Agenda and minutes

Venue: Civic Centre, High Road, Wood Green, N22 8LE. View directions

Contact: Philip Slawther, Principal Committee Co-ordinator 

Items
No. Item

50.

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.  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.

Minutes:

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’.

51.

Welcome and introductions pdf icon PDF 59 KB

Minutes:

The Chair welcomed members of the Board and attendees to the meeting.

52.

Apologies

To receive any apologies for absence.

Minutes:

Apologies for absence were received from Cllr Ejiofor.

53.

Urgent business

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 ).

 

Minutes:

There were no items of urgent business.

54.

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.

Minutes:

No declarations of interest were received.

55.

Questions, Deputations, Petitions

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

 

Minutes:

None.

56.

Minutes pdf icon PDF 159 KB

To consider and agree the minutes of the meeting of the Board held on 19th of February 2019.

 

Minutes:

The minutes of the meeting of the 19th February 2019 were agreed as a correct record.

57.

North Central London System-Wide Paediatric Asthma Plan pdf icon PDF 290 KB

Additional documents:

Minutes:

The Board received a report which outlined the approach being taken across Haringey to improving outcomes for children with asthma and how Haringey’s plan contributed to, and was in line with, the NCL approach. The report was introduced by Samantha Rostrum, Programme Director CYP – NCL STP, as set out in the agenda pack at pages 11 – 15. The following was noted in discussion of the report:

a.    The Board set out that more should be made of asthma as an equality issue, as it disproportionally affected children from poorer backgrounds and that the inequality aspect should be at the forefront of everyone’s mind when tackling the issue. In response, it was acknowledged that people from deprived areas were 2.5 times more likely to attend hospital and be admitted and 3 times more likely to have poor quality housing..

b.    The Board sought clarification around who was ultimately responsible for driving progress against the different strands that fed into asthma, such as housing. In response, the Board was advised that the there was a NCL Asthma Network Group which was responsible for coordinating this. The group had met the same day including  individual leads from the 5 boroughs, to develop asthma plans at the local level. The Programme Director acknowledged the need for these plans to go beyond health and into a range of issues such as housing.

c.    The Board expressed that the Haringey specific element of all of this needed to be developed a bit further, particularly in terms of how to get the clinical networks going locally. The Board also set out that the role of  air quality and pollution needed to be better communicated to residents through the use of apps such as Air Visual.

d.    The Board sought assurances about whether specific schools, who had high levels of asthma, had been engaged with and that this data was being cross referenced with other data sources for housing and air quality for example, to develop a robust analysis. In response, the Board was advised that a baseline analysis of schools has been undertaken and would form part of the asthma plan and that a robust evidence base was being developed which would include all of the different areas raised as part of this discussion.

e.    The Board sought assurances about whether workshops had been set up with Environmental Health Officers, who would be licencing private sector accommodation, particularly in light of the whole-systems approach being adopted. In response, officers advised that these conversations had taken place at a strategic level but further work was needed to engage with officers on the frontline.

f.     The Board endorsed the adoption of a whole-systems approach and commented that there needed to be a strategic forum within the Council, where corporate leads could be brought in to discuss issues such as air quality and asthma.

g.    The Board requested some work be done to pull out some of the data and evidence from the North Tottenham Area project and  ...  view the full minutes text for item 57.

58.

Identifying, Meeting Needs and Improving Outcomes in a Local Area for Children with Special Educational Needs and or a Disability pdf icon PDF 181 KB

Additional documents:

Minutes:

The Committee received a report, presentation and an appendix with a copy of the self-evaluation, on improving outcomes for children with Special Educational Needs (SEND) or a disability from Vikki Monk-Meyer, Head of Service Delivery SEND, as set out in the report pack at pages 33-74. The paper set out the scope of recent reforms, the response by partners in Haringey and the key next steps to continuing to improve outcomes for children and young people with special educational needs and or a disability. The following was noted in discussion of this item:

a.    The Board raised concerns with weakness in the JSNA impacting on joint-commissioning. In response, officers acknowledged that the JSNA did not sufficiently reflect SEND needs. Officers added that there was a detailed piece of work underway to drill down on SEND issues within the JSNA. The Board suggested that this highlighted a further example of where there needed to be tighter strategic leadership. In reference to joint commissioning, officers advised that there was joint commissioning of speech and language therapy and on equipment but acknowledged that the strategic oversight could be improved.

