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’.

None.

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).

The Chair informed the Committee that she would be admitting an item of urgent business on suicide prevention, and further discussion would take place at item 13 on the agenda.

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.

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 meeting held on 8 March 2018.

TO FOLLOW

The clerk advised the Committee that the minutes of the meeting held on 8 February were not available for approval, and would be taken to the next meeting of the Adults & Health Scrutiny Panel.

This paper describes the overall progress made on the Community Wellbeing Framework over the last year and its main components.

Dr Negin Sarafraz-Shekary provided an update on the Community Wellbeing Framework.  Good progress had been made in relation to engaging and integrating services, and good relationships had been formed with key stakeholders.  Two local area co-ordinators had been appointed, and the next steps would be to evaluate and monitor the progress of outcomes against pathways to wellbeing themes using case studies to draw patients’ journeys to see what savings can be made.

Dr Sarafraz-Shekary provided the following in response to questions from the Panel:

-                 The local area co-ordinators were community based and visible to the community.  The co-ordinators would work with a wide range of people and needs, however would be mindful of overlaps and duplication.

-                 Asset mapping had been completed and work was being carried out to ensure front line staff were trained to have the key conversations with people.

-                 It was intended that case studies would be provided for all people who had accessed the service, detailing the interventions and outcomes.  This could be shared with the Panel.

-                 The project was due to run for two years.

RESOLVED that the update be noted, and a further progress update be provided in September 2018.

The purpose of this report is to provide Adults and Health Scrutiny Panel members with information on the impact both from a user and a buildings perspective of the closures of the in-house day centres previously managed by Adult Social Care. These are:  The Haven, The Grange, Birkbeck, Always and Roundways.

Charlotte Pomery provided an update on the impact from both a user and a buildings perspective of the closures of the in-house day centres previously managed by Adult Social Care at The Haven, The Grange, Birkbeck, Always and Roundways.  The closure of these services had taken place in November 2015, and part of the process was to look at the destination of service user, the use of savings generated and the current uses of the buildings.  The process was still ongoing.

The following was provided in response to questions from the Panel:

-                 The use of guardians for the empty buildings was at nil cost overall.  The framework with the Corporate Landlord was that guardians would look after the properties and cover the costs of any repairs and would get the accommodation in return for looking after them.

-                 There would be a further report to scrutiny on the wider day care opportunities later in the year.

-                 It was important to stress that work was being carried out with regard to savings made, as users’ needs were changing, and the model would look different as time moved on. 

-                 Work was also being carried out with a range of providers, including Islington Council to ensure that local provision was available to meet demand as it was requested.

-                 All users of these services had received a Care Act assessment and care support plan, and anyone who had received these would have been care managed out of the old system into the new one.  A social worker would carry out reviews to see whether needs and outcomes were being met – happiness and progression were included as part of that review.

RESOLVED that:

i.          The report be noted; and

ii.         It be recommended to the next Scrutiny Panel that an engagement event be set up with service users and officers to get a good understanding of the day opportunities provision.

In the summer and autumn of 2016, the Adults and Health Scrutiny Panel undertook an in-depth piece of work regarding Haringey’s approach to increasing physical activity among older adults and a number of recommendations were made.

This report provides an update on actions that were agreed by Cabinet on 27 March 2017 in response to implementing the Overview and Scrutiny Committee recommendations.

The Panel received an update on the recommendations made by the Physical Activity for Older People scrutiny review.  The review was undertaken in summer 2016, and looked at Haringey’s approach to increasing physical activity among older adults.  Members noted the updates to the recommendations which had been agreed by Cabinet on 27 March 2017, as set out in the agenda pack.

RESOLVED that the Adults and Health Scrutiny Panel note the progress made to date.

An opportunity to question Councillor Arthur, Cabinet Member for Finance and Health, and Cllr Vanier, Cabinet Member for Adult Social Care and Culture, on their portfolios.  

Councillor Vanier provided an update on work carried out within her portfolio responsibilities.  She advised that Adult Social Care remained a challenge, with a continual reduction in local government grants, and an increase in demand.  The service had undergone a major transformation, and it was important that new innovative ways of working were identified in order to continue to develop sustainable adult social care in the borough.

Highlights over the past year included a redesign of services; the introduction of a care authorisation panel to provide an impartial process to all funding decisions across adult health and learning disabilities; remodelling of hospital discharge processes to improve unnecessary referrals; and the improvement of care home provision to ensure that better models of support were provided.

The main risks for the next financial year included the pressure of dealing with changing needs as residents aged; and the transition stage from childrens to adults, and managing that risk.

In regard to Osborne Grove, Councillor Vanier explained that an options appraisal would be carried out and reported back to Cabinet in June 2018, and would look at whether it the Authority were best placed to provide nursing homes, or whether outsourcing worked best.  It would be key to ensure that bed space was improved to allow Osborne Grove to become more viable.  The options appraisal had previously started in early 2017, but was put on hold due to care and quality issues, and it was important that the final decision was based on understanding these issues.

The Panel thanked Councillor Vanier for attending.

To receive a verbal update from the Chair.

Councillor Connor provided an update on the recent NCL JHOSC meeting, a single item meeting on limiting clinical effectiveness.  One of the main concerns raised was how scrutiny would be kept informed with further additions to the policy.

To receive a verbal update on the Panel’s Care Home Commissioning review.

The clerk advised that a draft of the Panel’s Care Home Commissioning review was currently being produced and would be circulated for comment in due course.

To consider any items admitted at item 3 above.

Councillor Connor tabled an update provided by Dr Tamara Djuretic on suicide prevention.

Action: further update to be provided in six months, including more detail on the effectiveness of the prevention policies.