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Agenda and draft minutes

Contact: Peter Moore  020 7527 3252

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Items
No. Item

289.

Introductions

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The Chair introduced Members and officers to the meeting

290.

Apologies for Absence

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Councillor Hyde and Councillor Turan – Executive Member Health and Adult Social Care

291.

Declaration of Substitute Members

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Councillor Poyser stated that he was substituting for Councillor Hyde

292.

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.

 

 

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Minutes:

None

293.

Minutes of the previous meeting pdf icon PDF 106 KB

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Minutes:

RESOLVED:

That the minutes of the meeting of the Committee held on 26 July 2021 be confirmed and the Chair be authorised to sign them

294.

Chair's Report

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295.

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.

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The Chair outlined the procedure for Public questions and that any questions should be submitted to the Chair or the Clerk following the meeting for response

296.

Health and Wellbeing Board Update - if any

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None

297.

Camden and Islington Mental health Performance update pdf icon PDF 5 MB

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Tafadzwa Mugwaga, Director of Quality and Performance, Camden and Islington Mental Health Trust and representatives of the Trust, Emily Van de Pol, Dr. Rena Rashid and Darren Summers were also present, and outlined the report. During consideration of the report the following main points were made –

 

·         Demand for services increased because of social restrictions imposed during the pandemic

·         Community teams assessed people with psychosis and complex emotional needs and ensured those most at risk were regularly contacted

·         Learning Disabilities Team continued to work face to face with service users following COVID infection control measures

·         Service reorientated to ensure a quick response

·         Staff safety and well-being has been a priority during the pandemic

·         Noted complaints about the service reduced

·         Noted quality improvements and priorities for the current year

·         Mental Health transformation – the community services transformation programme will change the way that community mental health services are delivered and accessed. New neighbourhood health services will be rolled out by 2024 as part of the biggest expansion of community mental health care in NHS history. The new model has been co-produced with patients, residents and partners in Camden and Islington. Transforming mental health care will take time

·         Noted the St.Pancras transformation programme redevelopment proposals

·         A Member referred to the fact that in future reports it would be useful if the figures for low harm incidents were separated out from the figures

·         Noted that training was taking place for incidents that happen in the home

·         Noted the proposals for earlier intervention and that investment was needed to resource this and that work is also taking place with partners, such as Age UK and Black Minds on a more co-ordinated approach. The mental health transformation programme would assist in this. Work is also taking place with GP’s

·         Reference was made to the fact that it had been difficult for staff during and post the pandemic and that staff did have a digital platform that they could access for assistance

·         Noted that there were also a number of centres such as the Drayton Park crisis house where there is a walk in centre and chat facility to assess if support is needed

·         Noted that the Trust were stressing to staff the importance of vaccinations and were making access to vaccinations as easy as possible

·         Work is taking place with LBI colleagues to ensure services are as accessible to residents and that there is a regular meeting of the Mental Health Partnership group to assist in this

 

 

The Chair thanked Camden and Islington Trust for attending

298.

COVID 19 update pdf icon PDF 276 KB

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Jonathan O’Sullivan, Director of Public Health and  John Everson and Russell Jones Adult Social Services were present and outlined the presentations, copies interleaved

 

Councillor Sue Lukes, Executive Member Community Safety and responsible for pandemic response was also present

 

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

 

·         Adult Social Services – the majority of staff employed in care homes, as well as in LBI ASC department will have been vaccinated by the date set down by the time of the deadline set by Government

·         Care homes – there has been high rates of full vaccination coverage with further increases expected. No provider expressed any business continuity concerns about impact on recruitment to date

·         Work on implementation of mandatory vaccination builds on long-standing work undertaken within the department and with local providers to support vaccination uptake for social care staff

·         Homes and Domiciliary care – no new deaths since start of February, decrease in symptomatic  residents, staffing levels in OAP care homes have remained stable

·         Mental Health and Learning Disabilities Care Homes – there have no COVID related deaths in mental health disabilities care homes and staffing levels remain stable

