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Apologies for absence were received from: Gavin Bown, Natural Resources Wales; Emma Palmer, Powys County Council; Diane Reynolds, Powys County Council; Duncan Hamer, Welsh Government; Chloe Barrell, Powys Teaching Health Board; Alison Perry, Office of the Police and Crime Commissioner and Jamie Burt, PAVO.
The minutes of the last meeting held on 18 July 2024 were agreed as a correct record.
Helen Lucocq highlighted the need for bridge funding to enable the climate risk work to continue past December 2024. Bridge funding would enable staff contracts to be extended by three months, which would allow the Climate Emergency Step’s Working Group to build the robust governance structures needed across the partnership to effectively deliver on the action plan. The Vice-Chair invited PSB members to provide funding updates on behalf of their organisations. Daniel Burgess advised that a report was due to be considered by Powys County Council’s Corporate Leadership Team (CLT) imminently to explore potential bridge funding options. Following queries on where the original funding was sourced, Helen Lucocq clarified that the Climate Working Group secretariat was being resourced by an award from the Shared Prosperity Fund (SPF) which was due to end in December 2024. Members noted that there was uncertainty as to whether SPF would continue past March 2025. Helen Lucocq added that in addition to staffing resource, without bridge funding there would not be resource to take the climate action plan through the delivery phase. Hayley Thomas suggested that bridge funding conversations be continued outside of the meeting. Noted that the PSB had several projects contributing to its priorities, and that there was an ongoing risk for some of the projects which were important to the partnership if funding was not identified. Hayley Thomas added that it would be helpful to have an executive-level forum or mechanism separate to the public PSB meetings to discuss recommendations and issues such as resourcing, and more sensitive issues. The public PSB meetings could then be focused on tracking the outcomes of the Steps and understanding potential risks. The Vice-Chair left the meeting. Helen Lucocq agreed with Hayley Thomas’ suggestion to establish a system to find ways forward where projects were under threat due to a lack of funding. A bridge funding options paper was also shared with members of the Climate Working Group, to be shared with partner organisations’ boards. ACTION – PSB Secretariat to consider potential mechanisms to enable PSB member organisations to discuss items and issues at the executive-level, prior to consideration at the PSB. Gillian Perry explained that funding was not an issue exclusive to Powys PSB and was also an issue for Ceredigion PSB’s climate and nature sub-group. Clive Pinney suggested that officers of the relevant PSB member organisations meet to produce a report detailing the funding arrangements for the workstream going forward, so that the PSB are informed of the circumstances and final arrangements in advance of the next PSB meeting in December. ACTION – Officers to produce a report to inform the PSB of the Climate Working Group’s funding arrangements prior to the next meeting of the PSB on 11 December 2024.
Helen Lucocq provided an update on the climate risk assessment work, which was being informed by a series of thematic workshops held with various stakeholders and facilitated by Dr Alan Netherwood. Decarbonisation and sequestration · Regarding the decarbonisation and sequestration element, Small World Consulting were commissioned to undertake the work, with research nearing completion. Powys’ carbon footprint · Preliminary analysis showed that Powys residents’ carbon footprint was around 17 percent higher than the average UK carbon foodprint, mainly due to food production, food consumption and additional fuel use due to the rural nature of the county. · These emerging policy areas and associated climate risks were due to be further explored via workshops with town and community councils and Powys Climate Stakeholder Group. · A range of feasibility studies were also being drafted for inclusion within the overall climate risk assessment and adaptation plan for Powys. · Members were invited to a knowledge exchange session on 21 November 2024 to receive the findings of the climate risk assessment and to discuss the potential decarbonisation/sequestration options. o This session would also assist with facilitating the necessary conversations between PSB members ahead of the next PSB meeting scheduled for December 2024, when the climate action plan would be presented for approval.
