Agenda and minutes

Venue: 40 Cumberland Road, London, N22 7SG

Contact: Nazyer Choudhury, Principal Committee Co-ordinator  020 8489 3321 Email: nazyer.choudhury@haringey.gov.uk

Note: To watch this meeting, use the link on the agenda frontsheet. 

Items
No. Item

14.

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 filming of meetings and this information was noted.

 

15.

WELCOME AND INTRODUCTIONS pdf icon PDF 109 KB

Minutes:

The Chair welcomed those present to the meeting.

16.

APOLOGIES

To receive any apologies for absence.

Minutes:

Apologies had been received from Frances O’Callaghan, John Rohan, Sarah Davies McDonnell, David Archibald and Zina Etheridge.

 

17.

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 14).

 

Minutes:

There were no items of urgent business.

 

18.

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.

 

19.

QUESTIONS, DEPUTATIONS, AND 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 were received.

20.

MINUTES pdf icon PDF 268 KB

To confirm and sign the minutes of the Health and Wellbeing Board meeting held on 22 September 2021 as a correct record.

 

Minutes:

RESOLVED: That the minutes of the meeting held on 22 September 2021 be confirmed as a correct record.

 

21.

PRIMARY CARE ACCESS

To receive an update on primary care access.

Minutes:

Mr Owen Sloman introduced the item.

In response to questions from the Board, the meeting heard that: 

·      The issue regarding the appropriateness and extent to which patients should be having face-to-face contact with their GP was a question that medical professionals were still attempting to answer. There could only be a finite number of patients that could be seen physically at a given period in any case. It was difficult to draw hard-line rules on, for example, how many prescriptions needed to be written before an individual could be seen physically.

·      In relation to child protection issues, it was unclear who may be present in a room whilst video or phone consultations were being held.

·      In relation to children, the data showed that all the GP practices were being attended by children as they would expect to at the current time of the year. This was also true of the A&E departments. It was possible to consider examining the provision that could be given to children during the weekend.

·      Medical professionals had suffered from greater levels of aggressive behaviour from service users.

·      It was important to note the acquisition of the new primary care buildings as this was very important for the borough as it was important for the health and wellbeing of residents into the future. Some strategic thinking could be done in the area regarding neighbourhoods, primary care networks and how communities were generally being engaged. 

·      Consideration was being given regarding on how to provide services for parents, (particularly anxious parents) and families who lived close to North Middlesex hospital. Parents’ feeling of anxiety appeared to drive up A&E attendance.

·      There were GPs that would be retiring and at the end of September 2021 and the three GPs preparing to retire would have a total approximate period of 100 years between them.

·      Some weekend child clinics and evening children clinics would be set up. Children under the age of six receive treatment in person in the extended access clinics.  A pilot has been set up whereby GPs would be recruited to work evenings and weekends, but they would also be provided with additional training.

·      There were challenges in relation to the medical workforce. There was exhaustion amongst professionals as physicians wished to do fewer sessions and there were very few reserve GPs available when a GP was scheduled to go on leave. 

·      If a patient was found not to be registered with a practice, then efforts would be made to register them when they were seen. It was important that such individuals were made to feel comfortable and welcome.

·      The Planning department and the healthcare field had worked well together. There were cases where private developers had worked with medical professionals so that healthcare could be delivered more easily.

·      The GPs that were about to take over a particular premises (which would be come to known as Walls and Curtis), involved two people who had grown up above their current premises in Westbury Road and had  ...  view the full minutes text for item 21.

22.

SPECIAL EDUCATIONAL NEEDS AND DISABILITIES (SEND) INSPECTION AND WRITTEN STATEMENT OF ACTION pdf icon PDF 516 KB

To receive a verbal update on the Special Educational Needs and Disabilities (SEND) inspection. The Ofsted report is included as background information.

 

A briefing was circulated to Members of the Health and Wellbeing Board on 26 October 2021 and the OFSTED inspection is included in the agenda as background information.

 

Minutes:

Ms Jackie Di Falco introduced the item. She noted that there were key actions which needed to be addressed. This included the quality of educational care plans in terms of compliance with timescales, but also their general quality and the annual reviews particularly for young people transitioning into adulthood. Improvement was also required on partnership in co-production and communication with parents. Furthermore, the unacceptable waiting times for the diagnosis of autism needed to be addressed and support needed to be given to families whilst waiting for that diagnosis. This was a part of a wider working area which needed to be completed alongside the SEND strategy.

