Agenda and minutes

North Central London Joint Health Overview and Scrutiny Committee
Monday, 6th February, 2023 10.00 am

Venue: Cypriot Community Centre, Earlham Grove, Wood Green N22 5HJ

Contact: Dominic O'Brien, Principal Scrutiny Officer  Email:

No. Item



Please note this meeting may be filmed or recorded by the Council for live or subsequent broadcast via the Council’s internet site or by anyone attending the meeting using any communication method.  Members of the public participating in the meeting (e.g. making deputations, asking questions, making oral protests) should be aware that they are likely to be filmed, recorded or reported on.  By entering the ‘meeting room’, you are consenting to being filmed and to the possible use of those images and sound recordings.


The Chair of the meeting has the discretion to terminate or suspend filming or recording, if in his or her opinion continuation of the filming, recording or reporting would disrupt or prejudice the proceedings, infringe the rights of any individual, or may lead to the breach of a legal obligation by the Council.


The Chair referred Members present to agenda Item 1 as shown on the agenda in respect of filming at this meeting, and Members noted the information contained therein’.



To receive any apologies for absence.





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 under item 9 below).





A member with a disclosable pecuniary interest or a prejudicial interest in a matter who attends a meeting of the authority at which the matter is considered:


(i) must disclose the interest at the start of the meeting or when the interest becomes apparent, and

(ii) may not participate in any discussion or vote on the matter and must withdraw from the meeting room.


A member who discloses at a meeting a disclosable pecuniary interest which is not registered in the Register of Members’ Interests or the subject of a pending notification must notify the Monitoring Officer of the interest within 28 days of the disclosure.


Disclosable pecuniary interests, personal interests and prejudicial interests are defined at Paragraphs 5-7 and Appendix A of the Members’ Code of Conduct



Cllr Pippa Connor declared an interest by virtue of her membership of the Royal College of Nursing.

Cllr Pippa Connor declared an interest by virtue of her sister working as a GP in Tottenham.

Cllr Jilani Chowdhury declared an interest by virtue of his son working as a doctor in Margate.




To consider any requests received in accordance with Part 4, Section B, paragraph 29 of the Council’s constitution.





MINUTES pdf icon PDF 427 KB

To confirm and sign the minutes of the North Central London Joint Health Overview and Scrutiny Committee meeting on 23rd November 2022  as a correct record.


In relation to the action points from the previous meeting, Cllr Bevan requested a further update on the future inspection of GP practices. He noted that, according to the response received, inspections had not yet been carried out in Camden and Haringey and that this would be dependent on the availability of funding. It was agreed that a further update would be provided from the North Central London Integrated Care Board (NCL ICB). (ACTION)


Cllr Clarke noted that, in response to a question from Rod Wells of Haringey Keep Our NHS Public (KONP), it had been confirmed that the St Ann’s primary care contract in Haringey would be coming up for renewal, and asked for an update on the timescales for the review and next steps. It was agreed that a further update would be provided from the NCL ICB. (ACTION)


The minutes of the previous meeting were approved.


RESOLVED – That the minutes of the meeting held on 23rd November 2022 be approved as an accurate record.




To provide an overview and update on the progress of the community and mental health service reviews.



Sarah Mansuralli, Chief Development and Population Health Officer for the NCL ICB, introduced the report on the NCL Community and Mental Health core offer, highlighting that the programme was one that aimed to address historical inequities in access to community and mental health services. She said that, as a new statutory body, the North Central London Integrated Care Board (NCL ICB) had a focus on improving population health and reducing inequalities. It was committed to improving outcomes for residents through an outcomes framework and these community and mental health services were seen as building blocks to delivering proactive integrated care and enable earlier intervention and prevention.


Sarah Mansuralli explained that the strategic review in 2020/21 started with a baseline review of services across NCL which identified a number of inequalities in access and also some differentials in outcomes and spend. This review then led to the co-design of the core offer in partnership with service users and in response to what patients said. The core offer aimed to meet different levels of patient need, including the differing needs of various patient cohorts. Multiple benefits were expected from the core offer and implementation was in progress with an ambitious plan of incremental improvement in services over the next five years.


Natalie Fox, Deputy Chief Executive and Chief Operating Officer at Barnet, Enfield & Haringey Mental Health NHS Trust (BEH-MHT) and also Camden & Islington Foundation Trust (C&I), expanded on this, noting that the core offer involved doing more by working in integrated ways in partnership with other statutory agencies and also local communities and voluntary organisations. The core offer for mental health recognised the variations that existed in the NCL area and was developed with input from clinical staff, experts by experience and local communities across the five boroughs. The core offer developed clarity on access, including what service users could expect from services, what interventions should be provided and the skills and expertise that services should have. The work was linked to the NHS Long Term Plan for Mental Health and placed the service user at the heart of everything that service did. It also aimed to tackle the wider social determinants of mental health which impact on certain patient cohorts, such as the overrepresentation of young black men in mental health services. Through the core offer, services should be developed that people want to engage with and that are accessible for people with physical health conditions or other issues such as learning disabilities. The core offer journey aimed to offer the right care at the right time by the right person. It would also be important to make the workforce more resilient, improve staff satisfaction and offer employment opportunities to the local community through apprenticeships and ‘expert by experience’ roles.


The core offer was split across children and adolescents, young adults, working-age adults and older people with the various models set out in the agenda pack. For children and adolescents, this was based on the THRIVE model which involved a  ...  view the full minutes text for item 42.



To provide an outline of the 2022-23 work programme for the North Central London Joint Health Overview and Scrutiny Committee and an opportunity for Committee Members to propose additions/amendments

Additional documents:


The Committee discussed possible items for inclusion on the agenda at the March meeting and raised the role of community pharmacies and the difficulties that some residents experienced in obtaining GP appointments.




·         20th Mar 2023 (10am)


·         20th March 2023 (10am) - Barnet