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’.

It was noted apologies for absence had been received from Helena Kania (Non-Voting Co Optee).

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 Gina Adamou declared a personal interest in relation to agenda items 8, 9, 10,11, 12 and 13 by virtue of one of her daughters working in Haringey as a social worker.

Cllr Gina Adamou declared a personal interest in relation to agenda items 8, 9, 10, 11, 12 and 13 by virtue of one of her daughters being a teacher.

Cllr Gina Adamou declared a personal interest in relation to agenda items 8, 9, 10, 11, 12 and 13 by virtue of her son working in the teaching and education sector.

Cllr Pippa Connor declared a personal interest in relation to agenda items 8, 9, 10, 11, 12, and 13 by virtue of her sister working as a GP in Tottenham.

Cllr Pippa Connor declared a personal interest in relation to agenda items 8, 9, 10, 11, 12 and 13 by virtue of being a member of the Royal College of Nursing.

Cllr Gideon Bull declared a personal interest in relation to agenda items 8, 9, 10, 11, 12 and 13 by virtue of being an employee for NHS Improvement.

There were no disclosable pecuniary interests or prejudicial interests declared by members.

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 Adults and Health Scrutiny Panel meeting held on 6 March 2017.

AGREED: That the minutes of the Adults and Health Scrutiny Panel meeting held on 6March 2017 be approved as a correct record.

To approve the minutes of the Adults and Health Scrutiny Panel meeting held on 29 June 2017.

AGREED: That the minutes of the Adults and Health Scrutiny Panel meeting held on 29 June 2017 be approved as a correct record.

To receive a verbal update from the Chair following recent NCL JHOSC meetings. The papers from these meetings can be viewed online via the following links:  

-       19September 2017

-       22 September 2017

Cllr Connor, in her capacity as Vice Chair of the North Central London Joint Health Overview and Scrutiny Committee (NCL JHOSC), provided a verbal update on recent meetings. 

The Panel was informed the NCL JHOSC had met twice during September. Cllr Connor explained that on 19 September the Committee had received presentations from:

-       Andrew Wright, Director of Strategic Development, Barnet, Enfield and Haringey Mental Health Trust, on the St Ann’s Hospital Site Redevelopment. Cllr Connor advised that the full business case would be considered by the NCL JHOSC as soon as it was available.

-       Representatives from the Camden and Islington Foundation Trust, concerning the St Pancras Site Redevelopment. Cllr Connor advised that the final business case would be considered by the NCL JHOSC at a future meeting.

During the discussion, the Panel suggested it would be useful for Haringey’s Overview and Scrutiny Committee (OSC) to receive an update on the St Ann’s Hospital Site Redevelopment. Cllr Connor agreed to discuss this suggestion further with the Chair of OSC, including the option of holding a briefing for all Members.     

In response to questions about the NCL JHOSC meeting, held on 22 September, Cllr Connor provided updates on the following: 

-       The financial position of the Royal Free London NHS Foundation Trust.

-       The fact that a site visit would be arranged for the Committee to visit the Chase Farm site.

-       The staffing workstream for the Sustainability and Transformation Partnership for North Central London.

-       Issues in relation to public engagement concerning the Sustainability and Transformation Partnership for North Central London.

It was noted that consideration had also been given to issues concerning the Dementia Pathway and the approach that was being taken, across North Central London, to commissioning procedures of limited clinical effectiveness.

AGREED: That the update on recent NCL JHOSC meetings be noted.

Clerk’s note - the minutes from the NCL JHOSC meetings held on 19 September and 22 September 2017 can be viewed online via http://democracy.camden.gov.uk/ieListMeetings.aspx?CId=268&Year=0

The purpose of this report is to provide an update on the Haringey’s Design Framework for Integrating Health and Social Care, with a particular focus on the work across health and social care to improve discharge from hospital pathways and market developments to support this.

