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Agenda and minutes

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Items
No. Item

206.

Introductions

Minutes:

The Chair introduced Members and officers to the meeting

207.

Apologies for Absence

Minutes:

None

208.

Declaration of Substitute Members

Minutes:

None

209.

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:

None

210.

Minutes of the previous meeting pdf icon PDF 105 KB

Minutes:

RESOLVED:

That the minutes of the meeting of the Committee held on 26 November 2020 be approved and the Chair be authorised to sign them

211.

Chair's Report

Minutes:

None

212.

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 Public questions

213.

Health and Wellbeing Board Update - Verbal

Minutes:

None

214.

Whittington NHS Trust Quality Account pdf icon PDF 3 MB

Minutes:

Michelle Johnson, Director of Nursing Whittington Hospital and Jonathan Gardner Whittington NHS Trust were present for discussion of this item

 

During discussion the following main points were made –

 

·         Noted that a new autism friendly map of the Whittington has been launched

·         Volunteer support at community site and in patient homes

·         Reduction in number of serious harm falls, and noted none in 2018/19 and one in 2019/20

·         Quality and quantity of patient safety incidents reported has improved

·         Trust has appointed a dementia specialist and a frailty consultant

·         Increasing staff awareness and experiences of those with those with autism and learning disabilities

·         Introduced a place of safety with Camden and Islington Foundation Trust at the Highgate wing

·         Focusing on development of black Asian and minority ethnic staff has been prioritised

·         Raising profile of research so that it can be embedded in patient care

·         Staff wellbeing is being supported and improved

·         Increasing medical, allied health  professional, nursing and midwifery student placements and early years development training designed to support newly qualified nurses

·         CQC report – rated as good and as outstanding for caring.  Since last CQC inspection Trust dealt with challenges and demands for services. Community health services also rated as outstanding and across all domains of care the CQC found community health services good or outstanding

·         Clinical research – research and development department continues to adapt and develop to provide highly-skilled and dedicated staffing to support the major areas of clinical research

·         In 2019/20 Trust have carried out 120 quality improvement projects across the Trust by staff in a range of roles, one of which was to improve inpatient discharges

·         Listening to patients and staff – 81% of staff felt that care of patients is the Trust’s top priority, 56% of staff responded to staff survey – the highest ever, patients who received treatment for cancer rated Trust 9/10 for care, 100% of patients had all the information on their operations before it happened

·         Priorities for 2020/21 – reducing harm from hospital acquired de-conditioning, improving communication between clinicians and patients, improving patient education in relation to human factors, improving blood transfusion care and treatment

·         Staff had taken place in COVID related trials

·         The CQC had identified that safety is an issue for the Trust, and that this would be a focus in future

·         The Trust has been rated good for well led organisation and use of resources and its role in providing integrated care so that patients can be discharged in an orderly of efficient manner, and good work was taking place with partners

·         Reference was made to research trials and involvement of BAME staff, and it was stated that this information could be provided following the meeting

·         A Member referred to previous issues regarding bullying and harassment at the Trust, and it was stated that whilst it is recognised that there is still a problem in small areas, the situation was improving and the response to the staff survey at 56% had been positive. It was noted that it tended  ...  view the full minutes text for item 214.

215.

COVID 19 Update pdf icon PDF 278 KB

Additional documents:

Minutes:

Councillor Sue Lukes, Executive Member for Community Safety and Pandemic Response, Stephen Taylor Interim Director of ASC Transformation and Jonathan O’Sullivan, Acting Director of Public Health were present, and outlined the presentation, copy interleaved

 

During the presentation the following main points were made

 

·         Adult Social Care – Winter Care plan includes distribution and reporting on distribution of infection control funding, support to roll out vaccine supporting providers with guidance, ensuring access to PPE  by providers, supporting providers with testing ability, promoting use of flu vaccine, supporting reopening of day/respite services where possible, and working to prevent hospital  admissions and supporting safe hospital discharges

·         Older Peoples Care Homes/Domiciliary Care – Following a period of relative stability in care homes increase in number of COVID cases. Staffing levels have remained relatively stable. In domiciliary care there are relatively low numbers of residents with confirmed COVID cases and not COVID related deaths, and staffing rates have stabilised

·         COVID testing is being rolled out to domiciliary staff and providers feedback is testing kits and staff tested is increasing. No shortage of PPE reported

·         Mental Health Learning and Disabilities Care Homes – there are 3 learning disabilities care homes and 5 mental health care homes in Islington and over recent months there have been small number of residents and staff cases identified via routine testing in these settings. There have been no COVID related deaths in mental health or learning disabilities care homes in Islington. Staffing levels remain stable

