Agenda and minutes

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.

Apologies for absence were received from Councillors Philip Cohen, Chris James and 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).

None,

The Chair declared an interest in that she was a member of the Royal College of Nursing and also that her sister was a GP in Tottenham.

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

The Committee received a deputation from Alan Morten of Haringey Keep Our NHS Public (KONP) that focussed on the Governments 10 Year Plan, NLC ICB staffing and funding costs and the future of NCL JHOSC. The deputation emphasised that the ideas within the 10-Year Plan were great but there was very little detail to go with the aspirations put forward. Alan Morten expressed that there was common knowledge that there is no new funding available and that the ICB would be becoming more of a growing a strategic commissioner and therefor removed from the problems for each locality.

The deputation also covered the issue of digitisation, acknowledging that there are benefits but questioned the aspirations of the Federated Data Platform (FDP) and Secure Data Environment (SDE) and what will be done with the publics data. A Financial Times article highlighting the links between NWL ICS and links to Global Council was also a concern given that NCL was in the process of merging with them.

Alan Morten highlighted that big data companies were buying ups small data start up and creating a monopoly and this is against the interests of the general public. The ask from Haringey KONP is for the JHOSC to seek assurance that data is used for the benefit of residents and not for large data companies. Haringey KONP is further exasperated by the fact that the Integrated Care System will be dealing with a larger population once merged.

Richard Dale, Chief Strategy Officer, NWL & NCL ICB explained that they will come back regarding digital and data as part of the overall strategy piece (Follow Up). The Chief Strategy Officer briefed that the London Care Record has been in place for up to 5 years, lots of use clinicians use it to read peoples care records, held securely in the NHS environment. Amazon web services and Google cloud is also use by a number of Trusts and there are clauses in place to ensure that the data can’t be used outside of NHS environment.

It was explained further that FDP is a nationally procured platform and available for Trusts to use and it’s up to each Trust to take a judgment about choosing to use it. The Chair acknowledged the difference between where this sits with the providers as opposed to the ICB. Recommendation: The committee to ask hospitals within the JHOSC area if they are using Palantir to run their data sourcing for them and if not, what was the reason behind their choice not to use them.

Councillor Connor asserted that the JHOSC can ask for information around data protection and information governance policies with the ICB as part of their role in managing their data responsibilities and carrying our risk assessments related to the data platforms, so they are not completely removed from the process. In essence, Councillors on the JHOSC can scrutinise how the ICB is managing its data responsibilities and not whether Trusts are/are not utilising the system to which  ...  view the full minutes text for item 5.

To confirm and sign the minutes of the North Central London Joint Health Overview and Scrutiny Committee meeting on 30^th January 2026 as a correct record.

Health Inequalities

The Chair explained that in relation to the Health Inequalities item she had enquired about the Rise Project as it was based in Haringey and the website didn’t have up to date information which was key for those wishing to access the service and on reviewing the site again this week, the last event for ‘sister circle’ was still showing as 2019.

Royal Free & North Mid merger

In relation to the item on the Royal Free merger with North Mid, clarity about savings plans in its entirety and what makes up the deficit and is causing it and should form an action when considering finances in 2026/27.

Work programme 2026/27

In terms of the new mental health unit at Chase Farm and maternity service at the North Mid, the action should be considered on the future work programme as not enough information was provided at the time.

Terms of reference

In relation to the committee’s terms of reference, these were accepted and agreed the current approach to administering the meetings with officers rotating so it could go through due to the challenges of agreeing to funding support arrangements, However, the Committee also agreed that the approach was not sustainable as the officer may at times be from a different borough to the Chair. It was decided that a letter from all the NCL JHOSC members should go out in future with all members signing it.

The committee is required to consider and comment on the NHS 10 Year Plan and Neighbourhood Health Delivery and the impact on future service provision.

Richard Dale, Chief Strategy Officer, NWL & NCL ICB briefed the committee that the presentation provided a summary of current progress and that they would Richard Dale, Chief Strategy Officer, NWL & NCL ICB briefed the committee that the presentation provided a summary of current progress and that they would be finalising broader plans over the summer. There have been ongoing conversations about moving care from hospitals to communities, whilst ensuring that diverse needs are met. The neighbourhood health approach focusses on the involvement of carers and families as part of the process all whilst considering the concerns about recruitment and retaining community-based staff.

The objective is for technology to enhance and support care whilst also retaining the offline option. Key for digital services is to use data to better understand those with greater needs and inequalities and in view of this, tailor services This will be delivered through Neighbourhood Health focussing on adults with complexities and long-term conditions. Data will be used for early diagnosis and proactive treatment. The shared patient record is important and key to seamless care. In terms of preventing ill heath, this is the priority and working better with the voluntary and community sector will support this. The conversations with the public will continue throughout.

Richard Dale also highlighted the changing role of the ICB, as part of the merger of NCL and NWL ICB which is driven by the need to deliver a 50% reduction in running costs. At the centre of the Neighbourhood Health model is multi-disciplinary teams that work alongside existing health services and to move into this space they are now working with Integrators in each borough building on the work on the Inequalities Fund and how it can be scaled up.

