Agenda and minutes

Venue: Remote Meeting - MS Teams

Contact: Fiona Rae, Principal Committee Co-ordinator  3541 Email: fiona.rae@haringey.gov.uk

Note: This meeting will be webcast - use the link on the agenda frontsheet or copy and paste the following link into your internet browser: https://teams.microsoft.com/l/meetup-join/19%3ameeting_MmRiMDBlMWUtMGNlNS00MzY1LWEyNDAtZDZjM2E4MTk0NmQ4%40thread.v2/0?context=%7b%22Tid%22%3a%226ddfa760-8cd5-44a8-8e48-d8ca487731c3%22%2c%22Oid%22%3a%22515ca3a4-dc98-4c16-9d83-85d643583e43%22%2c%22IsBroadcastMeeting%22%3atrue%7d 

Items
No. Item

1.

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.

Minutes:

The Chair referred to the notice of filming at meetings and this information was noted.

2.

Welcome and introductions pdf icon PDF 109 KB

Minutes:

The Chair welcomed those present to the meeting.

3.

Apologies

To receive any apologies for absence.

Minutes:

Apologies for absence were received from:

 

Zina Etheridge, Chief Executive

Maria Kane, North Middlesex University Hospital Trust Chief Executive

Frances O’Callaghan, NCL CCG Accountable Officer

Siobhan Harrington, Whittington Trust Chief Executive

4.

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 under item 16 below).

Minutes:

There were no items of urgent business.

5.

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:

There were no declarations of interest.

6.

Questions, Deputations, Petitions

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

 

Minutes:

No questions, deputations, or petitions had been received.

7.

Minutes pdf icon PDF 506 KB

To consider and agree the minutes of the meeting held on 10 June 2020 and the minutes of the meeting in common with the Community Safety Partnership held on 21 September 2020.

 

Additional documents:

Minutes:

It was noted that some job titles within the minutes should be updated as follows: Cassie Williams, Federated4Health Chief Executive; Rachel Lissauer, Director of Integration; John Rohan, NCL CCG Board Member; and Dr Peter Christian, NCL CCG Board Member.

 

RESOLVED

 

That, subject to the above amendments, the minutes of the meeting held on 10 June 2020 and the minutes of the meeting in common with the Community Safety Partnership held on 21 September 2020 were confirmed and signed as a correct record.

 

 

Sharon Grant, Healthwatch Haringey, noted that the representation of patients at the new North Central London (NCL) Clinical Commissioning Group (CCG) Governing Board had been discussed at the meeting on 10 June 2020. She reported that there had been some discussions between Healthwatch in each of the five NCL boroughs, the NCL CCG Chair, and the Chief of NHS London but that this had not been resolved. Sharon Grant, Healthwatch Haringey, noted that she was representing the patient voice for all five boroughs which was demanding and unrealistic and that there was no additional support. There were some alternative arrangements but these did not address the fact that there was a lack of resources.

 

It was also noted that the last NCL CCG Governing Board meeting had not been live streamed for the public and there was no suggestion that alternative arrangements would be available for future meetings. Although it was available to watch as a recording, Sharon Grant, Healthwatch Haringey, did not feel that this was satisfactory in terms of accessibility or accountability.

 

Josephine Sauvage, NCL CCG Chair, confirmed that the last meeting was not live streamed as there had been some issues around functionality. However, she understood that work was underway to provide a live stream of future meetings to ensure accountability and to allow external representatives to participate.

8.

Covid-19 Outbreak Update and Plan pdf icon PDF 965 KB

To consider and note the update on the Covid-19 outbreak and response.

Minutes:

Dr Will Maimaris, Interim Director of Public Health, introduced the item which provided an update on the Covid-19 outbreak and plan. He noted that there had been some updates in data since the agenda pack was produced and that he would highlight the current position in terms of local data, local key areas of work, and the national position.