·         Care Homes vaccination programme – ASC supporting local health partners, and contributing to vaccination roll out for priority groups, and by 15 January residents in all older people’s care homes and extra care housing will have been offered their first COVID vaccine. Webinairs were taking place for staff

·         Health – COVID cases in Islington – as of 11 January 2021 there are a total 9053 laboratory confirmed cases in Islington

·         Of the cases with an ethnicity record 62% are white and 38% BAME, similar to borough profile. Overall there are slightly more females who have been confirmed positive. Infection rates are higher in the most deprived and lowest in least deprived areas. In the past 3 weeks rate of testing has been highest amongst other ethnic and Bangladeshi groups, and lowest amongst other black. In the past 3 weeks the testing rates have been highest amongst 20-59 year olds

·         In response to a question as to the take up of vaccinations amongst the community, particularly some BAME communities, it was stated that it was hoped that this would improve once it is seen that the vaccine is not harmful and safe uptake will improve

·         Second walk in testing centre established at Sobell Centre, and sites for asymptomatic testing set up

·         Local contact tracing is continuing and went live in November and there is a call handling team who work 9-7, 7 days a week and the success rate is 83%. There has been increase in cases since 24 December

·         Roll out of COVID 19 vaccination  ...  view the full minutes text for item 215.

216.

Alcohol and Drug Abuse update pdf icon PDF 93 KB

Additional documents:

Minutes:

Emma Stubbs, Senior Commissioning Officer, Public Health was present, together with Barney McGee, Lisa Luhman and Liz McGrath of Better Lives, and outlined the presentation and report (copies interleaved)

 

During discussion the following main points were made

 

·         Islington experiences some of the greatest levels of substance misuse related harm in London, with detrimental impacts on health services, crime and community safety and social care needs

·         Better Lives the adult drug and alcohol recovery service has been operation since April 2018 and during COVID lockdown the focus was on ensuring residents could access or continue to access the critical elements of their care. Post lockdown other types of remote support was offered however it has been difficult to sustain progress due to changing nature of the pandemic

·         Increasing numbers in treatment – COVID gave an opportunity to draw people into treatment, particularly opiate users, who may have chosen to decline previous treatment

·         Support has been extended to rough sleepers with better outreach, training other frontline staff, partnership working, rapid access, establishing a single point of contact, harm reduction

·         Issues identified throughout the COVID – feedback from Better Lives – residential rehab and inpatient detox closures or access severely restricted which limited available treatment options, pressure on local pharmacies, reduction in availability of other services, staffing resources,  safeguarding issues

·         Increase in reported cases of domestic violence and abuse and safeguarding

·         Opportunities identified as a result of COVID – rapid expansion of virtual and remote interventions, use of MS Teams/Zoom, more flexible approach to services, review traditional ways of working, different approaches to care, building on improved partnership working, continuation of Family Support Service

·         Borough performance – numbers seeking support for their opiate use is increased as a consequence of the reduced availability of street purchased drugs. During lockdown marked reduction in numbers of people presenting for support around their alcohol, and whilst these numbers are increasing, commissioners are working with the service to encourage greater numbers into treatment

·         Next steps – planning for future waves of COVID, delivering flu vaccinations to staff and vulnerable service users, ensuring critical face to face interventions are reinstated safely, provider led work streams, commissioning the new support  funded programme to provide drug and alcohol support to rough sleepers, equality impact assessments for any new approaches to delivering support

·         85% of service users in June 2020 indicated experience of service as good or very good during first lockdown. Increase in number of people remaining in treatment for 12 months or more, and a decrease in number of service users leaving treatment. Challenges – support services outside of drug and alcohol services, closing or moving online, and a significant number of service users do not have equipment or desire to access online support

·         Borough Performance – Contract management – during initial stages of COVID formal contract monitoring was suspended to allow the service to focus on delivering the critical elements of care, but these have now been reinstated and efforts are being made to develop a post  ...  view the full minutes text for item 216.

217.

Performance update - Quarter 2 pdf icon PDF 175 KB

Additional documents:

Minutes:

Councillor Nurullah Turan, Executive Member Health and Social Care, and Jonathan O’Sullivan, Director of Public Health were present for discussion of this item

 

 

RESOLVED:

That the report be noted

 

The Chair thanked Councillor Turan and Jonathan O’Sullivan for attending

 

218.

Scrutiny Review - Adult Paid Carers - witness evidence pdf icon PDF 35 KB

Minutes:

RESOLVED:

That the witness evidence be noted

219.

Work Programme 2020/21 pdf icon PDF 51 KB

Minutes:

RESOLVED:

That the work programme be noted