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Agenda and draft minutes

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

Contact: Peter Moore  020 7527 3252

Items
No. Item

54.

Introductions

Minutes:

The Chair introduced Members and officers to the meeting

55.

Apologies for Absence

Minutes:

Councillor Gallagher for lateness

56.

Declaration of Substitute Members

Minutes:

None

57.

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

58.

Order of business

Minutes:

The Chair stated that the order of business would be as per the agenda with the exception of agenda item B14- Drug and Alcohol update which would now be taken as the second item on the agenda that evening

59.

Confirmation of minutes of the previous meeting pdf icon PDF 146 KB

Minutes:

RESOLVED:

That the minutes of the meeting of the Committee held on 12 October 2017 be confirmed as a correct record of the proceedings and the Chair be authorised to sign them

60.

Chair's Report

The Chair will update the Committee on recent events.

Minutes:

None

61.

Public Questions

Minutes:

The Chair outlined the procedure for Public questions and filming and recording at meetings

62.

Health and Wellbeing Board Update - Verbal

Minutes:

Councillor Janet Burgess, Executive Member for Health and Adult Social Care, was present and updated the Committee on latest developments.

 

Councillor Burgess stated that the Barnsbury Medical Practice had recently received an inadequate rating from the CQC and had been placed in special measures.

63.

Scrutiny Review - Air Quality - witness evidence - verbal

Minutes:

Sam Longman, TfL and Martijn Cooijmans, Head of Economic Development and Transport Planning L.B.Islington were present and made presentations to Members, copies of which are interleaved.

 

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

 

·         The Mayor of London strategy sets out a strategy for London Transport to 2041

·         Consultation has taken place and finished in October and the final strategy is due to be published in early 2018

·         There are 3 key themes – Healthy Streets and Healthy People, A good Public Transport experience and New Homes and New Jobs

·         By 2041 the aim is for 80% of Londoner’s trips to be on foot, by cycle or using Public transport

·         The London Plan consultation opened in November 2017 and closes in March 2018, and the relationship between land use, planning and transport is critical to sustainability and improving air quality The principles of good growth include good access to public transport, high density mixed use developments, people choose to walk and cycle, car free and car lite places, inclusive accessible design, carbon free travel and efficient freight

·         Air Pollution is one of the most significant challenges facing London, affecting the health of all Londoners. There are locations in every borough that exceed legal limits for NO2

·         The health impacts associated with air pollution fall disproportionately on the most vulnerable communities, affecting the poorest and those from ethnic minority groups more acutely

·         The Mayor’s clean action plan includes – emission surcharge (T-charge) in Central London from October 2017, introducing the ultra low emission zone sooner and expanding it, buses, national diesel scrappage scheme and encouraging the uptake of ultra low emission vehicles

·         The T charge was launched on 23 October 2017 with the same boundary and times as the congestion charge and has similar exemptions to the congestion charge. There is a £10 surcharge on top of the congestion charge and the charge will apply to all Euro 4 vehicles (broadly equivalent to vehicles from 2005 and older), and is an important stepping stone towards the ultra low emission zone

·         There has been a 30 per cent fall in the number of non compliant vehicles in the congestion charging zone since the announcement and around 1000 fewer vehicles per day and around 2000 vehicles per day pay charge

·         There are discounts and exemptions in respect of some vehicles but these are very limited and in line with the existing low emission zone

·         The impact of the proposals will be that in 2020 there will be a 21 per cent reduction in road transport NO2xemissions in inner London, and 19 per cent in outer London. London wide a total reduction of 19%

·         In 2021 the combined impact of the proposals would be a 31% reduction in road transport emissions in inner London, 28% in outer London and 28% London wide

·         In 2025, the combined impact of the proposals is forecast to be a 24% reduction in road transport NOxin inner London, 21% in outer London and  ...  view the full minutes text for item 63.

64.

Executive Member Health and Social Care - Presentation pdf icon PDF 255 KB

Minutes:

Councillor Janet Burgess, Executive Member Health and Adult Social Care, was present and made a presentation to the Committee, a copy of which is interleaved.

 

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

 

·         A report on childhood obesity would be produced in the New Year and a copy of the report could be considered by the Committee. Members concurred with this view

·         Life expectancy in Islington has increased for both men and women, however men and women resident in Islington spend on average the last 20 years of their life in poor health. Healthy life expectancy for women in Islington is similar to London and England, whilst for men it is significantly lower than London, but similar to England

·         Key achievements include – the new integrated early years service, good health visiting services maintained and the Islington Mental Health and Resilience framework in Schools

·         Key challenges are – childhood obesity, parental mental health issues, completing the integration of health visiting and early childhood services and health visiting services continue to struggle to recruit qualified Health Visitors

·         Key achievements for long term conditions include – reduction in early deaths from heart disease, cancer and respiratory disease and Islington residents are also above the recommended level of physical activity and above England average and similar to London on healthy weight. The new stop smoking service, Breathe, has been mobilised

·         Two programmes with Haringey are being developed, National Diabetes Prevention programme and British Heart Foundation high blood pressure detection and prevention, focus on services in locations and times most specific to hard to reach groups

·         The individual placement and support trial is a primary care based employment support service for unemployed people with long term health condition or disability

·         Islington has signed up to the Local Government declaration on sugar reduction and healthy food – examples include restricting the sale of sugar sweetened beverages and work is taking place to encourage businesses to sign up to the Healthier Catering commitment

·         Key challenges – long term health conditions – Islington has higher needs than other London Boroughs and cancer screening uptake in Islington is lower than the London and England averages and increasing uptake remains a challenge. There remain a significant number of people with undiagnosed COPD, diabetes, heart disease and hypertension

·         Key achievements – Mental Health – 5124 people entered IAPT and nearly 50% of those who enter treatment recover after treatment. 3 public health funded mental health promotion services in Islington are now fully mobilised and include free adult and youth mental health first aid training, mental health for managers and mental health awareness training for anyone in the borough

·         There continues to be a downward trend in suicide rates

·         Challenges and inequalities – mental health and deprivation – factors such as poor housing, unemployment and other causes of deprivation increase the risk of mental illness but are also exacerbated by mental health conditions

·         Transformation programmes include substance misuse and sexual health

·         The Haringey and Islington Wellbeing  ...  view the full minutes text for item 64.