A deadline of 70 days had been asserted to provide a written statement of action. This would calculate to a deadline date of 11 January 2022.  A number of forums and boards would be attended to discuss the inspection and how the issues would be addressed.

A number of key actions had been taken. The statutory assessment team had been increased so that adequate plans and annual reviews would be completed in timescales. A full time SEND Communications officer had been employed. The Travel Buddies team had been in-sourced which would help support young people to travel to their place of learning independently.

The work was expected to take between 18 months to two years (although there would be actions taken over a more imminent period of time) and there would be shared accountability and ownership. There would be a systematic change to help young people and their families and it was acknowledged that there was a high level of dissatisfaction from parents.

Work was being undertaken between parents, carers and stakeholders to consider how the proposals would work and how the outcomes hoped for would be achieved. This would include the use of workshops which would be attended by a focused range of representatives including parents and carers.

The SEND Executive would approve the written statement of action and would be receiving regular progress reports. Updates would also be provided to the parent-carer forum.

An annual progress report would be published. The SEND strategy consultation had closed and would be published in March 2022 after it had worked its way through the governance boards and the Overview and Scrutiny Committee.

The Board commented that:

·      It was not possible to deliver SEND programmes without working with families.

·      Parents needed a forum to discuss their circumstances. 

·      The work was welcomed and it was important to address the issues raised.

·      Parents had indicated at meetings their frustration regarding the issue. Parents felt that there had been historic neglect over the issue for a lengthy period of time. Parents had indicated that they had not been informed of the parent-carer forum and that meetings had been arranged with very little notice. It was important that improved levels of trust needed to be built within the community and this would be done with additional investment but additional investment alone would not be enough.

·      The issue regarding the lack  ...  view the full minutes text for item 22.

23.

SEMINAR FEEDBACK

To consider and receive feedback on the health and wellbeing seminars.

Minutes:

Ms Charlotte Pomery and Ms Rachael Lissauer presented the item and stated that the seminar had looked back over areas of priority that had already been put forward.

There had been a positive discussion around a co -productive approach and how this could be built into all relevant areas.  For future seminars, it was felt that the approach regarding looking back over areas of priority was a useful method.

For the forthcoming seminars, discussions would be held on how to best use resources and what was required regarding governance and decision making. The discussions would partly be based on delivery plans, priorities, general structures and workforce.   

 

RESOLVED: That the feedback be noted.

 

24.

COVID-19 AND VACCINATIONS UPDATE

To receive a verbal update on the Covid-19 pandemic and the vaccination

Programme.

Minutes:

The Chair suggested that an update be circulated to the Board.

RESOLVED: That an update be circulated to the Health and Wellbeing Board.

 

25.

UPDATE ON WORK TO TACKLE RACISM AND INEQUALITIES IN HARINGEY

To receive an update on work to tackle racism and inequalities in Haringey.

Minutes:

The Chair suggested that an update be circulated to the Board.

RESOLVED: That an update be circulated to the Health and Wellbeing Board.

 

26.

APPROVAL OF HARINGEY BETTER CARE FUND (BCF) 2020/21 SUBMISSION TO NHS ENGLAND pdf icon PDF 882 KB

To consider and endorse the submitted Haringey Better Care Fund (BCF) Plan Narrative for 2021/22.

Additional documents:

Minutes:

Mr Paul Allen introduced the item. 

In response to questions, the Board heard that:

·      The Better Care Fund was aimed at older age group but there were some opportunities to think about spending on early intervention for children and young people.

 

RESOLVED:

That the Health and Wellbeing Board endorse the submitted Haringey Better Care Fund (BCF) Plan including the investment schedule, the BCF Narrative for 2021/22 and the trajectories for the metrics within its scope.

 

27.

NEW ITEMS OF URGENT BUSINESS

Minutes:

There were no items of urgent business.

 

28.

FUTURE AGENDA ITEMS AND MEETING DATES

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

 

To note the dates of future meetings:

 

26 January 2022

16 March 2022

Minutes:

The next meeting would be held on 26 January 2022.

29.

PRESENTATION: PRIMARY CARE ACCESS : COVID AND BEYOND pdf icon PDF 725 KB

Presentation on Primary Care Access including post COVID19.