Agenda and minutes

The Chair will consider the admission of any late items of urgent business.  (Late items will be considered under the agenda item where they appear.  New items will be dealt with at Item 10 below).

None.

Members must declare any personal and/or pecuniary interests with respect to agenda items and must not take part in any decision required with respect to these items.

None.

To approve the minutes of the Haringey Well-Being Partnership Board  meeting held on 4 September (attached).

RESOLVED

That the Minutes of this Board meeting held on 4 September 2006 be confirmed and signed as a correct record by the Chair subject to changes.

SCS

The Board was presented with the current draft of the Sustainable Community Strategy (SCS) and invited to comment on it via the SCS web-site (www.haringey.gov.uk/hsp) by 5 January 2007. The Board was encouraged to pick up on what had not been included in the SCS to date, especially where this would enhance its robustness as a community strategy. To this end, the Board heard that housing matters should be highlighted prominently within the SCS. Also, it was noted that health issues were not mentioned in the covering letter from the Council’s Leader in the introduction to the SCS. Further, there was nothing on drugs and alcohol and its impact on health in the whole document. Elements of public health strategies would need to be featured in the SCS with a focus on equality throughout the borough.

LAA

The Board heard that that the second draft of the LAA was going to be submitted to Government Officer for London on 15 December 2006 and a response to this was expected in early January 2007 ahead of the third and final draft being discussed at a special meeting of the HSP on 15 January 2007. The Board also heard that it was necessary to achieve real life changing outcomes from the LAA, not just infrastructural ones for the bureaucracy that surrounds the LAA key players. Clarity and openness of information was also necessary throughout the process. It was highlighted that the LAA would engender new ways of workings to achieve this in addition to new money and that open discussions will need to continue to achieve the best outcomes.

The Board heard that no papers were to be tabled by the Haringey TPCT for this Item, but that a verbal update would be given instead. There was agreement from the Board members from the PCT and Local Authority sides that in future, a joint paper would be produced for the Board in respect of budgets – the first of which would be presented to the Board at its next meeting on 22 March 2007.

In addition, the Board agreed to the Chair, Vive-Chair, and other key members to meet separately in February 2007 to discuss further budgetary issues. The Board heard that the TPCT and the Local Authority had two meetings to date to share their early budgetary assumptions for 2007/8. It was reported that the TPCT would receive around 7% growth. The TPCT is planning for the same top slice as 2006/7 of 3.6% to contribute to the London pool. The biggest call on resources is meeting the 18 week target - in effect it must ensure by the end of 2007/8 no patients wait more than 18 weeks from date of referral to appropriate inpatient treatment. This will require major investment as the TPCT’s current target is no patients to wait more than 12 weeks for outpatients appointments and 6 months for inpatient treatment. In effect the HPCT will be reducing the waiting list from a current maximum position of 9 months down to 18 weeks.

In terms of 2006/7 the HPCT are still projecting a break even position, but the position is becoming very tight and it reported experiencing severe budgetary problems including:

·                    A greater number of patients going to hospital than planned. 

·                    A rise in excess bed days (patients staying in a hospital bed longer than they need to). We will have spent over £4m this year on people staying in bed longer than they need to.

·                    Rising continuing care needs.

·                    Lack of success in our joint venture with the mental health trust and social services to reduce the numbers of patients in mental health beds waiting for social care and housing packages - creating a £0.5m funding gap).

·                    New drugs and drug therapies e.g. Herceptin.

The Board’s attention was drawn to the commissioning and re-organisation of the Community Services and to the re-development of St Ann’s Hospital although regrettably, there was no update on this to hand. The Board heard that a consultation exercise was needed with community representatives over the future of St Ann’s Hospital. The Board also heard from a member of the public that many of the Mental Health Partnership Executive Board strategies he considered flawed, and he called for further options to be included in the strategies to broader their impact.

RESOLVED

The Board noted the progress and key issues raised.

The Board agreed that there should be an extraordinary meeting in January/February 2007 in order to discuss this topic more thoroughly as due to time constraints, it was not possible to do so at this meeting.

Nonetheless, by way of introduction to the Item, the Board was given an outline of the process behind the Action Plan and was keen to gaining broad ownership of the progress to achieving broad outcomes, namely the reduction of inequities within the borough.

To receive and agree to the written updates provided by the Well-Being Executive Sub-Groups as follows:

i)        Older People (to follow)

ii)      Mental Health – covered by Agenda Item 7

iii)    Supporting People Management Board(to follow)

iv)    Healthier Communities (to follow)

v)      Housing Executive

vi)    Performance and Strategy Group

vii)  Joint Service Priorities Group

viii)Police – verbal two minutes

ix)    PCT - verbal two minutes

x)      Voluntary Sector – verbal two minutes

xi)    Haringey Council - verbal two minutes

Due to time constraints, this Item was withdrawn from the Agenda.

None.

To consider any new items admitted under Item 2 above.

None.

• 15 March 2007, 7pm

RESOVLED

The following dates were reconfirmed by the Board:

·                    15 March 2007, 7pm – Haringey Civic Centre

Partners should submit proposed agenda items for the next meeting to Nicolas Mattis no later than 17 February 2007.

The Board agreed that there should be an extraordinary meeting in January/February 2007 in order to discuss the following items:

·                    Joint Budgets – Catherine Galvin/Tracey Baldwin

·                    Life Expectancy Action Plan – Vicky Hobert/Ann-Marie Connolly

·                    Progress update from the St Ann’s Steering Group – Deborah Cohen

Board Members were reminded to submit proposed agenda items for the next scheduled meeting (15 March 2007) to Nicolas Mattis (nicolas.mattis@haringey.gov.uk), no later than 17 February 2007.