The Lambeth Together Care Partnership agreed the minutes of their previous meeting and noted the Place Executive Lead report. The Board discussed updates on the Lambeth Suicide Prevention Strategy, initiatives aimed at helping older adults in Lambeth to age well, the work of the Lambeth Together Primary Care Commissioning Committee and the Lambeth Together Assurance Sub-Group, and plans for the Partnership's 2025/26 Business Plan. The Board also ratified the proposed update to the Lambeth Together Care Partnership's Terms of Reference.

Lambeth Suicide Prevention Strategy 2025-2030

The Board noted the achievements of the current Lambeth Suicide Prevention Strategy 2022-2025, which will end this year.

A key priority for the Strategy has been to deliver suicide prevention training. In total, almost 400 people have attended training since 2022, including 202 residents, staff from the voluntary sector, private sector workers, staff from health and care organisations, and Lambeth Council employees. The Jen Group delivered training to 202 attendees, the charity Papyrus provided 5 training sessions for people working with children and young people, and the mental health promotion team at the South London and Maudsley NHS Foundation Trust (SLaM) delivered half-day training sessions for residents, frontline staff, volunteers and local businesses. Training was also delivered by STORM, a suicide prevention charity founded by a group of people who have been bereaved by suicide.

The Strategy also provided additional funding to expand suicide prevention support and suicide bereavement services at The Listening Place and Cruse Bereavement Services. Between January 2022 and April 2024, The Listening Place provided support to 1,402 service users in Lambeth, which resulted in an average decrease in self-reported suicidality of 34%. The Listening Place acknowledged that NHS services represent the majority of their referrals, and said that they were aiming to generate more self-referrals, non-NHS referrals, and referrals from young Black men. Cruse Bereavement Services supported 28 clients in Lambeth between March 2022 and June 2024, providing support sessions, signposting clients to other organisations, and facilitating access to bereavement volunteers.

Other notable achievements of the Strategy include the Love Your Mind campaign for World Suicide Prevention Day and an International Men's Day event in 2023 that was led by the Black Men's Consortium.

The Board discussed the development of the new Lambeth Suicide Prevention Strategy 2025-2030, which is currently being drafted. The development of the new Strategy will include an engagement exercise with stakeholders and those with lived experience, and a public consultation. The new strategy will incorporate learnings from the previous strategy, and it will be extended from a 3-year strategy to a 5-year strategy in order to align with other key Council strategies. It will adopt the 8 priority areas identified in the National Suicide Prevention Strategy:

1. Improving data and evidence
2. Tailored, targeted support to higher-risk groups
3. Addressing common risk factors linked to suicide
4. Reducing access to means and methods of suicide
5. Providing effective crisis support
6. Promoting online safety and responsible media content
7. Providing effective bereavement support to those affected by suicide
8. Making suicide everybody’s business

The Board noted that the new Strategy would identify groups who are at high risk of suicide in Lambeth. These include:

• Children and young people
• People in contact with the justice system
• LGBTQ+ communities
• Asylum seekers
• People who are misusing substances
• Men (in particular, those aged 45-64)
• Pregnant women and new mothers
• People who have self-harmed
• People facing financial difficulty and economic adversity

The Board discussed the new Strategy's Year 1 Action Plan, which will focus on the following objectives:

1. Tailoring approaches and reducing the risk of suicide in high-risk groups
2. Providing better information and support to those bereaved or affected by suicide
3. Supporting the media in delivering sensitive approaches to suicide and suicidal behaviour
4. Improving research, data collection and monitoring of suicide, suicidal behaviour and self-harm in Lambeth

Ageing Well in Lambeth

The Board received an update on the Age-Friendly Lambeth Action Plan (2024-2027), which is due to launch later this financial year.

The Age-Friendly Lambeth programme is based on the World Health Organization's (WHO) Age-Friendly Cities Framework, which identifies 8 interconnected domains that are important for healthy ageing:

• Outdoor Spaces and Buildings
• Transportation
• Housing
• Social Participation
• Respect and Social Inclusion
• Civic Participation and Employment
• Communication and Information
• Community Support and Health Services

Age-Friendly Lambeth consulted with residents about their experience of these domains via the Ageing Well Festivals in 2023 and 2024, a survey which received 708 responses, 3 Age-Friendly Forum meetings attended by 125 residents, and a public consultation on the draft action plan that received 314 responses.

The Age-Friendly Lambeth Action Plan will include 57 actions, including:

• Raising awareness of Pension Credit and Attendance Allowance benefits among older residents.
• The development of a carers strategy for Lambeth.
• Improving the accessibility of walking routes and bus stops.
• Promoting age-friendly principles in Lambeth's Local Plan.
• Promoting the voice of older residents in Council strategies such as the Night-time Economy and Cultural Creativity strategies.

The Board also heard about the work that is being done by Age UK Lambeth to help older adults to age well. Age UK Lambeth said that their Exercise and Socialise classes, which took place from May to August 2024, had seen 2,330 individual attendances, and they described the support that they have been providing to older adults through their Warm Homes and Energy Boost projects. They also described their Neighbourhood Wellbeing Workers, who had 1,167 contacts in Quarter 2 2024.

