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Agenda and minutes

Contact: Peter Moore  020 7527 3252

No. Item




The Chair introduced Members and Officers to the meeting


Apologies for Absence


Councillor Khurana and Chowdhury


Declaration of Substitute Members


Councillor Gill stated that he was substituting for Councillor Khurana


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 of the previous meeting pdf icon PDF 121 KB



That, subject to the following amendment – the insertion in minute 53 of the words ‘Concern was raised at the lack of access to the St.Pancras site, and that this needed to be looked at in terms of public transport ‘- the minutes of the meeting of the Committee held on 7 March 2019 be confirmed and the Chair be authorised to sign them


Matters arising from the Minutes


Reference was made to minute 54 and that the issue of some pregnant ethnic minority women being refused treatment and access to medical services needed to be investigated at a future date by the Committee and that this should be added to the future work programme





Chair's Report


The Chair stated that she had heard that there may be a proposal to close the A&E department at the Whittington Hospital. The Committee stated that an e mail should be sent to the Chief Executive enquiring if this rumour is correct





Health and Wellbeing Board update


Councillor Janet Burgess, Executive Member Health and Social Care, was present at the meeting and outlined the issues discussed at the Health and Wellbeing Board on 20 March 2019


During discussion the following main points were made –

·         Reference was made to the presentation made at the Health and Wellbeing Board and that a copy of this presentation would be circulated to Members

·         Work is taking place with health partners on health integration in Islington, which is currently working well, and that further plans were being drawn up

·         Noted that work was taking place on integration across North Central London in relation to more integration of digital technology and workforce issues

·         Other issues such as mental health, discharge from care, more support for informal carers were also discussed

·         Noted that work has been taking place with the Whittington Hospital over the past year in relation to locality work and GP’s

·         In response to a question as to more integrated working across NCL, it was stated that the more that boroughs/organisations worked together was felt to be beneficial



That the presentation slides referred to above be circulated to Members of the Committee


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 at the meeting


Scrutiny Review - Adult Carers/Green Paper - Revised SID pdf icon PDF 41 KB


Jess McGregor, Assistant Director Strategy and Commissioning was present and outlined the revised SID.


During consideration of the SID and her verbal submission the following main points were made –


·         Members were informed that the Green Paper on social care was not likely to be published for some time and therefore focus should be on the Adult Paid carers part of the review. Members concurred with this view and the Green Paper consideration should be deferred until it was published

·         The revised SID focused more on providing a better on home care services, and was timely as there is a ‘break clause’ on contracts after 2 years. The review will enable the current service to be looked at and to propose improvements

·         The view was expressed that users of the service should be added to the witness list



That the revised SID be agreed and ‘users of the service’ be added to the list of witnesses that evidence will be received from


Scrutiny Review - GP Surgeries - Draft recommendations pdf icon PDF 42 KB


Rebecca Kingsnorth, Islington CCG was present and outlined the draft recommendations to the Committee.


Following consideration of the recommendations the following main points were made –

·         Members expressed the view that in relation to recommendation 4, they felt that the high cost of living/housing was a deterrent to recruitment, however with the lack of social housing in the borough this would be a difficult issue to resolve

·         In relation to recommendation 7, and the North London Health Information Exchange, it was felt that this should be looked at at a future date

·         In relation to recommendation 9, additional details of the new GP contract proposals relating to recruitment re: social prescribers be added to the recommendation

·         Recommendation 10 – add sentence to make clear that if the 25% on line appointments are not taken up, these can then revert to normal appointments that can be booked in the normal way by patients



That, subject to the above amendments, the draft recommendations be approved and the final report be submitted to the next meeting of the Committee


Scrutiny Review - Air Quality Implications for Health - 12 month progress report pdf icon PDF 135 KB


Andrew Ford, Environment and Pollution Policy Protection Officer, Environment and Regeneration Department was present and outlined the report.


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


·         Reference was made to the roll out of electric charging points,

·         It was noted that a new Transport strategy would be issued in the near future, which Members could comment on

·         Discussion took place on higher charges for larger engine vehicles and the difficulties in identifying vehicle types in relation to SUV, however this could be looked at further

·         It was noted that in relation to recommendation 2, that 8 schools were being monitored and that this monitoring would ‘roll out’ across all primary schools. In the longer term it is anticipated that all schools would be included. Data on the study of 8 schools would be published when available

·         Discussion took place as to the fact that narrowboats on canals and waterways are currently exempted from the Clean Air Act, and that DEFRA were currently looking at this

·         Reference was made to the new Environment Act, and that this addressed the issue of air quality

·         Members congratulated officers on the progress of the recommendations



That the report be noted