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.  Although we ask members of the public recording, filming or reporting on the meeting not to include the public seating areas, members of the public attending the meeting should be aware that we cannot guarantee that they will not be filmed or recorded by others attending the meeting.  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 and using the public seating area, 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 those present to agenda item 1 as shown on the agenda in respect of filming at this meeting and asked that those present reviewed and noted the information contained therein.

The Chair will welcome those present to the meeting and introductions will be given.

The Chair welcomed those present to the meeting and the Board introduced themselves.

To receive any apologies for absence.

The following apologies were noted:

• Sir Paul Ennals.
• Cllr Waters and Zina Etheridge gave apologies as they had to leave the meeting at 18:30.

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 agenda Item 10).

There were no items of Urgent Business.

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.

None

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

No Questions, Deputations or Petitions were tabled.

To consider and agree the minutes of the meeting of the Board held on 24^th November 2015.

RESOLVED:

That the minutes of the meeting held on 24^th November 2015 be confirmed as a correct record.

DEVOLUTION pREVENTION PILOT IN HARINGEY

A report setting out the progress on establishing a Devolution Prevention Pilot in Haringey for 2016-17, for both the Healthy Environment and the Sustainable Employment strands was included as part of the agenda pack (pages 19-25). The Appendix to the report, which set out the proposals for the prevention pilot, was tabled at the meeting as it had been omitted from the agenda pack in error. A copy of the presentation was also included in the agenda pack (pages 27-35).  Dr Jeanelle de Gruchy, Director of Public Health introduced the report. Hard copies of the Annual Public Health report were distributed to the Board as background information for the item. Following the presentation the Board discussed its findings.

The Director of Public Health outlined that the London Health and Care Collaboration Agreement was signed on the 15^th December by the Mayor of London, London CCGs, London Councils, NHSE and Public Health England; and set up five pilots:

·         Barking and Dagenham, Havering and Redbridge – Developing an Accountable Care Organisation (primary & secondary care integration)

·         Lewisham – Integrating physical and mental health services alongside social care

·         Hackney – The aim was full integration of Health and Social Care budgets and joint provision of services, with a focus on prevention

·         North Central London – estates pilot to: Develop a regional capital programme; devolve powers to approve NHS capital business cases; retain more of the proceeds of sales. Haringey was a part of this pilot as part of NCL.

·         Haringey Prevention Pilot

The Prevention Pilot would have two strands. The Healthy Environment strand would be a series of projects in which qualitative research would be undertaken along with focused licensing enforcement activity to expose the limits of existing licensing regimes (alcohol), or demonstrate the consequences where no positive licensing powers were available (Fixed Odds Betting Terminals and Tobacco). Evidence gathering would also be used to make the case for new powers to be devolved to London (such as Minimum Unit Pricing).

The Sustainable Employment strand would focus on the whole system transformation required to develop a locally tailored employment support system that would be effective for those with mental health problems. The proposals would focus on early help and prevention as well as more intensive support for people with severe mental illness.

The Prevention Pilot was consistent with Priority 2 of the Council’s Corporate Plan; enabling residents to live healthy, long and fulfilling lives. In addition, the Health & Wellbeing Strategy identified the key priorities as obesity, healthy life expectancy and mental health and the Prevention Pilot reflected those priorities with a focus on alcohol licensing, planning policy around takeaway food vendors and employment support for people with mental health issues. The Director of Public Health advised that the timescales were tight and that the pilot ‘asks’ would have to be submitted to government/external agencies in March and the commencement of building an evidence base with partners being undertaken from April. The Board noted that the Prevention Pilot conclusions  ...  view the full minutes text for item 47.

NTEGRATRATION OF hEALTH & sOCIAL cARE sERVICES

The Board received a report which provided an update on several strands of joint working between Haringey Council and Haringey CCG and the other councils, CCGs and healthcare providers in North Central London. The report was introduced by the Chief Officer CCG and was included in the agenda pack at page 55. 

The Board noted that the government set out its further intention to focus on delivering joined up care during the Autumn Spending Review and also announced that the BCF would continue as a key programme in 2016/17. The Spending Review also set out an ambition that by 2020 health and social care would be integrated everywhere.

The Board also noted that NHS leaders were required to produce two separate but connected plans. A one-year operational plan for 2016/17, focused on individual organisations and a five-year sustainability and transformation plan (STP). The STP would be an umbrella plan, holding underneath it a number of different specific delivery plans and would involve local authorities, CCGs and providers agreeing the geographical footprint covered by the plan. From 2017/18 onwards, STPs will become the single planning process for being accepted onto programmes with transformational funding. Full STPs were due for submission at the end of June 2016.

Chief Officer Haringey CCG advised that the bid to develop a vanguard proposal in conjunction with Islington was unsuccessful but that the two councils and two CCGs had continued to explore joint working opportunities around transforming health and social care services. A clinical workshop was held on 29^th January to consider place-based systems of care and a population segmentation approach to identifying health and care needs.

Chief Officer Haringey CCG also advised that the Better Care Fund Planning for 2016/17 was progressing well with positive discussions on budget planning and a review of appropriate services to be included within the BCF. The technical guidance had only just been released; it was anticipated that the current outcome measures would be maintained. A draft plan was submitted in early February to NHS England and feedback should be provided before the end of March. The final submission was due on 20^th April and would require the Board to sign it off. The final plan was to be reviewed by the HACI Board prior to sign off. The Board noted that the BCF would be signed off by the Chair as an Urgent Action as the deadline for submission was prior to the next meeting.  Chief Officer Haringey CCG agreed to send round copies of the BCF submission to the Board.

Ms Grant raised concerns around the ongoing inclusion of patient groups in future given the increased joint working across boroughs. The Chief Officer Haringey CCG responded that so far engagement with voluntary and community organisations had been done through the individual projects within the BCF. The Chief Officer Haringey CCG acknowledged concerns around maintaining the voice of the patent and agreed that this would be considered going forward.

The Director  ...  view the full minutes text for item 48.

To consider any new items of urgent business admitted at item 3 above.

No new items of Urgent Business were tabled.

Members of the Board are invited to suggest future agenda items.

The dates of future meetings are as follows (TBC):

• June 7^th 2016 -18:00-20:00
• September 22^nd 2016 - 18:00-20:00
• December 8^th 2016- 18:00-20:00
• March 21^st 2017 -18:00-20:00

It was noted that the future meeting dates were provisional:

• 19^th May 2016 at 18:00
• 12^th  September 2016 at 18:00
• 8^th December 2016 at 18:00
• 2^nd March 2017 at 18:00