Venue: Committee Room 1, Hendon Town Hall, The Burroughs, London NW4 4BG
Contact: Dominic O'Brien, Principal Scrutiny Officer Email: email@example.com
FILMING AT MEETINGS
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’.
APOLOGIES FOR ABSENCE
To receive any apologies for absence.
Apologies for absence were received from Cllr Kemi Atolagbe (Camden), Cllr John Bevan (Haringey), Cllr Anne Hutton (Barnet), Cllr Andy Milne (Enfield). Cllr Chris Dey (Enfield) attended the meeting as a representative in place of Cllr Andy Milne.
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 10 below).
DECLARATIONS OF INTEREST
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.
DEPUTATIONS / PETITIONS / PRESENTATIONS / QUESTIONS
To consider any requests received in accordance with Part 4, Section B, paragraph 29 of the Council’s constitution.
To approve the minutes of the North Central London Joint Health Overview and Scrutiny Committee meeting on 6th February 2023as a correct record.
The responses received so far to the actions from the previous meeting were noted and it was reported that further responses would be circulated by email shortly. Cllr Tricia Clarke referred to the information provided about the consultation on the St Ann’s primary care contract and expressed concerns about the role of AT Medics and the use of physician associates. Claire Henderson, Director of Integration at the NCL ICB, responded that this issue had previously come up at other AT Medics practices. She explained that, given the current challenges associated with GP recruitment and retention, mixed skills in GP practices were being seen more often when procurement processes were carried out. However, the ratio of GPs on site was an important consideration as part of this process. Asked by Cllr Connor whether members of the public were able to observe discussions on this issue at the Primary Care Commissioning Committee (PCCC), Claire Henderson explained that the meetings included a ‘Part 1’ section held in public and a ‘Part 2’ section held in private. Public questions could be submitted to Part 1 of the meeting.
The minutes of the previous meeting were approved.
RESOLVED – That the minutes of the meeting held on 6th February 2023 be approved as an accurate record.
To provide an overview of the £5m health inequalities fund which supports schemes targeted at the most deprived communities in NCL.
Ruth Donaldson, Director of Communities at the NCL ICB, introduced this item, noting that further funds had been allocated since the previous overview that had been provided to the Committee 18 months previously. The original purpose of the scheme had been to develop innovative solutions to health inequalities and some details of the schemes had been provided in the pack.
The schemes highlighted included:
Ruth Donaldson commented that the wider lessons learnt from the programme had included that resources were allocated at NCL level but then Borough Partnerships determined how it was spent based on their local insights and understanding which had led to more collaborative and innovative solutions. In addition, the learning from the co-production and community empowerment work could be applied across the system in future, included by monitoring the level of equity in all standard measures and making the best use of limited resources in decision making.
Ruth Donaldson then responded to question from the Committee:
To provide an overview of the approach to winter resilience in NCL for 2022/23 including the High Impact Winter Action Plan and additional funding for winter demand/capacity and discharge.
Alex Smith, Director of Transformation at the NCL ICB, introduced the winter resilience update noting the following key points:
Alex Smith then responded to questions from the Committee:
To provide an update on NCL primary care and an overview of community pharmacy integration in NCL.
Clare Henderson, Director of Integration (Islington), provided an update on the primary care response to winter 2022/23. She explained that:
· Comprehensive plans had been developed but there had been additional challenges such as Strep A. There was always a lot of focus on primary care access and demand for face-to-face appointments which needed to be balanced against protecting capacity for proactive care and long-term condition management.
· Rates for face-to-face appointments in NCL were slightly lower than the national average but NCL was one of the best performers in terms of same day appointments. In Camden there had been a focus on high intensity users, while in Islington there had been an approach based on speaking to a PCN reception rather than an individual practice for triaging purposes.
· A shift in focus to same day access was anticipated and NHS England were expected to publish a document on this shortly.
· Primary care services still had a range of telephony systems which was a currently a significant topic of conversation.
Cllr Chowdhury raised the difficulties for patients in obtaining GP appointment by calling at 8am. Cllr Connor noted that there was often availability at GP hubs at evenings and weekends but that this was not widely known or communicated by GP practice reception staff. Clare Henderson acknowledged that there was scope for better communications about how people can access GP hubs. She added that the recruitment and retention of reception staff was an area where many practices struggled and this added to the challenges of primary care access.
Kristina Petrou, NCL Community Pharmacy Clinical Lead, provided an overview of community pharmacies, noting that there were just over 300 community pharmacies in the NCL area, 80% of which were independently owned with 20% provided by chains such as Boots or Superdrug. She also explained that:
This paper provides an outline of the 2022-23 work programme for the North Central London Joint Health Overview and Scrutiny Committee. This item provides an opportunity for Committee Members to select items for inclusion in the 2023-24 work programme.
The Committee then discussed possible items for inclusion in their work programme for 2023/24, with the following suggestions made:
DATES OF FUTURE MEETINGS
Dates for 2023/24 TBC.
At the time of the meeting, the dates for 2023/24 were still to be confirmed. The meeting dates were subsequently confirmed as: