Agenda and minutes

Please note that 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 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’.

Apologies for absence were received from Cllr Anna Abela, Cllr Thayahlan Iyngkaran, Ali Amasyali and Helena Kania.

Cllr Abela had informed the Panel Chair that she was unable to attend due to a clash with a Corporate Committee meeting of which she was also a member.

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 as noted below).

None.

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 Members’ Register of 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 interest are

defined at Paragraphs 5-7 and Appendix A of the Members’ Code of Conduct.

Cllr Pippa Connor declared an interest by virtue of her membership of the Royal College of Nursing.

Cllr Pippa Connor declared an interest by virtue of her sister working as a GP in Tottenham and also noted that her sister chaired the Age Well Partnership Board that was referred to in the agenda papers.

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

None.

To approve the minutes of the previous meeting.

Cllr Connor noted that some of the actions referred to in the minutes of the previous meeting would be addressed by Cllr Lucia Das Neves, Cabinet Member for Health, Social Care and Well-being as part of the Cabinet Member Questions agenda item, and that any outstanding points would be dealt with via written responses.

The minutes of the previous meeting were approved as an accurate record.

RESOLVED – That the minutes of the meeting held on 3^rd March 2022 be approved as an accurate record.

To note the terms of reference and membership of the Panel.

The Panel noted the report which set out the terms of reference and membership for the Overview and Scrutiny Committee and the Scrutiny Panels for 2022/23.

Cllr Connor informed the Panel that while Council policy on Violence Against Women & Girls (VAWG) was within the remit of the Adults & Health Scrutiny Panel, the main Overview & Scrutiny Committee was due to carry out a Scrutiny Review on this topic in 2022/23.

To provide formal approval of the appointment of non-voting co-opted Members of the panel for 2022/23.

The Panel noted the report which was to seek formal approval of non-voting co-opted Members to the Panel for the 2022/23 Municipal Year and approved the appointment of Ali Amasyali and Helena Kania to the Panel.

RESOLVED – That Ali Amasyali and Helena Kania be appointed to the Adults & Health Scrutiny Panel for the 2022/23 Municipal Year.

To receive an overview of the development of the Haringey Borough Partnership for Health and Care and how it fits in with the wider Integrated Care System for North Central London.

Will Maimaris, Director for Public Health at Haringey Council, and Rachel Lissauer, Director of Integration for Haringey at North Central London ICB, introduced slides providing an overview of the integration of health and care services in Haringey and how this would fit within the wider Integrated Care System (ICS) for North Central London:

• The Haringey Borough Partnership (HBP), which had been in operation for several years, brought together the Council, NHS organisations and voluntary/community organisations.
• The new North Central London (NCL) Integrated Care System (ICS) brought together partners across Barnet, Camden, Enfield, Haringey and Islington.
• Within the ICS there were other bodies including the NCL Integrated Care Board (ICB) which has the statutory responsibility for allocating the NHS budget and commissioning services, effectively replacing the Clinical Commissioning Group (CCG). The first Board meeting took place on 4^th July 2022.
• The NCL Health and Care Partnership would be a joint committee with Councils across the five boroughs which would be responsible for strategic planning on health and social care needs.
• A provider collaborative, known as the UCL Health Alliance, would bring together NHS trusts and primary care to work together across NCL to develop more systematic joint working. There would also be place-based partnerships and multidisciplinary working in neighbourhood areas to further development integrated working at local level.

Rachel Lissauer and Will Maimaris then responded to questions from Panel Members:

• Asked by Cllr Gourtsoyannis about the budget available to the ICB, Rachel Lissauer said that the Board had a responsibility to present a balanced budget to NHS England. Whereas under the old system there could often be negotiation between the NHS Trusts and the CCG on where deficits should sit, this was now the collective responsibility of an integrated board. Cllr das Neves added that an important challenge would be around balancing differing priorities across the NCL area.
• Asked by Cllr Connor about the membership of the ICB, Rachel Lissauer said that it had one local authority partner member and did not have a patient representative. She added that the governance structure was for the ICB to be complemented by the NCL Health and Care Partnership which had not been formed yet but would include wider local authority and voluntary/community sector representation. The Community Partnership Forum would also provide engagement opportunities for patient representatives and the voluntary/community sector.
• Asked by Cllr Gourtsoyannis about the process for organisations to gain membership of the Haringey Borough Partnership, Rachel Lissauer said that the voluntary organisations were represented by the Bridge Renewal Trust and that she regularly spoke with networks of voluntary organisations about live issues along with the Chief Executive of the Bridge Renewal Trust.