 

A graph showing the daily number of confirmed Covid-19 cases was displayed. It was noted that, initially, testing was only carried out in hospitals, and there was no data about the number of community cases. From the end of May to the beginning of August, there were relatively few confirmed cases following a period of lockdown. It was explained that, since August, there had been a steady increase and there were currently about 50 new cases per day in Haringey. A key metric was the rate of new cases per week per 100,000 people and the current rate in Haringey was about 140; this was in line with the London average but lower than some urban areas in the country. It was added that there had been a recent plateau of cases. It was noted that these patterns were reflected in local hospitals.

 

The Interim Director of Public Health also reported on the demographics of those testing positive for Covid-19. It was explained that, in August and September, there had been a significant rise in cases amongst younger, working age people and students. It was noted that there had been a slight rise in cases amongst older people recently. Across the borough, the distribution of cases was quite broad, although there had been some increases in communities where there was a high household density. In relation to ethnic groups, it was known that there had been a disproportionate impact on minority ethnic groups in the first wave of the pandemic in terms of hospital admissions and deaths. However, in the latest testing data, the number of positive cases across ethnicities was reflective of the general population in Haringey. It was added that this was being closely monitored.

 

It was explained that the detail of actions taken in relation to the pandemic, and specifically the local Outbreak Management Plan, was set out in the report. It was highlighted that local testing sites had been set up at the Irish Centre and Alexandra Palace and potential testing sites in other areas of the borough were being considered. It was explained that there had been lots of communications during the pandemic and that, notably, there had been good partnership work with Healthwatch, the Bridge Renewal Trust, and Mind. In relation to schools, it was noted that there had been support for teachers and pupils; most schools had been open with most students attending, although approximately a third of schools had been subject to temporary school or class closures.

 

It was noted that a number of lessons had been learnt from the first wave of the pandemic, particularly in relation to care homes. Staff and  ...  view the full minutes text for item 8.

9.

Covid Response and Winter Planning pdf icon PDF 574 KB

To consider and note the changes to service delivery in response to the Covid-19 pandemic and the winter and Covid-19 planning undertaken by Adult Social Care.

Additional documents:

Minutes:

John Everson, Assistant Director for Adults, introduced the item which provided an update on how Adult Social Care had responded to the Covid-19 pandemic and how they were preparing for winter during the Covid-19 pandemic. It was noted that the detailed information had been provided in the agenda pack but that the key points would be presented.

 

In the first wave of the Covid-19 pandemic, support had been provided for over 9,000 people in Haringey who were shielding or vulnerable. Adult Social Care worked with the Connected Communities Team to provide support for a variety of people across Haringey; notably, they spoke directly to over 2,000 people who were shielding.

 

Within Adult Social Care, there were service delivery changes which provided adapted capacity to meet new demand. For example, it was possible to double the capacity of the Reablement Service, which supported timely and appropriate discharges of patients from hospital. It was noted that discharging patients who were clinically well enough was key to reducing the impact of Covid-19. 

 

It was explained that impact and performance monitoring had been undertaken during the first wave of the pandemic. It was noted that the London ADASS Market Insight Tool monitored Covid-19 activities to produce live, daily reports on things such as capacity, the workforce, and Personal Protective Equipment (PPE) stock. There had also been internal monitoring in Adult Social Care and the Council data sets linked to Health eAnalytics which supported admissions to and discharges from hospitals.

 

The Assistant Director for Adults explained that, after the first wave of the pandemic, there was a period of review to identify learning points and possible improvements. In particular, After Action Reviews were carried out with each Integrated Care Team across North Central London (NCL). The Local Government Association and Emergency Care Improvement Support Team had developed a gap analysis self assessment based on best practice and there had been peer partner visits to review and share best practice. It was also noted that new NCL Discharge Principles had been put in place which would assist with ensuring an integrated system with high quality and consistent processes.