Catherine James provided an update on the Engagement and Insight workstream, highlighting progress made to date. General: · Supported the Shaping Places for Well-being in Wales Programme led by Public Health Wales · Publication of the PSB Annual Report for 2023/24, which was approved at the previous meeting. The report was now available for promotion and circulation within partner organisations. Engagement: · Collaboration with the Regional Partnership Board on developing a set of co-production principles for Powys. · Support for the climate risk assessment work, with workshops organised for various stakeholders to inform the risk assessment. · Support for the Dyfed Powys Police and Crime Commissioner's Plan and Powys Teaching Health Board's proposed service changes. Data: · Ongoing review and update of the Population Needs Assessment, incorporating more recent data sources such as 2021 Census data and datasets provided by partners such as Powys Teaching Health Board. · Powys RPB had been engaged around potentially combining the Well-being Assessment and Population Needs Assessment to reduce duplication. · Collaboration with Welsh Government and Stats Wales on the interactive Well-being Information Bank hosted on the Powys website. Future Activities: · Exploration of a dedicated Powys PSB website, subject to board approval. · Consideration of a newsletter to update communities and organisations in Powys about the PSB's activities. · Continuation of the Population Needs Assessment mid-point review, which is a substantial piece of work. · Undertaking a data maturity assessment to evaluate the current state of data, usage and gaps. · Identification of funding opportunities to support exploration of innovative engagement techniques. · Improvement of information-sharing mechanisms, particularly using Microsoft Teams to facilitate collaboration between partner organisations. · Alignment of data requirements and engagement efforts across different Steps to streamline processes. The Chair asked for an explanation of the Office of the Future Generations Commissioner's Maturity Matrix. Catherine James explained the maturity matrix as a tool used by public sector bodies to assess organisational progress and identify areas for improvement. James Langridge-Thomas expanded in that the tool was used to assess the extent of implementation of the five ways of working, as set out in the Well-being of Future Generations (Wales) Act 2015. Learning from the 'involvement' and 'collaboration' aspects were particularly relevant to the PSB's role. Learning would also be sought from partner organisations who had already undertaken the assessment internally. Mererid Bowley added that Powys Teaching Health Board had undertaken the maturity matrix assessment and could share their findings. Iwan Cray noted that Mid and West Wales Fire and Rescue Service would also be happy to share their findings. Melusi Moyo enquired about the timescale for the development of the PSB website, to host the climate action plan and related data, so that they were publicly accessible. Catherine James replied that the website proposal was in early stages, and a collective decision needed to be made as to whether there was still an appetite for a PSB website. Catherine James suggested that an action could be agreed for partner organisations to promote the climate action plan through their organisations, and that Powys County Council could also circulate information with town and community councils. Scrutiny Recommendations: · Catherine James highlighted the recommendations from the PSB scrutiny meeting held on 15 July. · Key recommendations included seeking clarity regarding funding of the Responding to the Climate Emergency Step; the development of a high-level PSB risk register; consideration of key performance indicators, and alignment of national indicators with the well-being plan and objectives. · The scrutiny session was deemed useful, and all recommendations were either accepted or partially-accepted.
Breastfeeding Welcome Scheme: · Fiona Valentine updated on the scheme, noting that the initiation rate for mothers breastfeeding in Powys was over 80%, however this fell to below 60% by six weeks. · The scheme launched on 1 August 2024 to coincide with World Breastfeeding Week, with over 70 premises signed up, including public-facing areas of Powys Teaching Health Board and Powys County Council. · The scheme aims to normalise breastfeeding in public, highlighting its health, environmental and financial benefits compared to formula milk. · Details of the scheme have been added to Powys Teaching Health Board’s staff induction and equality and diversity training. · Businesses were also being approached to join, and all business engaged to date went on to sign up to the scheme. Clive Pinney sought clarification around the health benefits of breastfeeding over formula milk. · Fiona Valentine responded by explaining that the mother’s breastmilk contained the correct amount of calories for the baby, as well as antibodies and surfactants which helped to protect the baby’s immune and digestive systems. · Formula milk consisted of cow’s milk and so there was a risk of allergic reaction and further reaction caused by the larger proteins in cow’s milk. · Breastfed babies regulate their appetite better compared to formula milk, which increases