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 to agenda item 1, which provided the details of filming and streaming at meetings and participants noted this information.

The Clerk shared a note of  the attendance for the meeting and the following was noted:

Attendees

Charlotte Pomery – Assistant Director  for  Commissioning  - Haringey Council

Siobhan Harrington – Chief Executive  Whittington NHS Trust

Rachel Lissauer – Director  NCL CCG

Maria Kane -   Chief Executive North Middlesex NHS Trust

Cassie Williams – Assistant Director  - Primary Care

Richard Gourlay – Director North Middlesex Trust

Tim Miller – Joint Assistant Director NCL CCG

Andrew Wright – Director of Planning and Partnerships Barnet, Enfield and Haringey Mental Health NHS Trust

Rakshita Patel –  Health Watch

Jonathan Gardner – Director   Whittington Health Trust was representing Siobhan Harrington, Chief Executive of the Whittington Health Trust.

Cllr Mark Blake, Cabinet Member for Communities and Equalities

To receive any apologies for absence.

Apologies for absence have been received from the Leader, Cllr Ejiofor, the Chief Executive Zina Etheridge, and Frances O’Callaghan, NCL CCG.

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.

There were no declarations of interest put forward.

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

There were no deputations, questions and  petitions put forward.

To consider and agree the minutes of the meeting of the  Health and Wellbeing Board held on 12^th February 2020.

RESOLVED

To approve the minutes of the meeting held on the 12^th of February 2020.

To note the NCL CCG merger verbal update.

The Chair outlined that the merger to become a single NCL CCG [ North Central London Clinical Commissioning Group] took effect from the 1st April 2020. Haringey Clinical Commissioning Group employees now worked for the NCL CCG. The Chair invited Tony Hoolaghan, Executive Managing Director, Haringey & IslingtonNorth Central London CCG to outline how, operationally the NCL CCG, were working with the Council and the infrastructure in place to respond to the pandemic.

The following was noted:

·         Francis O’Callaghan was the new accountable officer for the North Central London Commissioning Group and had arrived in February 2020, just before the pandemic had started. Francis was aiming to attend the Health and Wellbeing board meetings as part of her induction but was at an annual management event for this meeting. She was keen  to attend and speak about the work of the CCG services going forward.

·         There was a modification  to the CCG members attending the Health and Wellbeing Boards in the respective 5 boroughs due to the leaner governing body arrangements now in place. It was clarified that, going forward, Dr Peter Christian, the North Central London Governing body GP representative and the Executive Managing Director for the CCG would continue representing the Haringey and Islington, CCG at the Health and Wellbeing board meetings. On occasions when Dr Peter Christian could not attend the  HWB meetings, Dr John Rohan would substitute as he was also a GP member of the North Central London Commissioning group.

·         Rachel Lissauer would be attending the HWB meetings as Director for Transformation for Haringey and Islington North Central London CCG when the Executive Managing Director was unable to attend. The North Central London CCG would be writing to the Chair to confirm these attendance arrangements.

·         A summary of the actions and events to enable the merger of the 5 borough CCG’s [Haringey, Barnet, Enfield, Camden and Islington] to become one North Central London CCG was provided This was a prescribed process which required meeting the requirements of the NHS England Regulator and demonstrating that the merged CCG can fulfil required statutory functions.

·         Despite the pandemic, the merger had completed and single CCG status was achieved and went live on the 1^st of April. This meant that all the staff employed by Haringey, Barnet, Islington, Enfield and Camden CCG’s transferred to the North Central London CCG.

·         The Haringey CCG staff were called part of the Haringey Partner directorate of the North Central London CCG and remained in Haringey, located in River Park House. There would be staff located, centrally, in NCL CCG and working in the 4 other CCG boroughs.

·         The entire NHS and CCG’s [ Clinical Commissioning Groups] continued to be working at level 4 of the national incident emergency operating mode because of Covid 19 pandemic. It was noted that the infrastructure was in place to respond to the pandemic in North Central London as a CCG.

·         Partner organisations had set up a number of work streams to deal with the pandemic, focusing  ...  view the full minutes text for item 98.

To consider and note the verbal update on COVID-19 Response and Recovery, including presentations to the Board on experiences, impact and next steps.

The Chair wanted this meeting to have a specific focus on Covid 19 recovery and renewal. When planning the content and meeting with officers, the Chair felt it was important to contrast where the Borough was, pre – Covid 19, with the impact of Covid 19 on communities and examine how this influences the work of the Board going forward.

The Chair referred to the Public Health England report on the disproportionate number of BAME deaths and infection rates. This document was disappointing as it ignored the findings of the community consultations and made no recommendations on preparations for a second wave.

The Chair continued to outline that this meeting would hear from a range of stakeholders and agencies. It was noted that Geoffrey Ocen, Chief Executive of the Bridge Renewal Trust, would be sharing the findings from the meeting held with the Council in the last month which involved a range of BAME organisations.  It was really important to have discussion on the wider context and refocus attention on structural inequalities in society.

The Chair referred to the tragic death of George Floyd and the resurgence of the Black Lives Matter movement which demonstrated the pent up frustrations not just in America and the UK but globally of the inequality and injustice faced by black communities. It was important, as a Board, to address these issues. There was an increase in local community tension and complaints of heavy handed policing and the borough was conscious of the difficult circumstances that were being operated in.

The Chair spoke about Covid 19 highlighting the systemic inequalities which required focus to address working in partnership with communities.

The Chair invited Dr Will Maimaris to facilitate this item which included presentations to the Board on experiences, impact and next steps.

Part 1 presentations from council and partner representatives would be on the impact of Covid 19 and discussing the learning from response to the pandemic.

Part two would be considering organisational perspectives.

1.            Introduction, cases & impact: Dr Will Maimaris -Interim Director for Public Health

Dr Will Maimaris started this part of the session which would be considering:

·         the local response to Covid 19,

·         the key learning points during the outbreak,

·         and what the key priorities will be going forward. 

It was also important to explore how the Board was going to work together in partnership to tackle the challenges. Dr Will Maimaris advised that the partner representatives of the Board, further shared the sentiments of the Chair on working with communities on tackling racism and discrimination.

Dr Will Maimaris reflected on the progress and position of the Board pre Covid 19 which included: significant leadership role in health and wellbeing, strong links in local communities, draft health and wellbeing strategy compiled with consultation about to start. This draft strategy would need to be updated in light of the Covid priorities of: living well, age well, integration, and mental wellbeing and considering how the place we live in affects health.

Dr Will Maimaris provided  ...  view the full minutes text for item 99.

To consider any new items of urgent business admitted at item 4 above.

None.

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

The dates of future meetings are as follows:

14^th of October 2020

10^th of February 2021

It was noted that the dates of future meetings were as follows:

14th of October 2020

10th of February 2021