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Agenda and minutes

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Items
No. Item

245.

Apologies for Absence

Minutes:

           Councillors Graham, Ismail and Klute

246.

Declaration of Substitute Members

Minutes:

None

247.

Introductions

Minutes:

The Chair introduced Members and officers to the meeting

248.

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

249.

Minutes of the previous meeting pdf icon PDF 71 KB

Minutes:

RESOLVED:

That the minutes of the meeting of the Committee held on 15 April 2021 be confirmed and the Chair be authorised to sign them

250.

Chair's Report

Minutes:

The Chair stated that this would be her last meeting as Chair of the Committee, and that she would like to thank the Vice Chair, Councillor Chowdhury, other Members of the Committee, officers and the Executive Members of Health and Social Care, Councillors Turan and Burgess for the help and support she had received, during her 3 previous years as Chair of the Committee

 

The Chair added that she felt that the Committee had undertaken some excellent work, including the Scrutiny Review on Adult Paid Carers, which would be considered later on in the agenda, and it was important for the Committee to focus on Adult Social Care going forward, in addition to the health work aspects of the Committee

 

 

251.

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

252.

Health and Wellbeing Board Update - Verbal

Minutes:

None

253.

COVID 19 Update pdf icon PDF 389 KB

Additional documents:

Minutes:

Councillor Sue Lukes, Executive Member Community Safety and Member for Pandemic response was present and accompanied by Jonathan O’Sullivan, Interim Director Public Health and Stephen Taylor and Jon Tomlinson, Adult Social Care

 

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

·         Adult Social Care – work has been underway since mid-December 2020 with local partners, in order to prepare and roll out COVID vaccinations to local residents and care staff. All care home residents have been offered first vaccine, all residents in extra care have been offered first vaccine, all supported living residents offered first vaccine, all residents in commissioned social housing offered first vaccine. Work is taking place to offer second doses to residents in accommodation based settings. Commissioners are continuing to promote vaccinations to front line health and care staff. The Learning Disabilities team is working with local health partners to vaccinate residents with LD in the community, and officers in partnership with local services, to promote access to vaccines for unpaid carers

·         Noted that staffing levels have remained generally stable in older people’s care homes, mental health and learning disabilities care homes and domiciliary care. Noted that there was an increase in care home residents cases in December/January, but there has been a decrease over mid-February to early April, and four asymptomatic cases were identified recently and these are being monitored. After a period of relative stability from April to November there was an increase in the number of COVID related resident deaths from December 2020 and January 2021, primarily linked to two large outbreaks. No new deaths since start of February

·         Public Health  - Steady reduction in case rates with around 40 cases per week. Rates are similar to September 2020 levels. No sign at present that the easing of lockdown has led to increased cases

·         Testing – rates of symptomatic testing decreased slightly and non – symptomatic LFT in community settings rose significantly in March. Overall community testing rates have reduced over the last 2/3 weeks

·         COVID first vaccinations have slowed in the last few weeks in existing cohorts, reflecting the London picture. As of 14 April at least 57000 local people had had their first vaccination, and almost 3000 their second. Vaccinations were having a real time effect in reducing infections and deaths even after the first dose of the vaccine and reduced the risk of transmission

·         COVID deaths – 359 deaths mentioned with COVID on death certificate, latest week of data shows no COVID related deaths, and 8 fewer deaths overall (all causes) compared to the 2015-19 average for the week

·         Noted that during the past week Islington had seen the lowest COVID infection rate in London at 10 cases per 100000, hospitalisations were reducing, and there had been no deaths in the borough in the last 4 weeks

·         Pop up clinics were being looked at in parts of the borough, however these needed to be linked in with vaccine supply, and work is taking place in this regard. Councillor  ...  view the full minutes text for item 253.

254.

Performance report - Quarter 3 pdf icon PDF 219 KB

Additional documents:

Minutes:

Councillor Nurullah Turan, Executive Member Health and Social Care was present and was accompanied by Jonathan O’Sullivan, Interim Director of Public Health and Stephen Taylor, Interim Director of Adult Social Care

 

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

 

·         Adult Social Care – noted that many of the Performance indicators were not on target, and this was due to the COVID 19 pandemic. Noted that there had been an additional 300 hospital discharges to deal with, and staff had worked extremely hard in order to cope with this increased demand. It was hoped that a more normal pattern of hospital discharge would take place in future

·         Health – Similarly targets had been severely impacted by COVID 19, however new methods of working such as routine calls being dealt with by telephone have proved successful, and lessons learnt could be taken forward. Noted that many drug users had been engaged in accessing services, especially rough sleepers who tended to present with more complex problems, however alcohol use had risen during lockdown, but smoking and drug use had reduced

 

 

RESOLVED:

That the reports be noted, and consideration of an objective for a deep dive review under related corporate performance proposed for Adult Social Care and Health (to take place over a  12 month period) be deferred for consideration at the next meeting of the Committee

 

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

 

 

 

 

 

 

255.

Scrutiny Review Adult Paid Carers - Final report pdf icon PDF 277 KB

Minutes:

RESOLVED:

That the recommendations and report be agreed and referred to the Executive for consideration

256.

Work Programme 2021-22

Minutes:

RESOLVED:

That the report be noted

257.

Vote of Thanks

Minutes:

It was moved by Councillor Jeapes and duly seconded and –

 

RESOLVED;

That a vote of thanks be accorded to the Chair, Councillor Gantly, and the Vice Chair, Councillor Chowdhury for their services rendered during the current municipal year