Agenda and minutes

The Chair welcomed everyone to the meeting. Members of the Board introduced themselves.

Apologies were received from Councillor Burgess, Anne Weyman, Olav Ernstzen, Dr Henrietta Hughes and Alison Blair.

Emma Whitby was present substituting for Olav Ernstzen.

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.

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

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This applies to all voting members present at the meeting.

There were no declarations of interest.

The order of business would be as per the agenda.

RESOLVED:

That the minutes of the meeting of the Board held on 18 July 2014 be confirmed as a correct record and the Chair be authorised to sign them.

a.         Islington CCG and Islington Council

b.         Healthwatch

The report included shared principles that the Board had seen before. Creating resilient individuals, families and communities was key as well as maximising outcomes and values.

The Peer Review in Adult Social Services had looked at commissioning and identified that there were not clear commissioning intentions across partners.

The Healthwatch review into Home Care had been postponed until the New Year. They had carried out work in partnership with Help on Your Doorstep and run pop-up stalls in markets to reach out to the public about their work.

RESOLVED:

That the Board note the approaches to commissioning for 2015/16

Sean McLaughlin, Corporate Director Housing and Adult Social Services presented the update to the Board.

In the discussion the following points were made:

·         There were many causes of damp and it was different in each instance.

·         At the Andover Estate bridges and conductivity were the issue and structural work was required. Advice had been given on good ventilation but communication could be an issue.

·         The levels of investment in this area had been considerable and 99% of the required cavity wall work had been completed.

·         The decisions on district heating systems would help with the process.

·         Officers were looking at the HRA to see if further investment could be made.

·         A heat map of the borough had been prepared looking at the worst areas of poor/hard to heat homes.

·         It would be helpful for GP Practices to be notified of schemes of works so that they could relate this to patients coming in with LTC exacerbated by heating/damp issues.

RESOLVED:

That the report be noted.

Sean McLaughlin, Corporate Director Housing and Adult Social Services presented the report to the Board.

 In the discussion the following points were made:

·           The Safeguarding Adults report would also be going to Scrutiny Committee.

·           The Board would be a statutory requirement under the new Care Act regulations.

·           There was a growing awareness of the safeguarding adults agenda and Healthwatch would be visiting services and reporting back on that process.

RESOLVED:

That the report be noted.

Sean McLaughlin, Corporate Director Housing and Adult Social Services presented the update to the Board.

 In the discussion the following points were made:

·           A national decision had been made to rerun the Better Care Fund process in more detail.

·           The only different comment they had received was more detail on how the integration monies should be spent.

RESOLVED:

That the update be noted.

Julie Billett stated that there would be a formal 60 day consultation process with the final sign off taking place in January 2015.

In the discussion the following points were made –

·           Members commended the document and noted that Islington had the highest number of independent pharmacies in the country.

·           The CCG worked very closely with pharmacies and were looking to explore more avenues of working together.

·           The local pharmacies service was highly valued and needed to be recognised.

·           Qualitative research with residents had showed how much they valued the services pharmacies provided and it was essential the value of this services was highlighted.

RESOLVED:

That the Pharmaceutical Needs Assessment be agreed.

Julie Billett presented the JSNA summary. Members had seen a previous version and the updated document included wider determinants. She recommended that members look at the Evidence Hub for more detail on specific areas. This could be accessed via the Islington website.

In the discussion the following points were made –

·      Members were keen to follow the trajectory of certain areas rather than looking at an overall view.

·      Consideration should also be given to whether data on vulnerable adults was average for the country. It would be good to undertake benchmarking to assess where improvement might be needed.

·      The Needs Assessment for vulnerable children might be an area the Board wanted to focus on more closely.

·      Islington had fallen to the 4^th highest borough in London for children living in poverty. Members queried whether this was due to a rise in middle class families moving to the borough.

·      Areas such as child tooth decay rates could be reflective of an underlying trend of neglect so it was important that these were not missed.

·      On Early Intervention and Prevention it was important that there were sufficient services at the start to support families.

·      Islington had hit herd immunity on immunisation for the first time.

·      The mental health data was significantly out of date and this needed to be investigated. Data from GPs may provide a good source of information in the future but coding issues could play a part in that process.

·      It would be interesting to look at the survey data on Children and Young People in more details to do some local modelling.

RESOLVED:

That the Executive Summary be noted.

The Chair reported that the Board may wish to consider revisions to the Board format to be less formal. Sean McLaughlin and Julie Billet would meet to discuss this.

RESOLVED:

That the work programme be noted.