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Agenda and minutes

Venue: Committee Room 4, Town Hall, Upper Street, N1 2UD. View directions

Contact: Peter Moore  020 7527 3252

Items
No. Item

14.

Apologies for Absence

Minutes:

Councillor Gallagher and Janet Burgess (for lateness)

15.

Introductions

Minutes:

The Chair introduced Members and officers

16.

Declaration of Substitute Members

Minutes:

None

17.

Declarations of Interest

If you have a Disclosable Pecuniary Interest* in an item of business:

§  if it is not yet on the council’s register, you must declare both the existence and details of it at the start of the meeting or when it becomes apparent;

§  you may choose to declare a Disclosable Pecuniary Interest that is already in the register in the interests of openness and transparency. 

In both the above cases, you must leave the room without participating in discussion of the item.

If you have a personal interest in an item of business and you intend to speak or vote on the item you must declare both the existence and details of it at the start of the meeting or when it becomes apparent but you may participate in the discussion and vote on the item.

 

*(a)Employment, etc - Any employment, office, trade, profession or vocation carried on for profit or gain.

 (b)Sponsorship - Any payment or other financial benefit in respect of your expenses in carrying out

  duties as a member, or of your election; including from a trade union.

 (c)Contracts - Any current contract for goods, services or works, between you or your partner (or a body

 in which one of you has a beneficial interest) and the council.

 (d)Land - Any beneficial interest in land which is within the council’s area.

 (e)Licences- Any licence to occupy land in the council’s area for a month or longer.

 (f)Corporate tenancies - Any tenancy between the council and a body in which you or your partner have

  a beneficial interest.

 (g)Securities - Any beneficial interest in securities of a body which has a place of business or land in the council’s area, if the total nominal value of the securities exceeds £25,000 or one hundredth of the total issued share capital of that body or of any one class of its issued share capital. 

 

This applies to all members present at the meeting.

 

Minutes:

None

18.

Order of business

Minutes:

The Chair stated the order of business would be as per the agenda

19.

Membership, Terms of Reference pdf icon PDF 112 KB

Minutes:

RESOLVED: That the report be noted

20.

Confirmation of minutes of the previous meeting pdf icon PDF 155 KB

21.

Chair's Report

The Chair will update the Committee on recent events.

Minutes:

The Chair stated that he had met the Camden and Islington Mental Health Trust Chief Executive, together with the Chair of Camden Health Scrutiny Committee to discuss the re-siting of beds from St.Pancras to the Whittington Hospital.

 

The Chair stated that he felt that this seemed a reasonable proposal but there is the intention to discuss setting up a meeting with L.B.Camden and L.B.Islington scrutiny Committee members to discuss the proposals in more detail in September and that he would keep Members informed. The Chair added that the proposed re-siting of the beds was within the Islington borough boundary.

 

The Chair also referred to the ongoing negotiations on the re-opening of the LUTS clinic, and that it was likely that the clinic would not reopen for some time and maybe re-provisioned at UCLH. The Chair stated that this was of concern and the JOHSC would be considering this at its meeting the following day.

22.

Public Questions

Minutes:

None

23.

Health and Wellbeing Board Update

Minutes:

Councillor Janet Burgess, Executive Member Health and Social Care was present and outlined the following main issues –

 

·         Islington social workers had assisted in Kensington and Chelsea, following the Grenfell Tower fire

·         The Chief Executive at the Whittington Hospital is leaving and a shortlist of replacements is being considered

·         The LUTS clinic has still not re-opened

·         The Whittington Hospital is the only hospital in the North Central London region to have met it’s A&E waiting time targets

·         The Whittington has also reduced its dependency on agency staff and both they and Social Services had recruited more permanent members of staff

·         Reference was made to the issue of care homes and the recent poor performance of Lennox House, which was run by Care UK. There is a shortage of permanently staff and staff are not properly trained

·         Reference was made to a recent Guardian article concerning proposed reductions to health services in London and savings proposed in the region of £182m

·         Members expressed the view that the Sustainability Transformation Programme was a method to have budget reductions rather than improve services

·         It was stated that the Alcohol summit had been successful and that the substance misuse contract had now been approved

24.

