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Agenda and minutes

Contact: Peter Moore  020 7527 3252

No. Item




The Chair introduced Members to the meeting


Apologies for Absence


Councillors Anjna Khuruna and Martin Klute and Jana Witt - Healthwatch


Declaration of Substitute Members




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.





Order of business


The Chair stated that the order of business would be as per the agenda, except that the item on Scrutiny Review – 12 month progress report would be taken as the penultimate item on the agenda


Confirmation of minutes of the previous meeting pdf icon PDF 98 KB



That the minutes of the meeting of the Committee held on 14 June 2018 be confirmed and the Chair be authorised to sign them


Chair's Report

The Chair will update the Committee on recent events.


The Chair informed the Committee that a meeting to discuss the proposals around cthe St.Pancras redevelopment would be held, in conjunction with the L.B.Camden Health and Scrutiny Committee, on 9 October 2018 at LB.Camden, and all Members were welcome to attend. Once the details had been confirmed these would be notified to Members


The Chair also stated that if Members wished to undertake any Health Training this was available in September and details would be sent to Members. This is in addition to the general training on Scrutiny that would be taking place on 19 July.


The Chair also reported that he had attended a meeting of the JOHSC and there had been discussions on the Estates Strategy for North Central London, and that these discussions were still ongoing.


The Chair also stated that it was intended to defer the second scrutiny review to be undertaken by the Committee until later in the year ,due to the number of items on forthcoming agendas, and consideration to such topic would be given later in the year and Members –





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.


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


Health and Wellbeing Board Update




Scrutiny Review - 12 month update - Health Implications of Damp Properties pdf icon PDF 141 KB


Damian Dempsey, Housing and Adult Social Services, was present for discussion of this item.


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


·         Reference was made to the capital works programme and the work that was being undertaken at the Andover and Girdlestone Estates, which were the two hotspot estates identified by the review

·         A Member referred to dampness problems in Housing Association properties, and it was stated that whilst the Housing Association were the freeholders, tenants could contact the Council, to see whether enforcement action could be taken in the event of problems

·         It was stated that surveyors, as a result of the review, had to assess the reasons for dampness, and not just assume it was a ‘lifestyle’ issue, as had been the case in the past

·         In relation to recommendation 4 relating to the pro forma, it was stated that this was currently under consideration to incorporate the best parts of the pro forma



That the report be noted


The Chair thanked Damian Dempsey for attending


Whittington Trust - Performance update pdf icon PDF 2 MB


Siobhan Harrington, Chief Executive, Whittington NHS Trust and Michelle Thompson, Director of Nursing, was present for discussion of this item.


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


·         The Trust had 101,814 visits to A&E in 2017/18

·         There were 2.269 elective admissions and the maternity staff delivered 3,761 babies

·         There were also 797,634 contacts with patients in the community

·         The Trust had an annual turnover of £323 million and employs 4,200 staff and work with 150 volunteers who support the Trust

·         In June 2017, the Trust received the CHKS Hospital award for the best performing Trust quality of care across the UK

·         The Trust were winners of the 2018 HSJ Value awards for the Community health service redesign, for the implementation of the eCommunity paperless system. Also winners in the HPMA award for HR innovation

·         The Trust had the second highest take up rate for flu vaccine by staff across London

·         The proportion of staff taking part in the annual staff survey rose to 42%

·         A patient self-management partner partnership has been formed with Tottenham Hotspur

·         Staff and supporters raised over £21,000 in the London Marathon for the Whittington charity

·         In 2017/18 the Whittington NHS Trust set itself 26 quality priorities covering 13 domains. The domains covered Patient safety, patient experience and Clinical effectiveness. Priorities were identified after consultation with staff, stakeholders and managers

·         The Trust successfully met 16 out of the quality priorities and moved forward significantly with the remainder (some are refreshed in the 2018/19 priorities)

·         Statements of assurance had been received from the Independent Auditors Limited Assurance on the Quality Account

·         Priorities for improvement in 2018/19 have been developed, following consultation with staff and stakeholders, and are based on both national and local priority areas. Each target has been specifically developed by clinicians and managers, following stakeholder engagement and will be approved by senior managers. Work will be taking place to align the target/benchmark with operational plan objectives. These priorities are as follows –