65.

Performance Update pdf icon PDF 230 KB

Minutes:

Councillor Janet Burgess, Executive Member Health and Adult Social Care was present and outlined the report to the Committee.

 

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

 

·         In response to a question it was stated that whilst delayed transfers from hospital has increased, the situation was very good compared to other Local Authorities and Islington were looking to carry out an assessment within 2 hours of care needs when a patient is discharged from hospital

 

RESOLVED:

That the report be noted

 

The Chair thanked Councillor Burgess for attending

66.

Alcohol and Drug Abuse - Update pdf icon PDF 206 KB

Additional documents:

Minutes:

Emma Stubbs, Senior Commissioning Manager and Charlotte Ashton, Consultant in Public Health were present and made a presentation to the Committee, a copy of which is interleaved.

 

Peter Kane, Divisional Director, Substance Misuse Division, Camden and Islington NHS Foundation Trust and Will Digan, Service User representative, Islington Clients of Drug and Alcohol Services were also present.

 

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

 

·         Substance misuse services have been part of a programme of transformation and redesign since 2014 and savings of £2.3 m have been delivered since 2014/15. Public Health Commissioners, as part of the Council’s medium term financial plan are committed to finding a further £1.3 m in savings

·         By the start of the new contract in 2018/19 the cost of the services will be £4,900,000 per annum and this represents a 23% reduction on the 2017/18 contract values for the adult services in scope

·         Services have historically been commissioned via a range of different funding streams and as a result different parts of the service pathway have been designed and commissioned separately and pathways and referral routes into services have been complex and confusing. Service users have faced multiple assessment, handover and case working arrangements

·         Due to the need to the current challenges facing local authorities there is a need to ensure that services are operating as effectively as possible, which has been demonstrated through the procurement process

·         The procurement process involved extensive consultation with service users, families, health and social care services and residents and there were good levels of interest from providers with 7 bids submitted. Members of the local drug and alcohol service user forum (ICDAS) were involved in as much of the procurement process as they wished to participate in, including writing the vision for the new service model

·         The Committee noted the service user views on what worked well and what could be improved upon

·         The contract was awarded to Camden and Islington NHS Foundation Trust in partnership with Blenheim CDP and Westminster Drug Project, and the new service will be in place by April 2018. Camden and Islington, Westminster Drug Project and Blenheim are a ready made partnership that will put co- production at the heart of services in Islington

·         There will be a community focus where local voluntary services will be brought into the substance misuse treatment pathway, and treatment services will be taken out to the community settings and to people’s homes

·         Community workers will be trained in substance misuse first aid and how to have substance misuse conversations and make every contact count

·         There will be a focus on developing a lasting recovery community

·         There would be 3 community hubs around the borough

·         Members were of the view that it would be useful to get a 12 month report on the progress of the new service

·         Patients would be allocated a key worker, however the new service would be raising peer profile and involving the voluntary sector and Westiminster Drug Project and Blenheim  ...  view the full minutes text for item 66.

67.

Annual Adults Safeguarding Report pdf icon PDF 137 KB

Additional documents:

Minutes:

James Riley, Independent Chair of Safeguarding Board and Elaine Oxley, Head of Safeguarding – L.B.Islington were present and outlined the report to the Committee.

 

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

 

·         It was stated that the summary of key achievements were contained in the report, and that financial abuse is one of the most common types of abuse in Islington and a plan has been instituted to raise awareness

·         Draft legislation has been published, which proposes replacing Deprivation of Liberty Safeguards with a broader, but less onerous system of Liberty Protection safeguards

·         A common issue is neglect

·         There are two significant issues going forward – the performance of Camden and Islington NHS Trust and it was stated that an action plan had been put in place to address shortcomings and the results would be known shortly. In addition, two care homes in the borough had caused concern, however action had been taken by the Local Authority and support put in place and the situation is improving

·         In response to a question it was stated that Islington had residents in care establishments outside the borough, however there were good Local Authority networks to alert them of any problems and regular meetings took place

·         Reference was made to the fact that with people living at home longer there is a need to tackle isolation, and there is a need for more volunteers and for community nurses/GP’s to provide information that would help to identify any safeguarding issues

·         It was noted that a Public Awareness event took place each year and this assisted in reaching Hard to Reach groups

·         In response to a question it was stated that pressure ulcers were often a sign of neglect and there is a need to make progress on this issue

 

RESOLVED:

That the report be noted and the social services staff be commended for their commitment to preventing abuse, where possible, and responding to concerns of abuse or neglect of vulnerable Islington residents

 

The Chair thanked James Riley and Elaine Oxley for attending and their presentation                            

68.

Work Programme 2017/18 pdf icon PDF 119 KB

Minutes:

RESOLVED:

That, subject to the addition of a report on Child Obesity at the March 2018 meeting,  the report be noted

69.

Adult Social Care Local Account pdf icon PDF 191 KB

Additional documents:

Minutes:

Councillor Janet Burgess, Executive Member Health and Adult Social Care was present for discussion of this item and outlined the report.

 

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

 

·         It was stated that presentation of the report was a legal requirement and updated the Council on how it is performing compared with other similar boroughs and feedback from surveys of service users and carers

 

RESOLVED:

 

That the report and key achievements be noted