John Everson, Assistant Director of Adult Social Services, provided an update on Haringey’s Design Framework for Integrating Health and Social Care. Mr Everson commented that his report provided a particular focus on the work that had taken place across health and social care to improve discharge from hospital pathways and market developments to support this.

The Panel was informed that the Haringey Design Framework provided a clear, shared and strategic view across health and care partners, to ensure the  independence of all residents. The Panel was asked to note that the Design Framework was underpinned by a number of important principles, including:

-       Preventing avoidable health conditions

-       Connecting people to their communities

-       Maximising independence and wellbeing

-       Integrating and joining up health and care to deliver seamless services

-       Delivering fair and equal care across the borough

-       Co-designing support with citizens to promote choice and control    

The Panel was informed there were four patient pathways and that these were based upon the level of support required on leaving hospital. The following points were noted:

The Panel was informed that discharge to access was a change to NHS and Social Care procedures, moving all non-essential processes, including assessments of long term care needs, out of the acute setting. Mr Everson went on to provide clarity on the discharge to access statement of principles:

-       Home First: The Panel was informed every effort would be made to enable people to go home and that creative solutions would be used to keep the person at home following discharge. It was noted that readmission would be the last resort.

-       Simplification: The Panel was advised of the importance of providing one number for wards to ring (Single Point of Access) and for not insisting on lengthy or duplicating assessments before a patient left hospital. The importance of making discharge pathways as simple as possible and taking as many discharge-related tasks out of the hands of ward staff was also noted.

-       Responsiveness: The Panel was informed care needs would be assessed in a residents home within two hours of discharge. It was noted any necessary equipment would be provided on the same day or the day following assessment. The importance of providing necessary care packages and putting in place wrap-around support to keep the patient at home longer, reducing reliance on long term care services in the future, was also highlighted.

In response to  ...  view the full minutes text for item 23.

This report provides a brief summary of information which will be provided in a presentation at the Adults and Health Scrutiny Panel on 10^th October 2017. 

Cassie Williams, Assistant Director of Primary Care Quality and Development, introduced the report as set out. This provided an update on Care Closer to Home and Primary Care Estates.

The Panel was informed partners involved in the Health and Social Care Sustainability and Transformation Plan (STP) had identified various priority areas, including Care Closer to Home. As set out in sections 1.1 – 1.3 of the report, the Panel was informed key areas of the workstream included: Extended Primary Care Access; Care Closer to Home Integrated Networks (CHINs); and Primary Care Quality Improvement Support Teams (QISTs). Ms Williams provided further information on each of these and informed the Panel that Haringey CCG was working with partners to deliver the various goals, set out in the report.

In terms of estates, the Panel was informed that in November 2016 Haringey CCG had been advised that they had been provisionally successful in three bids to the NHS England Estates and Technology Transformation Fund. The Panel was informed that this could potentially provide £11 million of capital for the development of new primary care facilities in Wood Green, Tottenham Hale and Green Lanes. It was noted that these areas had previously been identified as high priorities in Haringey CCG’s estates strategy.

The Panel was informed that in order to secure the money, it was necessary to submit project initiation documents (PIDs) and, if successful, business cases would be developed. Ms Williams explained PIDs had been submitted during quarter 1 of 2017/18 and that outline business cases would be submitted for approval before the end of October 2017. It was noted that the goal was for each site to be built by 2020/21. 

In response to questions, Ms Williams informed the Panel that whilst these three sites were the highest priorities for Haringey, it was acknowledged there were also other areas requiring estates solutions over the next 3-5 years.

During the discussion a range of topics were considered, including:

-       Various issues in relation to GP registration, practice boundaries, and the registration criteria for new patients.

-       Issues relating to primary care and estate regeneration.

-       Extending access, including GP appointments for Haringey residents at weekends and evenings.                 

AGREED:

(a)  That the Primary Care Update, on Care Closer to Home and Estates, be noted. 

(b)  That an update on Primary Care be included in the Panel’s future work programme for 2018/19 (scope and date TBC).

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.   