 

It was noted that significant work had been undertaken with partners to understand how to support the care sector and co-produce planning work for the upcoming winter period, including enhanced clinical support to care homes and robust outbreak management and prevention plans. It was explained that a key learning point had been to ensure that patients who tested positive for Covid-19 were not discharged directly to care homes but had a clear pathway into intermediate care beds; this would protect care homes from wider outbreaks.

 

In relation to winter planning, it was noted that there was usually a 10% increase in demand for hospitals in winter but that Covid-19 would result in additional demand. Planning and modelling had been undertaken to increase capacity in the system to support discharge; in addition, areas for focused attention had been identified, such as nursing rapid response which aimed to avoid inappropriate  ...  view the full minutes text for item 9.

10.

Strategic Theme: Health in All Policies pdf icon PDF 398 KB

To agree to establish a strategic partnership forum, to agree to establish a senior strategic group to look at Health in All Policies and how this is embedded in the work of the Health and Wellbeing Board, and to agree that key outcomes will be developed through the senior strategic group.

Additional documents:

Minutes:

Susan Otiti, Assistant Director of Public Health, introduced the report which provided an update on the Health in All Policies (HiAP) work and proposed the establishment of a strategic partnership forum and a small senior strategic group to develop proposed outcomes. It was explained that HiAP was designed to consider the health impact of policies in all areas with the aim of improving health overall. It was explained that HiAP had been operating in Haringey for several years and it drew on London and national best practice.

 

Marlene D’Aguilar, Health in All Policies Officer, noted that HiAP work had been undertaken with Environmental Health in developing a School Superzone pilot where any retailers located within 400m of a school were required to join the Responsible Retailers scheme. Work was also ongoing with Planning and Regeneration to undertake Heath Impact Assessments for large planning applications; it was reported that this had led to some improved designs for housing and the surrounding areas. It was also noted that Haringey was the first council to ban advertisements for items that were high in fat, sugar, and salt through a new Advertising and Sponsorship Policy.

 

Paul Ely, External Project Manager, noted that a new Parks and Green Spaces Strategy was also being developed. He explained that there had been increased use of parks and green spaces during the Covid-19 pandemic which had highlighted the importance of access to these spaces for health and wellbeing; it was identified that a lack of access to parks and green spaces in some areas was a key issue. It was noted that park management usually focused on park design, maintenance, and provision rather than usage. However, through the development of the strategy, capacity was being increased to engage with more vulnerable communities to consider usage. It was added that there was a pilot project at Lordship Rec and Albert Road Park which focused on park usage for older people and considered what worked in relation to marketing, making reasonable adaptations, and providing more direct support to targeted users. 

 

The Assistant Director of Public Health explained that there were additional examples of the HiAP approach within the full report but that the programme would benefit from partnership oversight. For this reason, the report asked the Health and Wellbeing Board to agree to establish a partnership forum and a small, strategic group to embed HiAP work and report regularly on outcomes to the Board. The Chair stated that this was an excellent idea and that this would provide oversight to ensure joined up partnership work and maximum effect.

 

Geoffrey Ocen, Bridge Renewal Trust, noted that HiAP was important policy work but enquired how HiAP was translated effectively into different schemes and whether this relied on other agencies and partners. The Assistant Director of Public Health explained that Public Health influenced and supported HiAP work within the Council and the NHS; it was noted that there was some capacity within Planning and Regeneration, the Policy Team,  ...  view the full minutes text for item 10.

11.

Strategic Theme: Live Well pdf icon PDF 390 KB

To note the report and to agree the Live Well programme’s five thematic priorities as Work, Inclusion, Crisis, Community, and Home.

Minutes:

Rachel Lissauer, CCG Director of Integration, introduced the report which provided information about the Live Well programme and proposed five thematic priorities.

 

Tim Miller, Joint Assistant Director for Vulnerable Adults and Children, explained that the Live Well programme aimed to improve the health and wellbeing of working adults. It was noted that children and older people had specific focuses through other groups and programmes. It was explained that the programme focused on five key themes which people had identified and which provided the greatest opportunity to positively impact health outcomes.

