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Agenda and minutes

Contact: Peter Moore  020 7527 3252

Items
No. Item

97.

Introductions

98.

Apologies for Absence

Minutes:

Councillor Jilani Chowdhury

99.

Declaration of Substitute Members

Minutes:

It was noted that Sheelagh Prosser was deputising for Jana Witt – Islington Healthwatch

100.

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:

The Chair stated that she wished it to be recorded that in connection with her employment with the NHS, she had undertaken some work at Moorfields NHS Trust

Sheelagh Prosser, Healthwatch stated that she had also undertaken some part time work at Moorfields NHS Trust

101.

Order of business

Minutes:

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

102.

Confirmation of minutes of the previous meeting pdf icon PDF 82 KB

Minutes:

RESOLVED:

That, subject to the following amendment,

Minute 95 – Whittington Estates Strategy – the deletion of the word discuss in the resolution and the insertion of the word write

 the minutes of the meeting of the Committee held on 01 March 2018 be confirmed and the Chair be authorised to sign them

103.

Matters arising from the minutes

Minutes:

A Member enquired whether the letter referred to in Minute 95 to local MP’s had had a response as yet.

 

It was stated that the letter had  been sent, however a reply is still awaited

104.

Membership, Terms of Reference etc. pdf icon PDF 94 KB

Minutes:

RESOLVED:

That the report be noted

105.

Chair's Report

The Chair will update the Committee on recent events.

Minutes:

The Chair welcomed the new Members of the Committee and officers to the meeting.

 

The Chair added that Sheelagh Prosser was deputising that evening for the Healthwatch representative on the Committee, Jana Witt

106.

Public Questions

For members of the public to ask questions relating to any subject on the meeting agenda under Procedure Rule 70.5. Alternatively, the Chair may opt to accept questions from the public during the discussion on each agenda item.

Minutes:

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

107.

Health and Wellbeing Board Update

Minutes:

Councillor Janet Burgess, Executive Member Health and Social Care, was present and gave an update to the Committee, during which the following main points were made –

 

·         It was noted that a member of the voluntary sector, from the Manor Gardens Community Centre would be joining the membership of the Health and Wellbeing Board and that this was welcomed

·         Members expressed their condolences on the recent death of a carer in Islington who had been murdered by a client and expressed regret at this shocking incident

·         It was noted that Stacy Street was closing and residents moved to St.Ann’s. Residents would be given support to manage this change. Care plans would be maintained and it was felt that the new provision would be an improvement on existing services

·         There is to be a consultation shortly commencing on mental health day services and details of this could be submitted to Health and Care Scrutiny Committee at a later date

108.

Camden and Islington Performance update - Presentation pdf icon PDF 2 MB

Minutes:

 Andy Rogers, Chief Operating Officer and Simon Africanus Rowe, Patient Experience Lead, Camden and Islington Mental Health Foundation Trust were present and outlined the report, during which the following main points were made-

 

·         The focus has been on patient safety and quality of care and as a result of consultation with all stakeholders, including patients, a list of 9 priorities were identified

·         There have been 3 key areas where significant achievements have been made and with regard to patient safety a comprehensive risk assessment had been introduced. Staff had been upskilled, and staff trained to a level that is more than satisfactory. In addition, poor health outcomes for people with serious mental illnesses has been reduced and the Trust has promoted safe and therapeutic ward environments by preventing violence

·         In addition, physical as well as mental health was assessed, as it is known that psychosis often develops at an early age, and the Trust has introduced a holistic health care package In addition there is now more communication with GP’s

·         Work is also being carried out with those patients that present at A&E and how families and patients can be made comfortable when presenting there. Service users and staff have been engaged in suicide prevention strategies

·         There have also been efforts to engage with other services and staff to develop an information strategy, and the Trust has worked with stakeholder and the NICE guidelines have provided a framework for this. In terms of patient experience progress has been made. However there are sometimes difficulties if there is no next of kin listed

·         With regard to clinical effectiveness the Trust is looking at working holistically with patients, and has developed an integrated practice unit, where signposting, mental health screening etc  can take place. In addition care plans can be reviewed and assessed to get a suitable care plan in place

·         In relation to safeguarding, the Trust has identified approaches that can be used to identify risk and take appropriate measures under the Mental Health Act

·         The overall CQC rating for the Trust is good, and it has taken a great deal of work for the Trust to achieve this rating

·         The Trust has also instituted a Recovery college, and this is doing well and serves service, users, staff and the public. A Women’s Psychiatric Intensive Care Unit has been introduced

·         As previously stated the Trust has identified 9 priorities, which all involved have signed up for and service users and carers are essential to this

·         A Member referred to the improvement of health and wellbeing of NHS staff, and that in quarter 4 this had not been met. The Trust responded that there had been an improvement, however staff, because of the challenging nature of the job that they did, suffer a lot of stress. The Trust recognised that there was still more to do

·         Reference was also made to the prevention of ill health by risky behaviours by tobacco and alcohol targets were not met in quarters 3 and  ...  view the full minutes text for item 108.

109.

Moorfields NHS Trust - Performance update pdf icon PDF 990 KB

Minutes:

Ian Tombleson and Tim Withers, Moorfields NHS Trust were present and made a presentation to the Committee.