the risk of overweight and obesity later in life. Introduction to Solids: · Fiona Valentine discussed introduction to solids, also known as weaning, and the importance of cooking skills and affordability of healthy food. · During engagement workshops, there were concerns from parents around accessing healthy foods and the risk of ultra-processed foods on dental health. · Training and information resources for health professionals delivering weaning parties had been updated with guidance from dieticians. · During weaning parties, parents were advised of the benefits of introducing healthy foods with low sugar content when weaning babies. This helped to develop babies’ tolerance to stronger tasting foods and so they would not develop cravings for sugary foods as they grew older. · Information was also provided to help identify whether a baby was choking or gagging, as this was a particular concern of parents. Cooking Counts: · Shared Prosperity Funding was utilised as part of a joint Council/Health Board initiative to deliver Cooking Counts courses (cooking and numeracy skills). · Three courses were delivered over six weeks, consisting of 2-hour sessions, and had been completed by 14 participants to date. Further sessions were planned, and participants were signposted to additional courses. · The course would be evaluated following December 2024 when the funding was due to end in terms of sustainability of delivering future courses, with learning also to be utilised as part of the wider Cooking Skills theme of the WSA to Healthy Weight Step. · Two sessions of Eat Smart Save Better had also been delivered to 15 participants during quarter two. Affordability of Healthy Food: · The Healthy Start scheme was mentioned, noting the focus on addressing barriers to access and improving uptake of the scheme. · 57 retailers had been engaged to encourage promotion of the scheme and to ensure their staff were aware and that eligible parents using the scheme were treated with dignity. · There was a particular focus on the Newtown and Ystradgynlais areas due to the high level of need. · Health professionals were being engaged to encourage signposting and promotion of the scheme to parents. · Next steps included: o Exploring ways for local food pantries and community initiatives to use the Healthy Start card. o The Healthy Start scheme was being reviewed nationally to address barriers such as the inability to use cards for online shopping, which rural communities rely on, and the need for a phone app option rather than solely a physical card. Mererid Bowley commented that multi-agency partnership working across the PSB was necessary to drive the Step’s work forward, and thanked partners for their involvement to date.
Mererid Bowley provided an overview of the Annual Report of the Director of Public Health for 2023/24, which describes the health of the population of Powys, sets out the key health challenges facing the population as a whole and highlights opportunities to address them. Smoking Cessation Initiatives: Mererid Bowley discussed initiatives to support individuals ready to quit smoking, including self-referral services and community support. Schools were actively involved in promoting smoke-free environments, and secondary schools participated in the "Just Be" program, an evidence-based peer mentoring initiative by Public Health Wales. Making Every Contact Count (MECC): · The MECC approach aimed to provide consistent advice across all sectors, for example, ensuring that public enquiries for smoking cessation were met with accurate information and referrals. · Training would be provided to frontline staff to enhance their ability to offer support and guidance. Alcohol Consumption in Young People: · Powys had higher alcohol intake among young people compared to other areas in Wales. · The focus will be on understanding the reasons behind this trend and implementing evidence-based programmes to address it over the next 12-18 months. Healthy Weight Initiatives: · The discussion highlighted the progress of the healthy weight systems work, noting a reduction in the percentage of overweight or obese children at school entry age. · The importance of giving children the best start in life was emphasised, with ongoing efforts to tackle healthy weight issues in partnership with various stakeholders. Addressing Inequities: · Mererid Bowley noted the hidden nature of inequalities and the need for equal opportunities for healthy choices. · Actions were being taken to highlight and address inequities in Powys, including organising community events and implementing the Socio-Economic Duty to ensure decision-making considered disadvantaged individuals. · Efforts were also being made to support veterans through veteran-friendly GP practices. Hayley Thomas emphasized the importance of placing the report in the partnership space, highlighting that no single partner can deliver the call to action alone. The discussion acknowledged the multi-agency nature of health priorities and the need for collective efforts across all agencies.
The dates of future PSB meetings were noted: · Wednesday 11th December 2024, 10-12.30 PM · Thursday 20th March 2025, 2-4 PM · Tuesday 15th July 2025, 2-4 PM · Thursday 25th September 2025, 2-4 PM · Thursday 11th December 2025, 2-4 PM
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