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Agenda and minutes

Venue: Committee Room 1, Town Hall, Upper Street, N1 2UD. View directions

Contact: Jonathan Moore  020 7527 3308

Items
No. Item

12.

Welcome and Introductions

Minutes:

Councillor Watts welcomed everyone to the meeting and introduced Councillor Comer-Schwartz, who had recently been appointed as the Executive Member for Children, Young People and Families.

13.

Apologies for Absence

Minutes:

Apologies for absence were received from Tony Hoolaghan (substitute: Clare Henderson), Dr Jo Sauvage, Jennie Williams and Katharine Willmette.

 

14.

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 voting members present at the meeting.

Minutes:

None.

15.

Order of Business

Minutes:

The Chair advised that Item B4, North Central London System-Wide Paediatric Asthma Plan, would be considered after Item B1.

16.

Minutes of the previous meeting pdf icon PDF 83 KB

Minutes:

It was agreed to amend the tenth bullet point of Minute 8 as follows:

 

·         A member of the Board commented on the importance of advice services being accessible to all. It was noted that some BME communities, and particularly those whose first language was not English, may be further delayed in accessing such services.

 

RESOLVED:

 

That the minutes of the meeting held on 22 November 2018 be agreed as a correct record and the Chair be authorised to sign them, subject to the amendment as outlined above.  

17.

Health and Care Integration in Islington pdf icon PDF 134 KB

Additional documents:

Minutes:

Jess McGregor, Director of Adult Social Care, and Clare Henderson, Director of Commissioning for Islington CCG, introduced the report which provided an update on health and care integration in Islington.

 

The following main points were noted in the discussion:

 

·         Islington Council had worked in close partnership with the local health sector for a number of years. However, it was considered that further coordination and integration would support the development of high quality place-based health and care services. This would be beneficial to local residents and would also ensure the most efficient use of resources.

·         The North Central London (NCL) Sustainability and Transformation Partnership (STP) had proposed the further join-up of certain services at NCL level. However, it was thought that further join-up at borough level would help to improve population outcomes and generate efficiencies locally.

·         It was commented that, whilst it made sense for certain acute services to be delivered at cross-borough level, it was generally more effective for health and care services to be delivered as local as possible, as this allowed services to be more responsive to local needs. The Board noted that the needs of Islington residents were different to those of other NCL boroughs.

·         The Board considered which health services would be best delivered at NCL level. A member of the Board suggested that it may be feasible for certain back-office services such as workforce development and ICT, as well as certain specialist health services, to be delivered effectively at NCL level. In response, some members expressed concern at implementing NCL-wide ICT systems and support services, noting that such projects did not always achieve the efficiencies expected and could hinder the development of services locally. 

·         A member of the Board emphasised the benefits of joint commissioning and commented that a stronger focus on working with local health provider organisations would be beneficial.

·         A member of the Board suggested that delivering some preventative work at NCL level could be valuable. In response, it was advised that responsibility for prevention must sit at local level, however it may be sensible for a common approach to certain preventative programmes to be implemented across borough boundaries.

·         The Board queried if Islington could operate an Integrated Care System at a local level, with Islington Council, NHS organisations and others taking collective responsibility for local resources. It was suggested that a local Integrated Care System could be developed faster than a NCL-wide system and would lead to favourable outcomes for residents and local services.

·         It was highlighted that local voluntary and community sector organisations had a range of expertise and would welcome the opportunity to develop a closer partnership with statutory services.  

·         It was agreed that the Chair would write to the NCL STP setting out the Board’s views on health and care integration.

 

RESOLVED:

 

(i)           That the Chair write to North Central London Sustainability and Transformation Partnership setting out the Board’s views on health and care integration;

(ii)          That the letter be circulated to all members of the Board.

 

 

 

18.

North Central London System-Wide Paediatric Asthma Plan pdf icon PDF 147 KB

Additional documents:

Minutes:

Sam Rostom, Programme Director for Children and Young People at North Central London Sustainability and Transformation Partnership, introduced the report which sought endorsement for the NCL system-wide paediatric asthma plan.

 

The following main points were noted in the discussion:

 

·         Islington had a particularly high rate of asthma-related hospital admission and a pro-active system-wide approach was needed to supporting those with asthma.