 

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

 

·         Around 250 staff work at Moorfields NHS Trust and the Trust ranks first in staff satisfaction and the quality of work and care they are able to deliver. Staff motivation at work and staff satisfaction with resourcing and support are also at high levels where the Trust requires improvement. In January 2017, the Trust rating placed them in the top third of acute Trusts

·         The turnover of the Trust is £224 m, there were 730,000 patient contacts in 2016/17, across 32 sites. The Trust saw more than 586000 oupatients

·         The CQC action plan had 78 recommendations and the action plan is progressing well with 82% of actions complete

·         The Trust has a 5 year quality strategy with the ambition to deliver outstanding patient care

·         In terms of compliance with key national targets, in A&E there is a 98-99% compliance of meeting the 4 hour target, compliance against the national target on incomplete patient pathway, however the cancer target was narrowly missed 95.7% as against 96% target. Six week diagnostic tests were 100% and on infection control there were no cases year on year of MRSA or C difficile

·         The CQC patient experience quality results were good both in the children’s and young person’s survey and  A&E. The Families and Friends test continues to be very good and the main feedback relates to the length of patient journeys in clinic. There has been a launch of a Patient Participation Survey, in December 2017 which has more activities with patients participating and signposting and recruiting

·         It had been a solid year financially, with a net surplus of £5.7m and satisfactory delivery against CIP’s and commercial performance

·         The use of resources rating remains I  (the best), however expectations for 2018/18 continue to be tough

·         It was noted that the Trust are looking to improve IT systems, in order to improve efficiency

·         It was stated that the Trust recognised that they needed to improve the stress placed on staff, which is often linked to increased workload

·         Reference was made to the Trust moving to the St.Pancras site and that this is progressing well, and it is hoped to go out to public consultation later in the year

·         It was noted that work is being carried out to reduce waiting times and in response to a question it was stated that staggered arrival times had worked well at the Trust’s network sites. However at the City Road site there was still work needed to be done to improve the situation

·         A Member enquired about the CQC findings in relation to patient safety and th WHO surgical checklist. The Trust responded that some staff had been doing their jobs for a number of years, and did not fully appreciate the need for this, however the checklist had meant that there is more team working nd  ...  view the full minutes text for item 109.

110.

New Scrutiny topic Approval - Verbal

Minutes:

The Chair stated that it would be necessary for the Committee to select a topic/s for scrutiny in the forthcoming year.

 

Following discussion it was –

 

RESOLVED:

 

(a)  That approval be given to a mini scrutiny review on GP surgeries and the main scrutiny review topic be chosen from the following  -

 

Body dysmorphia/eating disorders- possible link with mental health

Child Obesity

Mental Health – also link with mental health of care leavers

Care staff pay and conditions

 

(b)  That the Chair be requested to contact Members following the meeting, taking into account their views for the main topics listed above, and select one for the main scrutiny topic

(c)   That the final topics be submitted to Policy and Performance Committee for consideration

111.

Child Obesity pdf icon PDF 99 KB

Additional documents:

Minutes:

 

Julie Billett, Director of Public Health and Julie Edgecombe, Assistant Public Health Strategist outlined the report for the Committee, during which the following main points were made –

 

·          The Council takes a holistic, whole system approach to tackling obesity which includes creating an environment that supports good health and wellbeing, by improving the food environment, improving the food offer and promoting physical activity

·         The Council has long term multi sectoral partnerships to promote this and encourages settings such as workplaces, schools and children’s centres to promote good health

·         It also supports families and children to maintain a healthy weight, which included a Families for Life programme, health living nurse and a psychology service for children with complex needs

·         It was noted that 2.52% of reception children had severe obesity, similar to the England average, while 5.9% of year 6 pupils had severe obesity, which is higher than the England average of 4.07%

·         Families for Life is a universal healthy lifestyle programme for families with a child aged 2-11 years. Activities include 4 or 6 week programme focusing on healthy eating, active games and cook and eat activities. 21 programmes ran in 2017/18 and 98 unique families were reached

·         An early years and primary parent champion offer to increase referrals into the programme and allow for parent champions to support sessions

·         From April 2019, these programmes will be delivered by Islington’s School Improvement service

·         In relation to the Healthy Living service, which is a weight management service for 5-16 year olds, overweight children are offered one to one support including home visits if needed

·         In 2016/17 1038 children were identified as overweight and obese by the National Child Measurement Programme (NCMP), and of these 613 were identified as very overweight

·         The Healthy Living Service delivered by Whittington Health, provides follow up support to those children identified via NCMP, and also takes referrals from GP’s, school nurses and other professionals

·         Vacancies within the service and the numbers of overweight children exceeding service capacity, meant that the service has had to target its resources to focus on supporting those children who are very overweight

·         Future models for the delivery of tier 2 weight management services are being developed. Since the enhanced tier 2 weight management service was introduced in 2017, public health has commissioned an enhanced weight management service to help develop and evaluate the type of weight management intervention that best supports children with co-morbidities, and /or complex needs. This involves working collaboratively with CAMHS, dieticians and community paediatricians via a MST

·         Since launch in October 2017, there have been 16 referrals to the pilot service with 9 children/families seen to date

·         With a small amount of financial support from Islington CCG the pilot has extended to run until March 2019, to help build up evidence and develop the model

·         Discussions are ongoing with the CCG regarding funding  beyond April 2019, but this service could be aligned to the CAMHS transformation work locally

·         Update on Local Government Declaration on sugar reduction and  ...  view the full minutes text for item 111.

112.

Work Programme 2018/19 pdf icon PDF 49 KB

Minutes:

RESOLVED:

 That the report be noted