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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

No. Item


Welcome and Introductions


Councillor Watts welcomed everyone to the meeting and introductions were given.


Apologies for Absence


Apologies for absence were received from Carmel Littleton, Jennie Williams, Angela McNab and Imogen Bloor.


Clare Henderson substituted for Jennie Williams.


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.




Order of Business


The Chair indicated that Items B1 and B2 would be considered together.



Minutes of the previous meeting pdf icon PDF 81 KB




That the minutes of the previous meeting held on 20 March 2019 be agreed as a correct record and the Chair be authorised to sign them.


Development of the Integrated Care System in North Central London and Islington pdf icon PDF 126 KB

Additional documents:


Jess McGregor, Service Director – Strategy & Commissioning, Clare Henderson, Director of Commissioning and Integration at Islington CCG, and Julie Billett, Director of Public Health, introduced Items B1 and B2 on partnership working and integration of the local health and care system.


The following main points were noted in the discussion:


·         Partnership working was crucial to improvement of local services. Services for those with learning disabilities were cited as a successful example of joint commissioning by the clinical commissioning group and the local authority, and joint delivery by the local authority and the local mental health trust. The procurement of supported accommodation was also cited as a good example of joint working which ensured that the needs of local people were met.

·         It was commented that commissioning of Child and Adolescent Mental Health Services was another example of effective joint working between the local authority and clinical commission group. The use of pooled resources across the health and care system ensured that services were able to meet the needs of local people in an efficient and comprehensive way. 

·         Islington Public Health led on the commissioning of sexual health services across North Central London. The successful rollout of PrEP was an example of effective joint working across the partnership.

·         Members of the Health and Wellbeing Board welcomed successful joint working initiatives and commented on areas that would benefit from further joint working across the local health and care system.

·         In response to a question, it was advised that the Royal Free provided patient transport services on behalf of various local hospitals and Barnet CCG was the lead commissioner at NCL level. It was advised that any issues associated with the service should be communicated to the Provider Board.

·         Following a question, it was advised that a carers’ needs analysis would be carried out and this would help to inform the commissioning and delivery of future services. To date services for carers had primarily focused on meeting the needs of particular groups, including young carers, BME carers, and challenging the stigma faced by residents who care for people with substance misuse or mental health issues.

·         There were many “hidden carers” and carers often only became known to local services when they reached a crisis point. It was commented that carers could be better supported if they were known to local services before they reached this point.

·         It was reported that services for young carers were well received and the local authority was confident of their offer to young people with caring responsibilities; however young carers had reported to the local authority that they thought young carers were significantly under identified. It was suggested that further work with schools would help to identify young carers and ensure that they were able to access support services. 

·         The Board queried what actions were being taken to reduce delayed transfers of care. In response, it was advised that work was underway to improve performance in this area, including further collaboration with local hospitals, weekly multidisciplinary calls to  ...  view the full minutes text for item 26.


Safeguarding adults in Islington in 2018/19 - a review of key achievements and priorities going forward pdf icon PDF 159 KB

Additional documents:


James Reilly, Independent Chair of the Islington Safeguarding Adults Board, presented the report to the Health and Wellbeing Board.


The following main points were noted in the discussion:


·         The Safeguarding Adults Board was grateful for the work of the local authority on raising the awareness of Lasting Powers of Attorney. The power of attorney was an important preventative protection against financial and other types of abuse.

·         The Safeguarding Adults Board welcomed local initiatives to reduce the risks to roughsleepers.

·         There had been a 15% increase in the number of safeguarding concerns in comparison to the previous year. This was thought to represent an increase in awareness of safeguarding issues, rather than a significant increase in the levels of abuse. It was thought that staff across the public sector were developing a more sophisticated understanding of adult safeguarding issues and increased reporting was enabling local services to address these issues.

·         It was noted that the number of safeguarding enquiries had decreased over the past year; only around 1 in 10 concerns raised were deemed to require a formal enquiry.

·         It was advised that the Safeguarding Adults Board robustly challenged thresholds for intervention; this was essential to be assured that thresholds were being applied correctly.

·         New national guidance had been published which concurred with practice models already operating in Islington.

·         A serious adults review had been held. This highlighted a number of issues related to partnership working between local authorities and information sharing between services. An action plan was being developed to ensure that local services learn from the review.

·         It was advised that national changes to the Deprivation of Liberty Safeguards regime in 2020 would present challenges, however Islington was one of the few local authorities with no backlog on Deprivation of Liberty Safeguards applications and therefore was well-placed to implement the new processes.

·         It was commented that there had been several leadership changes among Safeguarding Board partners which presented challenges to the Board.

·         A member queried what local agencies could or should be doing better to improve services for vulnerable adults. In response, it was advised that care home provision in the borough was challenging, however it was understood that work was underway to address this. It was also acknowledged that there were risks associated with the funding of social care services, however this was a national issue which would require a political solution.  

·         It was suggested that the Safeguarding Adults Board would benefit from a more analytical evaluation of data.

·         Members highlighted the importance of all local partners attending the Safeguarding Adults Board.


The Health and Wellbeing Board thanked Mr Reilly and the members of the Safeguarding Adults Board for their work.




(i)            That the Annual Safeguarding Adults Review be received;

(ii)           To commend adult social services staff for their commitment to preventing abuse where possible and responding to concerns of abuse or neglect of vulnerable Islington residents.





Healthwatch Islington Work Plan 2019/20 pdf icon PDF 124 KB

Additional documents:


Emma Whitby, Chief Executive of Healthwatch Islington, introduced the report.


The following main points were noted in the discussion:


·         Healthwatch had worked with young adults at City and Islington College to examine what a welcoming health space looked like for young people. This would inform commissioners and providers when planning new developments. It was also advised that Healthwatch had engaged with the local authority on the outcomes of the Fair Futures Commission.

·         GP access was a priority for local people. Healthwatch would continue to work with health colleagues to ensure that there was adequate access to GP surgeries.  

·         Healthwatch had held focus groups to ascertain if local people were aware of social prescribing. In summary, these had found that there was limited awareness of “social prescribing” as a term, but local people understood the principles of social prescribing and some had experience of such interventions.

·         Healthwatch was working with voluntary sector organisations to gather information to inform the Joint Strategic Needs Assessment.

·         Healthwatch was contributing to digital inclusion work to increase access to the internet among local people. This would help residents to access health and care services online.




That the report and Work Plan be received.