·         Domiciliary care – small number of residents who have been confirmed with COVID or who have been COVID symptomatic. No COVID reported deaths reported from commissioners. After some initial workforce challenges in the sector staffing levels have stabilised and there is capacity, and work is taking place with providers to ensure as many staff continue to be vaccinated as possible

·         Home sector levels – increase in care home resident cases in December 2020/January 2021 and likely due to increased rates in community transmission. Since February 2021 there have been very few cases which have been asymptomtic, and currently no resident deaths since the start of February

·         Public Health – variation in infection rates by ethnic group over the Summer. Vaccinations have largely prevented serious illness needing hospital admission. Most admissions were in younger age groups, and after many months of no reported deaths this increased by 10 over August/September making a total of 375

·         As of 22 September 154k of adults have had their first vaccination and 137k their second. This has slowed and residents from black communities are significantly less likely to have been vaccinated. Preparations are in place for 12-15 year old school based vaccinations and booster programmes, plus expanded flu vaccination roll out. The growth in infections has been largely driven by young people. Noted that the booster third jab programme would also be starting shortly and 4 GP hubs and 10/11 pharmacies across the borough would be administering these

·         Islington COVID infection rate is amongst lowest in London

·         The three wards with lowest vaccination rates are likely to be affected by the larger student populations in these wards. Focus on supporting and vaccinating people in excluded and most vulnerable groups

·         Noted that analysis had shown that deaths amongst black Asian and the black population were higher than other groups, and that it is hoped  ...  view the full minutes text for item 298.

299.

Scrutiny Review Health inequalities - SID/Witness evidence on mental health pdf icon PDF 52 KB

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Jill Britten, Public Health, and Sue Hogarth, Strategy and Commissioning Public Health were in attendance, and made a presentation to the Committee, copy interleaved

 

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

 

·         Islington has one of the highest level of mental health needs in the country, and this is reflected in high levels of diagnosed conditions. Almost one in six adults in Islington are diagnosed with a common mental health illness and women accounted for 61% of diagnoses. Middle aged adults are more likely to have a common mental illness and white British and white Irish followed by White and Black Caribbean ethnic groups have a higher prevalence compared to the Islington average. Islington has a higher prevalence of serious mental illness (SMI) (2018) figures, than London and England. Black and mixed ethnic white ethnic/black Caribbean ethnic groups have the highest prevalence of SMI. All groups experience mental health conditions, but prevalence rise significantly in groups experiencing deprivation, disadvantage and discrimination

·         Impact of COVID 19 on mental health and wellbeing has affected all ages and will continue to do so, some issues apply to all ages, and those with drug and alcohol issues. Large national surveys have found higher numbers of people experiencing anxiety and depression and social isolation is more widespread

·         Modelling and needs assessment – young people are worried about education, finances and future. Parents are concerned about children’s mental health and wellbeing and women more worried than men. More BAME residents reported worries about COVID 19, and people not in paid work have poorer mental health than the full time employed. Mental health had deteriorated somewhat for LGBTQ residents, and there was a gap in services for people with learning disabilities. Unpaid carers have suffered anxiety about loss of available support. People who have had severe COVID 19 are at risk of anxiety and depression, especially health care professionals

·         Many Islington residents have tried to adapt to cope with the pandemic most commonly by spending more time with family and friends. For those who need further help there are many services and community support structures for example SHINE, Parks for Help, Financial and Debt advice, in work support, food provision, social and community assistance, healthcare services, and psychology groups

·         Additional activities as a result of the pandemic included – ensuring that the Council has a good understanding of the issues, ensuring a system wide strategic response, service and training developments, children, young people and families

·         Clinical support changes at early stage of pandemic – NCL CCG worked to bring forward Crisis Team expansion, acute hospital psychiatric liaison, home treatment and community response, resulting in 24/7 crisis cover across NCL

Specialist services and teams who can respond in a crisis. Increased support for young people with autism/Learning Difficulties and challenging behaviour. Increased support with schools, bereavement, mental health, first aid training for CYP workforce. As with all services there was an expansion of remote working and digital solutions, but continuation with face to face  ...  view the full minutes text for item 299.

300.

Work Programme 2021/22 pdf icon PDF 49 KB

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RESOLVED;

That the report be noted