Agenda and minutes

Please note that this meeting will be 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. 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, you are consenting to being filmed and to the possible use of those images and sound recordings.

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 were received from Cllr Zena Brabazon, with Cllr Dana Carlin standing in at the meeting as a substitute.

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.

Cllr Nick da Costa declared an interest by virtue of his ownership of a company working with the NHS, medical providers and healthcare practitioners on a variety of projects, none of which, to his knowledge, work in Haringey Borough though they do work in surrounding areas and with service providers across London.

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 provided an update on a previous action point which related to a more joined up approach with complex mental health-related casework of local Councillors. There had been some dialogue with Barnet, Enfield & Haringey Mental Health Trust (BEH-MHT) but more detail was required about how this would work in practice at a community level.

Cllr Connor also said that there had been discussion on the presentation of the budget, in particular there had been a request to senior finance officers for further updates on the capital spend.

RESOLVED - The minutes of the previous meeting held on 10^th December 2020 were approved as an accurate record.

To provide a presentation to the Panel on ‘locality working’, a community-based approach that aims to better address need in local neighbourhoods, reduce inequalities and build better outcomes with and for residents.

Charlotte Pomery, Assistant Director for Commissioning, introduced a presentation on Locality Working in North Tottenham, supported by a number of colleagues from partner agencies.

Background to Locality Working

Jonathan Gardner, Director of Strategy at Whittington Health, introduced the background section of the presentation, beginning with setting out what local partners were trying to achieve with residents. This vision had been defined as “We want to work alongside residents to prevent issues arising and nip them in the bud early, through more integrated public services and more resilient local communities.”

This vision required a simpler, more joined up system and integrated, multi-disciplinary teams tackling issues holistically by building relationships and looking at the root causes of problems such as debt or ill-health. This needed a workforce who feel connected to each other and able to work flexibly across organisations along with a partnership with the voluntary sector. The approach would be enabled by a person-centred approach to care and joined-up governance with a mature approach to finance across the local system.

Rachel Lissauer, Director of Integration at NCL CCG, said that the approach involved encouraging difference groups of people who work with residents and patients to feel that they are part of the same team and recognise when they are working with the same residents and patients. It was important to recognise that GP surgeries were often doing the care navigation for a patient and so the locality approach had been built around the geography that made sense to GPs. The shape of the three localities of west, central and east Haringey had therefore been drawn to fit around the existing Primary Care Networks (PCNs). This also enables the identification of issues and priorities in different areas of the borough. In the west this included a higher proportion of older people and a risk of social isolation, the central area has higher levels of disability and food insecurity and the east has the highest level of deprivation.

Charlotte Pomery explained that a successful “test and learn” had been held in North Tottenham and would be used as a blueprint to roll out the localities model across Haringey. This was underpinned by being accessible and open to residents, being located within communities, working with people as early as possible and a commitment from the Borough Partnership to support frontline staff to work differently.

The approach would be supported by a number of Community Locality Hubs which would provide physical spaces to enable locality-based working and an Integrated Locality Centre within each locality which would focus on the integration of health and care services. Connected Communities would be part of the model, providing a bridge between residents and statutory services when issues are identified.

Responses were then provided to questions from the Panel:

• Helena Kania noted that a Locality Centre in the west was located at Hornsey neighbourhood health centre, though it had been acknowledged in the slides that transport links were poor. Charlotte Pomery acknowledge that the issue of transport links was  ...  view the full minutes text for item 7.

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, reported that the number of Covid-19 infections, hospitalisations and deaths in the borough were continuing to decline as a result of the lockdown and the vaccination programme. The vaccine roll-out had been taking place from primary care centres at Lordship Lane Health Centre, Bounds Green Medical Centre, Hornsey Central Health Centre and West Green Pharmacy. Several vaccination outreach events had also been held or were planned to take place shortly and a lot of communications were ongoing to promote take-up of the vaccine.

Cllr James also reported that the new delivery model for day opportunities for adult learning disabilities had just been approved by the Cabinet. This would include a new centre for excellence for residents with profound/multiple learning disabilities and medical conditions based at Ermine Road and a new service for people with autism at a new hub at the Chad Gordon Autism Campus at Waltheof Gardens.

Cllr James said that the award of the construction works for the refurbishment of Canning Crescent was also expected to be considered by Cabinet shortly. That would bring together the work of Clarendon College, the Safe Haven crisis café run by Mind and the respite crisis accommodation run by BEH-MHT. The award of the contract for the redevelopment of Osborne Grove Nursing Home would also be considered by Cabinet at the same meeting. The project would involve the development of 70-bed nursing provision, 20 one and two-bedroom flats and 10 studio extra care apartments.

Cllr James also spoke about the situation with AT Medics and the takeover of GP practice by Operose Health. On 18^th February she had spoken at the NCL CCG Primary Care Commissioning committee to raise concerns about the decision-making process (which had been devolved to individual CCGs) on behalf of the Lead Members of all the five NCL boroughs. AT Medics had previously had the contract for the St Ann’s practice as well as several practices in Camden borough. The Secretary of State had been written to about this and a response was being awaited.

Cllr James also informed the Panel that the government had published a White Paper on integrated care systems (ICSs), which included some positives but also some areas of concern which would need to be monitored.

Cllr James then responded to questions from the Panel:

• Helena Kania raised concerns about NCL CCG’s decision to agree to the AT Medics takeover, which she said was not transparent or fully informed and asked how the decision-making could be challenged. Cllr James said that the Lead Members had made clear representations on this issue and felt that she decision should have been made by the Secretary of State rather than the individual CCGs. She noted that the NCL CCG had been more transparent than some other CCGs in London though she was still critical of what had happened.
• Helena Kania referred to the change in regulations for care home visits from 8^th March and asked for reassurance  ...  view the full minutes text for item 8.

To discuss priorities for the Panel’s 2021/22 Work Programme. This is the last Panel meeting of the 2020/21 municipal year and the new Work Programme for 2021/22 will be developed shortly.

Cllr Connor provided an update on upcoming issues, noting that the NCL Joint Health Overview & Scrutiny Committee (JHOSC) would be looking at Integrated Care Systems (ICS) and the takeover of services run by AT Medics at its next meeting on 19^th March.

Cllr Connor also reported that the Panel’s Commissioning Scrutiny Review had been restarted with evidence sessions being held later in the month.

She added that the work programme for 2021/22 would be developed shortly. The first Panel meeting of 2021/22 would take place in June and was scheduled to include an update from the CQC on services in Haringey and a response from the Council to the recommendations of the Joint Partnership Board’s Living Through Lockdown report.

Dominic O’Brien, Scrutiny Officer, said that the items in the new Work Programme would comprise of:

• Items of interest remaining from the 2020/21 work programme.
• Issues suggested by residents through the online scrutiny survey.
• Issues suggested by residents through a consultation meeting that would be taking place later in the month.

Cllr das Neves suggested that an item about mental health and how to support individuals and build the community’s resilience would be an important item to include in the new work programme.

Cllr Connor reiterated the Panel’s intention to carry out a short Scrutiny Review early in 2021/22 on providing health and social care support for people living in sheltered housing. This would include looking at the recent pilot project that had involved different groups moving into sheltered accommodation run by Homes for Haringey and what the outcomes for this were.

Cllr Connor noted that there was a lot of additional information requested by the Panel following the Locality Working item heard earlier in the meeting and so this would need to be included in the work programme.

Dates of 2021/22 Panel meetings to be determined.

Dates of Panel meetings in 2021/22 to be determined.