Patient Safety Domains – Falls, pressure ulcers, AKI, Care of Older People, Mental Health and Learning Disabilities, Podiatry

Patient Experience Domains – Patient Information, Quality of Food, Transport, Outpatient cancellations, District Nursing continuity of care

Clinical Effectiveness Domains – Patient Flow, Clinical Research, Education and Learning

·         Reference was made to the fact that there had been a 40% increase in attendances at A&E and the Trust had one of the lowest mortality rates in England

·         Whilst the Trust did not meet the 95% A&E 4 hour target, it did reach 89.4%, which was an increase of 3% over the previous year

·         Work has taken place to improve waiting times for community services

·         The Trust has substantially improved its financial position, and it is hoped to clear the underlying deficit within the next 18 months

·         It was noted that there were 200 referrals to the District Nursing service per day

·         In response to a question on the number of deaths, it was stated that work is taking  ...  view the full minutes text for item 123.


Quarter 4 Performance Update pdf icon PDF 177 KB


 Councillor Janet Burgess, Executive Member Health and Social Care, Julie Billett, Director of Public Health and Katherine Willmetto, Housing and Adult Social Services, were present at the meeting for discussion of this item.


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


·         In response to a question Councillor Burgess stated that she would provide figures for the numbers of people discharged into a care home where benefits were paid, whilst benefit was still being paid on their home address. Councillor Burgess stated that she felt the numbers were low

·         Discussion took place as regard the number of MMR vaccinations and that there is still a reluctance from parents to get children vaccinated and this is regrettable. However, whilst nationally there had been an increase in cases of measles, this has not been reflected in Islington



That Councillor Burgess be requested to provide the information referred to above


The Chair thanked Councillor Burgess, Julie Billett and Katherine Willmetto for attending


Scrutiny Review - Approval of SID/Witness evidence


Tony Hoolaghan, Rebecca Kingsnorth and Imogen Bloor, Islington CCG, and Ian Sandford Public Health were present for discussion of this item and made a presentation to the Committee thereon. A draft Scrutiny Initiation Document (SID) was also laid round.


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


·         There are 33 GP practices in Islington, serving a registered population of 252,273 at June 18

·         The practices range in size from a registered list of over 1700 patients to a list of over 18000 patients

·         There are 4 practices with single handed GP’s, to 6 practices with over 4 GP partners

·         All practices are inspected by the CQC over the past 38 months, and 30 are rated as good, 2 are rated as requires improvement and 1 is rated as inadequate

·         The known challenges for primary care are growing demand for services, due to more complex health needs, population growth and people living longer

·         There is also a struggling workforce, and 25% of the NCL GP workforce is over 55, and likely to retire in the next 10 years. For Islington this is 19%, or 36 GP’s. Fewer GP’s are looking for partnerships and there are recruitment and retention challenges

·         There is an evolving care sector, and renewed importance on the role of general practice in providing care that is accessible, and all integrated across all parts of a complex health and care system. Patient expectations are challenging in line with social and technological advances

·         There are ageing premises, and general practice is provided from a range of different types of premises. This ranges from purpose built to converted premises, and with a range of ownership models

·         Action is being taken as follows – Targeted investment into general practice, focus on existing and new workforce, target estates to support need, investment into quality improvement teams, prioritising digital opportunities, support practices to respond flexibly to demand, enabling the Care and Health Integrated Model (CHIN), enable collaborative working across local healthcare systems, and social prescribing

·         In terms of investment the CCG investment into primary care includes – a nationally set funding for core primary medical services, including provision of service, quality and outcome framework payments, and premises. CCG funding of Locally Commissioned services, short term funding – the GP forward view mandated that £3 per head of population be allocated from CCG funds over 2017/18 and 2018/19. This is being used to support practices to look at internal process for demand management, GP forward view funding for specific initiatives, such as developing online consultation, and GP forward funding for extended primary care, topped up with CCG funds in Islington

·         In Islington additional funding over and above the nationally sent contract costs of core primary medical services is received, and this provides the ability to invest in primary care and there is an investment plan to support these initiatives

·         In terms of workforce NCL faces significant challenges for the future workforce, and a recent survey has indicated that  ...  view the full minutes text for item 125.


Work Programme 2018/19 pdf icon PDF 49 KB



That the report be noted