The Chair expressed the importance of a joined-up conversation with regards to this and hence the importance of having Jo Baty, Director of Adult Social Care, Haringey Council and Sara Suttun, Corporate Director for Adults, Housing and Health, Haringey Council involved in the discussions relating to the10 Year Plan. The Chair enquired about the neighbourhood offer which residents reported as being confused by what was on offer and who was doing what. She further sought to know what will change in the light of the merger and how will local focus be retained. The Chief Strategy Officer, NWL & NCL ICB expressed the need to have a clear road map and working with Integrators to understand all the community assets, primary care has specialist social prescribers will help with some of the navigation. Corporate Director for Adults, Housing and Health, Haringey Council explained that we are in the process of developing the Neighbourhood Plan which would be signed off by the Health and Wellbeing Board and as part of this work the voluntary and community sector is already integrated into the planning work.

The Chief Strategy Officer explained that a communication subgroup had been set up where all the organisations are represented in order to be able to pick up how we  ...  view the full minutes text for item 7.

To provide committee members with an update on the reconfiguration of the NCL and NWL ICB merger.

Sarah Morgan, Chief People Officer opened the item explaining that it was this time a year ago the process began for reducing costs of the ICB by fifty percent and process to merge NWL and NCL as a strategic commissioner. The merger will take place by 1 April 2026 subject to approval by NHS England to create West and North London Integrated Care Board and a £12 billion commissioning budget and 48% of London’s population.

The model ICB blueprint will include continued commissioning for outcomes around strategic commissioning from the workforce perspective and the development of the Neighbourhood Workforce Strategy and work in health. Operating model relationship, need greater caution around this and no gaps within the transition process. The ICB’s role is to commission services for the population and ensure there is strategic direction and this has been an important role. Relationship with providers will be changing especially in terms of holding to account. The Close down board meeting will be on 24March with the merged inaugural meeting on 1 April. The public board meetings in July will cover their Engagement Strategy to shape where they are as an organisation to move forward.

Councillor Revah enquired if change would mean a named relationships with key people for the borough will change? The Councillor expressed concerns about how things will work locally and in response it was explained that it was dependant on the issue for example some issues will be relevant for the ICB whilst others will be the Integrator etc. Councillor Revah requested a list of who would be the key people are once things are established and it was confirmed it could be done. Action.

Councillor White made the comment that if the Integrators will work differently in different boroughs in terms of contacts and the reality will be that some things work better in different boroughs depending on the area. The Chief People Officer concurred that NCL and likewise NWL will have strengths and weaknesses in the way things are done, and the next steps will be to learn from the merged organisation.

Rod Wells, Haringey KONP expressed that from both a patients and governance point of view there needs to be a list of the different responsibilities from April 2026 with the significant changes. Some clarity on responsibility of ICB, Integrators would also be helpful. Rod Wells also enquired if the two JHOSC’s would remain separate to which the Chair confirmed they would be.

Councillor Atolagbe enquired about what work and areas will be compromised as described in the paper. The councillor asked if they had a rough figure of how many would go for voluntary redundancy and would the saving make an impact and then this will be followed by recruitment and what impact would that then have? The Chief People Officer explained that focus will be on statutory requirements but there have been cuts in other areas and recruitment will be from for internal staff from a ringed pool of people.  ...  view the full minutes text for item 8.

This paper provides an outline of the 2025-26 work programme for the North Central London Joint Health Overview and Scrutiny Committee.

The Chair of the Joint Partnership Board explain the work of the Joint Strategic Board as a co-production group that helps to review issues in the borough, represent various groups including the older people’s reference group, dementia, physical disabilities, autism to name a few and address intersectionality. The Chair expressed the desire for formal recommendation to attend all future meetings as chair of the Joint Partnership Board.

The Chair expressed that Healthwatch used to attend and she agreed that something that is important for the boroughs to think about will be how experts in the room can add the extra level of expertise to discussions. Councillor Connor enquired if Councillors were happy for this from the perspective of key VCS organisations in their boroughs as well. Councillor Edwards expressed that he was not opposed to the idea and e.g. Age UK Barnet may be helpful to the Committee and felt it was important to have the relevant people from the relevant organisations.

Councillor White clarified that whether someone should actually be co-opted to the meetings. The Chair clarified that it wasn’t to co-opt the various organisations but to just be kept informed about the meetings and then to take a decision on whether they choose to attend or not. Councillor Clarke expressed that people are always able to come and be invited as non-voting guests. Councillor Revah suggested that the other members of the committee should also invite members of their Joint Partnership Board (should they also be active within their given authority). Action: Councillors to consider and provide feedback on people and organisations they feel would be helpful to be invited to the meetings to contribute.

Councillor Clark informed the Committee it would be her last meeting and that she had enjoyed working with colleagues over the past eight years. Councillor Connor thanked Councillor Clark for her contribution and hard work. Councillor Seargent also added it would be Councillor Edwards last meeting and his work on Adult Health. Councillor White also extended his thanks to Councillor Pippa Connor for chairing the JHOSC so well for such a long time. Councillor Clark concurred the excellent role Councillor Connor has played as Chair. Councillor Revah also commended Councillor Connor and wished all the Councillors stepping down the best.

None.

Future meeting dates will be published in the new municipal year.

This is the last meeting of the municipal year.