Agenda and minutes
Venue: Civic Centre, High Road, Wood Green, N22 8LE
Contact: Dominic O'Brien, Principal Scrutiny Officer
Media
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FILMING AT MEETINGS 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. Additional documents: Minutes: 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’. |
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Apologies for absence Additional documents: Minutes: Cllr Opoku was present but gave apologies for needing to leave the meeting before the end.
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Items of 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 as noted below). Additional documents: Minutes: None. |
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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 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. Additional documents: Minutes: 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.
Dr Peter Christian, Chair of Haringey CCG, declared an interest by virtue of his practice currently being involved in a bid for central NHS funds to merge three practices onto a new site.
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Deputations/Petitions/ Presentations/ Questions To consider any requests received in accordance with Part 4, Section B, Paragraph 29 of the Council’s Constitution. Additional documents: Minutes: None. |
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To approve the minutes of the previous meeting. Additional documents: Minutes: Cllr Connor referred to a number of points in the minutes of the previous meeting relating to item 41 (Mental health services) that required further action: · A bullet point in the minutes mentioned that the Haringey Wellbeing Network is available as a front door to a range of services. Having checked the website there appeared to be an assessment fee of £25 for counselling so Cllr Connor queried why fees were being charged. (ACTION) · Another bullet point referred to section 136 suites. This related to a discussion at the meeting about a potential new specialist centre in Highgate which people with certain mental health needs could be treated as an alternative to A&E. Further clarification was requested on whether physical health assessments would also be done here. (ACTION) · An action point under item 41 specified that a summary list of new projects and initiatives be provided to the Panel in writing. The Scrutiny Officer to the Panel confirmed that this request was currently being actioned and it was expected that the list would be circulated to Members shortly. (ACTION)
AGREED: That the points above be noted for further action and that the minutes of the Adults & Health Scrutiny Panel meeting held on 29th January 2019 be approved as an accurate record.
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Adults & Health update PDF 273 KB For the panel to receive a short briefing on:
Additional documents: Minutes: Charlotte Pomery, Assistant Director for Commissioning, gave a short update on Osborne Grove Nursing Home feasibility study. The Frederick Gibberd Partnership had been appointed as the design team, they’ve come to the Osborne Grove co-design steering group chaired by Cllr James and the Community Options group chaired by Gordon Peters and a wider stakeholder event is being planned. A number of other studies are taking place alongside this including on sustainability and carbon management and ideas on what is possible in terms of the architecture based on the surrounding environment. In response to questions from the Panel, Charlotte Pomery said:
· That on the background of the Frederick Gibberd Partnership, they had recently redesigned an inpatient mental health unit in Harlow which had been redeveloped with the inpatients on-site which is clearly very pertinent to the work that the Council aims to do with Osborne Grove. · That the membership of co-design group includes a Ward Member, the Cabinet Member for Adults & Health, the Cabinet Member for Finance, the CCG, family stakeholder members of those at Osborne Grove, members of the Planning and Oversight group with a direct interest in older people, Healthwatch, Unison and officers. · That the relevant stakeholders that the Frederick Gibberd Partnership had been engaging with include the members of the co-design steering group, the community links steering group, the Older People’s reference group and other previously mentioned stakeholder such as Healthwatch and Unison. · That Haringey Council’s ‘Caldicott Guardian’ for Osborne Grove is Beverley Tarka. · That the guiding design principles of the approach to the redesign include the primacy of nursing care, that it will be a community-facing asset and good quality care. · That the preferred option is to develop a long-term plan rather than an intermediate plan as it is possible that an intermediate plan could slow down the long-term plan which is undesirable given the pressures on capacity. · That according to the data there would be a need for a multi-use facility to support older people with frailty, dementia, complex needs, learning disability/autism and rehabilitation. · That a set of options would be brought forward but the final decision is for Cabinet.
Charlotte Pomery, Assistant Director for Commissioning, provided a short update on the Making Every Adult Matter (MEAM) approach which aims to develop joint working for people with complex needs around homelessness, mental health, drug and alcohol dependency and criminal justice. This requires a more flexible way of working, such as ensuring that people without an appointment are not turned away and that people just below the eligibility threshold are supported. The work was partly prompted by a spike in deaths of people in supported housing and it was recognised that there was a gap in support available. This work has a high level of support from the Health and Wellbeing Board and a broad range of stakeholders is involved through a strategic steering group.
Work was ongoing to engage people with lived experience to help shape the approach.
The Panel requested that the draft ... view the full minutes text for item 51. |
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Improving primary care in Haringey PDF 2 MB To update the panel on progress towards improving primary care in Haringey in the context of the North Central London Strategy for General Practice and other developments including provisional funding to open three new GP practice buildings. Additional documents: Minutes: Dr Peter Christian, Chair of Haringey CCG, introduced this item noting that the Panel had read the paper supplied with agenda pack and that the key themes that should be highlighted included the workforce, the estate and the escalating demand for primary care. Clare Henderson, Director of Commissioning at Haringey CCG, highlighted the long term plan which included developing more services and skills around primary care such as primary care mental health services for example. In response to questions from the Panel, Dr Peter Christian and Clare Henderson said:
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Physical Activity for Older People - Scrutiny Review update PDF 171 KB To update the Panel on progress made towards the recommendations made in the 2017 scrutiny review on Physical Activity for Older People. Additional documents:
Minutes: Andrea Keeble, Commissioning Manager for Active Communities, introduced this update report noting that the previous Adults & Health Scrutiny Panel took a lot of evidence which led to a series of recommendations that were agreed by Cabinet in March 2017 and had been worked on by the team since then. Physical activity is incredibly important to wellbeing and this becomes more important as people get older but paradoxically as people age they tend to do less physical activity. On policy the People theme and the Place theme in the new Borough Plan really emphasise the importance of physical activity. This is also much more prominent in commissioning including through care home contracts which now require monitoring on physical activity. The recommendations referred to getting more money in for physical activity projects and there had been progress on this in several specific areas:
On communications, a booklet on the opportunities for physical activities for older people has been produced and distributed to GP practices and libraries which has proved to be popular. Finally Fusion have been taking action to make their programmes more suitable for older people, more details are included under recommendations 5 & 6 in the report. In response to questions from the Panel, Andrea Keeble said:
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Work Programme Update PDF 472 KB To review/update the current Work Programme. Additional documents: Minutes: Cllr Connor provided a short update on the ongoing Day Opportunities scrutiny review. There had been some really interesting meetings with carers forums. The first service user engagement had been carried out and there had been some interesting discussion with service providers. A further session with commissioners was also planned.
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New Items of Urgent Business To consider any items admitted at item 3 above. Additional documents: |
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Dates of Future Meetings Additional documents: |