Agenda item

Cabinet Member Questions

An opportunity to question the Cabinet Member for Health, Social Care & Well-being, Cllr Lucia das Neves, on developments within her portfolio.

Minutes:

Cllr Lucia das Neves, Cabinet Member for Health, Social Care and Well-being, responded to questions from the Panel on issues related to her portfolio:

  • Cllr Mason asked about the future of the Burgoyne Road project which she had understood had been due to replace two women’s refuges in Hornsey which were no longer fit for purpose. Cllr das Neves noted that Burgoyne Road was no longer in her portfolio as it now sat with Housing. She explained that the main difficulty with the project was that the funding required from the GLA was no longer forthcoming and agreed to provide a written response on refuge provision for women, which may require input from Cllr Williams as Cabinet Member for Housing Services. (ACTION)
  • Cllr O’Donovan raised concerns that life expectancy in Haringey had gone down and was now amongst the worst in London and observed that factors may include Covid, poverty and air quality. Cllr das Neves agreed that this was worrying and added that ‘healthy life expectancy’ rates and the gap in rates between the west and east of the Borough were also causes for concern. She added that the impact of poverty on this was a large multi-faceted issue and advocated the development of a ‘Marmot’ approach nationally to tackle health inequalities. Will Maimaris, Director for Public Health, said that Covid deaths in Haringey had been relatively low compared to statistical neighbours. However, the broader picture in terms of life expectancy related to poverty and issues such as housing. The male life expectancy had gone down in particular. Further details were available in the Council’s annual public health reports which Will Maimaris would circulate for information. (ACTION) Cllr das Neves highlighted the impact of ‘long Covid’ on people’s health, particularly those with multiple health conditions.
  • In response to a request from Cllr Iyngkaran for an update on Canning Crescent, Cllr das Neves reported that she had recently signed a decision to give the contract to an organisation to finish the project because the previous contractor had gone voluntarily bankrupt. However, the new organisation had also now gone voluntarily bankrupt so the project was back in the same situation and future options were being discussed. A lot of local authorities were seeing these issues with contractors at present due to economic circumstances.
  • Asked by Cllr Iyngkaran about the uptake of the measles vaccine in Haringey, Will Maimaris explained that there was some concern about the increase in measles cases nationally and in London and acknowledged that vaccination rates were low in London and parts of Haringey. He had previously circulated a briefing on this to all Councillors which he would recirculate. (ACTION) This included information about communications campaigns and targeted work in areas with low take-up rates.
  • Cllr das Neves reported that Haringey had the highest rate of flu vaccinations in schools in North Central London because of the partnership work with schools from the public health team.
  • In response to a question from Cllr Connor about Osborne Grove Nursing Home, Cllr das Neves confirmed that the process had been paused for two years and would then be reconsidered. She added that they would be working with an external organisation on best practice, training and support for co-production. On communication with the existing co-production group, she wished to place on record that the group had been contacted in mid-2023 regarding the problems with the project, but a suitable date could not be found and this was regrettably not then picked up in the autumn. Cllr Connor requested that further information be provided to the Panel about the co-production work on best practice when this became available. (ACTION)
  • Cllr Connor raised concerns about the use of physician associate positions in GP practices. Cllr das Neves acknowledged that there had been a tragic case of a death in the Borough relating to this issue. She was concerned that there was a shortage of GPs and emphasised the importance of patients understanding the role of the person they were seeing when using a GP practice as there were rules that patients should not be seen twice by a physician associate except in certain circumstances. Cllr das Neves added that she had written to the ICB about the role of physician associates and they had agreed to discuss this at the Health and Wellbeing Board. She also added that there was a role for physician associates, but that this required the right kind of oversight and that it was important to learn from GP practices with good practice in this area.
  • Cllr Mason drew attention to a recent report stating that Haringey had the largest number of low paid workers in London. Cllr das Neves suggested that this could be examined further by the Overview & Scrutiny Committee.