The Chair welcomed Cllr Jason Arthur, Cabinet Member for Finance and Health, and Cllr Bernice Vanier, Cabinet Member for Adult Social Care and Culture, to the meeting.

In response to questions concerning portfolio responsibilities for Corporate Plan Priority 2, Cllr Arthur explained that he was responsible for Public Health; Health Devolution Pilots; Health and Social Care Integration; and working with the CCG and NHS. Cllr Vanier confirmed that the following areas of responsibility related to her portfolio: Adult Social Care; Adults with Disabilities and Additional Needs; and Safeguarding Adults.

Cllr Arthur provided an update on issues relating to protecting Haringey home care workers. The Panel was informed that the Council had recently signed up to UNISON’s ethical care charter. It was noted that this set out a series of commitments to protect the rights of home care workers’. Cllr Arthur explained that under the charter, the Council was committed to replacing zero hours contracts with guaranteed hours, and to make full payment for travel time between home care visits. In response to questions, the Panel was informed that the new code would mean the commissioning of home care visits would always be shaped by what was best for the person being cared for and the care worker, not by the need to meet a certain quota of visits or complete care duties in a set timeframe.

Cllr Arthur went on to provide updates on a number of issues, including: 

-       The work that was taking place across Haringey to support “Stoptober”, a campaign, backed by Cancer Research and the British Heart Foundation, aimed at encouraging the nation’s 8 million smokers to give up. 

-       Sexual health services in Haringey and across London. The Panel was informed of recent improvements with information, advice, testing and treatment for a range of conditions available online 24 hours a day, as well as a host of services at clinics, pharmacies and GP practices.

-       Better Care Funding, including details of an open letter, written in partnership with Islington Council, to Jeremy Hunt, Secretary of State for Health. Cllr Arthur explained he had submitted a letter, in partnership with Cllr Janet Burgess MBE, Islington Council’s Executive Member for Health & Social Care, to highlight the vital role played by the Better Care Fund and to raise concerns about a series of changes which had been made to the conditions attached to the release of the funding.

Cllr Arthur also provided an update on the Haringey and Islington Wellbeing Partnership, including work that was taking place to engage local residents, while issues were also considered in relation to the Sustainability and Transformation Partnership for North Central London.

Cllr Vanier provided an update on a number of issues, including:

-       The Disability Related Expenditure Disregard Proposal. It was noted that a report would be considered by Cabinet in November 2017. It was explained that this report would set out the findings of the consultation and would contain recommendations with regards to the proposal to bring disability related expenditure  ...  view the full minutes text for item 25.

This report gives details of the proposed scrutiny work programme, including planned

project work, for the remainder of the municipal year.  

Christian Scade, Principal Scrutiny Officer, provided an update on the proposed work programme for the remainder of the 2017/18 municipal year. During the discussion it was agreed that the Haringey Development Vehicle item, listed under “future items to be confirmed”, should be updated to read “to consider health related issues and concerns relating to estate regeneration”. 

AGREED: That subject to the additions, comments and amendments, referred to under agenda items 9, 10, 11 and 12 , the areas of inquiry outlined in Appendix A of the Work Programme Update be approved and recommended for endorsement by the Overview and Scrutiny Committee.

This CCG paper provides an update on the Whittington Health Podiatry and Foot Health Service.  This follows previous reports on Haringey Foot Care Services received by the Panel in January 2016 and September 2016. This item has been provided for information and is not for discussion.

The Chair informed the Panel that Andrea Cronin, Commissioning Manager, Haringey CCG, had been provided an update, for noting, on the  Whittington Health Podiatry and Foot Health Service.

AGREED: That the update on the Whittington Health Podiatry and Foot Health Service be noted.  

To consider any items admitted at item 3 above.

None.

To note the dates of future Panel meetings:

-       16 November 2017

-       14 December 2017

-       8 March 2018  

The Chair referred Members present to item 15 as shown on the agenda in respect of future meeting dates, and Members noted the information contained therein’.