Chase Farm Hospital, part of the Royal Free London NHS Foundation Trust 19 reviews have been written by patients on the Healthwatch Enfield online feedback centre about Chase Farm Hospital. Chase Farm Hospital has been given an average of 4 stars out of 5.
5
The main themes highlighted include:
Treatment and care Access to services Staff Facilities and surroundings Medication
6
The CQC has not published any hospital reports during this time period. Quality and feedback on mental health services in Enfield 4 reviews have been written by patients on the Healthwatch Enfield online feedback centre about Chase Farm Hospital mental health services. Mental health services at Chase Farm Hospital have been given an average of 4 stars out of 5. The main themes highlighted include:
Treatment and care Access to services Staff
The CQC has published 1 report relating to mental health services in Enfield during Q4 2017/18. Provider Date of
publications Current rating Previous rating Previous
publication
Constance House Hospital 27/10/2017 Requires improvement Good 13/11/2015
7
Quality and feedback on care and nursing homes in Enfield No reviews have been left on the feedback centre during this time period. Healthwatch Enfield’s Enter and View visit to Bridgewood House was conducted on the 19th October 2017. The new paperwork and approach was piloted. The pre-visit and visit went well, as well as the follow up with the manager. There were some lessons learned and, in particular, the need to simplify and shorten the questions being asked, and ensuring we retain the post visit meeting one week on. The draft report has been agreed by the Home and Independence and Wellbeing Enfield Ltd, and will be issued week commencing 15th January 2018. The CQC has published 4 reports relating to care and nursing homes in Enfield during Q4 2017/18. Provider Date of
publications Current rating Previous rating Previous
publication Eliza House 28/10/2017 Requires improvement Good 03/07/2015
Devon House 24/11/2017 Requires improvement Warning notice 23/01/2017
231 North Circular Road 28/11/2017 Good Good 21/08/2015
The Horizon 20/12/2017 Good Good 12/08/2015
Quality and feedback on home care in Enfield No reviews have been left on the feedback centre during this time period. The CQC has published 4 reports relating to homecare services in Enfield during Q4 2017/18. Provider Date of
publications Current rating Previous rating Previous
publication Marego Limited 14/10/2017 Good No previous rating N/A
Westminster Homecare Ltd 02/11/2017 Requires improvement Requires improvement 21/06/2017
DHR Support Services Ltd 09/11/2017 Good No previous rating N/A
Springwell Care Ltd 21/12/2017 Inadequate Requires improvements 11/01/2017
Board Report Title Volunteering update
Governance framework component Volunteering
Date and Agenda Item 25th January 2018, Agenda item 11
Author Michelle Malwah
Purpose (for information, decision or consultation) Information
Key Recommendations (where applicable) N/A
Attachments N/A
Recruitment Over the period, we have sent out 24 application packs for volunteers interested in the following roles: Board member: 1 Enter and View: 2 Community Outreach: 21 The interest in the roles was mostly generated through our community engagement activities; we were able to recruit three new volunteers (board and community outreach). Though, as a team, we decided to call and invite anyone interested in volunteering with Healthwatch Enfield to an informal interview, it has not been possible for us to achieve a higher conversion rate as for majority of the 24 interests registered, only email addresses were provided at the time of contact. As part of our recruitment drive, we will be placing an advert on charityjob.co.uk, re-printing our volunteer leaflet to distribute at community engagement events and speaking with other organisations to boost the number of volunteers. Activities Volunteers have been helping us carry out our statutory duties by taking part in Enter and View visits; undertaking community outreach; collecting patient experiences via our seven surveys and providing information. Student placements We now have three student placements in the office who are helping us with various tasks from data entry to community engagement. Communicating with volunteers Our first volunteer newsletter was sent out in December and was welcomed by the volunteers. We are working on the second edition and are planning a regular schedule of communications. Volunteers have also asked us to set up a WhatsApp group – this is currently being considered to ensure we follow best practice in Information Governance. Development I am continuing work on the Volunteer Strategy, policies, pack and application process.
Board Report Title Local Government Declaration on Sugar
Governance framework component N/A
Date and Agenda Item 25th January 2018, Agenda item 12
Author Patricia Mecinska
Purpose (for information, decision or consultation) For decision
Key Recommendations (where applicable) N/A
Attachments 1
On 5th December 2017, members of the Enfield Health and Wellbeing Board identified Healthy Weight as a priority for action. As one of the ways of promoting healthy weight and demonstrating leadership across the health and social care system, organisations agreed to consider actions outlined within the Local Government Declaration on Sugar and Healthier Food, appended. As a member of the Enfield Health and Wellbeing Board, it is important for Healthwatch Enfield to support activities supporting the delivery of the Healthy Weight agenda. This paper therefore seeks the Board’s approval to:
agree the development of Workplace Food Policy covering provision of health and nutrition to staff, volunteers and members of the public at Healthwatch Enfield’s events and meetings
adopt Breastfeeding Friendly scheme which encourages and supports breastfeeding mothers to Healthwatch Enfield’s events and meetings
sign up to the Sugar Smart Campaign and use the campaign as a vehicle to engage community to take their own action on sugar reduction
for Healthwatch Enfield to use its social media to help promote simple steps individuals can take to reduce the amount of excess sugar, fat and salt through aligning messages with national campaigns such as Change4Life and One You
through promoting consultations and public engagement opportunities, to support and influence the London Mayor and national government in taking action at London-wide and national level to help local authorities reduce obesity prevalence and health inequalities in Enfield’s communities