The Board discussed the Neighbourhood and Wellbeing Delivery Alliance's (NWDA) Ageing Well strategy, which focuses on 3 key workstreams:

1. Enabling independence, promoting wellbeing: The NWDA said that this workstream will aim to enable Lambeth residents who are at the early stages of becoming frail to live the best lifestyle that they can by providing preventative support that delays poor health and reduces associated health inequalities.
2. Population-based proactive anticipatory care: This workstream will aim to help frail older people to live the healthiest and most independent life that they can by identifying frailty risk groups at a population level. As part of this workstream, the NWDA are working with Age UK Lambeth to create a digital discharge pathway service for people who are being discharged from hospital, they have established the Local Care Data Discovery Group to explore how to better use data to predict those who are at risk of falling and improve health and social care, and they are working on a prototype for a new neighbourhood model of care which will proactively identify and support those who are at risk of frailty in the most deprived areas of Lambeth.
3. Care closer to home: This workstream will aim to align multidisciplinary team working with the GP contract in Older People care homes, address falls risk factors with a newly-funded therapy team, promote the use of non-London Ambulance Service/Emergency pathways, and address the needs of other long term care settings.

The NWDA said that their area of focus will be the pre-frailty and mild-moderate frailty population in order to prevent progression to severe frailty.

Lambeth Together Primary Care Commissioning Committee (PCCC)

The Board noted the minutes of the Lambeth Together Primary Care Commissioning Committee meeting that was held on 20 November 2024 and ratified the following decisions made by the Committee:

• Primary Care Interpreting Service across Lambeth, Lewisham, and Southwark: The Committee approved the Contract Award Recommendation Report (CARR) for the procurement of a Primary Care Interpreting Service across Lambeth, Lewisham, and Southwark.
• 2024/2025 Building Practice Resilience: The Committee allocated £130,000 from the System Development Fund to support practices in Lambeth to become more sustainable and resilient.
• The Lambeth Offer: The Committee noted and approved the evaluation of Lambeth's existing GP Improvement Schemes, the Project Initiation Document (PID) for the development of a new Lambeth Offer, and the proposed Primary Care Commissioning Intentions letter for 2025/26.

The Committee also received an update on the procurement of a Population Health Management (PHM) tool.

Lambeth Together Assurance Sub-Group

The Board noted the minutes of the Lambeth Together Assurance Sub-Group meeting that was held on 05 November 2024.

Business and Financial Planning 2025/26 - Health and Care Plan Review

The Board discussed plans for the Lambeth Together Care Partnership's 2025/26 Business Plan.

The Board were told that NHS England's Evolution of our operating model guidance published in November 2024 sets out a number of actions that will guide the 2025/26 NHS Operating Framework refresh. These include:

1. Simplification: Reducing duplication, clarifying roles and responsibilities, and enhancing performance management.
2. Focus on Neighbourhood Health: Redirecting resources towards neighbourhood health, defining the provider sector's role and collaboration with local partners.
3. Devolution of Decision-Making: Empowering local decision-makers, clarifying the roles of Integrated Care Partnerships (ICPs) and health and wellbeing boards.
4. Local Leadership Support: Providing leaders with strategic commissioning frameworks to manage local complexities effectively.

The Board were also told that plans to update the NHS Oversight and Assessment Framework include:

• Introducing an updated NHS Oversight and Assessment Framework and a new NHS Performance, Improvement and Regulation Framework.
• ICBs will focus on strategic commissioning, service planning, and sustaining primary care, supported by a new Strategic Commissioning Framework.
• Providers must collaborate to achieve transformation and improvement, with NHS England intervening when performance standards are not met.

The Board noted that the South East London Joint Forward Plan (JFP) will focus on system sustainability and health inequalities, and they discussed Lambeth Council's 2025/26 business planning process.

The Board discussed the challenging financial environment being experienced by all partners, including:

• The South East London Integrated Care Board (ICB) is awaiting planning guidance and its budget allocation, but it is continuing its work to understand its underlying financial position and to support the wider SEL Sustainability programme.
• Lambeth Council is reporting an estimated overspend of £34m in Quarter 1 2024/25, and a significant funding gap is predicted over the next four years. The Council is planning to make £49.9m in savings over the next four years, of which £3.47m will be made from Adult Social Care, £4.3m from Children’s Social Care and £876k from Integrated Health and Care.
• NHS providers face the need to deliver significant savings in order to secure financial sustainability and to address service recovery expectations.
• Care providers and the VCS face the need to address savings in order to meet inflationary and enhanced staffing costs.

The Board discussed a number of recent publications that have called for a focus on neighbourhood health services, including the NHS Long Term Plan (2019), the Fuller stocktake (2022), the Labour Manifesto, the Darzi report (Sep 2024) and NHS England's Evolution of our operating model (Nov 2024). The Board noted that a neighbourhood health service model would involve delivering more care in local communities.

The Board noted the requirement to refresh the Our Health, Our Lambeth 2023-2028 Health and Care Plan and discussed the proposed content and structure of the refreshed Plan. The Board agreed to commit to collaborating on producing and delivering an impactful plan for 2025/26.

Lambeth Together Care Partnership - Terms of Reference Annual Review

The Board ratified the proposed update to the Lambeth Together Care Partnership's Terms of Reference. The Terms of Reference set out the role, responsibilities, membership and reporting arrangements of the Partnership under its terms of delegation from the ICB Board.

The update makes explicit reference to the Partnership's commitment to tackling health inequalities, ensuring equitable access to care and support for all communities and responsibility for meaningful community engagement. The update was consulted on at the October and December 2024 LTCP Seminar meetings.

Questions from public attendees

The Board heard questions and comments from members of the public on a variety of topics, including:

• Support for people living with dementia.
• Human papillomavirus (HPV) vaccine uptake.
• Annual health checks for people with autism.

The Board agreed to follow up these questions outside of the meeting.

The Board also noted that the Lambeth Council Public Health team is carrying out a Pharmaceutical Needs Assessment (PNA) to find out what local people need from their pharmacy services. The PNA will help the Council to understand local views and identify areas for improvement, and it will shape local services.

The Board agreed to meet again on Thursday 06 March 2025 at the Brixton Library.