Scrutiny Topic 2017/18

Minutes:

RESOLVED: That the scrutiny topic for 2017/18 be Air Quality – Impact on Health and this be submitted to the Policy and Performance Committee for approval

25.

Camden and Islington NHS Trust - Performance update pdf icon PDF 2 MB

Minutes:

Karen Reynolds, Head of Governance and Assurance, Caroline Harris-Birtles, Director of Nursing and David Barry, Governor of Camden and Islington Foundation Trust were present for discussion of this item.

 

During consideration of the report the following main points were made –

 

·         David Barry outlined the role of Governors and that they were involved in the discussions on the redevelopment of the St.Pancras site

·         It was stated that the CQC inspection was anticipated in December/January and that action plans were in place to deal with areas of concern from previous inspections. There had been areas of improvement on managing waiting lists, and how to keep patients safe. However, there had been an increase in the number of referrals for the funding that they received

·         There had been increased training on safeguarding and how care is planned for patient care

·         It was stated that there were 3 key areas of how to plan care for patients including safety, dignity and gaps in care. One of the priorities is also to enable staff, through raising awareness and relevant training to identify, prevent and reduce domestic violence and abuse and in addition there is a need to involve service users and carers in the implementation of the clinical strategy

·         It was noted that there are still gaps in relation to dealing with the waiting list and although there had been compliance with the 18 week referral to treatment targets for Improving Access to Psychological Therapies and Early Intervention services it was noted that there are more people on the waiting list than could be dealt with, however consideration is being given to how to manage waiting lists more effectively. In addition, the Government have raised the target for improving access to psychological therapies and this would cause further strain on resources available

·         Reference was made to the staff survey and whether there had been any improvement in this area. It was stated that this is not an area that could be responded on in more detail at that meeting as the information was not available however this could be provided following the meeting

·          There had been a focus on improving the recruitment of staff and in offering support to staff and training to identify and prevent and reduce domestic violence and abuse. In addition, staff were supported in dealing with any harassment or violence issues and work is going on with patient groups, to get feedback on issues

·         There are career progression opportunities for staff and online training and courses are made available to staff

·         It was noted that some patients had to wait a long time before being able to access treatment

·         In terms of staff turnover it was noted that staff turnover is subject to fluctuation however, this has not risen and there had been improvements in staff retention, although there were some differences in staff turnover in particular areas and the Trust is now less dependent on agency staff

·         With the increased awareness around mental health issues and the stigma of  ...  view the full minutes text for item 25.

26.

Annual Public Health Report pdf icon PDF 3 MB

Minutes:

Julie Billett, Director of Public Health, was present for discussion of this item.

 

During consideration of the report the following main points were made –

 

·         The focus is early intervention and that the report specifically looks at preventative interventions that are supported by evidence of delivering a return on investment to the NHS over the short term. However, whilst many of these interventions described in the report are already being funded across Islington through the Council’s public health grant, and with additional funding from NHS commissioners and providers in some cases. To achieve the significant up-scaling of programmes required across the whole system, in order to have a demonstrable impact, further investment into these preventative measures, alongside organisational, cultural and behavioural change is needed

·         It was noted however that new investment was not likely given the North Central London Sustainability and Transformation plan and current financial pressures

·         It was noted that only 4% of the current health budget is spent on prevention

·         Reference was made to air quality in the borough and that poor air quality contributed to about 900 premature deaths per year

·         It was noted that it is hoped to join up services to make ‘every contact’ count in terms of prevention

 

RESOLVED: That the report be noted

 

The Chair thanked Julie Billett for attending

27.

Draft recommendations - IAPT Scrutiny Review pdf icon PDF 294 KB

Minutes:

RESOLVED: That subject to the addition of the words ‘ and supported’ after the word ‘encouraged’ in the recommendation on Feedback the recommendations and report be approved and the report be submitted to the Executive for consideration

28.

Work Programme 2017/18 pdf icon PDF 117 KB

Minutes:

Noted