Agenda item

Cabinet Member Questions

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

 

Minutes:

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 18th 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 8th March and asked for reassurance that care homes in Haringey were not interpreting the rules as allowing only one visit per day for the whole care home. Cllr James emphasised the need for a compassionate approach to this and supported the point being made. Charlotte Pomery said that the guidance had just been published and that the Council had met with care home providers to discuss this. She was not aware of any care homes interpreting the rules in this way but said that she would be happy to take up any concerns about practices in specific care homes.
  • Cllr da Costa asked what the Council was doing to support care home residents and staff at the Mary Feilding Guild Home in Highgate that was expected to close in May. Cllr James said that she had been concerned about the short notice for the closure of the home and that officers would be supporting the residents, including by looking at relocation options. Officers would also attempt to contact the new owners of the home to negotiate a more reasonable approach.
  • Asked by Cllr Berryman about the expected opening date for autism/learning disability services at Waltheof Gardens, Cllr James said that the service provider, Centre 404, was already working with some clients. However, the building works had been delayed due to Covid and so clients were unlikely to be on site until late April/early May, subject to Covid restrictions being lifted.
  • In response to a question from Cllr Berryman, Cllr James said that she was confident that care workers in the borough were receiving the London Living Wage.
  • Cllr das Neves asked about access to the Covid vaccine for people not eligible for NHS treatment. Will Maimaris, Director for Public Health, said that people without an NHS number could still get a vaccine but the gap was in being able to communicate with them. There was some ongoing outreach work, for example in asylum seeker accommodation and further communications work would be needed. Cllr das Neves asked if further information about how unregistered people can access the vaccine could be circulated to Councillors so that they can disseminate this advice when encounter cases like this in the community. (ACTION)
  • Asked by Cllr das Neves about the take up of vaccines by care staff, Will Maimaris said that figures were not as high as the Council would like. This was a common concern across London, not just in Haringey, and so there was a lot of work going on to promote the vaccine to care staff.
  • Asked by Cllr Connor about Covid restrictions on visiting for people living in sheltered housing, Charlotte Pomery said that the Council had guidance on this which could be circulated to the Panel. The vaccination rates were slightly lower for people in those settings and the Council was working with supported living providers on how to support their residents, for example with those who are anxious about leaving their homes.
  • Asked by Cllr da Costa about the variance tracing in Haringey, Will Maimaris said that NHS Test and Trace nationally which had done some testing but this information was not available yet. However, from local analysis not relating to variants, there were around 30 home tests that were positive in the Tottenham Hale area which was around 1% of the tests carried out. The Council had not been notified of any variants of concerns since carrying out the testing.