Further slides were presented with the following key points:

• National government policy was that, by Spring 2023, all ‘Places’ should adopt a leadership and governance model with a single point of accountability across health and social care. This single accountable person for Haringey had not yet been determined. A shared plan with outcomes should be underpinned by pooled  ...  view the full minutes text for item 9.

An opportunity to question the Cabinet Member for Health, Social Care and Well-being, Cllr Lucia das Neves, on developments within her portfolio.

Cllr das Neves introduced this item by setting out some identified priorities under her portfolio. These included mental health and wellbeing, migrants/refugees, violence against women and girls (VAWG), health inequalities, locality working in neighbourhoods and integrated working through the Borough Partnership. Other challenges included the impact of Covid, the rising demand for services including more complex needs, aids and adaptations and making the connection between housing and social care.

Cllr das Neves then responded to questions from the Panel.

Cllr Gourtsoyannis raised the issue of refugee health and discrimination in access to services. Cllr das Neves acknowledged that there were challenges, such as in relation to those with no recourse to public funds. She added that the Council was already carrying out work in this area, including in improving access to primary care services and that there was an advisory board which brought together representatives of voluntary sector services working with migrants/refugees in the Borough. The Board had assisted the Council in responding to emerging issues and in improving accessibility to services. Gill Taylor, Assistant Director for Communities and Housing Support, commented that Haringey was considered to be one of the best London Boroughs for supporting refugees with no recourse to public funds and this approach had been supported by Cabinet Members for a number of years. This included access to rent-free beds and wrap-around support. The Council also had a Welcome Strategy on offering support and advice for newly arrived migrants and refugees. There were various active projects including on supporting Ukrainian refugees, Hong Kong migrants and the Afghan relocation scheme.

Asked by Cllr Gourtsoyannis about the Council’s role in access to hospital treatment for refugees/migrants and associated issues around how Hospital Trusts interpreted the law in this area, Gill Taylor said that a groups of colleagues from Councils and the CCG in the NCL area meet regularly to discuss inclusion health which covers this topic. This group had so far mainly looked at how to expand capacity to provide support rather than the legal issues. Rachel Lissauer suggested that this group could feed into the Integrated Care Partnership to increase visibility of the issues across NCL. Gill Taylor agreed that she would follow up on the legal questions with Hospital Trusts and the links to the Integrated Care Partnership. (ACTION)

Cllr Peacock raised the issue of VAWG and requested an update on the Hearthstone charity noting that it no longer appeared to be present at the shop front on Commerce Road where it had previously been based. Denise Gandy, Assistant Director for Housing Demand, explained that the charity had recently moved from the shop front to the community centre behind this due to social distancing requirements during the Covid-19 pandemic. Hearthstone remained active and was currently looking to extend its outreach offer.

Cllr Peacock also raised the issue of violence against men. Cllr das Neves acknowledged that this was an issue and that rates had recently increased but noted that, as women suffer this type of violence  ...  view the full minutes text for item 10.

To consider any additions or amendments to the Panel’s work programme for 2022/23.

Providing an update on the Work Programme, Cllr Connor informed the Panel that the ‘Scrutiny Café’ consultation event would be taking place in September. Feedback from this would help to inform the Panel on possible topics for Scrutiny Reviews in 2022/23 and 2023/24.

The Panel’s next meeting would also be in September and would include items on delays to aids and adaptations and an update on the Council/NHS response to the Living Through Lockdown report that had been produced by the Joint Partnership Board.

With regards to new items for future meetings, the Panel indicated that they would like to discuss how provision of dementia services could be increased and that they wanted to see a breakdown of the current provision of services in the west, centre and east of the Borough. Another suggested item was preparedness for a possible future pandemic based on what had been learned from the Covid-19 pandemic. (ACTION)

Cllr Connor proposed that a joint meeting with the Children & Young People’s Scrutiny Panel could be held in February 2023 on transition between children’s and adult services in areas including learning difficulties, autism and mental health. (ACTION)

Cllr Connor proposed that the update item on integrated joint partnership working and co-production could be pencilled in for the March 2023 meeting. (ACTION)

·         15^th September 2022 (6:30pm)

·         17^th November 2022 (6:30pm)

·         8^th December 2022 (6:30pm)

·         13^th March 2022 (6:30pm)

·         15^th September 2022 (6:30pm)

·         17^th November 2022 (6:30pm)

·         8^th December 2022 (6:30pm)

·         13^th March 2022 (6:30pm)