·         Workshops had been held with professionals and families across North Central London. These sessions had been useful and as a result five objectives had been proposed to support children, young people and families living with asthma. The Board noted the five objectives and the actions proposed to implement them. 

·         It was commented that some families did not have a detailed understanding of the triggers of asthma. The Board noted the importance of clear and consistent communication.

·         Each NCL borough had a local lead working on the implementation of the plan. Progress against the plan would be monitored at borough level.

·         It was suggested that engagement with schools and head teachers would be helpful. It was advised that the plan would be raised at the next NCL Directors of Children’s Services meeting.

·         A member of the Board emphasised that economic and social factors were significant determinants of health and wellbeing. The member suggested that health colleagues could engage with social housing providers and private landlords on the housing factors that affected asthma. However, the Board also noted that any plan needed to take into account the realities of the borough’s housing stock and the limited housing resources available.  

·         It was suggested that factors which affect asthma could be communicated to council staff working with children and families, as they could be able to provide advice on issues such as ventilation and smoking.

·         It was noted that the plan would be formally launched at conference on World Asthma Day, 7th May 2019.

·         It was suggested that a range of partners could be invited to contribute to implementation plans developed at locality level.

 

RESOLVED:

 

(i)           That the approach being taken across north central London to improving outcomes for children with asthma be endorsed;

(ii)          That the development and delivery of complementary NCL and local system-wide asthma plans focused on common strategic outcomes be supported.

19.

Annual Public Health Report 2018 pdf icon PDF 166 KB

Additional documents:

Minutes:

Julie Billett, Director of Public Health, introduced the Annual Public Health report. The focus on the 2018 report was on healthy ageing and the value and contribution that older people make to their communities. The report emphasised the need to create age-friendly environments and societies.

 

The Board noted that the number of older people would increase in coming years and demand for services would likely increase. Partnership work with voluntary sector organisations supporting older people would be vital to address this challenge.

 

The Board welcomed the report and its focus on older people’s health and wellbeing. A number of minor revisions were proposed, including an explanation of the opportunities presented by integrated care, an explanation of how the factors that contribute to poor physical health are connected, and stylistic amendments.

 

It was suggested that partner organisations and services should be invited to respond to the report’s recommendations.

 

RESOLVED:

 

That the Annual Public Health Report be noted.

20.

Islington Safeguarding Children Board Annual Report 2017/18 pdf icon PDF 151 KB

Additional documents:

Minutes:

Alan Caton, Independent Chair of the Islington Safeguarding Children Board (ISCB), introduced the report which set out the progress of the ISCB in 2017/18.

 

The following main points were noted in the discussion:

 

·         Safeguarding children was a complex and challenging task, however everybody had a responsibility to ensure that children and young people in Islington were safeguarded.

·         Demand for safeguarding services had increased over recent years and this trend continued in 2017/18.

·         During 2017/18 the ISCB had been the subject of an Ofsted review and was judged to be “good”.

·         The ISCB worked to coordinate safeguarding activity in the borough and ensure its effectiveness. The ISCB had focused on three key areas over the past year: addressing the impact of neglect on children, including to help children become more resilient; addressing the consequences and harm suffered as a result of domestic violence, parental ill-health and substance abuse; and identification of children who are vulnerable to sexual exploitation and holding perpetrators to account.

·         The Board noted the risks associated with private fostering arrangements and the need for the local authority to be made aware of such arrangements. It was thought that more could be done to identify such arrangements.

·         The Board noted the risk of child sexual exploitation and the work underway to engage with children and young people on CSE related issues.

·         The ISCB was concerned about county lines drug dealing and the impact this was having on vulnerable young people. It was commented that services working with young people who had been groomed into such activity needed to take a trauma-informed approach.

·         Safeguarding arrangements were required to be amended following the publication of a new statutory framework. The revised arrangements would be implemented by September 2019 at the latest. However, it was advised that it was not intended to significantly alter arrangements in Islington, which were already considered to be successful.

·         It was noted that, under the new safeguarding arrangements, some Serious Case Reviews would be carried out at national level.

·         A member of the Board highlighted the importance of engaging with children and young people and planning services in response to their experiences.

·         Members of the Board who also attend ISCB meetings welcomed the work of the ISCB and emphasised that all partners in Islington had a strong commitment to the safety of children and young people.

 

RESOLVED:

 

That the Islington Safeguarding Children Board Annual Report be noted.