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. 

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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 had been received from Cllr Nick da Costa, Cllr Mike Hakata, Cllr Yvonne Say and co-opted member, Helena Kania.

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.

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.

Some amendments had been made to the draft minutes of the previous meeting held on 18^th January 2019 that were originally published in the agenda pack. The main changes were:

• An additional paragraph to clarify ways that the Panel felt the Adults & Health budget scrutiny report could be improved in future years.
• That full details of the capital costs associated with the three former day centre buildings (the Haven, the Roundway and the Woodside) be brought back to a meeting of the Panel when these details become available.
• Additional detail on the reasons for the panel’s recommendation on budget proposal PA6 (Transfer of High Cost Day Opportunities)

The corrected version had been circulated to Panel Members via email and was also available on the Haringey Council website.

AGREED: That the corrected version of the minutes of the Adults & Health Scrutiny Panel meeting held on 18^th January 2019 be approved as an accurate record.

An overview and update on mental health services in Haringey with input from the CCG, Council, Police and BEH Mental Health Trusts.

Tim Miller, Lead Commissioner for Adult Mental Health, introduced the presentation of the joint report which had also been co-authored by Dr Katrin Edelman, Clinical Director for Haringey at Barnet, Enfield & Haringey Mental Health Trust and Detective Superintendent Tony Kelly. He commented that it was a good time to have a discussion on mental health as it was around a year into the restructure of Barnet, Enfield & Haringey community services and the ongoing North Central London partnership working. Key points from the report included:

• That mental health services are mainly focused on mental ill health with conditions on a spectrum of severity. Larger services such as IAPT (Improving Access to Psychological Therapies) work with common and less severe conditions but nonetheless have a major impact on people’s lives.
• The main pathway is through the NHS, from GPs through to community and specialist services, but there are also pathways through the Council’s preventative services and social care.
• The Haringey Wellbeing Network, led by Mind in Haringey, had been commissioned last year which brings together services from a consortium of third sector providers which allows for a coordinated network with improved access and communication between each other and with statutory services.

Dr Katrin Edelman added that a lot of work had been going on to focus on networking to ensure that the most was being made of existing resources and on the restructuring of community services including to work more closely with GPs. The impact of people’s social circumstances is also important to mental health, highlighting the need to work with organisations providing services such as benefits advice.

Detective Superintendent Tony Kelly explained the new structure of policing in Haringey and Enfield which had recently moved to the Basic Command Unit (BCU) model. This includes a safeguarding strand which the policing element for mental health now comes within, whereas it previously sat within Operations and Events. Previously there was a part time officer for this role but now there is a sergeant and three constables working across both boroughs dedicated to mental health investment and enabling partnership work to reduce demand pressures on other agencies and better safeguard individuals.

In response to questions from the panel, Tony Kelly said that there are a significant number of call outs where the police come into contact with people experiencing a mental health episode. These should result in a referral but in future the aim is to develop MARACs (multi-agency risk assessment conferences) to support individuals who come into contact with the police a lot but perhaps do not meet the threshold for being sectioned.  Tim Miller concurred that the police are key partners in terms of inter-agency working. There is also work ongoing nationally to reduce the extent to which the police are a front door into mental health services and in Haringey this has involved improving access to crisis pathways such as through a single phone number for crisis services and handover arrangements from the NHS 111 service.

In response to further questions  ...  view the full minutes text for item 41.

An opportunity to question the Cabinet Member for Adults & Health, Cllr Sarah James, on developments within her portfolio.

Cllr Sarah James, Cabinet Member for Adults & Health, addressed the panel noting that she had only been in the post for a very short time but had received some very useful briefings from officers, had met with social care groups and had various meetings in the diary including with the CCG and with the Chair of Healthwatch, Sharon Grant.

Cllr James, Beverley Tarka, Director of Adults & Health, and Charlotte Pomery, Assistant Director for Commissioning, responded to questions from the Panel:

• Cllr James confirmed that she would be happy to visit Osborne Grove Nursing Home soon. Beverley Tarka said that the 2018/19 budget for Osborne Grove was just over £1m but there is a projected overspend of £700k, so a total projected spend of £1.7m. On reducing staffing costs based on the low number of current residents, Beverley Tarka said that the Council’s primary aim is to safeguard the residents and provide quality care. There are plans to consolidate the residents into one unit within Osborne Grove, as they are currently situated over three levels. This will enable greater management oversight and the staffing ratio is being assessed. On whether residents might receive better care by being moved elsewhere, Cllr James reiterated that the Cabinet had previously committed to retain Osborne Grove for the remaining residents and that this remains unchanged. The consolidation into one unit should help to alleviate immediate issues and work is ongoing with the co-design group over the redevelopment. Charlotte Pomery said that a design team had been appointed to carry out a feasibility study and is due to meet the co-design group on 5^th Feb. In relation to a query from the OSC on their fire safety review, it was confirmed that residents in Osborne Grove are currently located on different floors, hence the move to consolidate residents into one unit on the ground floor. Cllr Connor said that she would pass this information to OSC (Action – Cllr Connor).
• Cllr James confirmed that there has been one meeting of the Adults & Social Care Review so far and that the terms of reference have been agreed. On the three day centres that could potentially be brought back into use (Haven/Roundway/Woodside) Charlotte Pomery there had been no change in the position since the budget scrutiny meeting. No decision has been taken on the providers, how large the units would be or the range of services that would be available but the aim would be to bring the units back into use and bring service users that were currently having to travel out of borough back into Haringey. The approach on these matters generally had been one of co-design so officers would work with a group of stakeholders. Cllr James said that there would be up to four Councillors involved in this process but it shouldn’t be Councillor dominated as it would be important to also include carers, services users and other stakeholders.
• Beverley Tarka and John Everson said that anyone subject to a  ...  view the full minutes text for item 42.

To review the current Work Programme and to discuss possible additions for meetings in 2019/20.

Principal Scrutiny Officer, Dominic O’Brien said that items need to be added to the 2019/20 meetings in the draft work programme that was provided with the agenda papers. There had been progress on the Day Opportunities review with a number of consultation sessions held recently with carers forums and discussions ongoing with several day centres about potential service user engagement sessions. An evidence session with providers would also be scheduled.

Cllr Opoku said that she had some information on young carers that she would feed in and Cllr Culverwell suggested engaging with elderly people in the Turkish, Greek and Kurdish communities.

To consider any items admitted at item 3 above.

None.