 

It was stated that the five themes were Work, Inclusion, Crisis, Community, and Home. The deliverables were set out in detail in the report but, in summary, it was noted that the Live Well programme would bring together a number of areas and agencies to maximise resources and impact.

 

It was explained that the Live Well Programme was sponsored by the Chief Executive of North Middlesex University Hospital. There was a steering group which met regularly and a programme board which included key partners and resident representation. It was noted that the next steps would involve producing a performance or impact framework.

 

The Chair noted that it would be beneficial to include education and training in the Work theme. The Joint Assistant Director for Vulnerable Adults and Children explained that, although not specifically mentioned, education and training had been included and work had been undertaken with Haringey Adult Learning Service (HALS). The Joint Assistant Director for Vulnerable Adults and Children noted that it would be possible to articulate these elements more clearly within the theme.

 

The Chair noted that updates on the Live Well programme would be reported to future Health and Wellbeing Board meetings.

 

RESOLVED

 

To note the report and to agree the Live Well programme’s five thematic priorities of Work, Inclusion, Crisis, Community, and Home.

12.

The Impact of Covid-19 on Black, Asian, and Minority Ethnic Communities pdf icon PDF 326 KB

To receive an update on the impact of Covid-19 on Black, Asian, and Minority Ethnic communities. (Report to Follow)

Minutes:

The Chair noted that this was a late report and it had been agreed that the report should be considered as a matter of urgency because the Health and Wellbeing Board was asked to provide its input on this issue as soon as possible. She explained that this issue had been discussed at the Board’s joint meeting with the Community Safety Partnership in September but that it was important to receive regular updates.

 

Charlotte Pomery, Assistant Director for Commissioning, noted that the Health and Wellbeing Board had met with the Community Safety Partnership in September 2020 and had agreed to track progress on the nine recommendations in relation to racism and racial inequalities made as part of a roundtable meeting of Black, Asian and Minority Ethnic (BAME) Organisations in the borough.

 

It was explained that the report provided an update on work that had been undertaken or planned to addressing racism and racial discrimination in response to the nine recommendations: data and evidence, funding to build resilience, bereavement and mental health, domestic violence, communication and awareness raising, prevention and resilience building, shielding of BAME staff and communities, equitable access to services, and digital exclusion.

 

In addition to the work noted in detail in the report, it was explained that this formed part of the wider partnership programme and it was sought to produce innovative solutions which were coproduced with partners and communities to result in tangible differences.

 

Cllr Blake suggested that it would be beneficial to discuss this work with the Regeneration Team who had undertaken a useful evaluation on Haringey Community Gold and how effective working had been achieved with young people and, in particular, BAME young people. He stated that the need for significant change in public bodies was often overlooked and he highlighted that Haringey Community Gold had been crucial for building trust. Cllr Blake added that there were concerns around policing and children; there was a trust deficit between young people, particularly BAME young people, who had been impacted by serious youth violence and the police and it was enquired whether this could be considered.

 

The Assistant Director for Commissioning noted that discussions were underway with the Regeneration Team in relation to the evaluation of Haringey Community Gold. It was noted that young people were a key focus across the partnership plan and it was acknowledged that building trust was vital. It was explained that the proposed Community Health and Care Advisory Board, which was the next item on the agenda, aimed to build connections and trust through communicating effectively in public health messages. It was added that other work was underway with the Community Safety Partnership to address community policing work.

 

Sharon Grant, Healthwatch Haringey, noted that one of the recommendations was to increase research and collate local ethnicity data; it was enquired which types of data would be prioritised, who would be undertaking this work, and how it would be funded. The Assistant Director for Commissioning acknowledged that ethnicity data was often  ...  view the full minutes text for item 12.

13.

Establishing a Community Health Advisory Board for Haringey pdf icon PDF 267 KB

To consider and agree the report about establishing a Community Health Advisory Board for Haringey. (Report to Follow)

Additional documents:

Minutes:

The Chair noted that this was a late report and it had been agreed that the report should be considered as a matter of urgency because the Health and Wellbeing Board was asked to provide its input on this issue as soon as possible.