b.    In response to a question around what could be done to improve dissatisfaction from parents on education, health and care plans, officers advised that this was primarily an issue about how the SEND team wrote plans and the need to ensure that training, advice and support was offered to staff in writing those plans.

c.    In response to a question about the workings of the Joint Executive Committee and whether commissioners and providers were being brought closer together, officers advised that the Joint Exec had been set up in recognition of the need for strategic oversight of key issues across the partnership. There had been two meetings so far and these included representation of commissioners. It was anticipated that the group would grow and develop further in due course.

d.    The Committee raised concerns with a lack of equalities comments in the report. In response, officers acknowledged that this was an oversight and commented that there was significant equalities data at a local level  but this data needed to be drawn out from the JSNA at a borough-wide level. The Chair requested that the equalities section be added in to the report. (Action: Will Maimaris).

e.    The Board asked officers to say a bit more around the support offered for the transition from childhood to adulthood. In response, officers set out that there were a number of areas of employment support being introduced such as offering supported internships in Haringey and work experience placements at the DWP. At a more local level, support was being offered around basic advice in terms of paying rent and accessing support services. Officers gave details about the Community First programme, which was a low level early intervention model and offered a one stop shop advice service.

f.     The Board raised the link between youth violence and SEND and queried whether there was sufficient consideration given to the  ...  view the full minutes text for item 58.

59.

Developing locality-based care in Haringey pdf icon PDF 117 KB

Additional documents:

Minutes:

The Board received a report for information and an accompanying presentation, which described the progress made with developing locality-based care in North Tottenham. The report was introduced by Beverley Tarka, Director of Adults and Health and the presentation was introduced by Charlotte Pomery AD Commissioning, as set out in the agenda pack at pages 75-88. The following was noted in response to the discussion:

a.    The Board commented on the important role played by local area coordinators in successfully delivering  these proposals.

b.    The Board commented that the presentation gave the impression that specialist and emergency services, such as the district nurse community matron were outside of placed based care. The Board suggested that those resources needed to be seen as part of the place based model. Comments were also made around the need for the risk and issues log to reflect culture change across both providers as well as commissioners. Officers responded that the logs were supposed to reflect both groups as well as accurately reflecting the situation on the ground and elsewhere.

c.    In response to a question around whether there was a requirement to consult with end users on these proposals, the Board was advised that any changes to the location or the nature of provision would require consultation, but that proposals were not at that stage as yet. The Board was advised that the information contained in the presentation would provide useful evidence to the NHS if engagement work was required

d.    The Board commented that some of the engagement work set out in the presentation was over reliant on technical or managerial terminology and some examples of how this would affect residents on the ground would be useful in terms of wider community engagement. In response, officers acknowledged thee concerns and highlighted the video produced around Community First as an example of how partners were looking to capture real life stories as part of consultation and engagement exercises.

e.    The Chair requested that a further update on locality-based care be brought to the Board around the time of the workshop taking place. The update to also include some case studies around how the proposed changes would work. (Action: Charlotte Pomery/Clerk).

 

RESOLVED

 

     I.        That that Health and Wellbeing Board noted and supported the development of Haringey’s approach to locality based care in North Tottenham.

60.

Inter-Great - Verbal update

Minutes:

The Board received a verbal update for noting around Inter-great from Tony Hoolaghan, Chief Operating Officer for Haringey and Islington CCGs. The COO recapped that the Inter-great events involved simulated exercises to imagine what it would be like to operate within an integrated care system. At these events were a  small team with a NCL strategic commissioning function working together with partners responsible for the operational delivery, to test current arrangements and how these organisations would work together in an integrated care system.

 

The Board was advised that so far there had been one Haringey Borough Partnership development meeting that was focused upon governance, vision and outcomes. The Board was advised that work was ongoing to continue to set up the Borough Partnership and it was anticipated that these structures would be in place by autumn. A meeting was scheduled for the 28th June to look at the Inter-great outputs and try to finalise what would be done at an NCL level and what would be done at a local level. The next formal meeting would include discussion around PMO and mobilising staff to take the project forward. Overall, it was noted that, good progress was being made to build on the work of the Haringey and Islington Wellbeing Partnership.

 

RESOLVED

 

The update was noted.

 

61.

New items of urgent business

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

Minutes:

N/A

62.

Future agenda items and dates of future meetings

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

 

The dates of future meetings are as follows:

 

16th of October 2019

12th February 2020

Minutes:

The dates of future meetings were noted as:

·         16 October 2019

·         12 February 2020