 

Charlotte Pomery, Assistant Director for Commissioning, introduced the report which proposed the establishment of a Community Health and Care Advisory Board which would report to the Health and Wellbeing Board. The new Board was designed to be a vehicle for community voices, aiming to ensure that there was engagement and co-production for proposals coming to the Health and Wellbeing Board. The new Board would be Chaired by the Health and Wellbeing Board Chair.

 

Sharon Grant, Healthwatch Haringey, stated that she was not opposed to the establishment of a board but queried whether the governance arrangements should include a Chair who was not a councillor. The Assistant Director for Commissioning explained that this would be possible but that it had proved difficult to secure and retain independent Chairs in other bodies. It was recommended that the Chair of the Health and Wellbeing Board took on the role of Chair of the Community Health and Care Advisory Board, at least to begin with, so that there would be a strong link between the two Boards. It was added that the Chairing arrangements could be changed once the new board was in operation.

 

Geoffrey Ocen, Bride Renewal Trust, stated that the establishment of the new Board was a good concept. He highlighted that, as the representatives would be selected from existing groups, it would be important to ensure that the Board membership was diverse. The Assistant Director for Commissioning noted that it was aimed to encourage and enable a diverse range of voices on the new Board and that this would be monitored.

 

RESOLVED

 

To agree to establish a Community Health and Care Advisory Board in Haringey. 

14.

Modern Slavery Plan pdf icon PDF 274 KB

To consider and agree the strategic focus set out in the Modern Slavery Plan.

Additional documents:

Minutes:

The Chair enquired whether it would be appropriate for this item to be considered at the next meeting, given the limited remaining time at this meeting. Nadia Burrell, Modern Slavery Co-ordinator, noted that this would be possible and that it would be beneficial to ensure sufficient discussion on the item. The Principal Committee Co-ordinator enquired whether there were any elements of the Plan which required approval or action in advance of the next meeting in 2021. It was noted that it was aimed to publicise the Plan on 10 December 2020 to coincide with Human Rights Day. The Chair noted that it would be acceptable to continue with this and that any messaging around the Plan could be discussed outside of the meeting.

 

RESOLVED

 

That this item be deferred to be considered as the first substantive item on the next Health and Wellbeing Board agenda.

15.

Local Safeguarding Children Board Annual Report pdf icon PDF 276 KB

To consider and note the Local Safeguarding Children Board Annual Report.

Additional documents:

Minutes:

David Archibald, Independent Chair of the Local Safeguarding Children Board (LSCB), introduced the report which presented the annual report from April 2018 until September 2019. It was noted that the LSCB ceased to exist on 29 September 2019 when it was replaced by the new Multi Agency Safeguarding Arrangements (MASA) required by the Children’s and Social Work Act 2017 and Working Together 2018. It was explained that this was the final report in this style.

 

It was noted that the new arrangements were built on the strengths of the old arrangements and the group was now called the Haringey Children’s Safeguarding Partnership. It was added that, as set out in the Children’s and Social Work Act 2017, there was a new emphasis on the three statutory partners: the Police, the Clinical Commissioning Group, and the Council. Children’s Services within the Council had overall responsibility for making safeguarding systems work. It was explained that the move to the new MASA arrangements was well planned and the arrangements had adapted well to the challenges of the Covid-19 pandemic. It was noted that the next report, the first under the new MASA arrangements, would report on the period up until March 2021 and would be presented to the Health and Wellbeing Board in June 2021.

 

RESOLVED

 

To note the report which provided an overview of the new arrangements.

16.

New items of urgent business

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

Minutes:

There were no new items of urgent business.

17.

Future agenda items and dates of future meetings

To suggest future agenda items and to note the dates of future meetings as follows:

 

10 February 2021

Minutes:

It was noted that the dates of future meetings were:

 

10 February 2021